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Case Study: Supporting a Business Through the Productive Pessimist Performance Plan

(*names and features have been changed for privacy) GullRun Health Services are an independent healthcare provider, established as a Community Interest Company (CIC) who are looking to move away from their current business model, which is heavily dependent on NHS (National Health Service) commissioning.  GullRun want to move away from this model in order to establish a more visible presence in their local area, and also to avoid the significant payment lags that they are experiencing on many of their contracts - in some cases, it has been over a year since the service they were commissioned to provide started seeing patients, and they still haven’t received a single payment from the NHS. This is obviously having an impact on their ability to maintain a prudent level of reserve funding, and preventing them from addressing pressing healthcare needs within their communities. GullRun Health Services approached The Productive Pessimist Ltd, and requested a supported session working through

"How Can They Do That?!"

  TW: Discussion of systemic transphobia, Discussion of racism "How can a trans woman be CEO of an endometriosis charity?!"  Well, the head coach of the England Women's Rugby team is a male-identified, cisgender (assigned male at birth) man. The CEO of the RNIB isn't blind. CEOs of anti-poverty charities are certainly well-remunerated enough to not actually be in poverty. Most have never  experienced hardship, having danced from Executive post to Executive post, before eventually landing as a CEO. The upside of being a pessimist is you spend so long looking at problems that you gain an intuitive awareness that, very often, the thing being presented as "the problem" isn't, in fact, the real  issue that needs a solution. In endometriosis , the (very real, for those who suffer from the condition) issues of medical fact would be fairly straightforward to address. The problem  is medical disinterest, and, very particularly, the attitude of the medical profess