The Architecture of Trust
Why clinical governance can't stay procedural — and what Minimum Viable Responsibility Transfer means for healthcare infrastructure. Examining how aviation, finance, and rail solved the same problem.
Why clinical governance can't stay procedural — and what Minimum Viable Responsibility Transfer means for healthcare infrastructure. From design principles to system architecture.
NHS policy is moving decisively toward integration — ICS, shared care records, virtual wards, cross-organisational pathways. Every new interface increases the surface area where responsibility can dissolve. This series examines what Minimum Viable Responsibility Transfer looks like in practice: the engineering patterns from aviation, finance, and rail that healthcare hasn't yet adopted, and the infrastructure required to make accountability explicit, verifiable, and enforceable.
From principles to architecture
Why clinical governance can't stay procedural — and what Minimum Viable Responsibility Transfer means for healthcare infrastructure. Examining how aviation, finance, and rail solved the same problem.
Why training isn't enough — and why the hardest decisions in clinical safety are the ones we automate. How aviation and rail crossed the line from administrative controls to engineering controls.
Why responsibility dissolves at NHS organisational boundaries — and disappears entirely at constitutional ones. The gap between NHS Act 2006 and Care Act 2014 in neighbourhood health.
Five structural conditions that must hold before clinical responsibility can safely cross any boundary. From aviation sector handovers to NHS care transitions.
Julian Bradder
Founder, Inference Clinical
julian@inferenceclinical.com
Let's discuss how governance infrastructure can make your clinical handovers verifiable and enforceable.
Get in Touch