Posts Tagged ‘Management’

Embassy Visit

HHA team with UK Ambassador and Hospital leadership. Us in our DFID T-shirts. team work. no abuse. May 201

Orgies, sexual favours – all part of Oxfam’s 2011 Haiti crisis. And in South Sudan also.  We were in Haiti in this period too, and also help in South Sudan.  After the cataclysmic 2010 earthquake – Hope Health Action and The Baptist Hospital swiftly repurposed buildings to take in spinal injuries, and later cholera victims.  Working intensely with other agencies and of course, the Baptist Hospital, many lives were saved, though many many more were beyond our reach.  It was a desperate time.  And Oxfam, with its hugely larger funds, backed with UK-Aid was able to reach more. 


haiti grave.JPG

Haitian graveyard

I was so pleased with the hospital budget planning, and outcome.  A sudden patient death was a shock. Cause of death – our budget?

This more complicated than you might think. The patient had all their care to date at Hospital Convention Baptiste d’Haiti (HCBH) in Cap-Haïtien in north Haiti. That day the patient suddenly arrived with a haemorrhage.  The doctor prepared for surgery.  Unfortunately when they were to announce start, there was an emergency elsewhere. Another patient was now in surgery and was being anesthetized.  The hospital had one anaesthetist.  So it called upon a sessional anaesthetist as backup.  But they were not available.  HCBH called the government hospital in town, but they could not help.  Then called the Roman Catholic hospital that was not too distant.  They could help.  The patient was rushed off in the ambulance, but it was too late.  They died.


Gained in translation

Posted: 1 April 2017 in Business Systems, Haiti
In Translation.JPG

What on earth has Bill written here?

Lost in translation.  So much is.  The geographic and cultural distance is just so so great.  From my English-English into their schooled Haitian-French to mother tongue Creole thinking.

  • From their cash bookkeeping that is authorisation and fraud-control focussed
  • into my patterns of management accounting and forecasts. (Quite frankly my financial projections based on their figures must seem to them as just so much fiction. Leaps of Bill’s imagination.)


Cinderella Service

Posted: 25 March 2017 in Haiti
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WanHCBH Chaplains.JPGt a hospital service that can: help the cure; needs no equipment, nor medicines, needs no electricity or internet, and runs on very little money?  Well I’m standing with them in the picture.  These are the Hospital Chaplains. A Cinderella service.

The Poor Relation
Here am I, in Hôpital Convention Baptiste d’Haiti, in Cap-Haïtien. Standing alongside the chaplains.  Pastor Yousvel (one of the senior administrators), Pastor Sadak, and Pastor Samuel (in the wheelchair- not a fashion statement).  Chaplaincy tends to be seen as a poor relation.


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Yet an earlier HBOS scandal

Last week Judge Martin Beddoe jails HBOS banker who “sold his soul for bling and swag”.  The noise and clamour over Trump, Brexit, etc, cannot quite distract from the low hanging stink over business practices.  BHS, Sports Direct, even Volkswagen.  As an accountant and an HR professional, I am well aware of audit and legal compliance.

“Why does all this still happen so much?” “Why are there so so few convictions?” “Where are the whistle blowers?”

Last Week

Building A Nation

Posted: 30 January 2017 in Haiti
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hcbh-radiologyEveryone likes a party.  And Hospital Convention Baptist d’Haiti (HCBH) has just had one, 10 years old.  Sure – not as old as Barts in London (founded 1123).  But a milestone for the crippled who can now walk, or the mothers laughing at the crib, instead of crying at the grave.  I work to help the Hospital management, and I wish them well at this special  time.


Creative budgeting 1Have you played Budget-Tango?  Between a charity that supports other institutions, say a hospital, school, homeless project, there is a dance.  Where the donor and done strut around eachother. It is Budget-Tango.

Your charity or grant making body seeks to support an independent organisation or project, in UK or elsewhere, with some funding and some management and budget advice.  Their show – but your help too.

Opening Moves of the Dance
It starts when they send you a copy of their budget.  Very nice to get one at all.  Do not be surprised at the number of front line services that do not have them.  The Chief Medical Officer/ Principle Housing Director/ Emergencies Director did not enter their vocation to sit in the office playing with spreadsheets and accounting jargon.  But you’ve got one – hurrah!