Keynote: Built to Move : Governing Health Systems for the Unexpected

Health systems cannot predict every crisis, nor can they eliminate uncertainty. What they can do is build the capacity to move when circumstances change.
The question is not simply how to make health systems resilient. The question is how to make them dynamic to remain resilient as circumstances change.
In this keynote, Robert Mardini will explore what makes a health system genuinely dynamic: the ability to anticipate potential shocks, make sound decisions with incomplete information, mobilise people and partners, adapt as situations evolve, and turn experience into lasting organisational learning.
This requires more than emergency plans and protocols. It is fundamentally a question of leadership, governance and organisational culture. Dynamic health systems create the conditions for rapid decision-making, clear accountability, trusted collaboration and continuous adaptation – while keeping patients and healthcare professionals at the centre.
Preparedness is therefore not a document to be completed or a function activated only in a crisis. It is a capability that must be built and strengthened every day.
The keynote will conclude with five practical questions for healthcare leaders, centred on one overarching challenge: How ready is your health system to move when the unexpected happens?
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