Can kindness escape cruelty? Risks and benefits of incorporating kindness into regulatory culture

Intelligent kindness has been proposed as a management model for reviving the UK welfare state and returning it to adequate functionality. Its goal, to deliver kindness as a core good, resembles that of the Liverpool Care Pathway (LCP), which sought to provide the compassion of hospice care across all end-of-life care, irrespective of setting. Analysis of the LCP's eventual failure suggests intelligent kindness faces similar risks, which can be avoided. Distinguishing between providing and enabling kindness, managing the relationship between kindness, material and cognitive resources, having dedicated staff to champion it past the roll-out stage, concurrent research planning and implementation, and careful management of its scope and boundaries as it becomes more mainstream should protect it, and help it become established as part of UK welfare regulatory culture.

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Publication Details

Journal
BJPsych Bulletin
Published
2026-10-28
DOI
https://doi.org/10.1192/bjb.2026.10287
Primary Topic
Health Services Management and Policy
Type
article
Field-Weighted Citation Impact
0.00
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article

Can kindness escape cruelty? Risks and benefits of incorporating kindness into regulatory culture

David Martin Foreman
1 links
BJPsych Bulletin
Health Services Management and Policy
article

Can kindness escape cruelty? Risks and benefits of incorporating kindness into regulatory culture

David Martin Foreman
article en

Abstract

Intelligent kindness has been proposed as a management model for reviving the UK welfare state and returning it to adequate functionality. Its goal, to deliver kindness as a core good, resembles that of the Liverpool Care Pathway (LCP), which sought to provide the compassion of hospice care across all end-of-life care, irrespective of setting. Analysis of the LCP's eventual failure suggests intelligent kindness faces similar risks, which can be avoided. Distinguishing between providing and enabling kindness, managing the relationship between kindness, material and cognitive resources, having dedicated staff to champion it past the roll-out stage, concurrent research planning and implementation, and careful management of its scope and boundaries as it becomes more mainstream should protect it, and help it become established as part of UK welfare regulatory culture.

BJPsych Bulletin
King's College London (GB)
Peace, justice, and strong institutions, Good health and well-being
Openalex Percentile: Top 8%
Health Services Management and Policy
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