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Recent headlines are deeply concerning.
A BBC investigation has highlighted serious safety concerns within parts of our mental health system — including the urgent relocation of hundreds of vulnerable patients due to risks in care environments. At the same time, demand for mental health support continues to rise to record levels, while staff face increasing pressure and burnout. This is not just a systems failure. It is a leadership challenge. Because behind every breakdown in care, you often find: • Cultures whe
LaReo Riviere
Mar 311 min read


Integrity in leadership isn’t a soft skill — it’s a system-level safeguard.
In health and social care, the consequences of poor leadership aren’t just organisational — they affect safety, dignity, and outcomes for real people. Yet many teams are still being led by individuals who were promoted for competence, not prepared for accountability. What we consistently see is this: ➡️ Where integrity is strong, services are safer ➡️ Where integrity is visible, staff speak up earlier ➡️ Where integrity is modelled, culture shifts faster than policy ever coul
LaReo Riviere
Mar 311 min read


Reflections on Authentic Leadership from My First Group Relations Conference
Last week, I had the privilege of attending my first Group Relations Conference as part of my terminal degree at the Tavistock Centre. Group Relations, rooted in the pioneering work of Wilfred Bion in the 1940s, offers a distinctive and immersive way of studying groups and the self in relation to others. It is not simply theoretical—it is experiential, challenging you to explore leadership, authority, and identity in real time. One theme resonated deeply with me: authentic le
LaReo Riviere
Mar 311 min read


Monitoring the Mental Health Act: inequalities we can no longer ignore
The latest Monitoring the Mental Health Act findings once again highlight stark and persistent inequalities in how the Act is applied: 🔹 People living in the most deprived areas are 3.6 times more likely to be detained under the Mental Health Act than those in the least deprived areas. 🔹 People of Black or Black British ethnicity are over 8 times more likely to be placed on a Community Treatment Order compared with White British people — a disparity that has widened, not re
LaReo Riviere
Mar 311 min read
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