The Crusade for Certitude

We think if there aren't rules and procedures for something, then it can't be real. But all the really real things are not susceptible to this proceduralization. We're surprised that skilled people who have learnt things through experience want to leave the profession because they're left off with the general tenfold. I had a very, very distinguished colleague who was a bit of a mentor of mine, the professor of neuropsychology at the Maudsley. And he said, when I have to explain to a manager, why I have sent a patient to a scan, it's time for me to leave the Profession. He did.