Both Dry AMD and Neovascular (Wet) AMD can be Reversed

Over the past 4 years I have completely reversed dry AMD (Age-related Macular Degeneration) to visual acuity (Snellen) 6/6 both eyes in 8 months from diagnosis (there is only the slightest evidence of drusen at high magnification) and in 2023 have near reversed neovascular AMD in my left eye (6/18 in January and now better than 6/7.5 with an ever-shrinking reservoir of fluid, and RE: 6/5) with no evidence of any adverse vascular activity just 10 months from diagnosis – all without medical treatment. It is significant that during the neovascular recovery both eyes are shown to have profited from the recovery strategy. Both of these AMD events were the direct result of poor/inappropriate medical interventions.

We hear much about the increase of AMD (Age-related Macular Degeneration), both dry and to a lesser extent neovascular, in the population across the Western World. We also hear that great advances are in process for treatments such as anti-VEGF. There are also some ophthalmic professionals who now state that poor diet and health are contributors to AMD. AMD is also referred to as a disease, and inherited genetics is also cited as a contributor. But have the ophthalmic profession completely misunderstood what actually causes AMD and that it can be avoided and, indeed repaired if caught early enough.

In recent medical papers and YouTube presentations I noted some ophthalmic specialists identify nutrition and health playing a significant role in AMD but, as with most ophthalmic specialists, they cannot resist medical treatment of the eye (effect) rather than addressing the cause.

As a former nuclear scientist with much exposure to the medical research profession, and in the past four years suffered from both types of AMD caused by poor/inappropriate medical interventions, have fully recovered from dry AMD and near full recovery from neovascular AMD using my own knowledge and research. I will share my journey with readers to completely redefine macular degeneration as health-related and, as such, eminently reversable without medical treatment if caught early enough.

My journey suggests that the age-related part of AMD is only an indication that, as we age, our lungs can become contaminated with atmospheric pollutants restricting the amount of actived oxygen extracted from the air we breathe, and an increase in the pH level in our digestive system meaning we no longer extract the nutrients we need. However, both can be easily corrected which suggests the eyes can be restored to good health. Therefore, I would suggest that HMD (Health-related Macular Degeneration) would be a more appropriate label.

I was faced on both AMD presentations by the senior specialist in AMD at Moorfields Eye Hospital in London with the prognosis that there was no way back, and my condition would deteriorate over time to blindness. Treatment such as anti-VEGF would slow the process but not repair the damage. This attitude appalled me and started a journey of discovery combing as many medical libraries as possible in the World seeking papers and data to help me understand AMD. The result of this research revealed a truly diverse range of thinking amongst professionals with the vast majority looking no further than the eyes for answers.

The eye perfectly lends itself to Black Box analysis as a complex muscle with one input and one output with a direct correlation of output being a function of input. Study found that the eye requires an extensive range of nutrients as well as the need for more Active Oxygen (defined as H3O2) than any other organ in the body in order to function correctly and stay healthy. Thus, diet and health are important to satisfy the inputs required. But this assumes much about normal digestive and lung function.

Reversing Dry AMD (8-month process)

Reversing Neovascular AMD (10-month process)

In November 2022 I underwent a Pfizer Covid booster jab to allow me to travel having previously undertaking two AstraZeneca injections for the same reason. The adverse impact of this vaccine occurred within one minute in the form of palpitations. Thereafter my health noticeably deteriorated culminating in a neovascular event in my left eye in January 2023. In its simplest terms the brain triggers vascular activity to support a recognised lack of nutrients to the eyes.

It took a request from me to secure comprehensive well-being blood tests. The initial response to these was ‘unremarkable’. After securing a copy of these results it was clear to me that they were far from unremarkable indicating problems, or potential problems throughout my major organs. My whole immune system was compromised. Having undertaken a revision cardiac myectomy procedure in April 2021 I worked hard to restore my health returning to active tennis by October 2021. However, I left Harefield hospital some 8kg (net of retained fluids) heavier and unable to lose this excess under normal diet and exercise during my return to health and fitness. Having researched what was pumped into me during surgery to gain so much retained weight it is likely caused by Hartnell’s Solution which appears to be a glucose bomb deposited in my liver and gallbladder. My blood tests indicated I was sleepwalking my way to diabetes.

As my liver determines the quality of blood to my eyes, I researched how I could lose this 8kg (17lbs) of excess weight without compromise to ensuring the nutrients required to restore my eyes and other organs to good health.

The medical response to my dilemma was that UK medical protocols do not permit the treatment of a number of organs simultaneously. My doctor chose to ‘repair’ my seemingly underactive thyroid with prescription drugs even after suggesting to him that my thyroid problem was likely a reaction to the underlying cause. I mention this because the medical establishment created this situation, commonly referred to as long covid but without any consideration of how to treat it.

Other concerns that needed address were:

  • During my revision heart surgery in April 2021 at Harefield Hospital I was given a contaminated blood transfusion infected with Antigen-E. This antigen is aggressive towards red blood cells reducing life of the cell and reducing integrity. This contaminant was a potential inhibitor to my recovery, but Harefield suggested there was no method of removal. Back to my research to find a USA patent filed in 1994 detailing a method to destroy biological pathogens by the introduction of an electron into the pathogen molecule – essentially a bullet to the head. This was easy to deliver using microcurrent technology after which the Haematology Department at Harefield certified the complete removal of this antigen.
  • As I can only attribute the complete breakdown in my established immune system to the Pfizer vaccine as can be clearly demonstrated with the significant deterioration of my health starting some 30 seconds after receiving the jab, I can only assume that this vaccine should have been identified as unsuitable for me.

My assumption was the Pfizer spike(S) protein was in my blood. As the spike protein is negatively charged it could well attach to my red blood cells degrading performance. Therefore, my objective was to rid myself of any residual proteins from this vaccine and rebuild my immune system. I had suffered two colds in two months – no viral infection has broken through my immune system since 2003.

Realising that I needed to solve my problems myself I formulated a strategy that would ensure:

  • restored digestive function pH ≤ 3
  • Maintain quality lung function
  • Loss of the excess weight impacting liver and gallbladder function
  • Adequate supply of vitamins, minerals, proteins, and enzymes using carefully selected sources and diet
  • Restore my immune system
  • Stay fit with a positive mental attitude.

Lung function was quickly under control with my Airnergy Pro+ machine – 2 sessions of 20 minutes per day.

Restore Digestive Function

AMD medical papers are now emerging that suggest a balanced diet is essential to eye function. However, if stomach function is not properly processing food intake the objective will not be achieved. Certainly, a good diet is essential to healthy living as is avoiding excess weight, but medics need to take a step back to digestive and lung function to make their pronouncements effective.

The medical expression for poor digestive function is hypothesis. My research revealed the typical indicators of hypothesis are:

  • Low red blood cell count
  • Low B12
  • Low actived oxygen in mitochondria

For the stomach to function properly it needs to generate HCL (hydrochloric acid) for which it needs inputs of zinc, potassium, and sodium chloride all of which are extracted from food intake. This HCL is triggered from gastrin which stimulates acid production during meals.

As a former sufferer of acid reflux, I can provide comfort to sufferers as curing acid reflux is the same process as for poor digestive function always assuming no other health issuers such as obesity, diabetes, smoking, and overconsumption of alcohol. Indeed, anything proposed in this paper either refers to the otherwise healthy, or a commitment to becoming healthy.

The UK NHS suggests acid reflux is the overgeneration of HCL and will prescribe PPIs (proton pump inhibitors) such as omeprazole or lansoprazole with all their nasty side effects. Current research and now practice in the USA suggests this approach is debunked as it is now realised that acid reflux is the under-generation of HCL, especially in the over 50s, resulting in low gastrin which results in the failure to close the lower oesophageal sphincter which then allows acid to flow up to the throat. Treatment for acid reflux changed in the USA in 2020 – when will the NHS catch up. For the purposes of this paper poor quality HCL and/or under-generation of HCL requires the same treatment.

The treatment does not require prescription drugs. All you need is Betaine Hydrochloride in capsule form taken before meals to stimulate HCL production before a main meal. To determine how much you need I can only point to the YouTube video by Dr Eric Berg titled ‘Repair Acid Reflux’. By way of reference, I used two capsules each containing 324mg Betaine Hydrochloride and 5mg Pepsin before my main meal for 4 days after which, because I started my diet, I switched to 1000mg Acetyl L-Carnitine before my main meal as per the recommendations of my chosen diet. Post-diet I maintain HCL levels with daily doses of pure apple cider vinegar, usually taken in the evening.

Weight Loss

Losing weight and restoring the nutrients required by eyes sounds counterintuitive. However, the threat of Type-2 diabetes makes losing weight fundamental to help restore a healthy body, especially the liver. Far too many laud lengthy periods of exercise as the method to lose weight. As a healthy 72-year-old still playing competitive tennis I can attest that exercise is important, but not to lose weight, only to maintain a healthy body. Exercise relates to skeletal muscle, not abdominal fat.

Having studied this subject in great depth, I was very disturbed yet again to study papers from the USA around 2020 that indicated that the epidemic of type-2 diabetes in the USA is due to clinicians using the wrong marker (blood glucose) for diagnosis reflecting only what is happening in the blood, not the body. Indeed, the treatments for diabetes under this error increases fat storage. It was determined that glucose is a symptom; insulin is the protagonist. For the past 2-years the USA has adopted the measurement of insulin as a diagnosis. Why is the UK NHS still languishing under the discarded process? Do we need an endemic in the UK before they wake up?

I also studied the use of SGLT2 inhibiters such as Canagliflozin (Invokana) and the more recent Metformin as part of a low carb diet but not convinced that this method of weight loss is effective in the long-term and tends to alter metabolic rate in any event. Same applies to fasting.

There are many weight-loss diets out there professing to be definitive. Having a traditional diet I chose the weight-loss diet that has survived challenge for many years being the Dr Atkins Diet Plan albeit I would not recommend the Induction Diet Plan for this purpose. I chose the Atkins-40 Plan which means I limit my carb intake to 40g per day and no snacking. It requires adapting to food available locally but not difficult. I allotted a maximum of 12 weeks during which time I lost 11kg (24lbs) after which I returned to a normal diet where my weight has since remained stable. In addition to the nutrients I use specifically for my eyes, I also stuck rigidly to the nutrient supplements recommendations with the diet. I would recommend securing a copy of the latest edition of ‘New Diet Revolution’ by Dr Atkins which provides comprehensive information needed during this diet including a required nutrition supplement list and variations for various medical conditions. It is also necessary to establish when, during the day, you need to take these supplements as some are not appropriate early morning, and most with food. Exception are liquid selenium (afternoon) (for thyroid) and liquid magnesium sulphate (around 20 minutes before retiring). Not all supplements are the same quality – choose carefully, and some recommended daily intakes are a function of body weight.

The nutrients, vitamins, and minerals specific to the eyes are as follow:

  • Lutein
  • Zeaxanthin
  • Billberry
  • Vitamin D3 (twice recommended daily amount: 4000 IU)

Restore Immune System

Since 2003 I have used an immune modulation system consisting of various ionised mineral salts which perform their task of penetration into my blood regardless of digestive function but is beyond the scope of this paper as it only takes a few days to restore digestive function so any quality immune supplement system will suffice.

Improve Well-being

Wellbeing and healthy lifestyle are important components in this process. The fear of losing sight can be stressful, but stress should be avoided. A positive mental attitude and belief that you can restore your eyes will significantly improve chances of success. I had Moorfields scan my eyes every 4 –5 weeks so that I could observe improvement as well as modify my strategy if needed. Even though there was no evidence of irregular vascular activity, and visual acuity had already restored to better than 6/9, I was persuaded to take one injection of faricimab after 4 months of my strategy as precautionary but only because I wanted to undertake two long-haul flights during my recovery process. If anything, either the injection and/or the flights set me back a few weeks requiring additional recovery effort. I certainly would not consider any further anti-VEGF injections.

I also made a conscious decision not to use any prescription or OTC drugs throughout my recovery period. Having suffered enough from medical intervention my choice was to naturally supply to my body everything it needs to repair itself.

Acupuncture

It is most certainly a paradox that acupuncture has been in medical practice by some 50% of the global population for more than 2,000 years but still no robust scientific understanding of why it works. However, it would not have survived if it does not work. As a scientist I was taught that if you observe an outcome that can be consistently repeated, believe it even though the capacity to understand why is still beyond us.

Although generally discounted by conventional Western medicine it is slowly but surely increasing its presence in pain management, fertility and, interestingly, long covid within mainstream medicine. It is certainly in widespread use in sports therapy and rehab.

Furthermore, the general view of acupuncture is the traditional method of needles at specific points along the meridians. However, acupuncture can also be achieved by manual wand, electronic stimulation, and Otto vibrational forks which I have used very effectively to immediately relieve the pain of arthritis in my left thumb having long abandoned ineffective steroid injections.

With nothing to lose I researched therapists within 25 miles. Having interviewed and discounted 6 such therapists I found Lianne Aquilina of Aquilia Acupuncture, trained in China, impressive credentials, and approved by private medical insurers. We spent a whole Sunday afternoon discussing my case and her proposed treatment process before engaging in treatment.

Fortunately, having spent much time in the Far-East during my career, I am familiar with acupuncture as a treatment having witnessed the power of such treatment in competent hands. I found a paper ‘Effects of acupuncture on age-related macular degeneration: A systematic review and meta-analysis of randomized controlled trials’ March 2023 (https://journals.plos.org/plosone/article?id=10.1371/journal.pone.0283375) that looked at the benefits of using acupuncture as a treatment for AMD. Although not a rigorous randomised controlled trial it did include results from 508 AMD patients (631 eyes) of which 360 were dry eyes and 271 wet. The clearly serious and brutally rigorous analysis by the authors impressed me, and what interested me was the arguments why acupuncture could help AMD patients, especially with regard to treatment applied along the liver (LV) and gallbladder (GB) meridians.

Although I have no empirical evidence that acupuncture significantly contributed to my outcome Lianne was diligent in her regular reviews over the 16-weeks I engaged with her and the interesting vitals that acupuncture practitioners use to determine wellness of the body all showed significant improvement.

Conclusions

Both medical interventions responsible for my AMD events can be reasonably viewed as accelerated aging.

Assuming normal light conditions as the process, the eye lends itself to simple Black Box analysis with one [complex] input and one output.

It is acknowledged that ophthalmic professionals are likely to contest my views and approach (albeit I am aware of a number of optometrists in the UK who use Spirovital Therapy with their patients). It should be noted that, during my neovascular recovery, having declared the use of regular blood tests in addition to OCT scans to monitor progress, at no time did any ophthalmic professionals show any interest in these blood test results whereas my acupuncture practitioner wanted a copy for analysis as soon as available. These blood tests were critical to ensure my body was responding to the recovery strategy, especially my eyes.

As a qualified and trained scientist, I am fully prepared to argue my case and debate the logic and argument applied to my recovery. In any event the results speak for themselves, and mine is not the only reported recovery.

Everything is impossible until someone proves otherwise.

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My book ‘the Way’ is now published

PERFECTION? – In the corporate World

Perfection – I was recently asked to use my corporate executive experience to comment on the pursuit of perfection in the corporate world from both a corporate and individual perspective.

I can’t remember throughout my long career ever hearing this word in relation to corporate goals or achievement whether individual or corporate. What is perfection in the corporate world and how would you measure it?

A definition of perfection is the action or process of improving something until faultless. And then they give an example: ‘as among the key tasks was the perfection of new mechanisms of economic management’. Isn’t this an oxymoron?

Sun Tzu describes the supreme art of war is to subdue the enemy without conflict taking all intact. Translating this into the corporate environment suggests you, as a corporate, are so good at what you do your lead in the market is so great that any attempt by a competitor to challenge your superiority could be futile and probably expensive. Great business leaders avoid expensive hostility; they achieve results by consent or superior tactics. He also suggests that attacking strength is not a good strategy. Nothing here suggests perfection as upon reflection in hindsight elements of strategy and tactical execution can always be improved.

Throughout my career the pursuit of excellence and superiority has been my goal. If these targets are considered a synonym of perfection, so be it, but in my eyes, they are not the same as perfection. Furthermore, individual stars are only as valuable as their backup. A superior goal is to coach all people to be a greater force as a whole, than the sum of their individual contributions.

I am not aware of any successful corporate that seeks perfection, they seek relative excellence and superiority.

As for individual people I struggle to define a corporate that measures performance in terms of the perfection of any individual, not even the CEO. Perfection requires boundless time and effort, a luxury in the corporate world where timing is everything. Thus, the success of a tactical move is not defined by its perfection, only its quality and timing.

In conclusion business is conducted between people. All people are analogue and imperfect. Anyone seeking perfection is probably delusional, and possibly scary.

Work Related Stress – Do Corporates understand this problem, and do they care?

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Work Related Stress – Do Corporates understand this problem, and do they care?

Are major corporates playing lip service to EU OSHA (The European Agency for Safety & Health at Work) guidelines on work related stress and psychosocial risks? Having recently had the opportunity to review this campaign, and the proposed methodology of incorporation into a multinational corporate environment, where the primary implementation was the proposed OSHA poster campaign, and the implied consideration was not to blame management, I have my doubts that management understand the significant impact to bottom-line resulting from a stressed workforce.

What do we mean by stress and psychosocial risks? – as defined by the European Agency for Safety and Health at Work

Psychosocial risks arise from poor work design, organisation and management, as well as a poor social context of work, and they may result in negative psychological, physical and social outcomes such as work-related stress, burnout or depression. Some examples of working conditions leading to psychosocial risks are:

  • excessive workloads;
  • conflicting demands and lack of role clarity;
  • lack of involvement in making decisions that affect the worker and lack of influence over the way the job is done;
  • poorly managed organisational change, job insecurity;
  • ineffective communication, lack of support from management or colleagues;
  • psychological and sexual harassment, third party violence.

When considering the job demands, it is important not to confuse psychosocial risks such as excessive workload with conditions where, although stimulating and sometimes challenging, there is a supportive work environment in which workers are well trained and motivated to perform to the best of their ability. A good psychosocial environment enhances good performance and personal development, as well as workers’ mental and physical well-being.

Workers experience stress when the demands of their job are greater than their capacity to cope with them. In addition to mental health problems, workers suffering from prolonged stress can go on to develop serious physical health problems such as cardiovascular disease or musculoskeletal problems.

For the organisation, the negative effects include poor overall business performance, increased absenteeism, presenteeism (workers turning up for work when sick and unable to function effectively) and increased accident and injury rates. Absences tend to be longer than those arising from other causes and work-related stress may contribute to increased rates of early retirement, particularly among white-collar workers. Estimates of the cost to businesses and society are significant and run into billions of euros at a national level.

How significant is the problem?
Stress is the second most frequently reported work-related health problem in Europe.
A European opinion poll conducted by EU-OSHA found that more than a half of all workers considered work-related stress to be common in their workplace. The most common causes of work-related stress were job reorganisation or job insecurity (reported by around 7 in 10 respondents), working long hours or excessive workload and bullying or harassment at work (around 6 in 10 respondents). The same poll showed that around 4 in 10 workers think that stress is not handled well in their workplace.

In the larger Enterprise Survey on New and Emerging Risks (ESENER) around 8 in 10 European managers expressed concern about work-related stress in their workplaces; however, less than 30% admitted having implemented procedures to deal with psychosocial risks. The survey also found that almost half of employers consider psychosocial risks more difficult to manage than ‘traditional’ or more obvious occupational safety and health risks.

Having considered these definitions, and reflected on my own experience over the years creating, changing or rescuing investment banking operations I found myself compiling my top ten reasons for stress in the workplace. In no particular order they are:

  • Managers who rule by fear and/or dictate cause stress
  • Managers who do not know how to manage people cause stress
  • Managers who fear for their own position cause stress
  • Managers promoted under the Peter Principle cause stress
  • Managers who are emotional and/or insecure in the decision process cause stress
  • Managers who promote politics or other unhealthy competition amongst their staff cause stress
  • Managers who do not have an intimate knowledge of the business cause stress
  • Inexperienced people – wrong people for the job – cause stress
  • People suffering stress in their private life are prone to suffer stress in the workplace
  • Likewise people stressed in the workplace can take it home and cause stress in their private life which then reflects back into the workplace

My generic definition of a manager in this list is a strategic or tactical role, from main Board director down to line manager.

Therefore, from my own experience over many years, both as a Director of Operations and Management Consultant, my observation is that management are by far the most significant cause of stress in the workplace. This is logical if you think about it because these are the people who define the workplace.

The workplace that I speak of is probably one of the most stressful. Investment banking operations are extremely dynamic, constantly changing to meet new market demands, every transaction dealt during a trading day must be processed that day, imperfect settlement means that on a normal day some 30% of transactions fail (significant funding and hedging cost considerations), more on a volatile trading day, and little errors can result in a high cost. A typical trading day could see some USD 3 billion of turnover with an average transaction value of some USD 4 million or equivalent in other currencies. An error of just 0.25% on such volumes could result in a daily loss of some USD 7.5 million – the cost to run such operations for 1 year. So the stakes are high, and there is no room for errors.

With this background in mind it should not be too difficult to imagine the impact of any of the stress situations that I have identified above. During my career I have experienced the stress caused by poor management ranging from excessive demand on staff both in effort and time, fear, incompetence, poor leadership, breaches of human dignity, mental cruelty, demand for favour (including sexual), and physical brutality. I have experienced the human impact caused by workplace stress, whether it be mental breakdown in the workplace requiring long-term medical treatment, broken marriages, dropout, and even a premature death resulting from a mental beating from a tyrant director. In the environments in which I have worked it would be very unusual not to experience the extremes of human behaviour as it is a dynamic people business, and attracts some of the most aggressive people, many of whom have no understanding of compassion, or consideration of the impact of their decisions on others.

Examples of managers who rule by fear and/or dictate are plentiful. These people are particularly bad if they have an emotional character, and/or are very insecure. If these people are given too much power they can raise havoc in the workplace. Whether they like you or not carries more weight than merit, and total loyalty is a pre-requisite irrespective of how bad the leadership, or poor the business decisions. Very much also depends on their mood on the day resulting in erratic business decisions. Sacrificial lambs are a feature of such people as they comply with the final phases of poor management, i.e. punishment of the innocent, and decoration of the uninvolved. A manager makes a mistake; some innocent underling becomes the sacrificial lamb and loses their job.

For those not familiar with the phases of a management doomed for failure I will recount the origin of the eight original phases, which I see have now been condensed to seven or even six. In the mid-1970’s I was with Chase Manhattan Bank engaged in a project being managed by the consulting firm Arthur Anderson (no longer with us). After the first year the progress of this project was so dysfunctional that a group of us within the bank compiled the equivalent of a university Rag Mag for Christmas 1977. We identified the phases of our dysfunctional project as Confidence, Enthusiasm, Confusion, Disillusionment, Panic, Search for the Guilty, Punishment of the Innocent, and Decoration of the Uninvolved. For those who remember we also designed the tie with the motif of a picture of an anchor with a ‘W’ underneath it as presents for the associated Arthur Anderson staff, and still widely available in the City of London. This was not my first experience of poor management, and the associated profound stresses on the staff, but it was by far my most prolonged period of continual stress as a result of chronic management.

I was later asked to restructure an investment bank where the existing debt securities operations was a shambles. Operations staff were working an average 60 – 80 hours per week, there was no integration of the various functions involved, politics and finger-pointing was rife, poor transaction processing was the norm, moral was non-existent, and systems were wholly inadequate.

Having immediately realised that the executive management was located 18 floors above the operations totally removed from what was happening, and the various departmental heads were lacking the knowledge required for the business, my first task was to make it clear to the management all the way up to chairman of the bank that there would be no interference, that no-one, including the MD and Chairman, could request anything from any of my staff without coming through me first, and that my authority extended across the trading floors. I also refused to join them, preferring to have my office within the operations area (which was later mimicked by the MD). As the former head of settlements had suffered a nervous breakdown I recruited a known entity to fulfil this role, and replaced all department heads who were either not qualified, or not capable. Within 3 months anyone still on the floor at 6pm had to write down why they were still there, and put it on my desk. This is a psychological process more for them than for me as they have to read what they have written, and thus ask themselves whether or not it is credible. I needed them to go home to their families, and return fresh the next day to meet the ever present challenges of a new trading day.

After 25 weeks we had a fully integrated professional operation with new in-house systems. Politics on the floor was actively discouraged, and my door was always open to anyone on the floor for non-business related issues. At least twice each year we had informal gatherings for all staff and their families at which other halves were actively encouraged to raise any concerns they had. For every 5 people on the floor a representative was appointed, and these people were encouraged to meet together monthly to discuss any issues affecting the working environment (necessary feedback). Their output came directly to me, was taken seriously, and corrections made when necessary. We had a hard working, but happy group of people with the only workplace stress being that caused by the normal everyday imperfections in the business sectors in which we operated.

From experience I would suggest that the maxim for a stress-free workplace is to rule by consent, and lead by example.

Before restructuring this investment bank it was losing some £2 million per month through stress related errors caused directly by poor management. Therefore corporates need to understand that the overwhelming cause of stress in the workplace is poor management. Neither poster campaigns or denial will address this problem. The impact on the bottom line can be substantial if such stress is not taken seriously.

What is this role of Facilities Manager – and is such role primarily Strategic or Tactical

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What is this role of Facilities Manager – and is such role primarily Strategic or Tactical

The term ‘Facilities Manager’ is a fairly recent addition to the corporate framework, but what is this role, why has it emerged, and what part and at what level does it serve businesses today. Having recently read a number of papers attempting to make the case for the definition and role of a Facilities Manager the only common denominator is that there is little agreement as to definition, or scope of this role. Having overseen and fulfilled this function throughout the World for a number of years under my role as Director of Global Operations for various high profile International banks I have given some thought as to what this role is about, and where it fits into the typical corporate hierarchy.

What attracts me to this subject as someone who has no vested interest in the success or failure of this new (or rebranded?) role is:

  • Why has FM attracted so much attention in academia?
  • What does this role bring to the corporate table?
  • Does the mass corporate marketplace embrace this new role?
  • Why is this role at least 20 years behind the curve of mass global corporate expansion?
  • Is there an accepted definition and relevance of FM?
  • Can FM activists find a legitimate home for this function?

In my role as Director of Global Operations I have encountered a wide variety of problems in pursuit of providing the right environment for bank operating requirements. I will summarise a few examples of some extreme cases, but all of which required time and effort with a broad skill base to resolve.

In Australia, whilst integrating the acquisition of a national bank, I found myself negotiating with a high rank military General in the Ministry of Defence for the installation of high-speed data lines to a satellite up-link to connect into our global networks. Overcoming the paranoia of the potential to export details of Australian citizens outside of their borders (we only wanted to transmit aggregated position information) was a real diplomatic and time consuming experience.

In the Middle-East I was mandated to move our office in Tehran (Iran) to a new office in Manama (Bahrain) as quickly as possible to minimise disruption to business. For anyone who has worked in the Middle-East a foreign entity trying to establish a banking business can expect a lengthy, bureaucratic process of licences and permissions which can take months of patient negotiation. The expectation on me was to have a new banking entity operationally in place, including the transfer of human resources from Tehran, in six weeks. This required a variety of skills at all levels, and I even witnessed moments of total comedy watching a procession of labourers carrying the office furniture precariously balanced above their heads through the busy streets of Manama as the only means to get it delivered on time for us to open for business.

In New York I encountered intransigent Union officials insisting on disrupting the installation of dedicated voice and data lines between our midtown Park Avenue office and our new downtown Water Street office as part of their dispute with Westinghouse, the telephone line operator. This disruption looked (and was) a lengthy affair which would seriously disrupt our business. We solved it by installing a point-to-point laser highway from the top of each building.

The common denominator in all of these cases was an intimate knowledge of the business requirement, and the knowledge and skills to surmount any potential interference with the business need.

In each office location it was common to have a person/department labelled ‘Premises’ under the Operations umbrella, and who provided local knowledge at a tactical level, an operations function in keeping the working environment in good order, and managing the implementation of any required changes in the physical working environment. At no time was this role an independent function within the corporate framework.

Fortunately in my time we were not hampered by over-regulation such as health and safety, environmental (although we took this seriously), and the primary new problem of today – security, both physical and data. Therefore there is probably an argument that a more dedicated support role is required to ensure that such matters do receive the required attention without impeding the essential role of an Operations Director, i.e. support of the income generating functions of the business. However is this just another support function under the Operations Director, a rebranding of an existing role, or a new role in its own right?

Perhaps a comparator of an existing corporate support service which can exist within the Director of Operations role, exclusive of this role, or partially exclusive – the dependency being the type of business – would be useful to construct a template for a Facilities Manager. The obvious such template is the finance function.

The finance function within any business consists of two parts. The role of the Finance Director is primarily to manage the Liabilities side of the Balance Sheet, i.e. the funding of the business. This is very much a strategic role and is fundamental to the management of the cost to do business. Then we have the Chief Accountant/Financial Controller et al, whatever term is used, and manages the Asset side of the Balance Sheet, primarily cash flow management. This is a tactical role. Whereas the Financial Director role is a very specific executive role, the accounting role can either report to the Financial Director, or to the Director of Operations whichever is the most appropriate within the business environment. In smaller businesses the roles are typically combined whereas in banks the Finance Director will typically head the central treasury function, and the accounting function resides within the logical business unit under an Operations Director. The common denominator here is a recognised professional qualification, e.g. Chartered Accountant, for both roles, i.e. the function of the role is universally understood, as is the expected knowledge base. Different countries have different accounting standards and requirements so a multinational would have a local accounting presence tied into their central corporate accounting function.

The strategic aspect of the finance function can be considered as a value added cost centre, whereas the tactical aspect is essentially a pure cost centre and thus measured as a component of the cost to do business.

Whereas the outputs and deliverables of the finance function increase dramatically with the size of the organisation the information flows and contribution are well defined.

If we are prepared to accept this finance function as a reasonable template upon which to define the Facilities Management function as a professional service to an organisation then the principal characteristics could be summarised as follows:

  • The key personnel within the facilities management function will have a clearly defined value-added expertise that is universally recognised;
  • The facilities management function can provide both strategic and tactical capability;
  • The facilities management function must be an integrated part of the business support function; and
  • The deliverables can be defined and valued as a contribution to the well-being of the organisation.

From my readings to date it appears that the facilities management function considers itself the poor relation to the more established professional property related disciplines such as architect, quantity surveyor, M&E consultants, real estate agent, et al. However it should also be apparent that they invariably have what the facilities manager does not have, i.e. a universally accepted accreditation. Before this can be achieved by the facilities manager function a clearly defined expertise must be established that is considered valuable in its own right. Such accreditation cannot be as expansive as some of the definitions that I have read because it will take too long to study, or the knowledge base so thin that it only has superficial value. On the basis that the other property related disciplines are already establish what is it that a facilities management function can bring to the table that can be demonstrated as valuable in its own right and thus worthy of professional status?

Let us also consider how the facilities management function, as it is now known, fits with the conventional Operations Director function. A facilities management function at a strategic (executive) level could be viewed as a dilution of the Operations Director function, and even be a direct conflict. A facilities management function at a tactical level could be seen as a rebranding of the Premises function albeit with an expanding regulatory, security, and compliance brief.

Having experienced the developments in the marketplace over some 30 years I have given some thought to the major changes in corporate behaviour, and the general business environment over recent years that could influence this debate and will comment on some developments that I think are relevant to this paper.

What has developed in leaps and bounds in recent years is the concept that a building should be adapted to the needs of the corporate occupant, rather than the corporate occupant having to adapt to the existing space provided by the landlord. Landlords have been forced by market pressures to allow corporate occupants to make significant changes (even structural) to the building environment to facilitate more effective use of the space. Indeed many new office buildings today are little more than shell and core to allow the fit-out and furbishment to comply with the requirements of the intended corporate occupant. This change of approach would, in itself, require a dedicated resource with an intimate knowledge of the corporate strategy, image, and objectives to oversee the design, contracting and delivery of the required operating space. Such a resource would need to know how to effectively instruct and guide professionals such as architects and interior designers, contractors, fit-out specialists, etc, and would need to understand enough about IT considerations, UPS, back-up power supplies, HVAC requirements, etc in order to delivery an appropriate but cost effective solution. Then there is the need to project manage such external resources to ensure a fluid implementation. However such a role cannot operate in isolation as much co-ordination with other in-house resources is fundamental to success. As such this role is not so much ‘what to deliver’ (strategic) but ‘how to best deliver’ (tactical).

Another relatively new, but significant area of consideration relating to office premises is the security risk, with specific interest in civil riots and terrorism. In cities where the threat of terrorism is now ever present the issue of location changes perspective. Not only is there a need to consider whether the proposed area of location of your office environment is susceptible to attack, but also if there are other corporates in your proposed choice of building that may be the target of specific interest groups as well as terrorists, and the impact any such attack would have on your ability to function and the safety of your staff. Having created office environments in a number of ‘unstable’ places throughout the World, and thus the need for some risk analysis regarding the safety of staff outside of working hours, impact of riots, civil commotion, etc., the required considerations today are far more important in the decision process of location, what type of building, physical presence to potential targets, etc. Thus the need for a greater awareness in the planning process of such impact analysis. Is this the, or one of the anchors of this ‘new’ corporate role?

Much legislation has emerged over recent years and which directly impacts the working space and environment. We have stifling Health & Safety legislation, environment legislation affecting both energy conservation in the workplace and waste recycling. All of this legislation has to be analysed and implemented, and to add pain to existing misery, much of this legislation is still evolving.

Many companies today have a culture revolving around a clear corporate identity. I remember back to the 1990’s during which major corporates were spending fortunes with the likes of Wally Olins, the corporate identity guru, to design a corporate identity to create a specific image of the company around which a companywide ethos and corporate culture was to be embraced by all staff regardless of location. The most memorable was BP who paid millions resulting in just a change in font and a slight change in colour to give BP a ‘softer’ image. A number of corporates took this vogue to extremes ensuring that all of their offices around the world had exactly the same ‘look & feel’ as you enter their offices. Gone were the days when a corporate logo on the building, and another above the reception desk would suffice. This practice not only has survived but is on the increase. To this end a tight control is needed, especially in developing economies, to ensure that the required ‘look & feel’ is exactly correct in all locations. A new office in a new country, or the refit of an acquisition cannot be left to a local person not least because they have they have been indoctrinated into the corporate culture, nor are familiar with the corporate identity requirement. The only real input of local staff in this function is the determination as to whether any of the aspects of the corporate identity would be deemed offensive in this new location – it has never ceased to amaze me how a little, innocuous aspect can cause real offense. Therefore the implementation of the physical aspects of corporate culture and identity need to be controlled from the core of the organisation whether simply the ‘look & feel’ of the reception area, or the ‘full monty’ all the way down to the tea cups. Every aspect, in this case, from building selection, fit-out, security all the way down to stationery and tea cups needs to be managed by someone intimately familiar with the corporate requirement, thus a role for a global facilities manager.

The expansion and contraction of the corporate working space as markets change is far more dynamic today, and the technology considerations even more so. Being able to deliver changes in environment at the speed of the requirement is a necessary skill of any Operations Director who would need capable facilities management skills far beyond what could be expected of someone whose principal responsibility is to support the business flow and expansion. Thus our elevation from a secondary, if not tertiary status of our premises manager to a rebranded front-line tactical facilities manager can be justified within the corporate framework.

If we go back to the proposed model and look at the suggested requirements that would be considered necessary to define a facilities management function we will see that:

  • We have not clearly defined a value-added facilities management expertise that is universally recognised (this is necessary to create professional identity);
  • Whereas we can certainly define a facilities manager as a valuable tactical resource, we cannot make the case for recognition as a separate (from Operations) strategic resource (other than in a few special cases);
  • The case is made that a facilities manager is an integrated part of the business support function; and
  • The deliverables can be defined and valued as a contribution to the well-being of the organisation.

This would suggest that our facilities manager is a required and reasonable promotion of the previously known premises manager, and rebranded as a front-line tactical resource.

If this is the case then where do we place this role in terms of academic achievement? If we look at the underlying base knowledge regarding buildings and building management, and the requirement for an informed intimate knowledge of the needs of a corporate business, we could reasonably nestle this role between a first degree, preferably in a construction or engineering related subject, and an MBA.

Is it possible to define a specific formal qualification for a role as diverse as is necessary to be valuable in this facilities management function? Operating in a sphere already overloaded with professional accreditation, does yet another professional body bring value, or just unnecessary confusion? Let us consider an alternative tactical support role to our finance function. Probably the most important support role in an investment bank is the head of settlements. This role requires a vast range of knowledge and skills to ensure that a diverse range of transactions are properly converted into bottom-line profit, yet there is no formal qualification or even connected professional body. However their performance is fundamental to the success of the institution, and they will earn multiples of the remuneration of the chief financial officer who is required to have a formal recognised qualification and belongs to a professional body.

If we return to our finance function and examine why we have formal qualification and a professional body we essentially need to look outside of the corporate function of such professionals as they not only have a responsibility within the corporate framework, but have an equal responsibility to shareholders, revenue services, banks, investors, pension funds, et al who depend on accurate data based on a known and accepted common platform, and where they are accountable to their professional body who can revoke their licence to practice should they violate their duties to these external but directly interested parties. No such requirement exists for the facilities management function and therefore it could be argued, as with the settlements professionals, that neither a formal academic status, nor a professional body is a ‘must have’. Indeed I would suggest that should facilities managers really consider themselves the poor relation of other connected professions, they could significantly enhance their status by seeking recognition and membership of existing chartered institutions such as RICS in the UK, who are known and respected throughout the world as an institution representing excellence. A facilities manager with a FRICS after their name would certainly not be a poor relation of anyone in the property and construction sector.

I would not be surprised if RICS were to initiate a study of this role utilising the input of the very best of the facilities managers currently in situ to discuss a clear definition of the role that would be acceptable to RICS to justify accredited status, and for RICS to adopt these new professionals. Alternatively a lobby group of the best facilities managers could approach RICS with the same aim. A positive outcome would clearly quickly define the role and its professional accredited status. This would then have the impact of corporate acceptance and credibility.

For the sake of completeness of the status issue I would like to address acceptance of this role outside of the corporate structure. If we look at the task referred to earlier regarding a new office in Bahrain as an example it would not have been possible then, nor today, to gain access to the appropriate people in such countries had I not been a Director of the bank I represented, and with a full mandate to do what had to be done to achieve a result – local protocols need to be observed. It could be argued that the new-style facilities manager would be first into a new territory to explore such a task. However the skills required to secure the consents necessary to engage in any facilities process in such countries go far beyond the scope of a facilities manager, then or now, and thus would remain the executive role of the Director of Operations or equivalent. However I would expect the facilities manager to be resourceful enough to organise the small army of carriers to ensure that the office furniture arrived in time to open the office on the agreed date. Indeed I would strongly suggest that resourcefulness, especially on the global stage, is a pre-requisite requirement of a good facilities manager.

Clearly the silent assumption in much of the above argument is that we are discussing the sharp end of this profession as relates to dynamic corporates who have a growth curve, need to quickly adapt to ever changing market conditions, and typically operate internationally. But what is the population dynamic of this role in terms of both the number of people required for such roles, and the range of competence requirement from the highest to the lowest level of acceptance within the title of facilities manager. If my argument that the facilities manager is a relevant re-branding of the existing premises function for dynamic corporates then it is in the interest of these new professionals to ensure that there is a clear distinction between the role and competence of a facilities manager, and the existing premises function which, within a large number of corporate entities, is perfectly adequate for their needs. So what distinguishes a dynamic corporate from the rest? Do service providers such as large law firms, accountant/audit firms, et al need the same level of competence as banks or other trading environments? Do manufacturing companies need the same level of competence as high street retail chain stores? What type of companies can happily survive without the rebranded facilities manager?

My principal experience is with global financial institutions engaged in trading activities, with some knowledge of support organisations such as law firms, accountant/audit firms. Therefore it would be inappropriate for me to comment on other corporates other than comment on more obvious corporate structures. For example I would reasonably expect that facilities manager in a fast food franchise such as McDonalds to be an exception as the role is unusually strategic because part of the image of McDonalds is that you can walk into any McDonalds restaurant in the world and expect the same experience both in presentation and service. Thus the facilities manager is at the forefront of any new opening as well as ensuring that all existing locations maintain the required image at all times.

The only other comment that I would like to make, albeit instinctive rather than empirical, is that I do not see the argument for such a role in corporates having a normally stable environment. Most manufacturing companies come to mind unless they are managing a sizeable portfolio of properties in which case they probably have the function whether or not it is called facilities management. Therefore I see demand primarily in dynamic private corporates who need to actively respond to market demands in short order such as financial institutions, and in public services such as healthcare, police, etc.

I am sure that there are many ways to argue the case to justify the addition of this facilities management role against the more traditional premises function. However I would like to put on my hat as Director of Global Operations and apply a very simple budget criteria as a starting point. My process starts by attempting to define a job description for a tactical line manager to manage the corporate premises and associated environment (as opposed to an operations premises person) that adds real value to the business, warrants the status as a full-time position, and justifies the additional cost (I would expect the overall fixed costs of a facilities manager to be at least double that of a premises person) and this role would not replace my existing premises staff. My cost comparisons would naturally include the costs of outsourcing specific facilities functions. This is the real test of relevance of this role, and I would expect is the test that most serious corporates would adopt.

Currently the lack of an accepted definition of a facilities manager does not assist this process. Therefore I would need to add an additional parameter to my budget process along the lines of ‘are there anticipated tasks of a regular nature relating to facilities that require tactical expertise and a) would consume too much of my time, b) could not reliably be executed by existing premises staff, and c) the logistics of outsourcing versus in-house favour in-house’, i.e. outsourcing would not significantly reduce my and/or business management involvement. If this litmus test proves positive then I need this resource; but where do I find it?

Clearly my preference would be for someone who has relevant experience and has demonstrated capability in a similar arena, especially if I need this person to travel to other locations and represent me. The lack of professional accreditation does not help this search so I would need a specialist recruiter, or even go to the expense of a head hunter. As a professional manager I know when I have the right person in front of me, regardless of academic background, but educating a recruiter as to how to filter candidates will also be a task that needs some consideration. My overall experience of recruiters, with one or two glowing exceptions, is that very few show any signs of considered candidate analysis and thus possible ideal candidates will be lost in this process. This is where a RISC or equivalent accreditation would significantly help the process. Thus currently this whole process would take much time and thought, so the faster the definition and recognition of this role is established the easier it will be for corporates to engage with it.

In summary I think that I can satisfy myself that there is a case for a tactical support function called ‘facilities management’ albeit not required across the whole corporate spectrum. If my suspicion that such a role is limited to dynamic corporates and some public services then this is advantageous to establishing a definition of this tactical role which is clearly distinctive from the more usual operational premises function. Whether or not academia can provide input into this definition I think it would be very useful to attain accreditation from an established chartered institution such as RICS as this would enable corporates to embrace the role with the understanding of the associated value. Continual debate by academia is probably counterproductive in the establishment of this role.

Whether or not the mass corporate marketplace embraces this role conflicts with whether or not they need this function, or even understand it. Looking through the recruitment ads does reveal that the descriptions of this role are far too broad to recognise it as a defined profession. Some ads that I have read amount to no more than a traditional premises manager.

If the FM activists want to establish this role I would suggest that, in the UK, they encourage RICS to agree a definition of professional status for this role, and thus achieve a recognised accreditation. As in all professions the role will grow with time to its natural height, but the first step is a baseline that all interested parties can agree, and thus embrace.

If I was asked to lay down a marker for a valuable facilities manager it would be based on capable contribution to the delivery of an expanded trading function for a new product in an existing environment. The introduction of the actual capability to trade is time critical and can take no longer than 90 days including trading desks and complete environment support. At the meeting to agree such implementation I would expect a facilities manager to be able to confidently prescribe how the physical delivery of these trading desks could be managed with minimal interference to current trading activity, any safety and security issues that would need attention, and an approximate cost for budget purposes – all without reference to any third party during, or after such meeting. Thus an intimate knowledge of the business needs, and how make a valuable contribution.