The Grenfell Tower tragedy was the worst residential fire in London since World War II. It killed seventy-two people in the richest borough of one of the wealthiest countries in the world. Like other catastrophic events before it and since, it has the power to bring about lasting change. But will it? The historical evidence is weighed against ‘lessons being learned’ in a meaningful or enduring way.

In an attempt to understand why, despite enormous efforts, we persistently fail to learn from catastrophic events, this book uses the details of the Grenfell fire and the subsequent Inquiry as a case study to consider two questions.
• Why don’t we learn?
• What would it take to enable real systemic change?

This new edition of Catastrophe and Systemic Change is fully revised to include key findings from the final Phase 2 Report of the Grenfell Tower Inquiry. The book explores the myths, the key challenges and the conditions that inhibit learning, and it identifies opportunities to positively disrupt the status quo. It offers an accessible model for systemic change, not as a definitive solution but rather as a framework to evoke reflection, enquiry and proper debate. Catastrophe and Systemic Change is a must-read book for a wide range of people including those interested in change management, leadership, policy-making, law, housing, public safety, construction and the built environment.