A business that includes the community does not need to run itself in the same way as that community, but it is important that it is fluent in its values and dynamics. Once management loses touch with the community it is very difficult to run the business effectively.
Reddit’s management made the mistake of dismissing the concerns of its community and the people have reacted by way of rebellion. In order to run an effective business, management needs to respect and align itself with the culture of the community. Workers and managers who appear outside of the community and not part of it are often rejected, while the ideas and changes of those that are seen as part of the community will be accepted and adopted.
The health and care sector in the UK is a large community and the management need to stay in touch with what the community needs and wants. To dismiss the opinions and concerns of the community makes management ineffective because the patients should be the focus and priority of any healthcare initiative.