Your ideas

• Allowing patients to be greater drivers of change

  Allowing patients to be greater drivers of change. Listen and involve more.

• Always talk to the patients/service users

  Whatever programme you are engaged in, always talk to the patients/service users

• An integrated healthcare programme

  An integrated healthcare programme across several health economies

• A quality improvement project for junior doctors

  A quality improvement project with rapid cycle and small changes would be more valuable in junior doctor "competency" assessment than "audit".

• A single point of access for all services

  To have a single point of access for all services, both health and social.

• Ask children to become engaged

  Following a health information programme - ask children to become engaged.

• Ask clinicians if they've washed their hands

  TV adverts, press adverts and celebrities to encourage patients and their families to ask their clinicians if they've washed their hands.

• Challenging doctors to wash their hands

  Ensure that management support junior staff when challenging doctors to wash their hands.

• Changing the culture of the grassroots NHS

  Changing the culture of the grassroots NHS - less inertia, more focus.

• Clinical audit to include ethnic category

  Clinical audit to include ethnic category data collection identifying differential outcomes per ethnic group.