Reducing emergency admissions
This briefing explores the link between how well patients feel able to manage their long-term conditions such as asthma, diabetes and depression and their use of health care.
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What next for the Francis culture of safety? Six steps to start
No-one would claim that changing culture is easy, but it is possible. And in light of Robert Francis’s latest report we know that there is still much to be done if we are to create the learning cultur...
Thinking differently: technology and healthcare
People talk a lot about disruptive technologies but so often the ideas we hear are either mundane or so wacky that we can only be thankful that they’ll never see the light of day. In December I vis...
Care and compassion in the NHS
The Health Service Ombudsman’s report on ten investigations into NHS care of older people has provoked an understandable, but wearingly familiar, wave of shock and media outrage. The Ombudsman is not ...
Every (improvement) system is perfectly designed to deliver the results it gets
Anyone who has been involved in improvement activity over the past 10 years will be familiar with the phrase ‘every system is perfectly designed to get the results it gets’, the premise being that bot...
Training for the future: from 20th century medicine to 21st century healthcare delivery
The future of the NHS is at stake, or so the media tells us, and medical leaders are raising concerns and asking whether there will be an NHS in the future. For those in the front line the changes ...
A human factors approach?
In Jo Bibby’s recent blog she talked about developments in healthcare and the need to explore the ‘human factors approach’ taken by other industries, but what does a ‘human factors approach’ mean? ...
Deming alive: using a systems thinking approach to healthcare solutions
Last week I was fortunate to attend the Transformation Forum organised by the Deming Forum. The teaching of Dr Edwards Deming is the foundation of the Quality Improvement movement, and much of what we...
No decision about me without me: making it happen
In his speech at UCLH on 26 May, the Deputy Prime Minister Nick Clegg laid out his vision for the NHS. Some might argue that he should have waited for the listening exercise to finish before making hi...
Can Standard Operating Procedures work in healthcare?
I was recently was told of a posting in response to a previous blog of mine about learning from failure. The writer was Barbara Harris and here is some of what she said: 'Dear Martin, My husband di...
