The role of co-production in improvement
Orthostatic hypotension (a drop in blood pressure upon standing from a lying or sitting position) is a major cause of falls, both in the community and for hospital inpatients. At Stockport NHS Foundat...
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After Francis: safety, safety culture and next steps
The House of Commons Health Committee today published its report, After Francis: making a difference. The report offers further insights and reflections on some of the most critical and contentious ar...
The recovery journey of the NHS: a patient’s response to Berwick
For the past six months or so I’ve been on a journey, with others and a wonderful leader and with a huge task. As one of the patient representatives on the Berwick Review, I was given the privilege an...
Here’s to the future of the NHS
If a trawl through the press cuttings is to be believed, the period of my tenure at the Health Foundation has been a tumultuous one in health policy terms. As I complete my last few days as Chief Exec...
Improving medicine prescribing in care homes
Many older people take a large number of medicines, but those who use the services of care homes often have little say over what medications they are taking. Sometimes they’re prescribed medicines tha...
Quality, affordability and scale in healthcare: learning from Narayana
uch has been said and written over the past few years about the work of Dr Devi Shetty and the Narayana Health system. With 17 hospitals covering a full range of specialities and employing 1300 doctor...
It’s time clinical encounters became human encounters
Whether we are a patient, manager or clinician, all the conversations we have in healthcare settings should be open, honest and 'person to person' rather than 'label to label'. I was thinking about...
Improving equity in healthcare through innovation
Visiting The LV Prasad Eye Institute (LVPEI) in Hyderabad as part of the IPIHD study tour, I was expecting to see something along the lines of Aravind's high volume, high quality and low cost cataract...
Watching quality
In the last year or so you might think that quality in the NHS has been scrutinised more than at any other time since 1948. With reports from Francis, Don Berwick, the CQC and the Keogh Review, and in...
Ten measures of success for NHS boards
I am often asked to provide a steer for chief executives and boards on data, dashboards and strategic measurement. Here are the top ten tips that I think differentiate good boards from great boards. ...
