Building The Future
Health Services are in crisis, everywhere. More of the same is not the answer. A new paradigm is needed and we have set up Better Value Healthcare to help people move to that new paradigm. We have developed resources and packaged them into ten solutions. These are delivered in a rage of ways – online, on paper and face to face
This particular site also summarises the resources I have been producing since entering the public health service. My first article on culture was published in The Lancet in 1977, my first on how systems could increase healthcare value in the same journal in 1983. since then i have had many opportunities to develop these ides , and been educated by many many wonderful colleagues. For example the opportunity to create national screening programmes which screened about 8 or 9 million people a year allowed me to learn about systems and networks, and the importance of treating citizens as intelligent equals. The opportunity to create the National Library for Health, now manifest as NHS Evidence and NHS Choices let me learn about knowledge quality and the Internet and mu long standing interest in language, the focus of my 1977 paper, and the opportunity to mingle with the anthropologists and philosophers of Oxford has helped me develop my ideas on culture and these five drivers, citizens, knowledge, . the Internet, systems and culture will dominate the next five years work.
#wordoftheweek
Every service has to have a structure but at least as important is its culture ; Edgar Schein is the guru and her is one of 20 examples of the meaning of the term in our BetterValueHealthcare glossary
“The culture of a group can now be defined as a pattern of shared basic assumptions that was learned by a group as it solved is problems of external adaptation and internal integration, that has worked well enough to be considered valid and, therefore, to be taught to new members as the correct way to perceive, think, and feel in relation to those problems.”
Source: Schein, E.H. (2004) Organizational Culture and Leadership. John Wiley & Sons Inc. (p.17).
BMJ Blog Bye Bye Quality 2.0
http://blogs.bmj.com/bmj/2011/03/01/muir-gray-bye-bye-quality/
moving to a new place
on the advice of people i respect , all much younger than me i am going to find like minds in future by direct tweeting, instead of just a feed from my blog and by writing for the bmj blog
and no listed in order of priority,are
Waste
unwarranted variations in almost everything- activity, quality, outcome, expenditiure
safety
inequality and inequity, and a confusion between the two
failure to prevent the preventable
tax based , insurance based, public ,private, they all have these problems , or perhaps not all do ?
when i tweeted that the professionals i met were up for running the health service it was said that committed professionals lost battles; i donot accept this and Bill Slim, who stands 50m from richmond house, and who is now the most highly respected general put it clearly
We developed a form of warfare based on … the high quality of the individual soldier, his morale, toughness and discipline, his acceptance of hardship and his ability to move on his own feet and to look after himself”
Slim w (1956)
Defeat into victory
Cooper square press
there are enough clinicnas like this; i met many more today
