Bernard Crump

Husband, father, founder and director of BC Healthcare Soultions Ltd. huge fan of leicester city and leicester tigers

[Bernard Crump @WBSProfBC]

Thanks to all the sites that were part of the VMI partnership. Their generosity in helping us learn has been really important
#QIhour #LeadingQI

[Bernard Crump @WBSProfBC]

Q5. The tweet chat process has been an eyeopener. Must be one of the most effective and cost effective ways to get meaningful conversations about significant academic and policy findings. #QIhour #LeadingQI

[Bernard Crump @WBSProfBC]

@jamespeskett @WarwickBSchool Spot on

[Bernard Crump @WBSProfBC]

NHS Impact is a step in the direction of moving away from a failed approach in which we "improve" things regarded as less significant, but when something is really important we "performance manage" it. #QIhour #LeadingQI

[Bernard Crump @WBSProfBC]

A4 (Part 2), but equally, scarce and experienced improvement resources should be available to support the organisation's most pressing challenges. These two approaches are not incompatible.#QIhour #LeadingQI

[Bernard Crump @WBSProfBC]

A4. An improvement culture is a bit like a set of Russian dolls. If people are helped to learn how to lead improvement they will apply the approach to what matters where they work. Not every effort has to be of strategic importance.#QIhour #LeadingQI

[Bernard Crump @WBSProfBC]

And don't get me started on RAG ratings.
#QIhour #LeadingQI

[Bernard Crump @WBSProfBC]

The real stretch happens when local people, understanding their real position and passionate to improve, make a promise to the people they serve that they will deliver a better service. Better is never finished. #QIhour #LeadingQI

[Bernard Crump @WBSProfBC]

A3. Almost all nationally imposed measures risk "HTTBMTP". They are not based on starting positions, natural variation, and most importantly are seldom owned.
#QIhour #LeadingQI

[Bernard Crump @WBSProfBC]

When the outcomes are too far into the future to use to monitor improvement we need "impact measures"; process measures where the evidential link to a good (or bad) outcome is strong enough for them to be a proxy. #QIhour #LeadingQI

[Bernard Crump @WBSProfBC]

@VM_Institute @WarwickBSchool I would say those are the wrong way round!
https://t.co/mhqk55AHP9
#QIhour #LeadingQI

[Bernard Crump @WBSProfBC]

This may be old, but it is still really good https://t.co/mhqk55AHP9 #QIhour

[Bernard Crump @WBSProfBC]

Things to avoid: Only measuring things we already have to collect for some other purpose; not being granular about the detail (who will measure, what, when , how and how will they report). #QIhour #LeadingQI

[Bernard Crump @WBSProfBC]

A basket of measures. As close to outcomes that service users will recognise as possible. "Balancing measures" designed to spot unintended consequences of our change early. #QIhour #LeadingQI

[Bernard Crump @WBSProfBC]

@Whoseshoes it would be good to hear more about your "interesting relationship with measurement". #QIhour #LeadingQI

[Bernard Crump @WBSProfBC]

Driver diagrams are a great way of making the link between the important issues you need to impact, and the small tests of change you want to try. Investing time in developing them well is a key to the Golden Thread. #QIhour #LeadingQI

[Bernard Crump @WBSProfBC]

@cascleicester @HelenBevan @LouWaters_QI @HughMcCaughey @mountfordjames @karas01 @KathrynPerera @ZoeLord1 @DianeKetley @LeighAKendall @KateSlater2 @LauraJYearsley Hi, The national audits have a lot of advantages; some standardisation, clinical endorsement and often the support of Colleges and Specialist Associations with patient group involvement. But as long as people can say "this data is old" the impact is diminished#QIhour #LeadingQI

[Bernard Crump @WBSProfBC]

@jamespeskett @WarwickBSchool Hi James, good to see you here. Let us know about your evaluation #QIhour #LeadingQI

[Bernard Crump @WBSProfBC]

Hi Bernard here, part of the WBS team and looking forward to our final TweetChat
#QIhour #LeadingQI

[The Albion Foundation @WBAFoundation]

Our SEND Multi-Sports Camp have had a fantastic day, celebrating their favourite superheroes & sports stars 🦸 ⭐️

Shout out to Game Changer gaming van for providing plenty of fun 🎮😃

@WBA | @hb_limited