Ruth

Little - love laughing, dancing & baking

[The National Academy for Social Prescribing @NASPTweets]

There is an urgent need to shift our health system towards prevention and to support people with long-term conditions earlier and more effectively

This blog shares a wide range of projects that demonstrate the crucial role social prescribing can play: https://t.co/KYNtKENtjX

[Health and Social Care Committee @CommonsHealth]

No one is talking about the costs we're all accepting by not reforming the social care system. Costs to:

➡️patients and their families
➡️the NHS
➡️local authorities
➡️the economy and the Treasury

Contribute your views and experiences to our new inquiry: https://t.co/Glq4s8vFAd

[Ruth @bijouruffle]

Coldplay tickets - absolutely ridiculous. I was 4000 in the queue this morning (🤩🤩)when I got to shop I tried 2x and 4x (to take the children) of every single type of ticket and NONE had enough to complete my order on that date 😫😫@TicketmasterUK why? #coldplayconcert

[Prof Jamie Waterall OBE @JamieWaterall]

The social care sector plays a vital role in preventing illness, protecting health & promoting wellbeing.

Our NEW eLearning resource has been developed to support those working in the social care sector to enhance their knowledge & action in this area. https://t.co/e4RFNdRrp6

[Helen Bevan @HelenBevan]

Why do quantified performance targets/quality standards frequently fail to deliver their goals? Three core contributing concepts:
1) Goodhart’s Law: “When a metric becomes a target, it ceases to be a good metric".
2) Campbell's Law: “The more any quantitative social indicator is used for social decision-making, the more subject it will be to corruption pressures & the more apt it will be to distort & corrupt the social processes it is intended to monitor".
3) The Cobra Effect: "Incentives can have undesired & unintended results, potentially harming the very thing that they were intending to improve".
In order to mitigate for these three, we need to:
- regularly revisit the aim
- diversify the metrics (& introduce balancing measures)
- choose metrics that are as close to the aim as possible
- use qualitative as well as quantitative indicators
- make it easier & more rewarding to improve the system rather than game it
https://t.co/IlXT2VIBWl. By @tom_geraghty (sign up for his weekly newsletter - it's a "must-read"). Graphics by @sketchplanator & @xkcd.

[Helen Bevan @HelenBevan]

If we want to create large scale, radical change, we need to shift from a "manager’s mindset" (building consensus & redesigning processes to make them more predictable & efficient) to a "changemaker’s mindset" (building coalitions & creating space for exploration & discovery). See new article by @Digitaltonto: https://t.co/XPjSfcVsQ5. It reminds me of "the hierarchy of capabilities" in "Humanocracy: how to create organisations as amazing as the people in them" by @profhamel & @MicheleZanini. If we want people to innovate for new ways of working, we have to create the space, conditions & leadership support for it. See also @PaulIanTaylor on the "values of innovation" vs the "values of production: https://t.co/gKexrazElw

[Lancashire Violence Reduction Network @LancsVRN]

Superintendent Justin Srivastava's ready to be locked up at Burnley Police Station, all in the name of charity! 🌟 Help him make a grand escape and back @burnleyfc_com's vital community work. Donate now! 💪🔗 https://t.co/qBnAQhpwKY #BigBurnleyBreakout

@SuptSrivastava

[John Wade @John_A_Wade]

A good life is a connected life

@CormacRussell @wendylansdown @wearenewlocal @Camerados_org @Emma_CCUK @equalitytrust @gale_mark @MaffPotts @disruptiveIan @angelafell @Bromford

[Rob Galloway @DrRobgalloway]

We need to solve the overcrowding crisis in A&E. I may have the solution!

It came to me whilst reading my son " A squash and a squeeze" by Julia Donaldson (author of the Gruffalo)

A&E Squash and a Squeeze, adapted by Rob Galloway

A little old A&E, lived all by itself , with cubicles and chairs and a water jug on the shelf.

A wise old health secretary heard her grumble and grouse, “There’s not enough room in my A&E house.

Wise old health secretary, won’t you help me, please? My A&E house is a squash and a squeeze.”

“Take in your drunk and disorderly patients” said the wise old health secretary man

“Take in my drunk and disorderly patients? What a curious plan.”

Kept in A&E, instead of a cell, they vomited on the rug,

And flapped round the cubicle, knocking over the jug.
.
The little old A&E cried, “I implore? It was poky before and it’s tiny for more.

My nose has a tickle and there’s no room to sneeze. My A&E house is a squash and a squeeze.”

And she said, “Wise old health secretary, won’t you help me, please? My A&E house is a squash and a squeeze.”

“Take in your awaiting medical bed patients,” said the wise old health secretary man.
.
“Take in my awaiting medical bed patients? What a curious plan.”

Well, the awaiting medical bed patients pulled back the curtains and trod on the bed,

``then sat down to eat via her long term peg.

The little old A&E cried, “Glory be! It was tiny before and it’s titchy for more.

The drunks attacked the awaiting medical bed patients and the awaiting medical bed patients got fleas. My house is a squash and a squeeze.”

And she said, “Wise old health secretary, won’t you help me, please? My A&E house is a
squash and a squeeze.”

“Take in your awaiting mental health bed patients ” said the wise old health secretary man.

“Take in my awaiting mental health bed patients ? What a curious plan.”

So she took in awaiting mental health bed patients who kept pressing the alarms in cubicle ten

And raising everyone’s blood pressure again and again.

The little old A&E cried, “Stop, I implore! It was titchy before and it’s teeny for more.

Even the mental health patients in the cubicles agrees, My A&E house is a squash and a squeeze.”

And she said, “Wise old health secretary, won’t you help me, please? My house is a
squash and a squeeze.”

“Open an urgent care centre,” said the wise old health secretary man
.
“Open an urgent care centre? What a curious plan.”

Well, the urgent care centre attracted the 111 referred worried well,

Whose long waits created an unpleasant waiting room smell

The little old A&E cried, “Heavens alive! It was teeny before and it’s weeny for more

I’m tearing my hair out, I’m down on my knees. My A&E house is a squash and a squeeze.”

And she said, “Wise old health secretary , won’t you help me, please? My house is a squash and a squeeze.”

“Take them all out,” said the wise old health secretary man.

“But then I’ll be back where I first began.”

So she persuade the police to remove the aggressive men

“That’s better – at last I can sneeze again.”

They opened up ward beds and she gave a jig

“My A&E house is beginning to feel pretty big.”

She persuaded the 111 patients to self discharge where safety would allow.

“Just look at my A&E house, it’s enormous now”.

“Thank you, old health secretary for saving the day, Our A&E is so big now, our staff might just stay.
.
There’s no need to grumble and there’s no need to grouse. There’s plenty of room in my A&E house.”

And now she’s full of frolics and fiddle-de-dees. It isn’t a squash and it isn’t a squeeze.

Yes, she’s full of frolics and fiddle-de-dees.

It isn’t a squash or a squeeze.

[✨Sonia Sparkles✨🖤 @Sonia_Sparkles]

Eventbrite no longer lets you book free ticket sessions 😢 so I’m trying - tickettrailor hope it all works out well 🤞

[Helen Bevan @HelenBevan]

It surprises me that the myth of learning styles persists (ie, that people are "visual", "auditory", "kinesthetic" or some other kind of learner). "Learning styles" still regularly appear in leadership development programmes & learning offers aimed at the NHS when the principle is widely debunked. We should use a variety of learning approaches for everyone. Why the myth persists: https://t.co/1Qy0rsNkoh Via @Shredwarrior @cdnorman

[Ruth @bijouruffle]

@dlblacklock @LSCICB @LancashireCC @HW_Lancashire So sorry I missed this - looking forward to hearing all about it though!

[Ruth @bijouruffle]

Colleagues from Oldham really focussing on the experience of patients & citizens in their work - recognising the value of timing for people! #nwuecwinter

[Ruth @bijouruffle]

Wonderful colleagues from Bolton sharing their learning AHPs in action to improve discharges. Fantastic to hear about serious thought given to workforce including “learning and development week”. #nwuecwinter

[Ruth @bijouruffle]

Fabulous to hear a discussion about risk and mental capacity - how they both link with decisions around hospital discharge with colleagues from Cheshire East AND the importance of creativity! ❤️ #nwuecwinter #AHPs

[Ruth @bijouruffle]

Wonderful to be talking about Wirral’s journey to implementation of Home First - what a difference it has made for citizens, their experience and how things could be even better. #nwuecwinter #homefirst

[Helen Bevan @HelenBevan]

How should we approach our role as leaders? By emphasising our competence, strength & experience? Or by establishing trust through warmth and understanding? The authors of this classic article say we need to do both but we should start with building trust. Multiple studies in the ten years since this article have backed up the importance of relationships and connections as the foundations for effective leadership. https://t.co/nVBuLcv2T1 Graphic: @tnvora

[Anna Severwright @AnnaSeverwright]

'purposeful flexibility' a great phrase used here by @LynRomeo_CSW. If LAs & parners (yes including the NHS!) really worked in this way we would be much closer to genuine personalised care & support. That isn't a 💰but attitude thing.

[England Cricket @englandcricket]

𝗡𝗮𝗺𝗲: Stuart Broad
𝗢𝗰𝗰𝘂𝗽𝗮𝘁𝗶𝗼𝗻: Mind Games Extraordinaire

Incredible, Broady 😂👏

#EnglandCricket | #Ashes