Chris Pickering

ED doctor in West Midlands. Dad to 2. Try to do some exercise and comment on rugby. Opinions my own.

[Chris Pickering @drpickers]

its a great day when you detox from the smart watch. I grew up close to where @HagleyWest was founded with a support of a cause close to my heart. #autismawareness today will be a good day

[Chris Pickering @drpickers]

.@VolvoCarUK love almost everything about my new xc90, except the front seats. There is a solid bar that is in just the wrong position. investing in seat cover to help.

[Chris Pickering @drpickers]

Just listening to news around huge infrastructure projects for green energy, use of farmland for solar etc. how many industrial roofs have no solar, how many warehouses and large buildings.
why can't small wind turbines line the top of walls around these buildings?

[Chris Pickering @drpickers]

@DrEilidhMaria ED Cons: I encourage a plan to be made and discussed before review, critique and teach. I struggle to do it all, but that's what I want to do.
it's very difficult to get the plan made but makes such a difference to the interaction.

[Chris Pickering @drpickers]

Its a useful metric as %convey to non-ED has dropped from 5.6 to 4.7% of calls. SPOC for ICBs should make it easier and quicker for crews to get patients where they need to go. Has it? @NHSGIRFT

[Chris Pickering @drpickers]

reading data from @AACE_org regarding ambulance service performance and notice there is nothing reported about "on scene" times. Anyone able to point me to where I can find this data? I can see response and offload delays. @vivekkhashu ?

[Wayne Goldsmith @waynegoldcoach]

Are you a CEO, High Performance Manager, COO, Board Member or Head Coach of a Professional sporting team or an Olympic sport and asking yourself "Why didn't we win this year?".

I can tell you. It's simpler than you think.

Your ACTIONS did not match your VALUES. That's it.

Every sporting team - every professional team - every Olympic sport I've worked with, does the good ole' Mission Statement, Vision and Values workshop breakout session at some time.

They then typically post their all new Values on their web site, in their reception area, on their stationary, web sites, social media, office spaces and team practice and preparation areas, e.g. gyms, changerooms.

The most common Values that sporting organizations come up with in my experience include: honesty, integrity, professionalism, hard-work, mate-ship / friendship, selflessness, discipline, resilience and courage.

BUT...here's the key.

The difference between the teams that WIN and the teams that DON'T WIN is - they don't live their VALUES.

My favorite story to illustrate this - what I call the principle of LIVING VALUES:

A friend of mine - a professional coach - rang me and invited to me attend a training session with their senior team.

They'd had a poor season the previous year and as a result, the Board had commissioned a consultant to come in, complete a review and recommend a new set of organizational Values.

One of their new Values was "Professionalism".

So I sat and watched the players, coaches and staff work together in their first training session of the new season - with the hopes that their new Values would underpin a successful new season.

At the end of the session, the coach asked me "What do you think?"

I said, "Your values - have no value".

He asked, "Why would you say that?"

I replied, "Professionalism is one of your new Values. It's a good word. But this is what I saw. Some players were late. Two coaches took phone calls during the session. Half the players didn't have water bottles - and most didn't hydrate during the session. When players made errors, some team members scoffed and embarrassed them. Half the team didn't bother to cool down. Not one player lifted a finger to set up or pack up after training. Several players weren't wearing the right training gear. You use the word Professionalism - but your actions say mediocrity".

My friends - actions change the world.

Culture is quite simply - WHAT YOU DO - so if you don't change what you do - your culture will not change and you will not get better!

By tying Values to Behaviours - you give players, coaches and staff observable and measurable actions that they can be personally responsible for - and can keep each other accountable to!

Nothing changes - if nothing changes.

Values - without clear, specific behaviours that bring those Values to life through the actions of people are without value.

#waynegoldsmith #wgcoaching #values #culture #elitesport #professionalsport

[Chris Pickering @drpickers]

@KeithMansfield @EmbSpainUK you can go on board for a fee. amazing vessel. visited in gravesend

[Chris Pickering @drpickers]

tonight is celebration night for @UHNM_NHS . I won't be there but so many wonderful people shortlisted, good luck everyone. its so important to talk about the amazing. we have to get better at sharing the good stuff we do with those who can make it heard.

[Chris Pickering @drpickers]

@System_C incredibly disappointed to hear that as a provider of electronic observations #careflowvitals has not been updated to meet NICE guidance for Sepsis issued 12months ago. I presume this is an urgent update being developed

[Chris Pickering @drpickers]

@issf_official @TeamGB an excellent achievement but can @issf_official explain how decisions are made on the hit/miss and the appeals process. I am struggling to understand the discrepancy between TV pictures and the outcome and whether these are used at the global pinnacle of the sport?

[Chris Pickering @drpickers]

having a break from the daily grind and spending a week in serbia. racing tomorrow and Friday. @PhysioForm @airofit

[Chris Pickering @drpickers]

Great to hear managers being given support from @AmandaPritchard at #nhsconfedexpo
without them, the clinical work does not get delivered. let's develop and retain them!

[Chris Pickering @drpickers]

@Danni_Wyatt @georgiehodge massive congratulations. wishing you both a lifetime of happiness

[Chris Pickering @drpickers]

@sarah_aslannnn I use shockz and have done for years

[Chris Pickering @drpickers]

@Oohgpwales put your name and title at top of first slide and have animation to bring in text below. Still 1 slide!

[Chris Pickering @drpickers]

@AshleighShatfo2 18 and up, you good

[Chris Pickering @drpickers]

4hr performance is used as a measure of how emergency departments are functioning but it reflects the whole system. increasing the pressure on clinicians and a disproportionate focus on the less sick drives poor behaviours and doesn't serve the patients who need the most.

[Chris Pickering @drpickers]

one of my favourites from my time in the falklands 18yrs ago

[Chris Pickering @drpickers]

@Oohgpwales