Very often in healthcare, we make a massive effort to improve our delivery performance by changing our processes and practices. We should probably start much higher up in our knowledge structure by considering our paradigm - our beliefs about how to make change happen. If we do that, we start to frame the problem in different ways & adopt different principles for improvement. Graphic: adapted from @profhamel
@profchrisham@WestM61@bailey_suzie Reflects the same learning from Canterbury NZ . Deming said the same thing decades ago. Shared purpose, trust, interdependence and relationships. It's always about people.
@nigelmillarnz I’ve seen this look a few times before from you Nigel. Usually the look reserved for “this guy’s completely mad” Here’s to your recovery.
!!! Ukraine's Interior ministry asked residents to take down street signs in order to confuse oncoming Russian troops. The state road-signs agency went one step further. (Roughly: all directions are to "go fuck yourselves")
@Fionacjenkins@CV_UHB@CwmTafMorgannwg Congratulations Fiona. What a wonderful honor for all those you have worked with and supported, and what great recognition of your outstanding contribution to health services around the world. From your friends and colleagues in NZ.
@CAV_LenRichards @CV_UHB You will be greatly missed in not just Cardiff and Vale. You have been a true leader Len of transformational change. Good luck in your new endeavour, and thank you for the opportunity to work with your fantastic CAV team.