Fleur Roberts

I love the great outdoors and spending time with my family in it!

[Dr Peter Weeks @DrPeterWeeks1]

Leadership , a document written by ⁦@JamesTCobbler⁩ and brilliantly he is now a Minister of HM government dept of justice. Grown ups doing grown up jobs , remember that ?

[✨Sonia Sparkles✨🖤 @Sonia_Sparkles]

We’ve not had much sunshine ☀️
Find glimmers of light in boundaries, self discipline & self care

[Association of Anaesthetists @Assoc_Anaes]

🚨 A #PatientSafetyAlert has been issued with @Assoc_Anaes, @RCoANews & Safe Anaesthesia Liaison Group, instructing NHS providers to transition to NRFit™ connectors for all intrathecal and epidural procedures, and delivery of regional blocks by Jan 25

🔗 https://t.co/SiG8t73sOE

[Tim Cook @doctimcook]

Obstetric cardiac arrest
Let’s look at the big picture….

So among 355,000 obstetric anaesthetic interventions in a year in UK (delivered to approximately 50% of all births & at all times of day and night almost exclusively in the NHS)

Incidence of obstetric cardiac arrest
-Epidural for labour
1 in 56,500
- any anaesthesia for LSCS
1 in 8,500

-All epidurals & spinals
1 in 17,000
-all GAs
1 in 1,200

These fall into ‘big data’
They are no substitute for an RCT in assessing safety (except no such RCT exists or is likely to)
There will clearly be confounding by intention (the very highest risk cases more likely to have GA)

…..but they do provide welcome evidence of the absolute safety of obstetric epidurals& spinals (& possibly relative safety compared to GA…)

I think a credit to UK obstetric anaesthesia & wider surgical & midwifery teams.

https://t.co/bvoHwXGOuC

[✨Sonia Sparkles✨🖤 @Sonia_Sparkles]

I love authentic leadership

It’s about being real, honest & being true to your values. Not about authority or pleasing your senior leaders

You are just you, are consistent and not playing a role

You make personal connections with others, lead from the heart & are honest

[Leanne Rutkowski @leannerutk0wski]

Sharing the @jessopwing1 journey to implementing BSOTS at celebration day and next steps for continuing improvement @JessopWingDoM @Pam__Chambers @alibrodrick @MaternityTriage

[Helen Bevan @HelenBevan]

When I think back over my own career, the times when I felt I could do my best work & was most supported, was when I had an affirming leader. Sincere words of affirmation don't take much effort & have a disproportionate impact on people’s self-esteem. As leaders, we should never underestimate the power of our own influence. People never forget the impact of lifting, affirming words: https://t.co/dF3j8nACpc. Via @CambNetwork Graphic: @hacking_hr

[Fleur Roberts @roberts_fleur]

@alibrodrick @CMidOEngland @JessopWingDoM @SheffieldHosp @jessopwing1 @drtraceyc @ClaireKeegan66 @leannerutk0wski @CatherineH_RM Well done amazing news

[Fleur Roberts @roberts_fleur]

@sheebajefferson @SheffieldHosp @CNOBME_SAG @CNOEngland @BINA_UK @VBagshaw @FoNScharity @joan_myers @Crouchendtiger7 @SYhealthcare @CathyWinfield @GemmaStacey10 Wow Sheeba congratulations 🎉 well deserved

[Fleur Roberts @roberts_fleur]

@VillageScreen Looking forwards to the Adams Family at the Peak Cavern for Halloween 🎃

[The King's Fund @TheKingsFund]

Radical alternatives to the UK health and care system are often discussed by the media. But what are the differences between private pay, self insurance & hypothecation? We've weighed up the potential pros and cons of these alternatives in our long read. https://t.co/VM9MjEnPGY

[Helen Bevan @HelenBevan]

Five principles for developing improvement approaches across a system that create the conditions for effective and sustainable change:
1) Define scope and goals together.
2) Build relationships and trust.
3) See diverse expertise as an asset.
4) Develop shared system leadership.
5) Use an improvement mindset.
https://t.co/3qfycaxZbf By @theQCommunity @HealthFdn @NHSConfed

[Fleur Roberts @roberts_fleur]

Proud to be a Maternity and midwifery initiative finalist at the #HSJpatientsafety awards representing @SheffieldHosp with our MDT Emergency Pre Brief communication process #gamechanger

[Fleur Roberts @roberts_fleur]

Flying the flag for @SheffieldHosp at the HSJ Patient safety awards 2023. Showcasing our truly MDT maternity and midwifery initiative of the year #HSJpatientsafety

[Helen Bevan @HelenBevan]

A literature review commissioned by the @CareQualityComm on improvement culture in health and care settings. Overall, the review identified multiple positive outcomes associated with a "good" improvement culture including:
1) Increased responsiveness of services
2) Shorter waiting times
3) Better staff retention & lower use of agency staff
4) Better quality of care
5) Lower mortality rates
6) Treating people who use services with more dignity and respect
7) Improved staff morale and motivation
8) Increased collaboration between services
9) Better ratings from regulators
10) Improved financial outcomes
ie, many reasons why we should prioritise the so-called "soft stuff", combined with an improvement methodology: https://t.co/vIm5mnfOun. Via @CQCprof @SQW_uk @joyfurnival

[The Health Foundation @HealthFdn]

'If social media and smartphones are the cause of the sudden rise in teen depression, it might actually be good news – because we can do something about it.'

@jean_twenge explores themes of her recent Health Foundation lecture on #iGenTechAndHealth ⬇️

https://t.co/G2nvVBxZYK

[Jess Morgan @drjessmorgan_]

I was a doctor.
Burnout broke me.
I left medicine.

I retrained as a primary teacher.

As medics we know nothing else.
The jargon, the environment, the culture...
It becomes us.

However, we have a multitude of transferrable skills.
Here are my top 5:
🧵👇

[𝘈𝘯𝘢𝘦𝘴𝘵𝘩𝘦𝘴𝘪𝘢 @Anaes_Journal]

🔓Implementing human factors in anaesthesia: guidance for clinicians, departments and hospitals.

14 citations, 20k downloads, @altmetric score of 250....

...and now the @CIEHF President's Award 2023!

🔗https://t.co/ThlBzRcmNk

[Fleur Roberts @roberts_fleur]

@TIVAking Well done Cath amazing 🤩

[𝘈𝘯𝘢𝘦𝘴𝘵𝘩𝘦𝘴𝘪𝘢 @Anaes_Journal]

🔓"...waveform capnography remains the reference standard for confirmation of tracheal intubation."

@VirtueOfNothing @jadamlaw @NicholasChrimes @AndyHiggsGAA @doctimcook

🔗https://t.co/XTrmB8CYX6