1000 Lives Plus blog admin


Oct 102014

Peter Bradley

Professor Peter Bradley

Making prudent healthcare happen is a new website that was launched this week at the Welsh Public Health conference. It is an important online resource for everyone who works in NHS Wales, and everyone who relies on NHS Wales services, because it gets under the skin of ‘prudent healthcare’ and explores ways we can deliver better care and better outcomes.

Prudent healthcare has a central emphasis on outcomes – the results of what we do. We need to have a hard look at everything we offer as healthcare professionals and across all our support functions in NHS Wales. The question we need to ask is ‘Do we deliver high quality, good value services?’ And if we don’t know the answer, we must try and find out.

Continue reading »

Jun 192014

SallyLewis2Dr Sally Lewis shares her thoughts on ‘prudent prescribing’ after chairing a workshop examining how the principles of prudent healthcare might apply to prescribing and medicines management.

None of us need reminding that as a society we face a growing burden of chronic disease. Increasingly we cohabit with chronic pain, diabetes, respiratory disease, and cancer and neuro-degenerative disorders. The evidence based medicine revolution continues to develop guidelines for us to follow and there is a steady stream of new innovations in healthcare, not least in prescribing. This therefore will lead to rapid growth in the amount and diversity of medicines we will prescribe for our patients.

Is this bad? Not necessarily, but only if we have assured ourselves that every time we prescribe a drug it is a valuable addition to an individual’s management and has done no harm. This is the basis for prudent prescribing and makes it imperative that we determine the true value of the medicines we prescribe to each of our patients. Continue reading »

Nov 042013
Andrew Goodall

Andrew Goodall

I am proud to work in the NHS and proud to be part of public services in Wales. However, I also realise we are in an environment that expects change, improvement and delivery.This means we need to do a number of things:

  • Genuinely put patients first, even when the system can feel it’s working against this
  • Simplify complex areas and experiences
  • Do ‘the basics’ exceptionally
  • Create time for people to be trained and informed – there is a tangible reward for staff taking part in training
  • Engage with staff, particularly as the size and breadth of NHS Wales organisations can leave staff feeling disconnected
  • Be open if we have a problem

Continue reading »

Oct 282013
Alison Strode

Alison Strode

Over 4,500 Allied Health Professionals (AHPs) work in NHS Wales and there are a significant number working in other public services in Wales, including social care and education and in the private and charitable sectors. AHPs are part of multi-disciplinary team across the country, and are increasingly involved at the interface between primary and secondary care.With the increased emphasis on a common language and consistent approach to improvement in NHS Wales, it is very important for all AHPs to understand how to lead or support quality improvement initiatives.

1000 Lives Plus has published a new version of its Quality Improvement Guide, specifically aimed at AHPs. It contains some examples of how the improvement methodology has been applied in physiotherapy and dietetics. Continue reading »

Jul 192013
Helen Birtwhistle

Helen Birtwhistle

When I listened to some of the hugely innovative work that was honoured in the recent NHS Wales Awards, it struck me that out of austerity can come opportunity.

I know that these are tough financial times for the NHS, with savings expected year on year, but it does make us examine what we are doing more closely and at all levels.

This is a time to work smarter and to make the best use of the resources we do have to deliver the best possible care to patients wherever they are in Wales. Continue reading »

Jun 172013

NHS Wales staff across the country will be supporting Age UK’s Falls Awareness Week 2013, this week (17-21 June 2013).

The aim of the awareness-raising campaign is get people to put their ‘best foot forward’ by keeping their feet healthy to prevent falls in later life. As well as keeping feet in good shape, the event will show that there are a whole range of simple things that can reduce the risk of a fall.

Dr Karl Davis is the consultant clinical lead for the ‘Reducing Falls in the Community’ 1000 Lives Plus programme area. Karl explains more about Falls Awareness Week in this video:

(Can’t view YouTube? You can also watch the video here.)

‘Reducing Falls in the Community’ was established nearly three years ago. It brings together teams and services from all over Wales that are working in a variety of settings, which are working to either prevent falls or reducing harm from falls. It is underpinned by recommended good practice from organisations such as NICE.

More information
NHS Wales staff support Falls Awareness Week
Reducing Falls in the Community
Falls Awareness Week

May 162013
Joy Whitlock

Joy Whitlock

I was first introduced to ‘followership’ at a seminar run by Dr Dave Williams. He is an amazing person; an emergency care physician and chief executive of a regional health centre in Canada. And he was a Canadian and NASA astronaut and aquanaut so he knows more than most about safety. 

Healthcare is a high risk environment fraught with potential for errors, some of which have been catastrophic.  Working in it can be challenging and stressful. Active followership can make it better for us and the people we care for. Continue reading »

May 132013
Adam Cairns

Adam Cairns

“If staff are our most important resource, how come it’s only the computers that get air conditioning?’

I heard this from the Chairman of the Institute of Directors at a recent meeting. His point was that it’s too easy to make statements like these – and that too often that’s where they stay – statements written on pieces of paper.

As organisations set up to care for others, you might think that NHS health boards and trusts would lead the way in caring for their staff. However we’ve just got our staff survey results and among the good stuff, there’s some other feedback that’s much tougher to hear. Continue reading »

May 092013
Dr Eleri Davies

Dr Eleri Davies

Tonight it’s the BMJ Improving Healthcare Awards and the STOP Campaign has been shortlisted in the ‘Improvement in Patient Safety’ category. It’s great to think that this campaign that has involved so many healthcare staff across NHS Wales is receiving such recognition.

I have supported this campaign because I have seen first-hand the damage that can be caused by devices like peripheral venous cannulas (PVCs) and urinary catheters. Continue reading »

Apr 242013
Mikaela Alexander

Mikaela Alexander

How do you motivate health care professionals to think innovatively, safely and improve quality? The president and CEO of Institute for Healthcare Improvement Maureen Bisognano did just that at the 18th International Forum on Quality & Safety in Healthcare.

Maureen’s inspirational speech “All teach, all learn” introduced the simple reminder to embrace empathy to accomplish effective, high-quality patient-centred care. Continue reading »