Jan 132014
Jan Davies

Jan Davies

We know from international learning the value and importance of developing a common improvement language. This helps us to communicate within NHS Wales about how we can make real, worthwhile and lasting change happen.

And that’s the point of Improving Quality Together: making worthwhile changes. Often, changing the little niggles people have every day, which they feel is stopping them doing their job properly, can make a huge difference. It can free up staff time, and make the system we work in a lot more effective and efficient.

But we also need to know that the change we’re making is a worthwhile one, so Improving Quality Together helps us to think about how we test these ideas for change on a small scale before going bigger. Continue reading »

Dec 192013
Sian Bolton

Sian Bolton

The impact of poverty and inequality in our society is clearly seen in the field of healthcare. There is a significant difference in the life expectancy of the most deprived and least deprived people in our society – over a decade in some areas.

One factor in this is healthcare provision. Services in more deprived areas tend to be less effective in identifying illness and helping people look after their health, than those services in less deprived areas. This is known as the ‘inverse care law’.

The inverse care law is based on work done here in Wales by Dr Julian Tudor-Hart back in the 1960s that looked at inequities in health care. He noted that the most deprived people with the most health needs were the ones who least accessed services from a health point of view. Continue reading »

Apr 122013
Prof Ceri Phillips

Ceri Phillips

The NHS in Wales is currently facing unprecedented pressures in meeting demands on its services from patients and in meeting demands on its financial management by Welsh Government targets on health boards to break even on their annual budgets.

These financial pressures are exacerbated by the progressive underfunding gap for NHS Wales relative to other nations within the UK and having very little wriggle room to affect costs, which represent significant levels of expenditure, and are set at UK level. Continue reading »