Jun 132013
Tim Heywood

Tim Heywood

This thought-provoking breakfast session at the 1000 Lives Plus national learning event left me wondering why we are still so poor at using the expertise of our public health colleagues as a central resource in driving health services forward.

Peter Bradley’s excellent presentation confronted some key public health myths with evidence to the contrary. The myths that public health achieves little, has little evidence and is too slow to make an impact may quickly be de-bunked simply by pointing to the response to the recent measles outbreak, but other issues are trickier to address. Continue reading »

Apr 182013
Waikitt Chee

Waikitt Chee

I have been fortunate to attend the BMJ/IHI International Forum this week thanks to 1000 Lives Plus. After day one of the Forum, I am really inspired after listening to ideas from around the world about healthcare improvement projects.  

One session explored how you can improve both the quality and efficiency of a service, yet save cost at the same time. It sounded impossible to me before I learnt about the Aravind Eye Care System from Dr Ravindran, one of the keynote speakers.

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 »

Mar 152013
Dr Alan Willson

Dr Alan Willson

Several people will be on their way from Wales to the BMJ/IHI International Forum in London next month. While there they’ll see innovation and best practice from around the world. It’s an opportunity to meet experts in quality improvement and patient safety and bring new knowledge back to Wales.

I’ve recently been reflecting on the ideas and examples I heard at the IHI National Forum last December. Here are five (and a half) lessons I learned, recognising a huge debt to Brent James and others who willingly shared their presentations with me so I could fully get to grips with what they were saying. Continue reading »

Feb 012013
Post by Dr Alan Willson

Dr Alan Willson

If I knew my car wasn’t going to start one morning each week, I’d consider scrapping it and buying a new one. Yet in healthcare we accept a 20% failure rate (80% reliability) as ‘good’. One day in five we may as well not turn up!

Is that good enough? For our patients, our colleagues or our organisations? Failure costs time, money and the goodwill of the people using our services. Achieving high reliability is not just about being efficient or effective – it is about providing care we can be proud of. Continue reading »