Dec 312014
 
Andrew Cooper

Andrew Cooper

Over the last year, members of the 1000 Lives Improvement team – along with guest bloggers – have been sharing their reflections and views on a wide range of subjects related to improving healthcare.

If you’ve joined us over the last twelve months, you’ll have read posts exploring how primary care is delivered in Alaska, found out about the impressive work celebrated at this year’s NHS Wales Awards and discovered that Mr Potato Head can teach you more about PDSA cycles than you thought possible.

As 2014 draws to a close, we thought we’d share with you the top five most read posts of the year – and give you the opportunity to catch up on any you may have missed!

Continue reading »

Nov 182014
 
Mike Davidge

Mike Davidge

Mike Davidge, who is delivering the unscheduled care session at our National Learning Event in Swansea, writes about Patient Flow, find out more about our Patient Flow Programme here.

A few months ago my daughter passed her driving test.  First time.  Which came as a great relief to me.  No more Sunday afternoons spent navigating round the Redditch ring roads, no more reversing round corners (who does that for real anyway?), no more 3 point turns or hill starts.  This is the second, and fortunately the last, of my children I’ve helped to gain mastery of an essential skill.  Well it’s essential where we live, in a village with no public transport.

Those of you who have done the same for your kids, or are young enough to remember the experience yourself, will know that it is not a smooth process.  First there is the range of new terms to get to grips with, MSM for example.  Then we go from being a reasonably co-ordinated person to being completely incompetent.  Our feet don’t do what they should, we simply can’t get our hands and feet to work together.  We stall.  We lurch down the road.  We steer erratically.  It’s not that difficult surely?

Continue reading »

Jul 152014
 
GrantRobinson

Grant Robinson

Cwm Taf Health Board was a worthy winner of the Improving Patient Safety category at this year’s NHS Wales Awards for its project on patient flow.

By coordinating actions to make sure patients don’t wait unnecessarily for the care they need, health board staff have significantly reduced the time people spend waiting in ambulances and in the accident and emergency departments.

They’ve been able to demonstrate improved patient outcomes and experience, sometimes in areas they didn’t expect, and the changes have been sustained.

The Unscheduled Care Improvement Programme in Wales is designed to make it easy for people to get the right emergency and urgent care when it is needed, and to make sure that no-one has to wait unnecessarily for the care they need, or to go back to their home.

Continue reading »

Jan 292014
 
Mike Davidge

Mike Davidge

It’s very difficult to empty a bath without pulling out the plug, especially if the taps are still on.

That’s a useful analogy to bear in mind when we are thinking about the pressures on A&E departments, particularly as we head into winter with the dreaded ‘winter pressures’.

But would you be surprised to know that demand for A&E services doesn’t vary much with seasons and certainly doesn’t spike in the winter? So, where do all those delays come from? Continue reading »