Feb 202014
 
Paul Gimson

Paul Gimson

Imagine what a primary care service might look like if we gave the patients the money and asked them to design it themselves. This was the story I heard recently at a presentation given by the Southcentral Foundation, a citizen-owned health-service provider based in Anchorage, Alaska.

The presentation was at a recent event in Cardiff looking at Southcentral Foundation’s Nuka system of primary care. It’s ‘A customer-owner driven overhaul of a bureaucratic system centrally controlled, to one in which the local people are in control.’ It is the use of this term customer-owner which is one of the most striking features of the Nuka system.

The idea of a patient as a customer might feel wrong in the context of the NHS, but in this case the term represented a shift from a service designed around a medical model to one where the patient’s needs were put first. The provocative question for us is, if we considered patients as customers would that improve the experience of being a patient in NHS Wales? Continue reading »

Jun 072013
 
Mike Spencer

Mike Spencer

As we launch The Listening Organisation, the latest white paper from 1000 Lives Plus, our hope is that it will help NHS Wales organisations explore ways to listen to patients and the public and use what they hear to help create the best services possible. But this will mean approaching how we ‘listen’ in a new way.

My eldest daughter is currently undertaking a PGCE in Modern Foreign Languages (MFL). As someone who has always struggled to make sense of anything other than Yorkshire English, I marvel at anyone who can speak four languages and is passionate enough to want to teach others! But what really interests me are the parallels between some of the perceived good practice used to help MFL learners and what we have included in the white paper. Continue reading »

Apr 292013
 
Dominique Bird

Dominique Bird

“I hear and I forget; I see and I remember; I do and I understand.” – Confucius

Obviously as the lead for Improving Quality Together, I would say those words ring true in the framework’s underpinning principles. Maureen Bisognano used them in her opening keynote address to set the tone for this year’s International Forum.

The importance of seeing the impact of the system on staff and patients was underlined with Maureen’s call for empathy. Until we truly see what is happening, we cannot even move to being able to ‘do’ something and therefore we need to ‘understand’ our role and our ability to make the improvements that will have an impact on patient care.  Continue reading »

Apr 122013
 
Sarah Puntoni

Sarah Puntoni

Three months into my maternity leave, it takes something special to convince me to return to work early. To be asked to represent Wales at the BMJ/IHI International Forum and share the learning of my many dedicated colleagues is certainly one opportunity not to miss.

Wales has a long and recognised experience of using stories to drive improvement. I will be sharing the latest developments in this work at the Forum. Continue reading »

Mar 182013
 
Mike Spencer

Mike Spencer

My colleague Michelle Graham recently blogged about how patient input has been crucial in the Life after Stroke programme. There is growing recognition that patients should be the most important people in our healthcare systems – and as organisations we should be trying to listen to patients as much as possible.

But how easy will it be to become a listening organisation?   Continue reading »