#leadersforleeds- Civic leadership for our City

December 11, 2012 2 Comments


As many of my readers will know, I’m terrifically interested in what goes on in my City of Leeds. The event held at the Civic Hall to encourage civic leadership across the City was a great chance to meet with people doing interesting things- from small social enterprises and community groups to the CEOs of our major institutions.

Integrating Health and Social Care

I work constantly to attempt to influence health and social care organisations to work more innovatively and to offer a more integrated experience for people using the services. After all, who cares about whether a service they receive is delivered by a local Trust, by the Council, by the Voluntary sector or if it’s delivered within community groups or social enterprises? When experiencing services, what matters is the quality of the experience, not the organisational structure behind it. So I was pleased to be able to meet with so many others who were representing large and small organisations who work for social impact in the City.

Health Inequality=Social Inequality

Rob Webster, who is CEO of one of our Trusts and a great Twitter follow to boot described the situation perfectly;

“For every mile you walk from North West Leeds heading South, the life expectancy of the residents drops by a year. Residents in South Leeds live 10 fewer years than residents in North West Leeds.”

One of the challenges for people interested in healthcare is that so much about health outcomes doesn’t depend on health intervention AT ALL. I know this sounds a bit strange, but we know that social inequality, access to green space, whether or not a parent reads to you as a child, an countless other factors are really important for health (and life) outcomes. So actually, people who care about health care have a responsibility to act on social inequality and to improve health outcomes in this way. This is great because it means that the creative possibilities for collaboration are extended across sectors- whether it’s a youth project, a local church, a small business offering employment, or any number of other possibilities, we can collaborate to drive up health outcomes and reduce social inequality.

Digital Health Centre of Excellence

My goal is to ensure Leeds is seen as a centre of excellence in the development and delivery of digital health and digitally-enabled social care. Many people I met agreed that this forms part of our civic future, because the people of Leeds need to have efficient and effective services despite a financial environment that ensures we have to think radically different. Because people recognise that we have to work together to make an impact on this. Because it’s a great way to develop the City’s economic outlook and provide jobs. Because we have some of the best hospitals and health services in the country. Because we have all the structural advantage of the NHS Information Centre and the NHS Commissioning Board. Because it’s the right thing to do.

Recently, the local Shadow Health and Wellbeing Board have crowd-sourced information about how digital products and social media can support people in the city who  use health and social care services- expect to see more of this as we move forward.

We have a vibrant digital sector, both within health care and in other digital fields (did you know that Grand Theft Auto was written in Leeds?) We already have great initiatives such as GoOn Leeds, Leeds Social Media Surgeries (TONIGHT at the Civic Hall from 6pm, by the way!), and the fabulous Leeds Digital Festival. Let’s make it even better.

Digital Conference and Hack v2

I’m already working towards the Digital Centre of Excellence, as are many other people all over the city. This year, we held the first Digital Health Conference and Hack, and we’re planning another one for next April. This time, we’re going to look at open source solutions in healthcare, described today by Dick Vinegar as “the future of Health IT”. We already have the excellent open source portal developed at Leeds Teaching Hospital Trust by Tony Shannon- there’s a lot more we can do with this agenda.

We also have several totally original digitally enabled health innovations going on locally- and I can’t wait to share more details with you. We’re hoping you’ll join us.

Filed under #sm4hwb, Conference, Leeds, Web 2.0 Tagged with , , , , , , , , , ,

Marion Janner (and Buddy) of @Starwards Interview at #COT2012

July 17, 2012 Leave a comment


Marion, described in her interview as a force of nature, explains her experiences with her own treatment under the mental Health Act led her to set up Star Wards, a way to structure and recognise excellent practice in Inpatient mental health care.

Marion is passionate about making the best of the time of staff and patients, and recognises the under-resourced nature of the service.

An interruption from the public service announcement meant we were able to bring Buddy into the conversation a little earlier than planned!

We discuss how the barriers between professionals and service users are artificial in the light of the one in four people who experience mental health issues every year.

We talk about Buddy, Marion’s Support Dog, and how invaluable he is in helping Marion to self-manage her mental health.

We also talk about the wider benefits of pet ownership for people with lived experiences of mental distress, and how Marion hopes to improve access to pets through the Star Wards programme, which recognises the priorities for Inpatients as

  • Internet Access
  • Access to pets
  • Replacing “Ward Rounds” with individual Consultant appointments.
Marion is about to launch the newest phase of the Star Wards programme, called Wardipaedia- you heard it here first!

Filed under #COT2012, Bambuser, Conditions in Mental Health, Conference, Inpatient Services, Reflection, Social Inclusion, Stigma, Video, YouTube Tagged with , , , ,

#MindTech- Thoughts and Reflections

March 31, 2012 1 Comment


This post discusses the recent Mind Tech Unconference, a transcript of the back channel discussing the day can be found in my previous post http://claireot.wordpress.com/2012/03/31/mindtech-the-unconference-grabchat/

There are several issues that I immediately wished to comment on, namely, commissioning criteria in the new health economy, how this is impacted on by the ides of  #mentalhealthpound, the scope of using Apps to support mental health, social prescribing, and the place of the social enterprise in poulation based mental health promotion activity.

Commissioning

This point in time is fairly unique, in terms of the transitions happening in healthcare commissioning I was reliably informed at the #AHPNorth Conference this week by very senior members of the Department of Health just how the new commissioning environment is likely to work. Currently, the system of tariffs for work done has contributed to the “Cinderella” nature of mental health services, as well as thorny issues in attempts to implement Payment by Results etc. One of the salient points is that rather than rely on these historic tariffs as a system for commissioning care, we are more likely to see population based commissioning coming to the fore. Now, one of the advantages of this is that (in theory) it then becomes possible for a successful mental health promotion service to be commissioned, if they can show an effect at  population level for reducing the incidence of mental illness, and a reduction on other areas of the service such as inpatient admissions. This has huge implications for the work of organisations working to promote good mental health such as Moodscope and Mindapples, who both presented information at the Mind Tech event. I’m not clear about the outlined ideas of the #mentalhealthpound presented at the event, but look forward to exploring these and looking at how this in combination with the commissioning environment means we can address funding issues relating to many fantastic projects that many people like myself wish to engage with.

Apps

We all know that the recent MapsandApps project run by the Department of Health was a huge success, and that it really shifted some thinking about how to use crowdsourcing and technology to help to address health inequalities, and to promote good health. In my opinion, this benefit has hardly been touched on in health services, and particularly in mental health services. There are concerns with the Informatics agenda related to this. Who owns the information uploaded by the patient? What are the ethics of allowing the app development company to be selling this (anonymised) information on as another income stream? If these issues are worked out, how do they impact on how our statutory services are funded-will they be expected to pursue similar revenue streams using their valuable data?

It is also worth noting that apps and devices that can take advantage of gaming theory could have an impact on adherence to treatment regimens, perhaps even medications compliance. We know that there is a cost impact to this- as people adhering to treatment regimes and medications schedules are cheaper to engage in health services. If we see the wholesale adoption of gamification in tech applications in health and mental health, how will this affect the bottom line of organisations delivering care?

We know the future is co-morbidity. In the same way that we are now comfortable with APIs that mash up data from several social networks, could we see implications in Telecare and Telemedicine as APIs are developed that mash up data gathered by different specialists, different healthcare providers, that bring personalised, granulated information down to the point of care delivery by doctors and healthcare providers? What does it mean for the de-professionalisation of medical and therapeutic services when these APIs become available to the general public? Will they result in greater self-care, or will they result in people choosing to treat themselves rather than engage in formal healthcare provision?

Social Prescribing- or Occupational Therapy?

I was interested to read one of the first blogs produced upon reflection of the Mind Tech event, by Puffles (working, as ever, with his Bestest Buddy). To read the blog, please see here http://adragonsbestfriend.wordpress.com/2012/03/30/mind-tech-unconference-30-march-2012/

I can’t resist adding one of my favourite photos from Mind Tech: here is @Puffles
lovely to meet @Puffles2010 and his charming handler at #mind... on Twitpic

Picture from @Gandy’s FlickR site, used with thanks.

Bestest Buddy has frankly documented his own difficulties with managing his menetal health, and gives us a great insight into tunderstanding of the nature of mental illness. He describes:

one of the big challenges I faced was getting away from the idea that a short course of medication was going to solve things. It didn’t and it hasn’t. If anything, it’s made me realise that medication in my case has only suppressed the worst of the symptoms and that a longer term recovery is only going to be achieved through a tailored/personalised combination of other things.

Bestest Buddy relates his idea

Conditions such as moderate to mild depression and anxiety by their nature affect and are affected by the lifestyles that we lead. Every time I’ve been through an acute period of anxiety, depression or generally being ‘a mess’ I’ve tried to pick myself up by trying new actions and activities to deal with it.

When I read this sentence, I was struck by the notion that if I had been asked to define what mental health occupational therapy does, my definition would have been very close to that of Bestest Buddy’s idea of social prescribing.

giving patients and GPs the option of looking at what activities might be beneficial for patients I think would be brilliant. Rather than a course of medication and a few sessions of counselling alone, what about things that can complement such treatments? And how about making them on the NHS? This could include things like exercise classes, cooking classes covering things such as foods that help and hinder conditions such as anxiety. It’s one thing saying ‘avoid X,Y & Z’ but quite another to build it into a lifestyle.

It is clear that despite the wish of the public for activity based intervention to mediate mental health difficulty, this is not associated with Occupational Therapy treatment We have to ask ourselves as a profession, why is this? Despite our rich and growing evidence base within the profession and the related dicipline of occupational science, why is the message not getting through to the general public about what we do? How can it be that people who are engaged in mental  health treatment, and who are in attendance at events with other members of clinical staff are not being informed that what they are talking about is occupational therapy?

This is a topic we may cover on the #OTalk #occhat hashtags on Tuesday nights as part of our regular weekly peer-supervision Tweetchats. I think its an issue that deserves some of our attention. The analysis, prescription, and grading of activity to facilitate health really is the bread and butter of what we as OTs can offer. In the new health ecology, we need as a profession to start to stand up and define ourselves in terms that the public can understand- perhaps social prescribing should be added to our list of core competencies? I certainly believe that this is in line with advice I have taken on board from Karen Middleton, the Chief Health Professions Officer at DH after listening to her rousing speech at the AHP North conference.

Social Enterprises in Population Based Commissioning

Taking on board the Section above looking at commissioning, it becomes clear that this is a real opportunity for ex-NHS staff, service uers, mental health activists, and social entrepreneurs who want to make a shift into promoting mental health rather than waiting for mental illness to develop. It’s my belief that this commissioning environment will start to have an impact on the number of Social Enterprises, and the reach that they will have- moving out from community development activities into health promotion, and hopefully into peer-support networks commissioned to mediate mental illness.

I’m working on an interesting Social Enterprise idea which uses peer-support, in combination with appropriate APIs and my Occuaptional Therapy background to both promote good mental health and to catch the early warning signs of mental illness developing. Although it is a worrying time for people who care about healthcare in our Country, I am beginning to think that if we do get this sea-change in the nature of commissioning decisions, then we can see the stage opening up for players like myself and many others, who find their innovative ideas are very difficult to develop within traditional statutory services, and within the big voluntary sector organisations. We are nimble and agile in our peer-to-peer solutions to these issues, perhaps our time has come?

Filed under AHP, Anxiety, Commons, Conference, CPD, Depression, Evidence based practice, Inpatient Services, Recovery, Reflection, Social Media Tagged with , , , , , , , , , , , ,

#AHPNorth Conference- Just Do It!

March 29, 2012 2 Comments


I was fortunate enough to attend the AHP North Conference in Leeds held on 28th March 2012. We gathered from across the North of England in order to examine the role of AHPs (Allied Health Professionals) in the new health environment we face, with particular referene to the QIPP (Quality, Innovation, Productivity, Prevention) agenda, the new Commissioning situation, and Service Redesign that we must now get involved with.

Prominent speakers included Prof Ieuan Ellis, Dean of the Faculty of Health Sciences and Professor in Healthcare Education, Leeds Metropolitan University: Co Chair of the AHP Professional Advisor Board, Edna Robinson, MD of the NHS Clinical Commissioning Community, Bob Ricketts CBE: Director of Provider Policy (DH), Karen Middleton, the Chief Health Professions Officer (DH), Sir David Nicholson, the NHS and National Commissioning Board Chief Exec.

We all are aware of a sea change in health and social care. It’s not just about the recent Health and Social Care Act (DH 2012), we know the demographic challenges ahead for the country mean that our health and social care systems are no longer fit for purpose. We are particularly concerned to move the focus away from hospitals and into the community, in recognition that better support for the frail elderly and for people with mental health issues, who are not served well by our hospitals.

I was able to use the power of social media in order to open up the proceedings of the conference to the wider public- resulting in a comment from Sir David Nicholson, the Chief Executive of the NHS, that he had never been asked a question by the public through Twitter, and perhaps it is time that he was!

I hope you will find it interesting to read the impressions of the day surrounding the #AHPNorth tag- I feel it gives a sense of what went on. If anyone would like to generate a Storify of the prominent themes they notice, please do so, and please do leave your comments below.

Please find below the grabchat of the day’s Tweets.

Involved …

Top resources …

http://www.rightcare.nhs.uk/index.php/2012/03/nhs-could-save-money-and-provide-better-care-by-involving-allied-health-professionals/
http://www.improvement.nhs.uk/SevenDayWorking.aspx
http://www.improvement.nhs.uk/LinkClick.aspx?fileticket=RJk4n5%2fG6wk%3d&tabid=56
http://www.leeds.nhs.uk/Downloads/Corporate/Health%20and%20Wellbeing%20Board%20Fact%20Sheet%20November%202011.pdf
http://www.commissioningboard.nhs.uk/files/2012/02/Commissioning-Intelligence-Model-v13.pdf
http://www.guardian.co.uk/healthcare-network/2012/mar/21/nhs-reform-radical-approach-co-production
http://digihealthcon.wordpress.com/about/

Related tags …

#ahpnorth #nhs #leeds #ahp #socent

See Twitter for more tweets, people, videos and photos for #AHPNorth

@claireOT Here at #AHPnorth . Filter me if you don’t want to read about it!(Wed, 28 Mar 2012 09:05:17 +0000)
@claireOT When you (clinicians) use an NHS resource, you are acting as a commissioner of services in the new system – Edna Robinson #AHPNorth (Wed, 28 Mar 2012 09:16:37 +0000)
@claireOT Being good doesn’t lead to long term stability- the people in the NHS have no idea how insecurity feels, compared to SocEnts etc. #AHPNorth (Wed, 28 Mar 2012 09:17:28 +0000)
@claireOT Ahp’s aren’t great at marketing themselves, what’s the added value you bring? #AHPNorth (Wed, 28 Mar 2012 09:18:46 +0000)
@claireOT Note to self: I really need to have a conversation with my CCG! #Leeds #AHPNorth (Wed, 28 Mar 2012 09:19:52 +0000)
@claireOT Commissioners really want clinicians to lead and be involved with SocEnts to provide services in the new system #AHPNorth (Wed, 28 Mar 2012 09:20:28 +0000)
@claireOT It may be worthwhile to contact the individual clusters of GPs to have conversations about clinical commissioning #AHPNorth (Wed, 28 Mar 2012 09:21:28 +0000)
@claireOT The ordinary, everyday needs, not the big, sexy, elaborate needs are what the commissioners want to hear about #AHPNorth (Wed, 28 Mar 2012 09:23:26 +0000)
@claireOT Only 40% of the practice list ever walk through the door of the GP surgery. #AHPNorth (Wed, 28 Mar 2012 09:24:58 +0000)
@claireOT What about talking to practice managers about the ordinary, every day needs of people you see? Call it “”volume”" #AHPNorth (Wed, 28 Mar 2012 09:25:47 +0000)
@claireOT The public are wise.nthey will work out how to influence the new commissioning environment #AHPNorth (Wed, 28 Mar 2012 09:26:39 +0000)
@claireOT Am I the only person tweeting from #AHPNorth ?(Wed, 28 Mar 2012 09:26:58 +0000)
@claireOT Fantastic context in those tweets via Edna Robinson, MD of the NHS Clinical Commisioning Network. Any questions? #AHPNorth (Wed, 28 Mar 2012 09:28:01 +0000)
@claireOT Come on, there must be people wondering about how #socent s work in the new system? #AHPNorth (Wed, 28 Mar 2012 09:29:04 +0000)
@claireOT Half of GPs haven’t been in practice for 5 years. They are not Gods! Don’t be shy- speak up! #AHPNorth (Wed, 28 Mar 2012 09:30:06 +0000)
@mikechitty @claireOT #AHPNorth CCGs attitudes to #socent and risk will be fascinating to watch.(Wed, 28 Mar 2012 09:30:30 +0000)
@claireOT Difference in attitude, to a socent, 3 years is stability. The NHS is used to *permanence* #AHPNorth (Wed, 28 Mar 2012 09:34:09 +0000)
@claireOT Sustainability comes from a range of patrons, scale will help with sustainability not just panic marketing #AHPNorth (Wed, 28 Mar 2012 09:34:56 +0000)
@claireOT The work providers might well end up employing AHPs #AHPNorth (Wed, 28 Mar 2012 09:35:55 +0000)
@MarkOneinFour That’s a very good point RT @claireOT Difference in attitude, to a #socent , 3 years is stability. The NHS is used to *permanence* #AHPNorth (Wed, 28 Mar 2012 09:36:17 +0000)
@claireOT We have to be fleet of foot, stop hanging on to dinosaur leaders, and promote the innovators! #AHPNorth (Wed, 28 Mar 2012 09:36:36 +0000)
@claireOT How do the health and wellbeing boards work? … #AHPNorth (Wed, 28 Mar 2012 09:37:44 +0000)
@claireOT … It’s all about the local leaders, of orgs, of local authority, who is advocating for you? Anywhere? Reputation not funding #AHPNorth (Wed, 28 Mar 2012 09:38:34 +0000)
@claireOT Community services are critical to new ways of working, keeping people out of hospital #AHPNorth (Wed, 28 Mar 2012 09:42:19 +0000)
@mikechitty @claireOT what are the scale of aspirations to shift investment from secondary to primary care? #AHPNorth #manyhavetried (Wed, 28 Mar 2012 09:43:20 +0000)
@claireOT Crumbs, he’s going to talk about The H&SC Act…. Not exactly a sympathetic crowd, I would imagine…. #AHPNorth (Wed, 28 Mar 2012 09:43:45 +0000)
@claireOT Easy to read guide to the Act on provider side, please see links given at the end- ill tweet it later for you guys x #AHPNorth (Wed, 28 Mar 2012 09:44:35 +0000)
@claireOT Provider agenda- FTs will have more freedom from Monitor, it will promote fair competition, will prevent cherry-picking, #AHPNorth (Wed, 28 Mar 2012 09:45:30 +0000)
@claireOT …FT will be able to undertake partnerships with SocEnts as a result of the income cap from private work. #AHPNorth (Wed, 28 Mar 2012 09:46:09 +0000)
@claireOT Frail, older people are not provided well in community, leading to admissions to hospital. We have to solve this #AHPNorth (Wed, 28 Mar 2012 09:46:46 +0000)
@claireOT Long term conditions, improve primary care, but involve service users in self management, use technology #AHPNorth (Wed, 28 Mar 2012 09:47:19 +0000)
@claireOT 10% of Mental health nhs services are now provided by SocEnts of ex-NHs staff #AHPNorth (Wed, 28 Mar 2012 09:49:43 +0000)
@claireOT Personal budgets in health, and choice of service, and direct payments, to ensure the care commissioned by people #AHPNorth (Wed, 28 Mar 2012 09:51:04 +0000)
@claireOT Publishing quality information for public, for commissioners. Or you won’t be commissioned. Stark. #AHPNorth (Wed, 28 Mar 2012 09:53:04 +0000)
@claireOT Integrated services will be commissioned, whole pathway approach, rather than each individual element. Will promote partnerships #AHPNorth (Wed, 28 Mar 2012 09:54:27 +0000)
@claireOT People don’t want to die in hospital. Need joined up care for end-of-life #AHPNorth (Wed, 28 Mar 2012 09:54:56 +0000)
@mikechitty @claireOT How does this work for new startups who will have no data to share? Do they need 3 years accounts too? #AHPNorth (Wed, 28 Mar 2012 09:55:46 +0000)
@claireOT McKinsey report was spot on in terms of where we need to transform services to cope with less money in the system #AHPNorth (Wed, 28 Mar 2012 09:56:19 +0000)
@claireOT @mikechitty suspect they want them to get in bed with established partnerships and submit joint bids. Will ask, tho #AHPNorth (Wed, 28 Mar 2012 09:57:04 +0000)
@claireOT @claireOT @mikechitty long answer… Basically, procurement systems will be simplified to open up to any qualified providers #AHPNorth (Wed, 28 Mar 2012 10:02:14 +0000)
@claireOT @claireOT @mikechitty so this will be easier than previously. But they will not negotiate on quality, services must prove they #AHPNorth (Wed, 28 Mar 2012 10:03:05 +0000)
@claireOT @claireOT @mikechitty can meet minimum national standards. Or can be subcontracted by big providers if can undercut nHS provision #AHPNorth (Wed, 28 Mar 2012 10:03:46 +0000)
@claireOT @claireOT @mikechitty or, can form consortia, which may be with other SocEnts or vol sector, or event FTs #AHPNorth (Wed, 28 Mar 2012 10:04:16 +0000)
@claireOT @claireOT @mikechitty finally, take business advice at every stage! #AHPNorth (Wed, 28 Mar 2012 10:04:32 +0000)
@claireOT Difficulty with tariffs when trying to bring in tele- consultations with consultants and telemedicine this will now change #AHPNorth (Wed, 28 Mar 2012 10:05:38 +0000)
@claireOT Nhs commissioning board and monitor will drive increasingly aggressive tariff reform in 2014-15, to push for this #AHPNorth (Wed, 28 Mar 2012 10:06:26 +0000)
@claireOT Current tariffs are not working to drive innovation. Local groups could go after population commissioning on a pathway basis, #AHPNorth (Wed, 28 Mar 2012 10:07:10 +0000)
@claireOT Heres the outcomes I want, here’s my population, who gives me an overall cost efficient solution for a long term contract? #AHPNorth (Wed, 28 Mar 2012 10:07:45 +0000)
@claireOT Creative ways to guarantee the clinicians prevent hospital admissions, taking tariffs away from treatment towards outcomes #AHPNorth (Wed, 28 Mar 2012 10:09:00 +0000)
@mikechitty @claireOT the value of ‘business advice’ in such a new environment is questionable. #AHPNorth (Wed, 28 Mar 2012 10:09:26 +0000)
@claireOT Now up, Karen Middleton, the most senior Govt advisor representing AHPs Chief Health Professions Officer #AHPNorth (Wed, 28 Mar 2012 10:10:58 +0000)
@claireOT AHPs are known as a professional group the downside, is that we don’t put ourselves forward! #AHPNorth (Wed, 28 Mar 2012 10:12:39 +0000)
@claireOT “”get down and dirty”" was a bit too much, so we have decided “”just do it”" is our driving statement #AHPNorth (Wed, 28 Mar 2012 10:13:25 +0000)
@claireOT No more talk about the Bill, or the system architecture, we just have to get on with the context we’re working in #AHPNorth (Wed, 28 Mar 2012 10:14:12 +0000)
@claireOT Middleton says “”Adapt or Die”"- previous paper #AHPNorth – this is true, if a bit dramatic!(Wed, 28 Mar 2012 10:15:08 +0000)
@claireOT @BAOTCOT you might be interested to follow my #AHPNorth tweets today, very interesting speakers!(Wed, 28 Mar 2012 10:15:46 +0000)
@claireOT Number of over 85s will double in the next 20 years and over 65s will represent 20% of the population #AHPNorth (Wed, 28 Mar 2012 10:17:59 +0000)
@claireOT The future is co- morbidity. Multiple problems that need solving concurrently #AHPNorth (Wed, 28 Mar 2012 10:18:21 +0000)
@claireOT Over 50% will be musculoskeletal, over 20% mental health #AHPNorth (Wed, 28 Mar 2012 10:19:00 +0000)
@claireOT The impact of digital technology can cancel out these pressures #AHPNorth (Wed, 28 Mar 2012 10:19:21 +0000)
@claireOT Fantastic- she’s blowing the minds of everyone here by talking about granularity in personalisation of care #AHPNorth (Wed, 28 Mar 2012 10:20:22 +0000)
@claireOT Patients testing themselves at home. Porting imaging to anywhere in the world #AHPNorth (Wed, 28 Mar 2012 10:20:48 +0000)
@claireOT This isn’t a five year QUIPP programme. This is radical and permanent re-definition of delivery of health services #AHPNorth (Wed, 28 Mar 2012 10:22:51 +0000)
@claireOT We just have to get on with providing seven- day services #AHPNorth it also saves money. Length of stay is reduced.(Wed, 28 Mar 2012 10:30:13 +0000)
@claireOT Start to use cost- benefit analysis. You must understand your business model #AHPNorth (Wed, 28 Mar 2012 10:31:07 +0000)
@claireOT What is being professional about? It includes using the money wisely! Every pound results in better quality care #AHPNorth (Wed, 28 Mar 2012 10:32:43 +0000)
@claireOT Salami slicing and cuts is not the aspiration of QUIPP. This is unsustainable. We’ve got to be radical. #AHPNorth (Wed, 28 Mar 2012 10:34:01 +0000)
@mikechitty @claireOT Not enough to be great healthcare provider – have to be a great business manager too #AHPNorth #painfullesson (Wed, 28 Mar 2012 10:35:02 +0000)
@claireOT Not to speak up if you see or hear bad practice is colluding and is itself unprofessional have “”the conversation”" #AHPNorth #OTalk (Wed, 28 Mar 2012 10:54:34 +0000)
@claireOT Professionalism extends onto social networking sites. If you see an AHP or nurse in compromising position on Fb, you should talk #AHPNorth (Wed, 28 Mar 2012 10:56:03 +0000)
@claireOT I’m in a QIPP workshop now at #AHPNorth , expect a tweet pic with some kind of chart on it before lunch!(Wed, 28 Mar 2012 11:02:00 +0000)
@WhoseShoes Interesting tweets: claireOT from #AHPNorth – incl great providers needing excellent approach to business as well as caring #socialcare (Wed, 28 Mar 2012 11:03:04 +0000)
@claireOT RT @mikechitty : @claireOT Not enough to be great healthcare provider – have to be a great business manager too #AHPNorth #painfullesson (Wed, 28 Mar 2012 12:16:17 +0000)
@claireOT Now Sir David Nicholson: chief exec of NHS and national commissioning board #nhs #AHPNorth (Wed, 28 Mar 2012 12:29:47 +0000)
@claireOT This guy is very warm in his manner, and he is breaking with tradition and is not in a suit! #AHPNorth (Wed, 28 Mar 2012 12:30:40 +0000)
@claireOT Reminding us to focus on outcomes for patients in the face of the Act #AHPNorth (Wed, 28 Mar 2012 12:31:25 +0000)
@claireOT Demand for services goes up about 4% each year, due to demographics, tech advances and expectations of patients #nhs #AHPNorth (Wed, 28 Mar 2012 12:33:47 +0000)
@claireOT No healthcare system has ever succeeded in meeting the challenge that is asked of us. We have to go down the innovation route #AHPNorth (Wed, 28 Mar 2012 12:34:30 +0000)
@claireOT 1st element only we can do some things, nationally, e.g. Management cost reductions. Generates a third of the saving #nhs #AHPNorth (Wed, 28 Mar 2012 12:35:54 +0000)
@claireOT 2 a third from everyday efficiencies #nhs #AHPNorth (Wed, 28 Mar 2012 12:36:16 +0000)
@claireOT 3 a third from service change, service redesign. We have to do this, or more has to come from cuts. #nhs #AHPNorth (Wed, 28 Mar 2012 12:36:54 +0000)
@claireOT Up to a third of people in hospital beds don’t need to be there, if we had better community services and social care #AHPNorth (Wed, 28 Mar 2012 12:37:37 +0000)
@claireOT Specialisation, I.e. concentrating specialists in one location e.g stroke in specialist units #nhs #AHPNorth (Wed, 28 Mar 2012 12:38:22 +0000)
@claireOT We can move away from the medical model and therefore speed up the way we rehabilitate people #nhs #AHPNorth (Wed, 28 Mar 2012 12:38:59 +0000)
@InHealthAssoc @claireOT intrigued that not one speaker has mentioned working WITH patients and communities? #AHPNorth (Wed, 28 Mar 2012 12:39:35 +0000)
@claireOT GP practices are population based. This is the basis of the commissioning. Huge contact with pts, 90%of all contact in 1ry care #AHPNorth (Wed, 28 Mar 2012 12:41:30 +0000)
@InHealthAssoc @claireOT sorry to bang on: but language is interesting “”WE have to speed up way WE rehabilitate people”". Us and them. #AHPNorth (Wed, 28 Mar 2012 12:41:41 +0000)
@claireOT GP practices can make small changes which have a massive impact across the system #AHPNorth (Wed, 28 Mar 2012 12:42:36 +0000)
@claireOT But, primary care must work with other profs in CCG to try to define the population based re-commissioning underway now #AHPNorth (Wed, 28 Mar 2012 12:43:31 +0000)
@claireOT Soe services are huge- we need to build networks, we need to strengthen them, support them #AHPNorth #nhs (Wed, 28 Mar 2012 12:44:11 +0000)
@claireOT Clinical senates- looking at huge geographical regions to see how care is working #nhs #AHPNorth (Wed, 28 Mar 2012 12:44:52 +0000)
@claireOT We need to find a mechanism to impove community services. We’re trying to do this through AQP #AHPNorth (Wed, 28 Mar 2012 12:48:23 +0000)
@claireOT “”We need to engage with public and patients to make t his happen”" good! #AHPNorth #NHS (Wed, 28 Mar 2012 12:49:18 +0000)
@claireOT Work together as teams across the system. Build clinical networks. Build clinical senates #AHPNorth (Wed, 28 Mar 2012 12:51:22 +0000)
@claireOT Never forget mid-staffs. We. Can never allow this to happen. Focus your attention on patient care #AHPNorth (Wed, 28 Mar 2012 12:52:50 +0000)
@claireOT “”Engage people in the process, so that they feel part of it”" <I’m doing my best! #AHPNorth (Wed, 28 Mar 2012 12:53:28 +0000)
@claireOT Seek out disadvantage and make sure they get the same healthcare as anyone else. Fantastic ending. Questions? #AHPNorth (Wed, 28 Mar 2012 12:54:13 +0000)
@claireOT @InHealthAssoc take some comfort from the fact he is the big guy…. #AHPNorth (Wed, 28 Mar 2012 12:54:36 +0000)
@claireOT Question re starting a clinical dialogue with GPs when the orgs are stopping/ trying to control it? #AHPNorth (Wed, 28 Mar 2012 12:55:39 +0000)
@claireOT I am in the same room as the guy in charge of the #NHS . If you want me to ask him anything, now is the time! #AHPNorth (Wed, 28 Mar 2012 12:56:17 +0000)
@claireOT @InHealthAssoc he comes over really well, I’m probably not making it clear. He’s wearing a jumper #radical #AHPNorth #NHS (Wed, 28 Mar 2012 12:57:18 +0000)
@claireOT Foundation trusts that haven’t re-designed services on innovative lines, they will be in big trouble. Rethink business model #AHPNorth (Wed, 28 Mar 2012 12:58:36 +0000)
@claireOT local, integrated, community based, focussed on recovery, this is the future #AHPNorth (Wed, 28 Mar 2012 12:59:25 +0000)
@claireOT Incentives and payments are being changed to reflect this I.e. getting back to work not completing an operation #AHPNorth (Wed, 28 Mar 2012 12:59:56 +0000)
@claireOT @RobWebster_LCH any q’s for the nhs big guy? #AHPNorth (Wed, 28 Mar 2012 13:00:59 +0000)
@claireOT Ooh he is talking about the leaked risk register #AHPNorth (Wed, 28 Mar 2012 13:01:23 +0000)
@rose_red_121 RT @mikechitty : @claireOT Not enough to be great healthcare provider – have to be a great business manager too #AHPNorth #painfullesson (Wed, 28 Mar 2012 13:01:27 +0000)
@claireOT We have to share resources across the system #AHPNorth (Wed, 28 Mar 2012 13:02:34 +0000)
@claireOT @InHealthAssoc he has never been asked a question by a tweet before! #AHPNorth (Wed, 28 Mar 2012 13:09:09 +0000)
@claireOT This is a hugely important part of the service redesign we want to see, patients are the experts! E.g diabetics #AHPNorth (Wed, 28 Mar 2012 13:10:40 +0000)
@claireOT @InHealthAssoc investing in expert patients is a critical part of this, it will be driven by CCGs #AHPNorth (Wed, 28 Mar 2012 13:11:06 +0000)
@claireOT @InHealthAssoc also, get involved with your local health and wellbeing boards, this is where you may effect change #AHPNorth (Wed, 28 Mar 2012 13:11:35 +0000)
@claireOT @InHealthAssoc citizens panels might be used to come up with radical and interesting ideas through the health & wellbeing boards #AHPNorth (Wed, 28 Mar 2012 13:12:20 +0000)
@claireOT Gandhi room is our venue. We can take advice from him. Be the change. #AHPNorth (Wed, 28 Mar 2012 13:13:05 +0000)
@claireOT Doing a bit of paradigm shifting in the room, they are all reacting about the idea of tweeting what were talking… #AHPNorth (Wed, 28 Mar 2012 13:13:57 +0000)
@claireOT @InHealthAssoc yes, I think he meant “”people”", anyone can get involved in H&W boards #AHPNorth (Wed, 28 Mar 2012 13:35:01 +0000)
@claireOT @InHealthAssoc no, the tariffs are still reflecting the old situation but they are addressing this and it will change soon #AHPNorth (Wed, 28 Mar 2012 13:35:57 +0000)
@claireOT @InHealthAssoc well, it is true. But there is no reason why they can’t go AQP and bid or subcontract to deliver services, now #AHPNorth (Wed, 28 Mar 2012 13:37:49 +0000)
@claireOT *waves* to @naomimcvey good to see you at #AHPNorth today, do @ me anytime for a chat x(Wed, 28 Mar 2012 13:39:35 +0000)
@NHSImprovement Brilliant speech at #AHPNorth by Sir David Nicholson – all work together to improve services for users(Wed, 28 Mar 2012 14:15:25 +0000)
@claireOT That’s your lot from #AHPNorth , #spoonie #fail I’m on my way home for a nap x(Wed, 28 Mar 2012 14:17:02 +0000)
@FestivalofPHUK RT @NHSImprovement : Brilliant speech at #AHPNorth by Sir David Nicholson – all work together to improve services for users(Wed, 28 Mar 2012 14:23:27 +0000)
@NaomiMcVey RT @NHSImprovement : Brilliant speech at #AHPNorth by Sir David Nicholson – all work together to improve services for users(Wed, 28 Mar 2012 14:29:40 +0000)
@NaomiMcVey @claireOT good to meet you at #AHPNorth – great use of social media for Sir David Nicholson Q&A!(Wed, 28 Mar 2012 14:33:26 +0000)
@claireOT RT @NHSImprovement : Brilliant speech at #AHPNorth by Sir David Nicholson – all work together to improve services for users(Wed, 28 Mar 2012 14:43:30 +0000)
@claireOT ” @NHSImprovement : AHP North of England – helping develop services for patients: 7 day working: http://t.co/81aw5EXM #7dayworking ” #AHPNorth (Wed, 28 Mar 2012 14:44:48 +0000)
@claireOT ” @NHSImprovement : #AHP North National Commissioning Picture, Edna Robinson, NHS Clinical Commissioning Community #Leeds ” #AHPNorth (Wed, 28 Mar 2012 14:45:24 +0000)
@claireOT ” @NHSImprovement : AHP North of England – developing #stroke services for patients: psychological care: http://t.co/UklcWdBh ” #AHPNorth (Wed, 28 Mar 2012 14:45:44 +0000)
@claireOT ” @dgfoord : “”NHS could save money and provide better care by involving Allied Health Professionals”" http://t.co/5aXgOLXJ #QIPP ” #AHPNorth (Wed, 28 Mar 2012 14:46:35 +0000)
@claireOT ” @NHSImprovement : #AHP North of England – Karen Middleton: AHPs – just do it! @DHgovuk ” #AHPNorth (Wed, 28 Mar 2012 14:46:50 +0000)
@claireOT ” @NHSImprovement : #AHP : Number of very old people will significantly increase in future – impact on #NHS services we deliver” #AHPNorth (Wed, 28 Mar 2012 14:47:03 +0000)
@claireOT ” @NHSImprovement : #AHP : 2 priorities – drive up quality of services and deliver savings to meet future demand” #AHPNorth (Wed, 28 Mar 2012 14:47:19 +0000)
@claireOT ” @NaomiMcVey : @claireOT good to meet you at #AHPNorth – great use of social media for Sir David Nicholson Q&A!” < thanks very much ;-) (Wed, 28 Mar 2012 14:48:10 +0000)
@claireOT MT”" @CIHM_Becky : @claireOT @inhealthassoc depends what HWBB thinks it’s for. keep asking what value they intend to generate” #AHPNorth (Wed, 28 Mar 2012 14:49:06 +0000)
@claireOT @CIHM_Becky you know me, I’m a “”disrupter”" in the Health system #Christensen #AHPNorth (Wed, 28 Mar 2012 14:50:19 +0000)
@claireOT @CIHM_Becky next time, I suspect more Tweeting will happen ;-) @robwebster_lch #AHPNorth (Wed, 28 Mar 2012 14:51:01 +0000)
@claireOT RT @NaomiMcVey : Interesting day #AHPNorth , key themes: get in there, transform services & focus on outcomes, patient engagement & QUALITY @claireOT @thecsp (Wed, 28 Mar 2012 14:51:09 +0000)
@claireOT ” @mikechitty : This Health and Wellbeing Board factsheet should make everything clear http://t.co/7bLKy4vC #Leeds ” #AHPNorth (Wed, 28 Mar 2012 14:51:44 +0000)
@claireOT @CIHM_Becky @mikechitty so, how do I get in to talk to the HWBB? #Leeds #AHPNorth (Wed, 28 Mar 2012 14:52:41 +0000)
@claireOT ” @GdnHealthcare : NHS reform: a radical approach through co-production? http://t.co/8H28Tyxe ” #AHPNorth (Wed, 28 Mar 2012 14:53:06 +0000)
@claireOT Also managed to do a bit of promo for #digihealthcon at #AHPNorth http://t.co/Goijz1mL @digihealthcon (Wed, 28 Mar 2012 15:04:12 +0000)
@claireOT @anniecoops there was a little muttering about “”journalists”", but overall the reaction was positive #littlewin #AHPNorth (Wed, 28 Mar 2012 15:23:53 +0000)
@claireOT ” @mikechitty : @claireOT @CIHM_Becky This one is lovely as well http://t.co/fHl7Dac3 ” <er, that helps ;-) #AHPNorth (Wed, 28 Mar 2012 15:24:49 +0000)
@FlmCd RT @NHSImprovement : Brilliant speech at #AHPNorth by Sir David Nicholson – all work together to improve services for users(Wed, 28 Mar 2012 16:57:32 +0000)

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