@HWLeeds #Healthwatch 1st meeting

Yesterday, I attended my first meeting in my new role as Vice-Chair of my local Healthwatch network here in Leeds. I was also there in my role as a Mum, due to the fact that I didn’t have any childcare! Thanks to everyone who was so understanding about my having a toddler in tow.

What was the HealthwatchLeeds meeting all about?

This meeting was arranged to give the existing volunteers who have given so much time and dedication to our local LINk the opportunity to hear first about our plans for Healthwatch, what we hope to build on from the local LINk, and what we want to do differently.

How to involve LINk members in delivery of Healthwatch Leeds?

Although I was a member of LINk, I didn’t receive any notice of this meeting through that network, so I’m making an assumption that the people who did were all very active volunteers. There were some people who attended the meeting who had very strong feelings about awarding the tender to deliver Healthwatch Leeds to the consortia partners, over a bid submitted by Leeds LINk. There’s a risk that there may be existing negativity about awarding the bid to the consortia over the LINk bid, and we as an organisation are going to have to work hard to make sure existing and very active LINk members feel able to sign-up to our mission and values, and help us implement what we plan to achieve.

What is my plan for acting to keep existing LINk members on board?

It’s going to be really important to look at any hurt feelings, and provide a safe and supportive space to enable them to be expressed in an appropriate and respectful manner, in order that we can all move forward in good faith. I’m going to actively seek out people who can help me understand these feelings better, and if you feel this way, I’m very happy to engage with you and work out how to ensure you’re included in this process.

Communication with volunteers from LINk and other networks

Healthwatch Leeds has been delaying the development of some of the programme it will be delivering, because the organisation is still in the process of initial recruitment, including recruiting for the Board. It must be very frustrating for people used to actively volunteering that we are still working on our “Volunteer Offer”.

Recruitment processes will cause delay, and I actually think it’s best to ensure we get things like the Director in post before we make too many fixed plans. But, I think that modelling our stated values of transparency and openness includes keeping people updated of where we are, even if there isn’t much to report.

The consortia partners have worked really hard on lots of very exciting stuff about values and mission, which will drive all recruitment, ultimately influencing all decisions made. But, I think it’s unsustainable for it to ignore the valid frustration of people that feel they’re not listened to. There hasn’t been enough effort made by HWL to keep in touch with existing volunteer networks since the consortia took over the delivery of Healthwatch in April. I think this has been an oversight by the organisation, who might not be aware of how this may be perceived as dismissing or devaluing the valuable work that so many people have done over the preceding period. I’ve offered this feedback to the organisation, and I feel sure there will be action on this.

What I plan to do to improve engagement strategy at HWL

I met with our new Chair today and we suggest that I provide some non-executive support to the task-group concerned with developing an engagement strategy. I expect this to be the first area of work that I will get directly involved with in Healthwatch. We also need to clearly re-iterate our values and mission, including giving clear information about how to get in touch, and with whom, and what accountability is in place for receiving and integrating any feedback. We must ensure we do this in every communication, from phone calls through email newsletters and in person. I’ll be acting on this next week and I will update you as and when there is further news.

How do we do better with less?

There was a very distinct difference in the bid that won the contract to deliver Healthwatch Leeds compared to the way LINk has worked in the past, partiularly in the area of volunteer expenses. However, another element of the bid was the increased staff support and training budget available to volunteers.

One of the positive results of this is the consideration that now must be made of the many routes to involvement that don’t involve public meetings. Can our volunteers FaceTime or Skype us instead of attending in person? Can we do more work collaboratively and virtually reducing the number or length of meetings?

What will I do to ensure full participation of disabled people in HWL?

As a disabled person, I’m worried that there may be some implicit disablism if these budget constraints limit the volunteering opportunities available to people with higher support needs, such as personal assistants. I need to know more about how HWL intends to ensure the widest participation in HWL is maintained, using the stated budgets.

I need to be satisfied that there has been due consideration of the risk of reducing involvement of the very people I would expect us to be listening to. I want to know how we will be ensuring the appropriate resources are available to facilitate disabled people who want to be involved. I will update you on this as the situation develops. Please be aware that this is likely to develop over the next months rater than days or weeks.

Task: contrasting ways of meeting training, opportunities, and accessibility needs

The group used some time at the meeting to offer feedback and ideas about how to address issues of training, volunteering opportunities and access. I wasn’t present for this work, but I have got some photographs of the results of the work that I want to share, in a spirit of openness and transparency. The feedback is being integrated by the team at HWL and will help them to define our “Volunteer Offer” much more clearly, a big thank-you to everyone who engaged with this and offered such a lot of ideas and experience.

Young people and Healthwatch Leeds

I was delighted to meet three very impressive young adults who came along to the meeting and who sat through a lot of (boring?) discussion about things that didn’t seem relevant to the questions they wanted answers to. We had a sub-meeting in a separate room, to look in detail about what they needed from us. I was amazed by the assets these three people represent, and I hope they’re going to help us hear more from communities in Leeds that our statutory services and some voluntary organisations find harder to hear, such as young people.

What am I going to do to act on the young peoples’ feedback?

I got a good sense that we aren’t going to be able to engage young people through traditional “town hall” meetings and public events through this small meeting. I’m communicating directly with the three young people, and I’m going to blog about our conversation in more detail in my next post.

Boundaries

Please note I’ve updated my page about my work at Healthwatch Leeds to include some information on my boundaries regarding communications with me about this work.

Opportunities coming up Soon at @HWLeeds

Volunteer for us! We are looking for 15 people to attend a workshop run by NEF in Leeds on 19^th June.

Work for us! We’re currently recruiting for an administrator and we’ve got several roles for community involvement facilitators.

References:

Healthwatch Leeds: About Us (including info about Mission and Values) http://healthwatchleeds.org.uk/content/about

Healthwatch Leeds: ClaireOT’s page http://claireot.wordpress.com/healthwatch-leeds/

Heathwatch Leeds: Our Chair: Linn Phipps http://healthwatchleeds.org.uk/news/article/our-new-chair-linn-phipps

Heathwatch Leeds: Our Director: Janet Somers http://healthwatchleeds.org.uk/news/article/healthwatch-leeds-appoints-new-director

Heathwatch Leeds: Our Vice-Chair: Claire Jones http://healthwatchleeds.org.uk/news/article/healthwatch-leeds-appoints-claire-jones-vice-chair

Volunteer for us! http://healthwatchleeds.org.uk/news/article/volunteering-opportunity

Work for us! Administrator role http://healthwatchleeds.org.uk/news/article/vacancy-healthwatch-administrator

Work for us! Community and Information Facilitator roles: http://healthwatchleeds.org.uk/news/article/vacancy-community-and-information-facilitator

Sortition: selecting Board members for @HWLeeds

As I announced last week, I’m going to be the Vice-Chairperson on the new Healthwatch Leeds Board. Our new chair, Linn Phipps, and myself will be the only appointed board members, ten more people will sit on our Board, and they will be appointed by sortition.

Continuing the conversation about how to ensure proper representation of the views of people in Leeds on the new Healthwatch Leeds Board, I thought I would blog about why I think sortition is the best method, and why we won’t be a membership organisation.

Sortition: what is it?

Lots of people aren’t aware of what sortition means. It’s more usually called “drawing lots”, and it’s familiar to lots of us as the way we might make a decision in a small group “drawing the short straw”. In effect, we’re all used to sortition, as all the people who “play the lottery” are actually participating in sortition!

Sortition first  emerged in Athens, the birthplace of democracy, although we wouldn’t want to copy their model entirely, as they excluded all women and many men from their political process.

Power to the people

[The image above shows three men in ancient Greek dress who are holding placards that read "Power to the People!"]

Is sortition the fairest way to select for the Healthwatch Board?

The reason why I think sortition is a fair way to select people to represent views is accurately summarised by Oliver Dowlen in his article that is referenced in the Wikipedia definition of sortition:

Compared to a voting system – even one that is open to all citizens – a citizen-wide lottery scheme for public office lowers the threshold to office. This is because ordinary citizens do not have to compete against more powerful or influential adversaries in order to take office, and because the selection procedure does not favour those who have pre-existing advantages or connections – as invariably happens with election by preference. From an organisational point of view a citizen-wide lottery system gives all citizens an equal stake in the office in question and so defines the size of the active (or potentially active) citizen body

What this means is that by selecting our Board membership by sortition, everyone who puts themselves forward as a volunteer and potential Board member has an equal chance of selection. We don’t think that previous management experience, the number of non-executive directorships held, or our political affiliations are the most important qualities for our Board. What is necessary is that we are all engaged citizens who believe they have something to contribute about health and social care services.

Criticisms of sortition

One of the criticisms of sortition is that there may be some qualities that are necessary pre-conditions for people charged with making decisions, and sortition doesn’t favour anyones experiences over anyone elses. We disagree with this. We will be a fully inclusive organisation, and we will provide all the training and support to our Board to enable their participation: we believe that their lived experiences of using services, or caring for people who use services is far more important to or organisation than any previous Board level experience.

Is Healthwatch Leeds going to be a membership organisation?

Healthwatch Leeds believes that in order to represent the views of all the people of Leeds, we have to ensure there as few barriers to participation as possible. We think that by introducing membership, we would be putting an unnecessary barrier in the way of people who want to participate.

We regard all the people in Leeds to be “members” of Healthwatch Leeds, simply because we all use the services of Leeds: we will represent all of them, not just people who sign up as “members”.

All of our consultation events and engagement efforts must include all the people of Leeds, and we’re going to think hard about how to include everyone in this process. We think that the best  way of ensuring that is to continue to ask people to get in touch and let the whole team know how best to go about meeting their needs.

What do you think about this? Are we demonstrating our values through this approach, or do you have a better idea?

Volunteering with @HWLeeds

A very exciting opportunity to volunteer with @HWLeeds is coming up in June: I’ll be blogging more about this nearer the time.

References

BBC History: Athenian Democracy http://www.bbc.co.uk/history/ancient/greeks/greekdemocracy_01.shtml

Dowlen, O. (2009), Sorting Out Sortition: A Perspective on the Random Selection of Political Officers. Political Studies, 57: 298–315. doi: 10.1111/j.1467-9248.2008.00746.x [Available online, Accessed 12/05/2013.] See: http://onlinelibrary.wiley.com/doi/10.1111/j.14679248.2008.00746.x/abstract;jsessionid=51BF09AE268C11E0E88D1C88E7951DBD.d03t01

Healthwatch Leeds: Our new Chair http://www.healthwatchleeds.co.uk/news/article/our-new-chair-linn-phipps

Healthwatch Leeds: Our new Vice-Chair http://www.healthwatchleeds.co.uk/news/article/healthwatch-leeds-appoints-claire-jones-vice-chair

Healthwatch Leeds: Our Values http://www.healthwatchleeds.co.uk/content/about

Volunteer with Healthwatch Leeds http://www.healthwatchleeds.co.uk/news/article/volunteering-opportunity

Wikipedia: Sortition http://en.wikipedia.org/wiki/Sortition

Appointment as Vice-Chair of Healthwatch Leeds

I’m delighted to announce that from May 2013, I will be working with Healthwatch Leeds as the Vice-Chairperson, under Linn Phipps, who is the appointed Chairperson.

I’m passionate about involving people, and so I was delighted to see that other Healthwatch organisations around the country have already started asking what involvement will mean for local Healthwatch organisations. The people of Dudley had an event this week where they asked that question, and they produced a fantastic graphic that sums up what involvement means:

Produced by @JennyD_ER at #hwDudley event

Thinking about what inclusion will mean for Healthwatch Leeds will be something I’m thinking about a lot over the next few weeks.

We will be appointing the rest of the Board of Healthwatch over the next few months, from the pool of people who come forward and offer their services as volunteers with the organisation. We aim to make volunteering with us a great learning experience, an opportunity to have real input into decisions in Leeds and it will be great fun, too!

If you feel this is something you’d like to do, please do get in touch with Healthwatch Leeds by emailing them at office@healthwatchleeds.co.uk, phone 0113 898 0035, or Tweet @HWLeeds for an initial chat.

#leadersforleeds- Civic leadership for our City

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.

How can the Health and Wellbeing Board in Leeds use Digital and Social Media? #sm4hwb

I was asked to gather a group of people together in Leeds, to talk with my local Health and Wellbeing Board (HWB) members about how digital and social media could help them support the population in meeting health outcomes.

Why did the Health and Wellbeing Board want to know how to use Social and Digital Media?

The Health and Wellbeing Board were making visits to many other areas of the sector such as the statutory sector and the voluntary sector, so they were interested in the voices of people with direct lived experience of services, or people offering innovative solutions in this space, whose voices might be drowned out by the big players in a shared event. I thought it was a great example of the local commissioning structure doing something a little bit different: looking past the structural advantages the big players have in terms of staffing, resources, funding etc towards more creative, innovative, bottom-up suggestions, ideas and products that can help our city meet commissioning needs after April next year when the change from PCT commissioning to CCG commissioning rolls out.

What happened?

I was able to get the wonderful people at Leeds Met Business Services to donate the space for the meeting (Thank you to Katie of QU2 and Old Broadcasting House who arranged this), and set up a free event on Eventbrite to handle the registration. Because of my experience in organising the Digital Health Conference and Hack in Leeds last June, I already had a great list of people who were interested and engaged with these issues, who represented a cross-section of our health and social care systems. I sent invites to all of the attendees and also Tweeted about the event, to ensure that people were aware of this opportunity and able to come.

We had a great response from people in Leeds, and it was a shame to dissuade people from further afield and from the statutory sector who were keen to come. I was sure they all had great insights to share, but that it was important to stick to the brief and to provide a small and safe group for people to express their thoughts without feeling intimidated by representatives from services that are still experienced by some people as oppressive.

Who came to the Consultation?

What immediately struck me was the combined expertise gathered in the room. Patients, social care users, carers, workers, business owners: many people with overlapping identities in several of these roles in our health and social care system. The people who came all had great insight to share with the local commissioners and were really grateful for the opportunity to put their views across. So often, I believe we can miss out on a lot of the social capital and insight of the population most impacted by our decisions, by making these decisions behind closed doors before running “engagement” events to communicate decisions already made. In the words of the disability movement, “Nothing about us, without us” should be the maxim when we’re looking at such incredible financial and cultural challenges as we are at the moment in health and social care.

Summarising the discussion that ranged over several hours would be very difficult to do, but we kept notes on our trusty Flipchart throughout the event, and I’m happy to share them now with you (and after receiving permission from the entire group to share our results in this way).

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Our observations

1. People with disabilities and long term conditions are already using digital and social media to support them and to help them maintain or improve their health (Malby and Mervyn, 2012). They are doing this independently and “under-the radar” of services, because services are not set up to accommodate or encourage this. The irony is that internet use is seen on care planning documentation throughout Leeds to be considered a luxury item, not an essential for planning care and accessing our community; this has to change for the planned changes to be possible.
2. People with disabilities and long term conditions are less likely to use the internet than other groups (Dutton and Blank, 2011). We suppose that part of this is due to a lack of appropriate training and access to computers, software, and smartphones that are appropriate to their needs. We would like to survey the populations of people receiving social care, carers, the socially isolated elderly etc. in Leeds, in order to target any interventions to this group.
3. We consider that building capacity within this population to use digital technology could be considered a priority area. Access to information and skills training sessions, through libraries, community groups, mobile libraries, and access to useful directories of apps and software, and information about how to access funding for computers and online access are identified as important ways to support the population of Leeds to utilise digital and social media solutions. Perhaps there is a partnership opportunity with community development work such as Go On Leeds, or the Leeds Social Media Surgeries, or community groups such as the LS14Trust who are all building capacity in this area.
4. We recognise the environmental barriers that exclude many of our citizens from taking part in this work. We advise ensuring any training solutions are available with good wheelchair access, are culturally appropriate, and include recommendations of software that can help with accessibility and language difficulties.
5. We recognise that many of our elderly relatives are excluded from digital and social media, although the over 55s is the fastest growing group using social media (Dutton and Blank 2011). When planning services to be digital by default, we must remember the digitally excluded through access, skills and through choice. We want to consider social and digital solutions that don’t require computer skills training as part of the mix. An excellent example is Mindings, which can run on cheap android tablets and connect people to their family and friends, without them being required to “click anything”!
6. Broadly, we feel the definitions of telehealth and telecare currently in use are too narrow and don’t consider the contribution that disruptive technologies such as digital and social media can play. We believe that solutions incorporating these tools should be recommended alongside what we understand as telecare and telehealth solutions. There may be a training issue for customer facing roles in health and social care services, who may not be equipped to offer the advice that users and carers want. We believe that this should be integrated into the suite of services offered by the planned Assistive Technology Hub in Leeds.
7. Some of the digital and social media tools and technologies may be far cheaper to implement than traditional telecare, and may be preferable as non-stigmatising, non-medical pieces of equipment (e.g. smartphones and tablet computers running useful apps).
8. The outcomes that we expect to be able to measure to create a sense of the impact of the use of digital and social media solutions include length of hospital stay, number of face-to-face appointments, earlier discharge, better self-management of long term conditions, and patient reported social isolation and quality of life measures. We could also look at measuring for any improvement in the issues identified in the Joint Strategic Needs Assessment for the priority areas for the city.
9. We know from work that has been done on innovations like the Big White Wall that significant savings can be expected of digital services supplementing face-to-face treatment. Data from the Big White Wall shows that they saved £370000 for 100 users of the service (Kunzmann, Wong and Hart 2011).
10. Anecdotal evidence of local initiatives such as the Leeds Wellbeing Web shows that people find it a useful medium to discuss what influences their wellbeing, and also is a medium through which to learn the digital literacy skills we already identified as important.
11. We understand the process of “risk stratification” could be used as a framework to identify priority areas to consider digital and social media interventions within the city, supporting self-management of long term conditions such as obesity and diabetes.
12. We would like to contribute to the new integrated Health and Social Care Informatics Board, set up to support commissioning decisions, which we believe might be unaware of many useful digital and social media interventions available on the open market from microproviders and small and medium sized businesses.
13. Useful work has already been started to develop apps, e.g. to support people with personal budgets to manage their care rotas- see MyCareTracker, given as an example given by our group.

The Grabchat

Involved …

Top resources …

http://twitter.com/GoltonStewart/status/256772638410670080/photo/1
http://Mycaretracker.co.uk
http://handihealth.org
http://tapcare.blogspot.co.uk/2012/09/making-tapcare-clock.html
http://www.usefulapps.org.uk/
http://en.wordpress.com/typo/?subdomain=leedswellweb
http://www.nuffieldtrust.org.uk/blog/should-clinical-commissioning-groups-invest-telehealth
http://healthandcare.dh.gov.uk/hwb-guide/
http://twitter.com/claireOT/statuses/257711536074797057

Related tags …

#leeds #unfold #digihealthcon #ln #disruption

See Twitter for more tweets, people, videos and photos for #sm4hwb

@claireOT	@dominiccampbell  will be recommending to HWB today that they support it in  #Leeds   #sm4hwb (Fri, 12 Oct 2012 07:42:20 +0100)
@claireOT	Exciting day today- im off to Medipex, hosting this morning, hosting  #sm4hwb  this afternoon.(Fri, 12 Oct 2012 08:29:41 +0100)
@Acuity_Design	# digital health event is  #sm4hwb (Fri, 12 Oct 2012 14:47:53 +0100)
@Lucinday	Myself, Andy Harris and  @goltonstewart  attending a session to discuss how social media can be used for health.  #sm4hwb (Fri, 12 Oct 2012 14:51:47 +0100)
@Lucinday	Interesting to hear about how the Mindings app can be used to support people with dementia to live at home for longer.  #sm4hwb (Fri, 12 Oct 2012 15:09:15 +0100)
@Acuity_Design	#sm4hwb  issue not app but usability sometimes.   http://t.co/wvcfJ5VN   #tapcare (Fri, 12 Oct 2012 15:12:07 +0100)
@MindingsStu	RT  @Lucinday : Interesting to hear about how the Mindings app can be used to support people with dementia to live at home for longer.  #sm4hwb (Fri, 12 Oct 2012 15:18:39 +0100)
@desktopcarl	RT  @Lucinday : Interesting to hear about how the Mindings app can be used to support people with dementia to live at home for longer.  #sm4hwb (Fri, 12 Oct 2012 15:19:17 +0100)
@Acuity_Design	#sm4hwb  user organised  #socialcare  means inherently ppl won’t turn up in official stats as they bypass systems.  #disruption (Fri, 12 Oct 2012 15:23:20 +0100)
@ronstrong	At  #sm4hwb  meeting health and welfare board for Leeds talking about digital health and social media(Fri, 12 Oct 2012 15:24:24 +0100)
@Acuity_Design	#sm4hwb  provider bias tries so many ways to sound open and helpful. Professionals can’t help it. That’s why reversal of control stuck.(Fri, 12 Oct 2012 15:37:10 +0100)
@Acuity_Design	#sm4hwb   http://t.co/JLuKZcyg   http://t.co/wDvWRmpy  robmoriarty  http://t.co/nD7aR3hU   http://t.co/hZREjMO1 (Fri, 12 Oct 2012 15:59:50 +0100)
@GoltonStewart	Fantastic afternoon talking technology with the experts in health. Brain fried now  #sm4hwb   @claireot   http://t.co/hQMLEDxF (Fri, 12 Oct 2012 16:05:42 +0100)
@CIHM_Becky	RT  @GoltonStewart : Fantastic afternoon talking technology with the experts in health. Brain fried now  #sm4hwb   @claireot   http://t.co/hQMLEDxF (Fri, 12 Oct 2012 16:28:42 +0100)
@CIHM_Becky	So look forward to hearing how ideas from  #sm4hwb  will translate into strategy that allows soc med to thrive(Fri, 12 Oct 2012 16:30:19 +0100)
@claireOT	Wow! Great information and ideas shared withHWB today- we have such great resources in  #Leeds   #sm4hwb (Fri, 12 Oct 2012 17:08:05 +0100)
@claireOT	#sm4hwb  tweets and blogposts and  photos to follow! thanks to Andy Harris,  @Lucinday  and  @GoltonStewart  for listening so attentively(Fri, 12 Oct 2012 17:13:01 +0100)
@claireOT	RT  @GoltonStewart : Fantastic afternoon talking technology with the experts in health. Brain fried now  #sm4hwb   @claireot   http://t.co/hQMLEDxF (Fri, 12 Oct 2012 17:14:23 +0100)
@shirleyayres	@GoltonStewart   @claireOT  love the photo from  #sm4hwb !  http://t.co/BkDkDdZZ (Fri, 12 Oct 2012 17:28:25 +0100)
@claireOT	@CIHM_Becky  was a great day- I have high hopes for some innovative commissioning as a result, great for the whole team in  #Leeds   #sm4hwb (Fri, 12 Oct 2012 17:47:09 +0100)
@claireOT	@shirleyayres  you would have loved it- such expertise in the room, great solutions generated  #sm4hwb    @goltonstewart (Fri, 12 Oct 2012 17:48:08 +0100)
@claireOT	@shirleyayres  discovered an integrated health and social care informatics board at CCG level, want in on that!  #sm4hwb   @goltonstewart (Fri, 12 Oct 2012 17:49:27 +0100)
@Gemma_Finnegan	RT  @claireOT :  @shirleyayres  discovered an integrated health and social care informatics board at CCG level, want in on that!  #sm4hwb   @goltonstewart (Fri, 12 Oct 2012 17:51:43 +0100)
@nhsleeds	great to finally meet  @claireOT  brill discussion on how social/digital media can support health & wellbeing board  #sm4hwb  lots of enthusiasm(Fri, 12 Oct 2012 18:32:35 +0100)
@Lucinday	RT  @GoltonStewart : Fantastic afternoon talking technology with the experts in health. Brain fried now  #sm4hwb   @claireot   http://t.co/hQMLEDxF (Fri, 12 Oct 2012 21:22:48 +0100)
@claireOT	? @RobKTurnbull : Should clinical commissioning groups invest in  #telehealth ? | The Nuffield Trust  http://t.co/RxiCPvfT   #ln ?  #sm4hwb (Sat, 13 Oct 2012 08:48:51 +0100)
@claireOT	@leedswellweb  we gave your project a big shout out at  #sm4hwb  yesterday  @gillvolition   @victoriabetton   @connect (Sat, 13 Oct 2012 16:57:20 +0100)
@claireOT	? @legalaware : This is a short guide to Health and Wellbeing Boards, by the way.  http://t.co/N6IIwVQ6?  via  @living_as_if  fao  #sm4hwb (Sat, 13 Oct 2012 16:58:10 +0100)
@johncbaron	RT  @claireOT :  @leedswellweb  we gave your project a big shout out at  #sm4hwb  yesterday  @gillvolition   @victoriabetton   @connect (Sat, 13 Oct 2012 17:33:58 +0100)
@claireOT	@eclectictaste18  is Rob on here? I want to link him up with a few great Social Care contacts to promote MyCareTracker?  #sm4hwb (Sun, 14 Oct 2012 08:05:20 +0100)
@claireOT	@eclectictaste18   @robmoriarty   @mycaretracker  thanks! Rob, meet  @shirleyayres  and  @mindingsstu , great contacts for you  #sm4hwb (Sun, 14 Oct 2012 09:52:30 +0100)
@claireOT	@CIHM_Becky  oh, let me know if you hear any thoughts re  #sm4hwb  I’m just blogging it on a train, now!  @robwebster_lch (Mon, 15 Oct 2012 06:16:32 +0100)
@iksan_an	http://t.co/RNgngcfq  RT  @claireOT   @CIHM_Becky  oh, let me know if you hear any thoughts re  #sm4hwb  I’m just blogging it on a train, now! @…(Mon, 15 Oct 2012 06:51:52 +0100)
@claireOT	@shirleyayres   @anniecoops  listened to great presentation from  @DrThom  yesterday- great online solution to LTC management  #sm4hwb (Tue, 16 Oct 2012 09:04:23 +0100)
@claireOT	? @culturevultures : Digital a very strong asset  #unfold ? < #leeds  leading the way with  #digihealthcon  and  #sm4hwb  health/digital mashups(Thu, 18 Oct 2012 09:56:13 +0100)

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References:

Dutton, W.H., Blank, G. (2011) Next Generation Users: The Internet in Britain. Oxford Internet Survey 2011. Oxford Internet Institute, University of Oxford. [Available at http://microsites.oii.ox.ac.uk/oxis/ accessed on 19th October at 18.30]

Kunzmann, R., Wong A.,  Hart B. (2011) Joining in the Conversation: Social Media and Mental Health Services. NHS Confederation [Avaliable at http://www.nhsconfed.org/Publications/Documents/Joining_the_conversation_161111.pdf Accessed on 18th October at 18.42]

Malby B, Mervyn. (2012) Social Networks: An Additional Brief Literature Review for The Health Foundation. Centre for Innovation in Health Management, Leeds University.

Resources Shared:

Casserole Club

• Casserole Club is a great startup that links people in communities who prepare fresh meals with people who live nearby that would appreciate a homemade hot meal.

Centre for Independent Living

• Centre for Independent Living (CIL): offering help with financial independence and the process of managing personal budgets in social care.

Digital Health Conference and Hack

• Leeds hosted the first system-wide intervention into health and social care, looking at the uses of digital and social media technology to support the people of Leeds

Expert Patient Programme

• The Leeds Expert Patient Programme: promoting excellent self-management of long term conditions, but currently with no digital and social media element- this would be great to see happen.

Free to Live

• Free to Live: offering peer support to people in Leeds

GoodGym

• GoodGym: a great start-up that motivates runners to go out on a weekly run to see their “coach”- a socially isolated individual that lives nearby. The runner then helps with jobs that need doing like sweeping a path and bringing a pint of milk. Groups of runners can be recruited by community groups to work on projects local to them, such as clearing a canal, or litter picking.

Go On Leeds

• Initiative to promote Digital Inclusion in Leeds

HANDI Healthcare 

• HANDI Healthcare app development and support. Soon to launch a directory of useful and recommended apps.

Leeds Directory 

• The Leeds Directory: a list of all checked and vetted providers of domestic, personal care and trade services. All our information is available online or by phone/post via our Helpline number. We have several other features on our website, including our Activity Calendar to find what events/activities are going on across Leeds.

Leeds Social Media Surgeries

• Great format for voluntary and community groups to access expertise donated by social media experts (surgeons) in order to explore how digital and social media tools could help them.
• **Leeds Social Media Surgeries are currently searching for a new venue, must be central to Leeds and must have Wi-Fi**

Leeds Wellbeing Web 

• leedswellbeingweb.wordpress.com: a group blog discussing how to stay mentally healthy in Leeds.

LS14Trust

• Great community development Trust offering a Digital Lounge for residents of LS14 to get online and promote digital literacy.

Mindings

• Mindings: a great app that enables the connections of people on social media to be shared with friends and relatives who are not connected with social media. Also has elements of self-care, like being informed when a relative has put on their kettle, i.e. is up and about.

My Care Tracker 

• Mycaretracker- an app that helps with care scheduling for people with personal budgets who act as employers and managers of their own care teams. Also provides webinar training to organisations and individuals.

Rally Round

• Rally Round: an application that enables people to share the tasks that need doing with family and friends to enable faster integration of health and social care.

Recovery4.Me

• No live link as yet- my (ClaireOT’s) new digital mental health service  enabling people to recover an ordinary life after an episode of mental distress.

Tapcare

• Tapcare.blogspot.co.uk: a great resource that simplifies the process of keeping track of carers and has many other applications.

UsefulApps

• Usefulapps.com- a planned suite of apps for service users to manage compliance, keep reminders etc.

Spartacus Forum

• We Are Spartacus and the Spartacus Forum, great supportive spaces for people with disabilities to offer and receive support to others in the same position. Also the Spartiquilt project in Leeds, where we are attempting to create a narrative quilt contemporary disability movement quilt.

Edit: updated information for the Leeds Directory as per the comment left by Lisa Stones below.

Using social media for professional development at the Leeds #SMSmhealth

I was delighted to attend a social media event in Leeds today, designed for people interested in mental health. I was asked to deliver a workshop  for people interested in using social media for professional development. I was hoping to Live-Stream the workshop, but wasn’t able to connect to the internet from the room I was in, so I promised to blog about it so that you could share in the conversation and add any comments you might have.

What is professional development?

The group kicked off the session explaining a little bit about who they were, what their level of experience in social media was, and what they felt were important elements of professional development. We were able to identify universal elements of what contributed t professional development, in order to look at how we could apply this knowledge to the online media we chose to use. We picked out the main elements we identified as important and listed them- here’s a picture of the jolly selection we made.

Searching for keywords related to fields of interest

After listing the elements of professional development, we were able to identify key words associated with each element, this gave us an idea of some keywords to search for using search engines or social networks. Some of the group were surprised to learn that social networks could be searched for information in this way, and hadn’t considered doing this before. It was pointed out by a group member that Facebook ha just overtaken Google as the pre-eminent search engine (thanks, @northernlightspr!).

We discussed how finding appropriate hashtags could be a useful tool- not just for Twitter, but in using the same principle to locate search terms for any website we wanted to use to find out things we found interesting. We looked at the example of building a network related to occupational therapy.

Searching for individuals to add to our networks.

Another group member (@philjewitt) was able to contribute that by searching in this way, we could find the individuals who were regularly using these searched-for terms, and hence discover new people to add to our networks. Thanks Phil- this was an important point. So, by searching using a tool like Twitter, we could find not only what people were saying about something, but also find out who said lots of things about a topic- this indicates to us they could be interesting to follow, friend, or connect with, as we are likely to be able to talk with them about our shared interest.

Let’s look at searching Twitter for information about using social media in local government, which was an area of interest to several #smsmhealth group members. We identified search terms that we could use:

• localgovernment
• #lgovsm
• #Leeds (or whatever town we’re interested in)

We can then run a search using Twitter:

We can see that conversations are happening around this hashtag, so we know it was an effective search term. We can see current popular discussions taking place, and we can also see some people who are having conversations about the topic that interests us.

Separating and connecting

The best use of social media for professional development comes from having conversations about things that interest us, professionally. To do this, we need conversational partners. We know of a couple of ways we could search in social media to find both topics that interest us, and the people talking about those topics. So, how do we identify if it is a “useful” conversation to have? How do we know that this connection, this conversation, will add value to our experience?

We don’t. But we can make a good guess based on what the other person is saying, and whether they are willing to connect with other people and have conversations. And, we don’t need to make a “forever” decision we can choose to separate and connect with people according to our own rules, interests, time constraints- it’s really up to you.

At a party, you might decide the person that happens to be in the kitchen with you is a total hoot, and spend the rest of the evening having a great time chatting together, whether you disagree about everything or if you find you have lots in common. Or you may locate the person at the party that you find you have uncomfortable silences with. That’s okay. We are always civil with each other, but we employ the same social skills we use everyday at work or at a party to continue some conversations, and politely separate from others. We’ve got finite attention and time, and we get to choose how we spend it. It’s not a judgement on anybody else.

Building a network

The purpose of all this connecting and having conversations is to build our network. By developing the links we share with people we “meet” in social media, we can gain insights, share experiences, discuss issues that matter to us, and develop in a professional sense. We are developing a network based on shared interests, or a professional practice-based network (or both!)

To develop professionally, it is important to have access to high quality information, access to research, and membership of professional groups (as we discussed earlier). We’re using social media to achieve these aims. If you’re trying out Twitter for professional development (and I recommend you do), then aim to gather about 100 people to “follow” before you decide whether or not the network works for you.

Becoming a “network node”

Building a network and becoming more influential within it is the process of  becoming “network nodes“. This means we are becoming a person or link in the network where information (stories, opinions, facts, fallacies) is efficiently passed further on through the network. The better the network, the better the information contained within it.  As we become “network nodes”, we’re adding value to the overall development of the networks, by virtue of our curation both of the network and of the information within it.

Curating your network

Growing a network is great fun and very rewarding, but how do we avoid becoming overloaded with all this information, and all the conversations we would like to join in with but don’t have time? The answer lies in curating the network, and via this, curating the information flow. This can be done in several ways.

• Trim your follows

As you follow or friend lots of people, you might find it becoming difficult to keep up with everything that’s going on. This is a clue that it’s time to curate, cull, or trim your follows. This can be done in several ways, including by putting people in lists, by using various tools to clear out people who aren’t active members of the network, or just by redefining your own rules about what you talk about or how much time you have to spend on a network.

• Think about time in the network

Are you being strategic about the scare time resource you have in this network? Do you have expectations of doing professional development within a 9-5 framework? Are you able to committ to times when people are having the best conversations? Early morning is my favourite time, but most people Tweet from 7-9pm, that’s why so many Tweetchats are  on at this time.

• Its okay to be non-linear!

Social network chatting is great when you are online at the same time as the person you’re chatting with, but people don’t expect instant responses. We are all busy, and that’s okay. It’s great to send a quick message saying you’d like to pick up a subject with someone another time, but lots of people find it better to write a blog-post to expand an opinion and share it widely by linking to it in social media- commenting on people’s posts and writing your own is a great way to have deeper conversations with other people in your network. So if you find yourself worrying about “keeping up” with what’s being said, please relax. As your network grows and you curate a network that is bespoke to your professional interests, your network will start to filter information. Things that you find interesting will probably be shared several times, from different directions. Trust that the information you need will get to you. It will.

I hope you’ve found the information I’ve shared useful, and I hope you can take away a couple of strategies to apply to your own practice. Social media can enhance our professional development in new ways- and I find Twitter particularly useful. Go on, give it a try!

I’m interested to know what you think- what tips would you share for people who are just starting to think about using social media in this way?

Thanks to all the participants in the workshop at #smsmhealth in Leeds today, and to Leeds and York Partnerships Foundation Trust and Leeds Mind for co-hosting the event.

If you would like to talk to me about delivering training and mentoring in using social media professionally within your organisation or practice, do get in touch.

Other blogs about #smsmhealth:

@VictoriaBetton http://digitalmentalhealth.co.uk/wp/?p=271

@_jonb http://smsmhealth.tumblr.com/

Resources for Social Media for Professional Development

@claireot on demonstrating clinical leadership through using social media http://theclnnetwork.blogspot.co.uk/2012/06/social-media-not-just-peter-andres.html

@claireot How to Tweet http://claireot.wordpress.com/2012/03/19/how-to-twitter/

@wenurses Twitterversity guide to Twitter http://www.wenurses.co.uk/Resources/twitterversity.php

The Not So Big Society blog with great example of how NOT to do it http://notsobigsociety.wordpress.com/2012/09/18/how-not-to-debate-with-health-professionals-on-twitter/

@claireot on Littlefeet- a case study of the consequences of poor staff digital literacy in a mental health inpatients unit http://claireot.wordpress.com/2012/01/04/censorship-or-duty-of-care-little-feet-blogging-on-an-acute-mental-health-inpatients-ward/

and the Littlefeet case study develops the Streisand Effect http://claireot.wordpress.com/2012/01/06/little-feet-pursues-pals-an-update-in-the-mental-health-inpatients-blogging-debate/

OT Resources:

OTalk and Occhat Blog

OTalk and Occhat Twitter

OTalk and Occhat Facebook Page

OT4OT Facebook Group

OT24Vx- the 24hr Virtual Exchange- on Facebook

Welcome to the Social Media Surgery at #COT2012

I made a video with @Kirstyes, to encourage anyone watching the Twitter feed for the Conference to join in with us as we facilitated a Social Media Surgery for the delegates of the Conference.

Here is a short clip showing @Kirstyes showing Tracey how to use Twitter to follow other OTs and keep up with what is being said about the #COT2012 Conference in real time. We made this video whilst waiting for our session to start.

Here is a short video made during the Social media Surgery where I introduce my group and demonstrating how we can integrate new ways of working into occupational therapy practice- in this case, Live-Streaming video to the internet.

I created a second video to show the themes that were identified by the group, namely,

• professional boundaries,
• information about the digital divide
• safeguarding vulnerable groups online
• emerging role for occupational therapists in digital literacy and safety in online spaces
• concern over copyright.

For our reactions after the Surgery, please see my next post: http://claireot.wordpress.com/2012/06/18/reactions-after-the-cot2012-social-media-surgery/

19/06/12 edit- please see this link to the Handout used during the workshop, by @Kirstyes:

http://kirstyes.files.wordpress.com/2012/06/sms-handout1.pdf

#CLN12 Leadership for Provision Conference, Leeds 25/04/12

I attended this conference for clinical leaders in Leeds this week. Reflective blogpost still to follow, but here is the transcript of the Twitter conversation (or “backchannel”) to the conference. This demonstrates the excellent and increasing use of social media by clinicians to engage with patients and carers, and respond in real-time to concerns of the public and of people who are not able to be physically present. Bravo to everyone who Tweeted!

Tweeters at the Clinical Leaders’ Network Conference

Top resources shared at #CLN12

http://www.health.org.uk/public/cms/75/76/313/3293/Leading%20the%20way%20to%20shared%20decision%20making.pdf?realName=kWvz0K.pdf
http://www.leadershipacademy.nhs.uk/
http://twitter.com/claireOT/status/195073273296461824/photo/1
http://www.gmc-uk.org/guidance/ethical_guidance/management_for_doctors.asp
http://discover.netmotionwireless.com/rs/netmotionwireless/images/Allina-Home-Care_NetMotion-Wireless_CS.pdf
http://twitter.com/claireOT/status/195073022921670656/photo/1
http://www.leedsinitiative.org/
http://digihealthcon.eventbrite.co.uk/
http://www.fastforwardhealth.com
http://claireot.wordpress.com/2012/03/19/how-to-twitter/

Related tags

#cln12 #socialcare #leeds #panorama #nhs

Top tweeps mentioned

@clnnetwork @anniecoops @claireot @nhsinstituteuk @profstevefield

See Twitter for more tweets, people, videos and photos for #CLN12

@claireOT	Getting excited about #CLN12 today, follow the tag if you’re into #NHS #leadership , filter me out if you don’t want to be swamped!(Wed, 25 Apr 2012 08:26:50 +0100)
@claireOT	I know tweeters from #CLN12 will include @anniecoops and moi, shout out if anyone else is going to be tweeting!(Wed, 25 Apr 2012 08:28:19 +0100)
@anniecoops	Looking forward to #CLN12 today! Will be trying to tweet. If you are there come and say ‘hi’! @CLNnetwork (Wed, 25 Apr 2012 08:42:04 +0100)
@repsychlist	Today’s entertainment http://t.co/VedLKDX0 #CLN12 (Wed, 25 Apr 2012 08:44:27 +0100)
@nhsinstituteuk	RT @BTLead1 : At the #cln12 going to be an excellent day tomorrow. Panel, steve field, jane cummings, and more. Andrew lansley keynote @nhsinstituteuk (Wed, 25 Apr 2012 08:59:45 +0100)
@susanwighton	RT @BTLead1 : At the #cln12 going to be an excellent day tomorrow. Panel, steve field, jane cummings, and more. Andrew lansley keynote @nhsinstituteuk (Wed, 25 Apr 2012 09:07:19 +0100)
@CLNnetwork	RT @anniecoops : Looking forward to #CLN12 today! Will be trying to tweet. If you are there come and say ‘hi’! @CLNnetwork (Wed, 25 Apr 2012 09:20:53 +0100)
@CLNnetwork	RT @claireOT : I know tweeters from #CLN12 will include @anniecoops and moi, shout out if anyone else is going to be tweeting!(Wed, 25 Apr 2012 09:22:01 +0100)
@repsychlist	This is big. Good job I put my best frock on. #CLN12 (Wed, 25 Apr 2012 09:35:22 +0100)
@anniecoops	Great to see Jane Cummings our new CNO at the CLinical Leaders Network event @CLNnetwork #CLN12 (Wed, 25 Apr 2012 09:41:08 +0100)
@claireOT	Oh dear. We just got told to turn off phones. #CLN12 #SocialMedia #fail (Wed, 25 Apr 2012 09:42:39 +0100)
@claireOT	RT @anniecoops : Great to see Jane Cummings our new CNO at the CLinical Leaders Network event @CLNnetwork #CLN12 (Wed, 25 Apr 2012 09:42:58 +0100)
@CLNnetwork	RT @anniecoops : Great to see Jane Cummings our new CNO at the CLinical Leaders Network event @CLNnetwork #CLN12 (Wed, 25 Apr 2012 09:43:09 +0100)
@CLNnetwork	RT @claireOT : Dr Raj Kumar giving an intro #CLN12 http://t.co/31f75Ajo (Wed, 25 Apr 2012 09:43:58 +0100)
@claireOT	Loving the “Don’t forget to Tweet” signage on screen at the front, though… We need to make clearer how to encourage this… #CLN12 (Wed, 25 Apr 2012 09:44:13 +0100)
@anniecoops	Clinical Leadership Network events focus is ‘Leadership for provision’ #CLN12 (Wed, 25 Apr 2012 09:44:13 +0100)
@BTLead1	#cln12 what an amazing turnout of clinicians of all backgrounds. Standing room only! @nhsinstituteuk (Wed, 25 Apr 2012 09:44:46 +0100)
@claireOT	So today’s big theme is clinical commissioning, provision, and partnership. So get your thinking caps on for questions! #CLN12 (Wed, 25 Apr 2012 09:44:47 +0100)
@claireOT	Working together in our local areas across sectors is the way forward… Message loud and clear #CLN12 (Wed, 25 Apr 2012 09:45:48 +0100)
@anniecoops	‘Leaders working together can make a significant difference’ Andrew coley #CLN12 (Wed, 25 Apr 2012 09:46:09 +0100)
@claireOT	Talking about 1000 actions to take forward and develop the outcomes of the day #CLN12 (Wed, 25 Apr 2012 09:46:16 +0100)
@living_as_if	RT @claireOT : Oh dear. We just got told to turn off phones. #CLN12 #SocialMedia #fail (Wed, 25 Apr 2012 09:46:31 +0100)
@anniecoops	Can #cln12 generate a 1000 actions to be taken across the service? @CLNnetwork (Wed, 25 Apr 2012 09:47:05 +0100)
@claireOT	Now up, prof Steve Field of Future Forum to chair “any questions” #CLN12 (Wed, 25 Apr 2012 09:47:15 +0100)
@claireOT	“We’re into this Twitter stuff nowadays……” Steve Field… #CLN12 (Wed, 25 Apr 2012 09:47:51 +0100)
@CLNnetwork	RT @claireOT : So today’s big theme is clinical commissioning, provision, and partnership. So get your thinking caps on for questions! #CLN12 (Wed, 25 Apr 2012 09:48:20 +0100)
@CLNnetwork	RT @anniecoops : Clinical Leadership Network events focus is ‘Leadership for provision’ #CLN12 (Wed, 25 Apr 2012 09:48:25 +0100)
@CLNnetwork	RT @claireOT : Working together in our local areas across sectors is the way forward… Message loud and clear #CLN12 (Wed, 25 Apr 2012 09:48:33 +0100)
@CLNnetwork	RT @anniecoops : ‘Leaders working together can make a significant difference’ Andrew coley #CLN12 (Wed, 25 Apr 2012 09:48:42 +0100)
@CLNnetwork	RT @claireOT : Talking about 1000 actions to take forward and develop the outcomes of the day #CLN12 (Wed, 25 Apr 2012 09:48:44 +0100)
@CLNnetwork	RT @anniecoops : Can #cln12 generate a 1000 actions to be taken across the service? @CLNnetwork (Wed, 25 Apr 2012 09:48:51 +0100)
@anniecoops	At #CLN12 @ProfSteveField encourages the use of twitter as a ‘force for good’ like it!(Wed, 25 Apr 2012 09:48:54 +0100)
@CLNnetwork	RT @claireOT : Now up, prof Steve Field of Future Forum to chair “any questions” #CLN12 (Wed, 25 Apr 2012 09:48:55 +0100)
@nhsCLNmw	#cln12 thanks prof field for introducing the twitterer system. Hope our delegates say what they think of the sessions and the day(Wed, 25 Apr 2012 09:49:03 +0100)
@CLNnetwork	RT @BTLead1 : #cln12 what an amazing turnout of clinicians of all backgrounds. Standing room only! @nhsinstituteuk (Wed, 25 Apr 2012 09:49:42 +0100)
@CLNnetwork	RT @repsychlist : This is big. Good job I put my best frock on. #CLN12 (Wed, 25 Apr 2012 09:50:06 +0100)
@claireOT	Steve field “into this Twitter stuff…” #CLN12 http://t.co/e14uFtgq (Wed, 25 Apr 2012 09:50:25 +0100)
@nhsinstituteuk	RT @BTLead1 : #cln12 what an amazing turnout of clinicians of all backgrounds. Standing room only! @nhsinstituteuk (Wed, 25 Apr 2012 09:50:26 +0100)
@shirleyayres	@anniecoops Can #cln12 generate a 1000 actions to be taken across the service? @CLNnetwork following with interest @claireOT (Wed, 25 Apr 2012 09:51:53 +0100)
@tcgannon	Listening to Steve Field @CLNnetwork #cln12 (Wed, 25 Apr 2012 09:52:07 +0100)
@claireOT	#leadership is… #CLN12 http://t.co/jDvVfSv1 (Wed, 25 Apr 2012 09:53:29 +0100)
@anniecoops	At #cln12 leaders conference impressive panel – great to see @JeremyTaylorNV from National Voices on the Panel @CLNnetwork (Wed, 25 Apr 2012 09:53:52 +0100)
@claireOT	Our panel… any questions? #CLN12 http://t.co/PuV0VOCw (Wed, 25 Apr 2012 09:54:28 +0100)
@living_as_if	RT @claireOT : Our panel… any questions? #CLN12 http://t.co/PuV0VOCw (Wed, 25 Apr 2012 09:57:18 +0100)
@CLNnetwork	RT @anniecoops : At #cln12 leaders conference impressive panel – great to see @JeremyTaylorNV from National Voices on the Panel @CLNnetwork (Wed, 25 Apr 2012 09:57:37 +0100)
@claireOT	“What drives you to lead and want to change things?” asking Jane Cummings, chief nurse #CLN12 (Wed, 25 Apr 2012 09:57:44 +0100)
@claireOT	“Making a difference, in the roles we have as clinicians. Being proud of good care. Passion.” #CLN12 (Wed, 25 Apr 2012 09:58:30 +0100)
@CLNnetwork	RT @claireOT : “What drives you to lead and want to change things?” asking Jane Cummings, chief nurse #CLN12 (Wed, 25 Apr 2012 09:58:34 +0100)
@CLNnetwork	RT @claireOT : Our panel… any questions? #CLN12 http://t.co/PuV0VOCw (Wed, 25 Apr 2012 09:58:38 +0100)
@CLNnetwork	RT @claireOT : #leadership is… #CLN12 http://t.co/jDvVfSv1 (Wed, 25 Apr 2012 09:58:57 +0100)
@CLNnetwork	RT @shirleyayres : @anniecoops Can #cln12 generate a 1000 actions to be taken across the service? @CLNnetwork following with interest @claireOT (Wed, 25 Apr 2012 09:58:59 +0100)
@claireOT	“every decision impacts on patients, that’s why the Constitution is so important” #CLN12 (Wed, 25 Apr 2012 09:59:03 +0100)
@CLNnetwork	RT @anniecoops : At #CLN12 @ProfSteveField encourages the use of twitter as a ‘force for good’ like it!(Wed, 25 Apr 2012 09:59:06 +0100)
@tcgannon	MT ” @NVTweeting : @JeremyTaylorNV speaking at CLN: Clinical leadership: the courage to do the right thing by your patients” #cln12 (Wed, 25 Apr 2012 09:59:32 +0100)
@anniecoops	Jane Cummings what drives you to lead? ‘remember – Clinical is the whole team.’ ‘making a difference’ #CLN12 (Wed, 25 Apr 2012 10:00:03 +0100)
@claireOT	We’re all patients, but Jeremy Taylor of Patients Voices is up as the patient expert to answer q about patient care from floor #CLN12 (Wed, 25 Apr 2012 10:00:36 +0100)
@CLNnetwork	RT @claireOT : “every decision impacts on patients, that’s why the Constitution is so important” #CLN12 (Wed, 25 Apr 2012 10:00:49 +0100)
@CLNnetwork	RT @claireOT : “Making a difference, in the roles we have as clinicians. Being proud of good care. Passion.” #CLN12 (Wed, 25 Apr 2012 10:01:02 +0100)
@claireOT	Patients know clinical work isn’t easy, and prof Field wants to know what we can do to support clinicians to care more #CLN12 (Wed, 25 Apr 2012 10:01:14 +0100)
@tcgannon	RT @anniecoops : At #CLN12 @ProfSteveField encourages the use of twitter as a ‘force for good’ like it!(Wed, 25 Apr 2012 10:02:05 +0100)
@CLNnetwork	RT @anniecoops : . @JeremyTaylorNV #cln12 panel Clinical leadership is ‘The courage to do the right thing’(Wed, 25 Apr 2012 10:02:19 +0100)
@CLNnetwork	RT @claireOT : Patients know clinical work isn’t easy, and prof Field wants to know what we can do to support clinicians to care more #CLN12 (Wed, 25 Apr 2012 10:02:26 +0100)
@CLNnetwork	RT @anniecoops : Jane Cummings what drives you to lead? ‘remember – Clinical is the whole team.’ ‘making a difference’ #CLN12 (Wed, 25 Apr 2012 10:02:49 +0100)
@claireOT	Interesting- David Dalton of Salford NHS, acknowledging the distribution of care within the org, some wards still need improvement #CLN12 (Wed, 25 Apr 2012 10:03:04 +0100)
@claireOT	Values key in the journey, goals and standards for safety, pt experience, must publish results of measurement #CLN12 (Wed, 25 Apr 2012 10:03:37 +0100)
@CLNnetwork	RT @claireOT : Values key in the journey, goals and standards for safety, pt experience, must publish results of measurement #CLN12 (Wed, 25 Apr 2012 10:05:05 +0100)
@anniecoops	At #cln12 @ProfSteveField talking about his reaction to #panorama programme @CLNnetwork (Wed, 25 Apr 2012 10:05:32 +0100)
@claireOT	Question for CQC re last weeks #Panorama #socialcare acknowledgement that CQC can’t do it alone. Only a snapshot. #CLN12 (Wed, 25 Apr 2012 10:06:07 +0100)
@CLNnetwork	RT @anniecoops : At #cln12 @ProfSteveField talking about his reaction to #panorama programme @CLNnetwork (Wed, 25 Apr 2012 10:06:40 +0100)
@claireOT	Importance of role modelling for the next generation, they must see that care is valued #CLN12 (Wed, 25 Apr 2012 10:07:12 +0100)
@tcgannon	What is clinical leadership? Review @gmcuk guidance here: http://t.co/OdpfOUU2 #CLN12 (Wed, 25 Apr 2012 10:08:02 +0100)
@CLNnetwork	RT @claireOT : Importance of role modelling for the next generation, they must see that care is valued #CLN12 (Wed, 25 Apr 2012 10:08:04 +0100)
@CLNnetwork	RT @claireOT : Question for CQC re last weeks #Panorama #socialcare acknowledgement that CQC can’t do it alone. Only a snapshot. #CLN12 (Wed, 25 Apr 2012 10:08:28 +0100)
@claireOT	RT @tcgannon : What is clinical leadership? Review @gmcuk guidance here: http://t.co/OdpfOUU2 #CLN12 (Wed, 25 Apr 2012 10:08:48 +0100)
@CLNnetwork	RT @tcgannon : What is clinical leadership? Review @gmcuk guidance here: http://t.co/OdpfOUU2 #CLN12 (Wed, 25 Apr 2012 10:10:19 +0100)
@anniecoops	Interesting that of a cast of in excess of 100 at #cln12 conference there only seem to be 4 of us tweeting @CLNnetwork (Wed, 25 Apr 2012 10:11:22 +0100)
@LeonoraOT	RT @anniecoops : . @JeremyTaylorNV #cln12 panel Clinical leadership is ‘The courage to do the right thing’(Wed, 25 Apr 2012 10:12:17 +0100)
@claireOT	RT @anniecoops : Interesting that of a cast of in excess of 100 at #cln12 conference there only seem to be 4 of us tweeting @CLNnetwork (Wed, 25 Apr 2012 10:12:28 +0100)
@tcgannon	@gmcuk raising concerns guidance ( http://t.co/dmp09ppr just lauded by CCG Clinical Lead. Virgin Care asked how it fits w/ corporacy? #CLN12 (Wed, 25 Apr 2012 10:13:16 +0100)
@anniecoops	A positive message from the panel #cln12 Jane Cummings ‘everyone can be a leader’ ‘ everyone has power and can make a difference’<~ I agree!(Wed, 25 Apr 2012 10:13:31 +0100)
@claireOT	Apropos of nothing, there are no jumpers on the panel today. But @profstevefield has a jaunty tie on. #CLN12 @andrewmarran (Wed, 25 Apr 2012 10:14:17 +0100)
@lindseyb20	RT @anniecoops : At #CLN12 @ProfSteveField encourages the use of twitter as a ‘force for good’ like it!(Wed, 25 Apr 2012 10:14:20 +0100)
@CLNnetwork	RT @anniecoops : A positive message from the panel #cln12 Jane Cummings ‘everyone can be a leader’ ‘ everyone has power and can make a difference’<~ I agree!(Wed, 25 Apr 2012 10:16:01 +0100)
@anniecoops	At #cln12 Vivienne McVey ‘don’t over complicate leadership – give clear messages for your teams’(Wed, 25 Apr 2012 10:16:31 +0100)
@CLNnetwork	RT @anniecoops : At #cln12 Vivienne McVey ‘don’t over complicate leadership – give clear messages for your teams’(Wed, 25 Apr 2012 10:16:43 +0100)
@NHSLeadership	MT @anniecoops : positive message from panel @ #cln12 Jane Cummings ‘everyone can be a leader’ ‘everyone has power and can make a difference’(Wed, 25 Apr 2012 10:17:22 +0100)
@claireOT	. @clarercgp mentioned in the context of clinical leadership, now “drawing a line” under commentary, moving forward now #CLN12 (Wed, 25 Apr 2012 10:17:42 +0100)
@claireOT	I am getting the sense from the room that we are now looking about how to ensure patients are at the centre of changes in health #CLN12 (Wed, 25 Apr 2012 10:22:08 +0100)
@anniecoops	At #cln12 David Dalton We need to believe in the changes we need to make. @CLNnetwork (Wed, 25 Apr 2012 10:22:24 +0100)
@CLNnetwork	RT @anniecoops : . @ProfSteveField acknowledges the need for change if we can collectively meet the challenges of the future #CLN12 (Wed, 25 Apr 2012 10:22:27 +0100)
@BAOTCOT	Lots of interesting points being raised @CLNnetwork #cln12 conference, well worth a read today.(Wed, 25 Apr 2012 10:22:36 +0100)
@CLNnetwork	RT @BAOTCOT : Lots of interesting points being raised @CLNnetwork #cln12 conference, well worth a read today.(Wed, 25 Apr 2012 10:23:35 +0100)
@CLNnetwork	RT @anniecoops : At #cln12 David Dalton We need to believe in the changes we need to make. @CLNnetwork (Wed, 25 Apr 2012 10:24:04 +0100)
@claireOT	@BAOTCOT yes, I’m sorry that there doesn’t seem to be an OT presence on the panel, or (so far) in the room #CLN12 @clnnetwork (Wed, 25 Apr 2012 10:25:18 +0100)
@i2iHQ	Another great and busy day for @i2iHQ with i2i CEO @mfinnigani2i running a leadership workshop for @CLNnetwork #CLN12 #inspire (Wed, 25 Apr 2012 10:27:19 +0100)
@CLNnetwork	RT @i2iHQ : Another great and busy day for @i2iHQ with i2i CEO @mfinnigani2i running a leadership workshop for @CLNnetwork #CLN12 #inspire (Wed, 25 Apr 2012 10:28:22 +0100)
@BTLead1	Panel session #cln12 discussion and debate centred around importance leadership @NHSLeadership engagement and integration @nhsinstituteuk (Wed, 25 Apr 2012 10:30:03 +0100)
@CLNnetwork	RT @BTLead1 : Panel session #cln12 discussion and debate centred around importance leadership @NHSLeadership engagement and integration @nhsinstituteuk (Wed, 25 Apr 2012 10:32:16 +0100)
@anniecoops	Recommended by @JeremyTaylorNV from panel at #cln12 http://t.co/mVgZtAzu @CLNnetwork (Wed, 25 Apr 2012 10:35:17 +0100)
@claireOT	RT @anniecoops : Recommended by @JeremyTaylorNV from panel at #cln12 http://t.co/mVgZtAzu @CLNnetwork (Wed, 25 Apr 2012 10:36:49 +0100)
@CLNnetwork	RT @anniecoops : Recommended by @JeremyTaylorNV from panel at #cln12 http://t.co/mVgZtAzu @CLNnetwork (Wed, 25 Apr 2012 10:38:56 +0100)
@anniecoops	Yay! Jane Cummings expresses the vision of using social media to communicate to nurses (as one method) #CLN12 @CLNnetwork @rtunmore (Wed, 25 Apr 2012 10:38:56 +0100)
@nhsinstituteuk	RT @BTLead1 : Panel session #cln12 discussion and debate centred around importance leadership @NHSLeadership engagement and integration @nhsinstituteuk (Wed, 25 Apr 2012 10:39:16 +0100)
@nickspen	Leadership – in the NHS, breaking out of organisational structures may be the key challenge to transformation! #cln12 (Wed, 25 Apr 2012 10:39:53 +0100)
@anniecoops	June Cummings CNO at #CLN12 message for leaders ‘do not put up with poor care’ @CLNnetwork (Wed, 25 Apr 2012 10:40:56 +0100)
@NHSLeadership	RT @BTLead1 : Panel session @ #cln12 discussion and debate centred around importance leadership @NHSLeadership engagement and integration(Wed, 25 Apr 2012 10:41:09 +0100)
@tcgannon	Key theme at #cln12 thus far: patient safety and good care.(Wed, 25 Apr 2012 10:42:14 +0100)
@tcgannon	RT @anniecoops : Recommended by @JeremyTaylorNV from panel at #cln12 http://t.co/mVgZtAzu @CLNnetwork (Wed, 25 Apr 2012 10:42:38 +0100)
@anniecoops	#cln12 ‘We need strong clinical leaders who have moral courage’ @ProfSteveField @CLNnetwork (Wed, 25 Apr 2012 10:43:02 +0100)
@claireOT	RT @nickspen : Leadership – in the NHS, breaking out of organisational structures may be the key challenge to transformation! #cln12 (Wed, 25 Apr 2012 10:43:49 +0100)
@JenkinsRg	Clinical leaders need a sense of self enquiry to lead a high quality service. #in #cln12 (Wed, 25 Apr 2012 10:45:31 +0100)
@claireOT	Final salvo from @profstevefield “use Twitter and be a force for good” <love it! #CLN12 break now, if you’re here, say hi!(Wed, 25 Apr 2012 10:46:15 +0100)
@Intnursesdayuk	RT @anniecoops : Yay! Jane Cummings expresses the vision of using social media to communicate to nurses (as one method) #CLN12 @CLNnetwork @rtunmore (Wed, 25 Apr 2012 10:46:17 +0100)
@repsychlist	From Nick Bishop (CQC): stick to your values; CHANGE WHAT YOU CAN (my emphasis); campaign for what you might influence. #CLN12 (Wed, 25 Apr 2012 10:47:51 +0100)
@LauraQuirke	RT @BTLead1 : Panel session #cln12 discussion and debate centred around importance leadership @NHSLeadership engagement and integration @nhsinstituteuk (Wed, 25 Apr 2012 10:49:54 +0100)
@tcgannon	@ProfSteveField says: use twitter and be a force for good! #cln12 @gmcuk consulting on SoMe http://t.co/I7JHoeEY Share your views!(Wed, 25 Apr 2012 10:50:57 +0100)
@rhianlast	#CLN12 good turnout. Lively opening question and answer session. Workshops line up look brilliant (Wed, 25 Apr 2012 10:57:14 +0100)
@rhianlast	RT @anniecoops : #cln12 ‘We need strong clinical leaders who have moral courage’ @ProfSteveField @CLNnetwork (Wed, 25 Apr 2012 10:57:38 +0100)
@rhianlast	#CLN12 If not me, then who? Good mantra!(Wed, 25 Apr 2012 10:59:05 +0100)
@ChallengePrizes	RT @anniecoops : #cln12 ‘We need strong clinical leaders who have moral courage’ @ProfSteveField @CLNnetwork (Wed, 25 Apr 2012 10:59:43 +0100)
@dobeedoops	#cln12 I agree move on and embrace the future(Wed, 25 Apr 2012 11:01:01 +0100)
@tcgannon	About to hear all about the role of Health and Wellbeing Boards at #cln12 (Wed, 25 Apr 2012 11:02:55 +0100)
@repsychlist	This shindig is organised nearly as well as an @fastbleep conference! #CLN12 (Wed, 25 Apr 2012 11:08:48 +0100)
@anniecoops	#cln12 @EHICCIOCampaign workshop ‘good clinical leadership helps to deliver successful IT projects’ @CLNnetwork (Wed, 25 Apr 2012 11:09:43 +0100)
@anniecoops	#cln12 CCIO role bridges gap between IT professionals and clinicians. Acts as interpreter and leader @EHICCIOCampaign @CLNnetwork (Wed, 25 Apr 2012 11:11:22 +0100)
@claireOT	Now in a session about health and wellbeing boards #CLN12 (Wed, 25 Apr 2012 11:11:39 +0100)
@HIC2012BCS	RT @anniecoops : #cln12 @EHICCIOCampaign workshop ‘good clinical leadership helps to deliver successful IT projects’ @CLNnetwork (Wed, 25 Apr 2012 11:12:28 +0100)
@claireOT	Have to say the access at this event is dreadful. I’m shattered, I’ve been lost several times, the ramps are 1/4 gradients…. #CLN12 (Wed, 25 Apr 2012 11:12:51 +0100)
@HIC2012BCS	RT @anniecoops : #cln12 CCIO role bridges gap between IT professionals and clinicians. Acts as interpreter and leader @EHICCIOCampaign @CLNnetwork (Wed, 25 Apr 2012 11:12:55 +0100)
@claireOT	… And the toilets are in the basement, no idea when I’m expected to use them when the breaks aren’t long enough to go that far… #CLN12 (Wed, 25 Apr 2012 11:15:39 +0100)
@claireOT	How will decisions be made? How do you agree how to use the money? #CLN12 (Wed, 25 Apr 2012 11:18:37 +0100)
@repsychlist	Should state that social networking is being actively encouraged at this event. Quite unlike North Korean courses… #CLN12 (Wed, 25 Apr 2012 11:21:23 +0100)
@JeremyTaylorNV	#cln12 @ workshop on campaign for chief clinical info officers. Important but techie. How to make this issue inspiring? For patients?(Wed, 25 Apr 2012 11:23:02 +0100)
@anniecoops	EHI CCIO workshop at #cln12 Andy Coley speaking exp historical dev of clinical leadership in IT projects and why we need change @CLNnetwork (Wed, 25 Apr 2012 11:24:23 +0100)
@kate_bowman	? @repsychlist : This shindig is organised nearly as well as an @fastbleep conference! #CLN12 ? hehe thanks (Wed, 25 Apr 2012 11:24:29 +0100)
@claireOT	#leeds “the best city in the UK” by 2030- aspiration includes health and wellbeing #CLN12 (Wed, 25 Apr 2012 11:25:50 +0100)
@claireOT	@JeremyTaylorNV @anniecoops wishing I could be at the CCIO event, do Tweet lots, please! #CLN12 (Wed, 25 Apr 2012 11:26:44 +0100)
@claireOT	Hoping to be able to ask about accessing the data after the elephant analogy in the talk #CLN12 (Wed, 25 Apr 2012 11:29:34 +0100)
@mikechitty	RT @nickspen : Leadership – in the NHS, breaking out of organisational structures may be the key challenge to transformation! #cln12 (Wed, 25 Apr 2012 11:29:53 +0100)
@claireOT	I know the Joint Strategic Needs Assessment plays a big part- but it’s a PDF! #CLN12 #digihealthhack (Wed, 25 Apr 2012 11:30:17 +0100)
@claireOT	How can you make joined up decisions if the different parts of the health economy already never meet? Hope that will change now #CLN12 (Wed, 25 Apr 2012 11:31:22 +0100)
@anniecoops	Andy Coley using the ‘clinical skills escalator’ to explain how we need clinical engagement in IT http://t.co/YyXhjTMj #CLN12 @CLNnetwork (Wed, 25 Apr 2012 11:31:47 +0100)
@NetCtrl	#cln12 dramatic care in community savings http://t.co/MjNAry8U (Wed, 25 Apr 2012 11:34:00 +0100)
@claireOT	Apparently, the commissioning intentions will be available in the Joint Health and Wellbeing Strategy #CLN12 @mikechitty (Wed, 25 Apr 2012 11:34:31 +0100)
@claireOT	Our city priorities as now: protect against tobacco, support people in own homes safely, choice in health and social care, #CLN12 (Wed, 25 Apr 2012 11:36:48 +0100)
@claireOT	Finally, improve the health of the poorest the fastest #CLN12 yr life expectancy reduces by 1 yr for each mile between Wetherby and Beeston(Wed, 25 Apr 2012 11:37:27 +0100)
@anniecoops	iPhone’s are rubbish at conferences #batterynearlyflat #CLN12 (Wed, 25 Apr 2012 11:39:33 +0100)
@repsychlist	Don’t tell @ann_bowman that there are some CCG Accountable Officers here or she will spontaneously combust. #CLN12 (Wed, 25 Apr 2012 11:44:25 +0100)
@claireOT	The details of the #leeds plan is available here http://t.co/1e09t09O check out the aspirations #CLN12 (Wed, 25 Apr 2012 11:48:22 +0100)
@claireOT	? @msukingov : Peter Hindsman – Data driven health – NHS Diabetes portal has dropped administration time by 25% #CLN12 (Wed, 25 Apr 2012 11:48:59 +0100)
@claireOT	Got some interesting answers to my question about social enterprises in #leeds but no chance to tweet #CLN12 (Wed, 25 Apr 2012 11:54:54 +0100)
@claireOT	Basically, lots of #leeds action to seed startups (well, small grants) but I’m still not clear how to get commissioned #CLN12 (Wed, 25 Apr 2012 11:56:52 +0100)
@claireOT	Great challenge- we’re focussed on outcomes- what outcomes will you be judged on? #CLN12 (Wed, 25 Apr 2012 11:57:41 +0100)
@repsychlist	GP/CCG delegate says he calls patients ‘punters’ because they take a gamble every time they contact the NHS. Got a big laugh. #CLN12 (Wed, 25 Apr 2012 11:58:04 +0100)
@CLNnetwork	RT @anniecoops : Yay! Jane Cummings expresses the vision of using social media to communicate to nurses (as one method) #CLN12 @CLNnetwork @rtunmore (Wed, 25 Apr 2012 11:59:48 +0100)
@CLNnetwork	RT @anniecoops : #cln12 @EHICCIOCampaign workshop ‘good clinical leadership helps to deliver successful IT projects’ @CLNnetwork (Wed, 25 Apr 2012 12:01:18 +0100)
@rhianlast	#CLN12 Picture Of Health tool enlightening. Such potential for large scale change…….(Wed, 25 Apr 2012 12:09:53 +0100)
@rhianlast	#CLN12 Telehealth in Yorkshire now. What’s occurring? (Wed, 25 Apr 2012 12:13:23 +0100)
@ProfSteveField	@NHSLeadership @anniecoops #cln12 absolutely -every clinician has a role -everyone working in the NHS can make a difference for our patients(Wed, 25 Apr 2012 12:15:07 +0100)
@gracenglorydan	RT @ProfSteveField : @NHSLeadership @anniecoops #cln12 absolutely -every clinician has a role -everyone working in the NHS can make a difference for our patients(Wed, 25 Apr 2012 12:18:17 +0100)
@gracenglorydan	RT @NHSLeadership : MT @anniecoops : positive message from panel @ #cln12 Jane Cummings ‘everyone can be a leader’ ‘everyone has power and can make a difference’(Wed, 25 Apr 2012 12:18:28 +0100)
@ProfSteveField	#cln12 great workshop led by Rajan Madhok and Yvonne Coghill of breaking thru programme-inclusion -creative leaders from diverse backgrounds(Wed, 25 Apr 2012 12:22:53 +0100)
@CLNnetwork	RT @ProfSteveField : #cln12 great workshop led by Rajan Madhok and Yvonne Coghill of breaking thru programme-inclusion -creative leaders from diverse backgrounds(Wed, 25 Apr 2012 12:26:27 +0100)
@CLNnetwork	RT @ProfSteveField : @NHSLeadership @anniecoops #cln12 absolutely -every clinician has a role -everyone working in the NHS can make a difference for our patients(Wed, 25 Apr 2012 12:26:31 +0100)
@CLNnetwork	RT @rhianlast : #CLN12 Picture Of Health tool enlightening. Such potential for large scale change…….(Wed, 25 Apr 2012 12:26:33 +0100)
@CLNnetwork	RT @claireOT : Great challenge- we’re focussed on outcomes- what outcomes will you be judged on? #CLN12 (Wed, 25 Apr 2012 12:26:41 +0100)
@CLNnetwork	RT @claireOT : The details of the #leeds plan is available here http://t.co/1e09t09O check out the aspirations #CLN12 (Wed, 25 Apr 2012 12:26:51 +0100)
@CLNnetwork	RT @claireOT : Finally, improve the health of the poorest the fastest #CLN12 yr life expectancy reduces by 1 yr for each mile between Wetherby and Beeston(Wed, 25 Apr 2012 12:27:08 +0100)
@CLNnetwork	RT @JeremyTaylorNV : #cln12 @ workshop on campaign for chief clinical info officers. Important but techie. How to make this issue inspiring? For patients?(Wed, 25 Apr 2012 12:27:40 +0100)
@CLNnetwork	RT @tcgannon : About to hear all about the role of Health and Wellbeing Boards at #cln12 (Wed, 25 Apr 2012 12:28:08 +0100)
@CLNnetwork	RT @dobeedoops : @ProfSteveField listened to you at #cln12 couldn’t agree more(Wed, 25 Apr 2012 12:28:19 +0100)
@claireOT	RT @ProfSteveField : @NHSLeadership @anniecoops #cln12 absolutely -every clinician has a role -everyone working in the NHS can make a difference for our patients(Wed, 25 Apr 2012 12:28:35 +0100)
@anniecoops	RT @JeremyTaylorNV : #cln12 @ workshop on campaign for chief clinical info officers. Important but techie. How to make this issue inspiring? For patients?(Wed, 25 Apr 2012 12:29:25 +0100)
@CLNnetwork	RT @NetCtrl : #cln12 dramatic care in community savings http://t.co/MjNAry8U (Wed, 25 Apr 2012 12:31:13 +0100)
@anniecoops	@JeremyTaylorNV the conversation is wrong. It shouldn’t be abt IT. It’s about patients & care. Need 2 change convo # #CLN12 @EHICCIOCampaign (Wed, 25 Apr 2012 12:31:27 +0100)
@claireOT	So, for everyone who wants to get commissioned, the AQP workshop details we must meet qualification criteria #CLN12 (Wed, 25 Apr 2012 12:35:52 +0100)
@claireOT	Then, the patient chooses who to provide their care, and the money follows the patients’ choices #CLN12 (Wed, 25 Apr 2012 12:36:23 +0100)
@claireOT	Difficulty of the start-up costs of the new providers, who don’t have the #NHS estates #CLN12 (Wed, 25 Apr 2012 12:37:46 +0100)
@claireOT	“Fair playing field” project at DH- to address this… But still partnerships must be built #CLN12 (Wed, 25 Apr 2012 12:38:50 +0100)
@claireOT	The #nhs terms and conditions relate to N3 connectivity, Choose and Book capability, etc etc so it’s hard for small biz #CLN12 (Wed, 25 Apr 2012 12:40:08 +0100)
@CLNnetwork	RT @claireOT : Difficulty of the start-up costs of the new providers, who don’t have the #NHS estates #CLN12 (Wed, 25 Apr 2012 12:40:21 +0100)
@claireOT	In new markets, AQP might not be the best commissioning tool. Other ways to provide are available and promoted. #CLN12 (Wed, 25 Apr 2012 12:43:47 +0100)
@claireOT	Referral protocols will be important for AQP and commissioners to co-ordinate about #CLN12 (Wed, 25 Apr 2012 12:45:08 +0100)
@CLNnetwork	RT @claireOT : Referral protocols will be important for AQP and commissioners to co-ordinate about #CLN12 (Wed, 25 Apr 2012 12:54:05 +0100)
@ProfSteveField	#cln12 BME leaders – need more encouragement and support to challenge for roles in future NHS – untapped potential for NHS Leadership -(Wed, 25 Apr 2012 12:55:04 +0100)
@claireOT	@clarercgp you were mentioned in a question this morning at #CLN12 , but, like I said, the panel “drew a line” and moved the debate on(Wed, 25 Apr 2012 12:55:54 +0100)
@CLNnetwork	RT @ProfSteveField : #cln12 BME leaders – need more encouragement and support to challenge for roles in future NHS – untapped potential for NHS Leadership -(Wed, 25 Apr 2012 12:57:17 +0100)
@nhsemployers	RT @ProfSteveField : #cln12 BME leaders – need more encouragement and support to challenge for roles in future NHS – untapped potential for NHS Leadership -(Wed, 25 Apr 2012 12:58:54 +0100)
@NHSLeadership	RT @ProfSteveField : #cln12 BME leaders – need more encouragement and support to challenge for roles in future NHS – untapped potential for NHS Leadership -(Wed, 25 Apr 2012 13:04:56 +0100)
@GraceWall	RT @anniecoops : Yay! Jane Cummings expresses the vision of using social media to communicate to nurses (as one method) #CLN12 @CLNnetwork @rtunmore (Wed, 25 Apr 2012 13:19:24 +0100)
@HPIAndyCowper	RT @ProfSteveField : #cln12 great workshop led by Rajan Madhok and Yvonne Coghill of breaking thru programme-inclusion -creative leaders from diverse backgrounds(Wed, 25 Apr 2012 13:35:15 +0100)
@anniecoops	Just setting up workshop at #CLN12 on workforce and informatics @CLNnetwork come and say hello(Wed, 25 Apr 2012 13:44:34 +0100)
@rhianlast	#CLN12 Leadership skills this afternoon and my last tweet. Battery low but my energy HIGH (Wed, 25 Apr 2012 13:49:07 +0100)
@SoRPresident	At Clinical Leaders Network Conference, learning how to Tweet amongst other things! #CLN12 (Wed, 25 Apr 2012 13:59:35 +0100)
@CLNnetwork	RT @anniecoops : Just setting up workshop at #CLN12 on workforce and informatics @CLNnetwork come and say hello(Wed, 25 Apr 2012 14:06:52 +0100)
@claireOT	RT @SoRPresident : At Clinical Leaders Network Conference, learning how to Tweet amongst other things! #CLN12 (Wed, 25 Apr 2012 14:07:18 +0100)
@claireOT	Now in a workshop about putting the patients at the centre of care. I can see @ProfSteveField and @recyclelist in here, too #CLN12 (Wed, 25 Apr 2012 14:19:22 +0100)
@anniecoops	Phew! I have power! Just starting to hear about the e-ICE programme and how we have great resources to help us @CLNnetwork #CLN12 (Wed, 25 Apr 2012 14:19:36 +0100)
@claireOT	Talking about the Orpheus Process… Does every orchestra need a conductor? #CLN12 (Wed, 25 Apr 2012 14:21:34 +0100)
@claireOT	The Nhungabarra, an ancient first people in Australia, who share leadership functions across the tribe. No leader #CLN12 (Wed, 25 Apr 2012 14:22:45 +0100)
@claireOT	. @sorpresident for any new Tweeters at #CLN12 , wondering where to start, this might help http://t.co/GsIKg74F (Wed, 25 Apr 2012 14:26:16 +0100)
@technogogical	RT @claireOT : The Nhungabarra, an ancient first people in Australia, who share leadership functions across the tribe. No leader #CLN12 (Wed, 25 Apr 2012 14:26:26 +0100)
@anniecoops	@SoRPresident welcome to twitter! #cln12 (Wed, 25 Apr 2012 14:27:08 +0100)
@BTLead1	Sitting next to the amazing prof field at #cln12 excellent session run by dagni rajahsingham @nhsinstituteuk (Wed, 25 Apr 2012 14:27:29 +0100)
@claireOT	Shouldn’t the patient be in control? YES! So, how do we make sure of it? Looking forward to this #CLN12 (Wed, 25 Apr 2012 14:28:11 +0100)
@claireOT	? @BTLead1 : Sitting next to the amazing prof field at #cln12 excellent session run by dagni rajahsingham @nhsinstituteuk ? *waves*(Wed, 25 Apr 2012 14:29:27 +0100)
@claireOT	Looking as patients as “shareholders” in the system, how do we ensure they are getting value from the system? #CLN12 (Wed, 25 Apr 2012 14:30:16 +0100)
@claireOT	Patients want “value”, which is expressed in this formula… #CLN12 (Wed, 25 Apr 2012 14:30:50 +0100)
@anniecoops	Clinicians are used 2technical innovation we have been doing it for years -so why does there seem 2be so much resistance 2 systems? #CLN12 (Wed, 25 Apr 2012 14:33:53 +0100)
@claireOT	@celticchickadee she already talked about how she has conducted peer reviewed action research methods to come to these conclusions #CLN12 (Wed, 25 Apr 2012 14:39:34 +0100)
@claireOT	@celticchickadee no, value includes lots of aspects of the patient experience, it doesnt mean directly value for money! #CLN12 (Wed, 25 Apr 2012 14:42:37 +0100)
@claireOT	Discussing the route over the past 30 years from paternalism to shared decision making in healthcare #CLN12 (Wed, 25 Apr 2012 14:49:35 +0100)
@claireOT	So good to see so many in the room are already committed to shared decision making. No decision about me, without me #CLN12 (Wed, 25 Apr 2012 14:51:15 +0100)
@claireOT	It’s all very well talking about shared decision making in consultations, but how about peer support? #CLN12 (Wed, 25 Apr 2012 14:53:15 +0100)
@claireOT	My hunch: peer support is every bit as important to patient experience as either clinical effectiveness and shared decision making #CLN12 (Wed, 25 Apr 2012 14:54:02 +0100)
@claireOT	. @patientopinion getting a mention here at #CLN12 about shared decision making! Yay!(Wed, 25 Apr 2012 14:55:55 +0100)
@MichaelatDH	RT @claireOT : So good to see so many in the room are already committed to shared decision making. No decision about me, without me #CLN12 (Wed, 25 Apr 2012 14:56:06 +0100)
@jillmat	inspirational leadership session with Michael Finnegan – will create more impactful 1000 actions #cln12 (Wed, 25 Apr 2012 14:56:20 +0100)
@anniecoops	RT @claireOT : . @patientopinion getting a mention here at #CLN12 about shared decision making! Yay!(Wed, 25 Apr 2012 14:56:24 +0100)
@CLNnetwork	RT @jillmat : inspirational leadership session with Michael Finnegan – will create more impactful 1000 actions #cln12 (Wed, 25 Apr 2012 14:59:19 +0100)
@claireOT	@fibro_girl is it getting any better? We know that training used to be very much guiding that approach #CLN12 (Wed, 25 Apr 2012 14:59:24 +0100)
@CLNnetwork	RT @claireOT : It’s all very well talking about shared decision making in consultations, but how about peer support? #CLN12 (Wed, 25 Apr 2012 14:59:30 +0100)
@CLNnetwork	RT @BTLead1 : Sitting next to the amazing prof field at #cln12 excellent session run by dagni rajahsingham @nhsinstituteuk (Wed, 25 Apr 2012 14:59:49 +0100)
@NHSLeadership	Karen Lynas is leading a session on the new NHS Leadership Academy at #CLN12 this afternoon. For more info http://t.co/WZqtHbIP (Wed, 25 Apr 2012 15:00:23 +0100)
@CLNnetwork	RT @claireOT : So good to see so many in the room are already committed to shared decision making. No decision about me, without me #CLN12 (Wed, 25 Apr 2012 15:00:55 +0100)
@nhsconfed	RT @NHSLeadership : Karen Lynas is leading a session on the new NHS Leadership Academy at #CLN12 this afternoon. For more info http://t.co/WZqtHbIP (Wed, 25 Apr 2012 15:03:04 +0100)
@claireOT	@mikechitty I’m not sure… I’m hopeful that we have a real opportunity to change that. I suppose it depends who is in the CCGs #CLN12 (Wed, 25 Apr 2012 15:05:33 +0100)
@mikechitty	@claireOT and how they are held to account. CCGs themselves of course are places where opinions and ideas are contested… #cln12 (Wed, 25 Apr 2012 15:06:43 +0100)
@CLNnetwork	RT @NHSLeadership : Karen Lynas is leading a session on the new NHS Leadership Academy at #CLN12 this afternoon. For more info http://t.co/WZqtHbIP (Wed, 25 Apr 2012 15:07:12 +0100)
@claireOT	@celticchickadee I much prefer transforming services using co-production #CLN12 @profstevefield @recyclelist (Wed, 25 Apr 2012 15:07:26 +0100)
@nhsinstituteuk	RT @claireOT : ? @BTLead1 : Sitting next to the amazing prof field at #cln12 excellent session run by dagni rajahsingham @nhsinstituteuk ? *waves*(Wed, 25 Apr 2012 15:08:57 +0100)
@DavidWeddell1	RT @NHSLeadership : Karen Lynas is leading a session on the new NHS Leadership Academy at #CLN12 this afternoon. For more info http://t.co/WZqtHbIP (Wed, 25 Apr 2012 15:17:08 +0100)
@BTLead1	#cln12 debate on patient choice. How much information do patients really want? @nhsinstituteuk (Wed, 25 Apr 2012 15:22:56 +0100)
@claireOT	I have to admit, I really dislike the use of actors in role play of “the patient experience” #CLN12 (Wed, 25 Apr 2012 15:27:46 +0100)
@nhsinstituteuk	RT @BTLead1 : #cln12 debate on patient choice. How much information do patients really want? @nhsinstituteuk (Wed, 25 Apr 2012 15:27:58 +0100)
@anniecoops	@BTLead1 @nhsinstituteuk some patients like me need lotsof information. I have LTC &can’t manage without info. Plse don’t decide 4me #CLN12 (Wed, 25 Apr 2012 15:28:10 +0100)
@BTLead1	#cln12 discussion reminds me of #quality2012 Maureen bisagnano #ihi what matters to you, not what’s the matter. @nhsinstituteuk (Wed, 25 Apr 2012 15:28:33 +0100)
@claireOT	@claireOT it’s not like we haven’t got lots of real patients out there who could share their experiences with us #CLN12 (Wed, 25 Apr 2012 15:32:00 +0100)
@claireOT	Meh, maybe I’m just nit-picking. Perhaps this is the best way to get through to some people? #CLN12 (Wed, 25 Apr 2012 15:34:41 +0100)
@claireOT	what do you think? #CLN12 (Wed, 25 Apr 2012 15:35:33 +0100)
@patientopinion	RT @claireOT : . @patientopinion getting a mention here at #CLN12 about shared decision making! Yay! < hope it’s all positive!(Wed, 25 Apr 2012 15:38:02 +0100)
@celticchickadee	RT @claireOT it’s not like we haven’t got lots of real patients out there who could share their experiences with us #CLN12 <well said!(Wed, 25 Apr 2012 15:38:37 +0100)
@jillmat	my first action care and compassion equal to quality and safety in primary care ambition work #cln12 (Wed, 25 Apr 2012 15:38:45 +0100)
@claireOT	@patientopinion as always. You know how brilliant you are at getting the patient experience fed back to clinicians #CLN12 (Wed, 25 Apr 2012 15:39:17 +0100)
@claireOT	@ProfSteveField yes, I like the tools, just not sure about the actors! Maybe it’s my thing, rather than its a “bad” technique? #CLN12 (Wed, 25 Apr 2012 15:41:24 +0100)
@nhsinstituteuk	RT @BTLead1 : #cln12 discussion reminds me of #quality2012 Maureen bisagnano #ihi what matters to you, not what’s the matter. @nhsinstituteuk (Wed, 25 Apr 2012 15:44:56 +0100)
@patientopinion	@claireOT good to hear! Yay indeed! #CLN12 (Wed, 25 Apr 2012 15:47:17 +0100)
@claireOT	? @johnpopham : Digital Health Hack, Leeds, Sat 30 June 2012 http://t.co/gVCKXsvE [ @digihealthcon on 29/6: http://t.co/XSG22h8z ]? #CLN12 (Wed, 25 Apr 2012 15:56:19 +0100)
@AliceBlundrland	RT @patientopinion : RT @claireOT : . @patientopinion getting a mention here at #CLN12 about shared decision making! Yay! < hope it’s all positive!(Wed, 25 Apr 2012 16:06:13 +0100)
@SoRPresident	taking back the challenge of moving my team in to the 9/9 box for leadership. Thanks Mike Finnegan. #CLN12 (Wed, 25 Apr 2012 16:08:27 +0100)
@tcgannon	Looks like SoS can’t make conference today. #cln12 (Wed, 25 Apr 2012 16:10:10 +0100)
@repsychlist	@claireOT @profstevefield I thought the actors were just the thing. Patient presentations achieve something rather different. #CLN12 (Wed, 25 Apr 2012 16:11:59 +0100)
@tcgannon	Really interesting session on patient safety and raising concerns: @gmcuk guidance highly praised. #CLN12 (Wed, 25 Apr 2012 16:13:20 +0100)
@claireOT	@repsychlist fair enough. Like I said, it’s my own preference. If it works for others, I’m chuffed! #CLN12 @profstevefield (Wed, 25 Apr 2012 16:13:38 +0100)
@tcgannon	Forward planning: SoS has pre-recorded video in case he couldn’t make it….. #CLN12 (Wed, 25 Apr 2012 16:14:43 +0100)
@LeeGeorgio	RT @NetCtrl : #cln12 dramatic care in community savings http://t.co/MjNAry8U (Wed, 25 Apr 2012 16:16:36 +0100)
@repsychlist	Big let down that SoS Andrew Lansley has not made it. I imagine that it goes with the territory. #CLN12 (Wed, 25 Apr 2012 16:18:16 +0100)
@jillmat	still saddened by the loss of Steve Henderson but todays CLN AWARDS a very fitting tribute – WELL DONE #CLN12 (Wed, 25 Apr 2012 16:22:23 +0100)
@BTLead1	#cln12 SoS unable to attend. Sent video, sorry he couldn’t come. Talked about the importance of clinical leadership @nhsinstituteuk (Wed, 25 Apr 2012 16:22:33 +0100)
@anniecoops	#cln12 winners of CLN Aqua Henderson Quality awards: Frances Fernando, Anna Murphy, Denise Horsley congratulations! @CLNnetwork (Wed, 25 Apr 2012 16:23:17 +0100)
@BTLead1	Yay, francis fernando BME nurse #cln12 won first prize in clinical award. Francis we claim you as our own. Well done. @nhsinstituteuk (Wed, 25 Apr 2012 16:25:52 +0100)
@JeremyTaylorNV	#cln12 great session on shared decisions using actors. But should we see the real goal as patients making decisions on clinical advice?(Wed, 25 Apr 2012 16:27:02 +0100)
@CLNnetwork	RT @anniecoops : #cln12 winners of CLN Aqua Henderson Quality awards: Frances Fernando, Anna Murphy, Denise Horsley congratulations! @CLNnetwork (Wed, 25 Apr 2012 16:28:19 +0100)
@CLNnetwork	RT @tcgannon : Really interesting session on patient safety and raising concerns: @gmcuk guidance highly praised. #CLN12 (Wed, 25 Apr 2012 16:28:27 +0100)
@CLNnetwork	RT @SoRPresident : taking back the challenge of moving my team in to the 9/9 box for leadership. Thanks Mike Finnegan. #CLN12 (Wed, 25 Apr 2012 16:28:34 +0100)
@jillmat	i will put myself in the 9 9 leadership box @michaelfinnegan and invite my peers and team to join me #cln12 (Wed, 25 Apr 2012 16:30:25 +0100)
@JeremyTaylorNV	If watchful waiting has no worse outcomes than invasive interventions in localised prostate cancer is it ever ethical to intervene? #cln12 (Wed, 25 Apr 2012 16:31:08 +0100)
@mikechitty	#cln12 Patients should be making decisions based on a range of information and inputs including those of clinicians #peer2peer (Wed, 25 Apr 2012 16:31:53 +0100)
@anniecoops	#cln12 Sir Bruce Keogh speaks to CLN conference about need to deliver ‘compassionate’ services @CLNnetwork (Wed, 25 Apr 2012 16:36:47 +0100)
@claireOT	RT @BTLead1 : Yay, francis fernando BME nurse #cln12 won first prize in clinical award. Francis we claim you as our own. Well done. @nhsinstituteuk (Wed, 25 Apr 2012 16:39:42 +0100)
@claireOT	Living in the information age. We need to enable them to become their own health navigators. #CLN12 (Wed, 25 Apr 2012 16:41:23 +0100)
@nhsinstituteuk	RT @BTLead1 : Yay, francis fernando BME nurse #cln12 won first prize in clinical award. Francis we claim you as our own. Well done. @nhsinstituteuk (Wed, 25 Apr 2012 16:43:27 +0100)
@BTLead1	Bruce keogh #cln12 innovation and technology going to become increasingly common in healthcare in future. @nhsinstituteuk @NHSLeadership (Wed, 25 Apr 2012 16:44:40 +0100)
@nursemaiden	@anniecoops @CLNnetwork #cln12 hope the day is going well.(Wed, 25 Apr 2012 16:45:56 +0100)
@anniecoops	Clinical networks need to thrive in the new NHS: Bruce Keogh #cln12 @CLNnetwork (Wed, 25 Apr 2012 16:48:45 +0100)
@RHaberghamEPS	RT @anniecoops : #cln12 Sir Bruce Keogh talks about how technology will change healthcare. ‘People will become healthcare navigators’ @CLNnetwork (Wed, 25 Apr 2012 16:49:16 +0100)
@IMSMAXIMS	RT @anniecoops : #cln12 Sir Bruce Keogh talks about how technology will change healthcare. ‘People will become healthcare navigators’ @CLNnetwork (Wed, 25 Apr 2012 16:50:33 +0100)
@HighlandMarktng	RT @anniecoops : #cln12 Sir Bruce Keogh talks about how technology will change healthcare. ‘People will become healthcare navigators’ @CLNnetwork (Wed, 25 Apr 2012 16:50:33 +0100)
@shirleyayres	@DrSuparnaDas it would be be interesting to track social innovation & use of technology in #health & #socialcare #cln12 (Wed, 25 Apr 2012 16:51:59 +0100)
@anniecoops	#cln12 Bruce Keogh message for leaders:’Think big, think unthinkable & find missing ingredient – innovation – that is missing fromservices’(Wed, 25 Apr 2012 16:53:52 +0100)
@fastbleep	RT @repsychlist : This shindig is organised nearly as well as an @fastbleep conference! #CLN12 (Wed, 25 Apr 2012 17:05:54 +0100)
@nickspen	Stimulating day at #cln12 . NHS MD Keogh tells audience clinicians hold the baton of continuity in a rapidly changing NHS.(Wed, 25 Apr 2012 17:15:07 +0100)
@amcunningham	RT @anniecoops : #cln12 Sir Bruce Keogh talks about how technology will change healthcare. ‘People will become healthcare navigators’ @CLNnetwork (Wed, 25 Apr 2012 17:16:59 +0100)
@gvanantwerp	RT @anniecoops : #cln12 Sir Bruce Keogh talks about how technology will change healthcare. ‘People will become healthcare navigators’ @CLNnetwork (Wed, 25 Apr 2012 17:20:13 +0100)
@nhsinstituteuk	RT @BTLead1 : Bruce keogh #cln12 innovation and technology going to become increasingly common in healthcare in future. @nhsinstituteuk @NHSLeadership (Wed, 25 Apr 2012 17:25:30 +0100)
@Atpreis22	RT @BTLead1 : Bruce keogh #cln12 innovation and technology going to become increasingly common in healthcare in future. @nhsinstituteuk @NHSLeadership (Wed, 25 Apr 2012 17:27:06 +0100)
@fastbleep	@repsychlist I bet there’s no Guinness? #cln12 (Wed, 25 Apr 2012 17:28:08 +0100)
@fastbleep	interested in #innovation in #heathcare ? you should see @fastbleep ‘s FastForward competition: http://t.co/B1iz1XOP #cln12 (Wed, 25 Apr 2012 17:29:09 +0100)
@emlucja	RT @BTLead1 : Bruce keogh #cln12 innovation and technology going to become increasingly common in healthcare in future. @nhsinstituteuk @NHSLeadership (Wed, 25 Apr 2012 17:30:00 +0100)
@hipp0campus	creativity missing from medical school – good place to start instilling spirit of innovation #cln12 #meded (Wed, 25 Apr 2012 17:31:34 +0100)
@Tiggerpaula	RT @BTLead1 : Bruce keogh #cln12 innovation and technology going to become increasingly common in healthcare in future. @nhsinstituteuk @NHSLeadership (Wed, 25 Apr 2012 17:32:16 +0100)
@DiBullman	RT @anniecoops : #cln12 Sir Bruce Keogh talks about how technology will change healthcare. ‘People will become healthcare navigators’ @CLNnetwork (Wed, 25 Apr 2012 17:46:43 +0100)
@JacqueGerrard	RT @anniecoops : #cln12 Sir Bruce Keogh speaks to CLN conference about need to deliver ‘compassionate’ services @CLNnetwork (Wed, 25 Apr 2012 18:05:05 +0100)
@JacqueGerrard	RT @anniecoops : #cln12 Sir Bruce Keogh talks about how technology will change healthcare. ‘People will become healthcare navigators’ @CLNnetwork (Wed, 25 Apr 2012 18:05:21 +0100)
@JacqueGerrard	RT @anniecoops : Clinical networks need to thrive in the new NHS: Bruce Keogh #cln12 @CLNnetwork (Wed, 25 Apr 2012 18:05:38 +0100)
@JacqueGerrard	RT @anniecoops : #cln12 Bruce Keogh message for leaders:’Think big, think unthinkable & find missing ingredient – innovation – that is missing fromservices’(Wed, 25 Apr 2012 18:05:53 +0100)
@CLNnetwork	Thanks everyone again for coming to #CLN12 today – look out for videos and other materials on our website soon!(Wed, 25 Apr 2012 18:22:12 +0100)
@anniecoops	RT @CLNnetwork : Thanks everyone again for coming to #CLN12 today – look out for videos and other materials on our website soon!(Wed, 25 Apr 2012 18:22:35 +0100)
@CLNnetwork	RT @nickspen : Stimulating day at #cln12 . NHS MD Keogh tells audience clinicians hold the baton of continuity in a rapidly changing NHS.(Wed, 25 Apr 2012 18:23:17 +0100)
@CLNnetwork	RT @anniecoops : Clinical networks need to thrive in the new NHS: Bruce Keogh #cln12 @CLNnetwork (Wed, 25 Apr 2012 18:23:22 +0100)
@197liz	RT @CLNnetwork : Thanks everyone again for coming to #CLN12 today – look out for videos and other materials on our website soon!(Wed, 25 Apr 2012 18:23:32 +0100)
@CLNnetwork	RT @mikechitty : #cln12 Patients should be making decisions based on a range of information and inputs including those of clinicians #peer2peer (Wed, 25 Apr 2012 18:23:39 +0100)
@CLNnetwork	RT @jillmat : i will put myself in the 9 9 leadership box @michaelfinnegan and invite my peers and team to join me #cln12 (Wed, 25 Apr 2012 18:23:45 +0100)
@CLNnetwork	RT @JeremyTaylorNV : #cln12 great session on shared decisions using actors. But should we see the real goal as patients making decisions on clinical advice?(Wed, 25 Apr 2012 18:23:49 +0100)
@CLNnetwork	RT @hipp0campus : creativity missing from medical school – good place to start instilling spirit of innovation #cln12 #meded (Wed, 25 Apr 2012 18:24:03 +0100)
@CLNnetwork	RT @anniecoops : #cln12 Bruce Keogh message for leaders:’Think big, think unthinkable & find missing ingredient – innovation – that is missing fromservices’(Wed, 25 Apr 2012 18:24:05 +0100)
@CLNnetwork	RT @shirleyayres : @DrSuparnaDas it would be be interesting to track social innovation & use of technology in #health & #socialcare #cln12 (Wed, 25 Apr 2012 18:24:08 +0100)
@CLNnetwork	RT @BTLead1 : Bruce keogh #cln12 innovation and technology going to become increasingly common in healthcare in future. @nhsinstituteuk @NHSLeadership (Wed, 25 Apr 2012 18:24:13 +0100)
@claireOT	” @CLNnetwork : And thanks to all our tweeters too, especially @anniecoops @claireOT and @BTLead1 !”<pleasure! #cln12 (Wed, 25 Apr 2012 18:32:07 +0100)
@claireOT	RT @shirleyayres : @DrSuparnaDas it would be be interesting to track social innovation & use of technology in #health & #socialcare #cln12 (Wed, 25 Apr 2012 18:36:42 +0100)
@claireOT	RT @anniecoops : #cln12 Bruce Keogh message for leaders:’Think big, think unthinkable & find missing ingredient – innovation – that is missing fromservices’(Wed, 25 Apr 2012 18:36:55 +0100)
@repsychlist	Inspirational finish from Prof Sir Bruce Keogh. Enjoyed my first CLN but will now stop spamming your feed! #CLN12 (Wed, 25 Apr 2012 19:11:45 +0100)
@Amanda2929	RT @anniecoops : #cln12 Bruce Keogh message for leaders:’Think big, think unthinkable & find missing ingredient – innovation – that is missing fromservices’(Wed, 25 Apr 2012 19:19:22 +0100)
@Time4Recovery	RT @BTLead1 : Bruce keogh #cln12 innovation and technology going to become increasingly common in healthcare in future. @nhsinstituteuk @NHSLeadership (Wed, 25 Apr 2012 19:36:37 +0100)
@S_Amani	RT @anniecoops : #cln12 Bruce Keogh message for leaders:’Think big, think unthinkable & find missing ingredient – innovation – that is missing fromservices’(Wed, 25 Apr 2012 19:38:35 +0100)
@S_Amani	RT @BTLead1 : Bruce keogh #cln12 innovation and technology going to become increasingly common in healthcare in future. @nhsinstituteuk @NHSLeadership (Wed, 25 Apr 2012 19:40:16 +0100)
@jobe40	RT @anniecoops : #cln12 Sir Bruce Keogh talks about how technology will change healthcare. ‘People will become healthcare navigators’ @CLNnetwork (Wed, 25 Apr 2012 19:44:35 +0100)
@CLNnetwork	RT @repsychlist : Inspirational finish from Prof Sir Bruce Keogh. Enjoyed my first CLN but will now stop spamming your feed! #CLN12 (Wed, 25 Apr 2012 20:15:13 +0100)
@Abigail_NHS	RT @anniecoops : Yay! Jane Cummings expresses the vision of using social media to communicate to nurses (as one method) #CLN12 @CLNnetwork @rtunmore (Wed, 25 Apr 2012 21:32:07 +0100)
@p4fabs	RT @anniecoops : Yay! Jane Cummings expresses the vision of using social media to communicate to nurses (as one method) #CLN12 @CLNnetwork @rtunmore (Wed, 25 Apr 2012 21:37:09 +0100)
@JoD1905	RT @anniecoops : Yay! Jane Cummings expresses the vision of using social media to communicate to nurses (as one method) #CLN12 @CLNnetwork @rtunmore (Wed, 25 Apr 2012 21:41:38 +0100)
@emlucja	RT @anniecoops : Yay! Jane Cummings expresses the vision of using social media to communicate to nurses (as one method) #CLN12 @CLNnetwork @rtunmore (Wed, 25 Apr 2012 21:44:03 +0100)
@jasonnair123	RT @BTLead1 : #cln12 debate on patient choice. How much information do patients really want? @nhsinstituteuk (Thu, 26 Apr 2012 07:24:32 +0100)
@repsychlist	A morning of 5min hill repeats is the perfect antidote to sitting down all day at a conference eating too much. #CLN12 (Thu, 26 Apr 2012 12:57:07 +0100)
@EHICCIOCampaign	Great @CLNnetwork congress yesterday -thanks very much for inviting us we really enjoyed our workshop #CCIO #CLN12 (Thu, 26 Apr 2012 13:59:35 +0100)
@CLNnetwork	@EHICCIOCampaign Thank you guys for leading the workshop, we’re getting some great feedback! #CLN12 (Thu, 26 Apr 2012 15:07:17 +0100)
@EHICCIOCampaign	RT @CLNnetwork : @EHICCIOCampaign Thank you guys for leading the workshop, we’re getting some great feedback! #CLN12 (Thu, 26 Apr 2012 15:10:33 +0100)
@claireOT	@ProfSteveField thanks for showing the way to the attenders of the #CLN12 conference via yr excellent engagement on Twitter. Great example.(Thu, 26 Apr 2012 16:19:24 +0100)
@CLNnetwork	RT @claireOT : @ProfSteveField thanks for showing the way to the attenders of the #CLN12 conference via yr excellent engagement on Twitter. Great example.(Thu, 26 Apr 2012 16:19:52 +0100)
@claireOT	@Gil21christ sorry I didn’t get to meet you in person at the #CLN12 event yesterday- next time, I hope! @anniecoops (Thu, 26 Apr 2012 16:22:22 +0100)
@claireOT	Thanks for engaging with the Tweets from #CLN12 yesterday, really enjoyed the convos! @CLNnetwork @anniecoops @clarercgp @gil21christ (Thu, 26 Apr 2012 16:24:42 +0100)
@CLNnetwork	RT @claireOT : Thanks for engaging with the Tweets from #CLN12 yesterday, really enjoyed the convos! @CLNnetwork @anniecoops @clarercgp @gil21christ (Thu, 26 Apr 2012 16:25:19 +0100)
@claireOT	Thanks for engaging with the Tweets from #CLN12 yesterday, really enjoyed the convos! @living_as_if @wendykennerly @mikechitty (Thu, 26 Apr 2012 16:27:01 +0100)
@claireOT	Thanks for engaging with the Tweets from #CLN12 yesterday, really enjoyed the convos! @repsyclist @profstevefield @celticchickadee (Thu, 26 Apr 2012 16:29:55 +0100)
@claireOT	Thanks for engaging with the Tweets from #CLN12 yesterday, really enjoyed the convos! @shirleyayres @orderlyplayer @msukingov @technogogical (Thu, 26 Apr 2012 16:34:20 +0100)
@claireOT	Thanks for engaging with the Tweets from #CLN12 yesterday, really enjoyed the convos! @MichaelatDH @fibro_girl @riverluss @andesha (Thu, 26 Apr 2012 16:35:29 +0100)

#AHPNorth Conference- Just Do It!

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)

#MedEdMOOC, #HCPMOOC or #HealthMOOC?

The process of developing the MOOC for HCP continues apace, but there are still issues we need to hammer out in order to see the maximum possible engagement in the event, and the greatest possible learning opportunities presented to the greatest possible number (at least, that’s where I’m coming from).

There are currently 240 000 Allied health professionals in the UK alone, and over 350 000 nurses and midwives. But the focus of the MedEdMOOC, from the naming of it onwards seems to reflect almost exclusively the narrow group that is concerned with the education of Medics. I am glad that Dean Jenkins picked up on this idea in his recent blog, and that it is reopened for discussion.

But, how did this happen? Is it that medics are ahead of other HCP groups in their use of online technology? Is it that medical educators are a particularly technologically gifted group? Is it that other HCPs dont yet have an understanding of the potential of online technology? Is it that somehow we are excluding other HCP from the development process? I’m not sure of the answers to these questions, but I think it is useful for me to frame them such that I may reflect on them throughout the process and beyond. If you have any views about this, I would love to hear them in the comments.

The topics we are planning to cover over a six week spread are based around these working titles:

Week 1. Theory- Connectivism vs constructionism

Week 2. Learning- where are we now on the social web?

Week 3. Doing- Improving healthcare delivery in a networked world

Week 4. Collaborative Models (including CPD in social spaces)

Week 5. Barriers- what are they and how can we overcome them?

Week 6. Content to be decided by participants.

Now, looking at these titles for the weeks’ content, there is nothing that is exclusive to medics- in fact, all these topics can be used by any healthcare professionals. As a MOOC is likely to contain more content than any one person wishes to engage with, it may be that there are profession specific items that appeal more to one profession than another. But it is interesting to me that event though I have been involved in the planning of the event, I am holding prejudices about the process; doubts about whether my professional skills are of value to the process; wondering why more Allied Health Professionals are not on board with the development of the MOOC.

For what it’s worth here are my thoughts.

The name MedEdMOOC is an exclusive title, implying that content to be developed must be relevant to medical practice and be concerned with the education of medical practitioners. In my view, we could re-visit this naming decision to reflect a more inclusive title.

The development team is composed largely of medics. This means every decision is taken through that filter. Decisions are unconsciously made using the frame of reference from within medicine and medical education.

I’m excited about taking advantage of the principles of the MOOC to explore connectivity, horizontal flows of information, networked learning and professional developments that include exposure to the broad range of models used in healthcare delivery. But, to do that successfully, we either need a broader range of HCP involved in the planning, or very committed participants from different disciplines, who will then generate further content.

I also believe that the event will benefit from some real life experiences that participants can choose to be a part of. Myself and two colleagues are delivering a “Social Media Surgery” at our professional conference in Glasgow during the MOOC. This will provide us with the opportunity to explore either LiveStreaming an element of the workshop, or at least utilising Skype chat facility or similar to ensure people outside the room can be included. We may also choose to deliver an additional session for the participants online (venue and organisers’ indulgence permitting!)

I am planning an event in Leeds towards the end of June. I aim to get together the community of practice surrounding the #nhssm Tweetchat and some health and social care stakeholders. I hope that this event will similarly be able to be integrated into the MOOC, perhaps as an opportunity to ask questions, perhaps to hack some solutions to challenges we have identified in the uptake of some of these technologies.

Please do engage in the debate surrounding these ideas- we know this is the first health related MOOC planned, and its success is entirely dependent on how well we can identify and meet your learning needs!