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| 6 minutes read

Tweets of the Week, 11th January 2019

The Horizons team features many influential Twitter users. This curates a wealth of insights, knowledge, and information about transformation in health and care from other thought leaders across the world. (Tip: to read an article or watch a video mentioned in a tweet, click on the red text. To view the original tweet, click on the image).

NHS Long Term Plan

The NHS Long Term Plan was published this week, with the ambition to improve the health of millions of people and a big emphasis on personalised care, maybe we need to shift our mindsets from "scaling up" change to "scaling down" (we probably need both): click here to read the plan.


It's great that that the collective effort of #ProjectA is recognised in the Long Term Plan.  As it says... "The best solutions come from staff themselves." Read how you can collaborate on ambulance improvement in Lynsey's update.

If you care deeply about reducing falls, supporting people's mental health and improving NHS staff wellbeing - please join our upcoming events:

The venues for the upcoming events have now been confirmed. Find out how to book your place:

Ambulance colleagues have been joining us to help the design the upcoming events:

We're looking forward to launching the new ideas directory next week.

Future Midwifery 

The first-ever Chief Midwifery Officer for England was announced in the Long Term Plan. This is fantastic news and recognition of contribution of midwives and maternity workforce.

Midwifery colleagues are looking forward to the Future Midwifery launch event on 23 January!

The School for Change Agents

It's brilliant to see lots of excitement from all around the world for the 2019 School for Change Agents, which is starting in May. Find out more, and sign up here.

What is a campaigner? Read the post. And become an agent of change - join The School for Change Agents.

Nursing Now England

"The response to nurse vacancies must be sustainable" says Bev in her opinion piece for the Nursing Times.

Why don't health journalists interview nurses (apart from stories about staffing or scope of practice)? Why are nurses invisible in health news stories? This is from the USA but similar factors apply in the UK. Nurse action needed! Click here to read the article.

Ambassador Ellie Bullman on how we might need to educate teachers as well as young people about nursing careers. Click here to read. 

Schools are now back, and we are gearing up for the January 30 Day Challenge. Next week we will have some fab resources for Ambassadors to inspire future generations about our extraordinary profession. Find out more.

“The final semester of second year was a real struggle for me, but did I let you know that? Nope.” #NursingNowEngland Ambassador Jess Sainsbury tells us her promise for 2019.  ⁦

Bev had a fabulous planning session to develop #NursingNowEngland ambassadors for Wolverhampton.

Share your thoughts on shaping #NursingNowEngland for Herefordshire at the Herefordshire Local Learning Event taking place on 16 January. Register today, click here!

Wellbeing and Personal Goal Setting

Try to focus on what you’ve got to look forward to, and what you will achieve (however big or small) during the first full week of 2019. 

“Dancing makes me feel powerful” fabulous example of different ways of managing pain and time in hospital via @TheIHI  Click here to view. 

More on the power of music:

If you've set yourself a goal to learn a new skill this year, this fab sketchnote may help. Set yourself mini-goals; measure your progress; socialise your efforts (I do this with my running by posting sweaty selfies on Insta!); and embed your learning by teaching others.

At this time of year we're encouraged to set personal and team goals for 2019 and reminded of research evidence that links goal setting with motivation & success. But this isn't right for everyone; there're multiple reasons NOT to set goals (click here to read). 

Highly relevant for this time of year: beware multiplying emails!


Leigh features in the latest Patient Experience Library quarterly publication talking about how she is influencing change in improved communication and patient experience.

Emotions are complex: it's useful to be able to articulate the emotion, to be able to understand what has triggered an emotion - we're better able to respond to, process, and positively deal with what we understand. Read the post.

The role of empathy in organisations.

"How we listen determine what parts of a person come forward": Asking generous questions, then listening in the same way invites others to find a place beyond their predetermined views and discover common purpose. 

As the world becomes more volatile and fast moving and change becomes more complex, we're moving into the era of the facilitator (of groups, networks, teams, meetings and workshops - virtual and face-to-face). What makes an awesome facilitator?

Innovation and Improvement

The NHS is as much a system of belief as it is a network of care, and the only real way to change it is to connect it more broadly from within, and let it pull us forwards.

Asking "who are our people" and #How do we build agency" is critical to catalysing sustainable change.

Thinking "What's best for Esther" helps make sure the health system in Sweden is patient-focused. Simon Sethi visited Jönköping to find out more about Swedish quality improvement, and what the NHS can learn from it. Read more here

As leaders of systems and communities, we need to cover four agendas to build strong foundations when we collaborate for innovation. Read more. 

Four ways that leaders can energise their teams.

Zoe didn't have her inhaler to hand when she needed it, so her husband got creative drilled a hole and attached it to her keys. A genius hack!A great idea: a care home in Liverpool is trialling a scheme to enable residents living with dementia to participate in virtual cycling trips around the world!

Twenty years ago, @paulplsek taught Helen the "two levels down" rule. If you think it will take a month to test and implement something, what could you do in a day? Helen still uses it in her improvement practice, constantly.

This week Helen worked with sustainable transformation partnerships (STP) and Integrated Care System (ICS) OD & transformation leaders from across the East of England on "Leadership for the future". Here is the slide deck. 

We promote evidence-based clinical practice and we should also promote evidence-based change and improvement practice. What is evidence-based practice and how is it different to what often gets done? Read more.

How not to be stupid. Being stupid means overlooking or dismissing crucial information that is right under our noses. Being stupid leads to many avoidable errors in the health/care system (link to the article). This is a fresh perspective on an important topic.


Why we need diverse skills:

"Literature does not exist only to provoke feelings of happiness or to placate us with its pleasure; art should also challenge and perturb us." Books are precious, windows into other worlds - the more diverse the better. Read the post.


The University of Bangor is offering an online learning programme on infection prevention best practices and behaviours. It only costs £25 to cover cost of certification and it has great people teaching.Open to all, sign up here.

Here is a treasure chest of free resources for leaders who are planning change initiatives across a system or community and want to set them up to have collective impact right from the start of the initiative. Click here to read.