Tweets of the Week 5 August, 2022

Welcome to Tweets of the Week! The one stop shop for the best of improvement tweets and knowledge from The Horizons team and beyond. 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 blue text. To view the original tweet, click on the image).  

#SolvingTogether 

Want to help shape the new strategy for Urgent and Emergency Care (UEC)?  

Have your say help shape the UEC strategy by joining in the four challenges on #SolvingTogether:

• What could help people find the right service when they have an urgent care need (an illness or injury that requires urgent attention but is not a life threatening situation)?
• What examples of a positive urgent care experience do you have? What made the experience good?
• How could ambulance services work differently in the future?
• How might hospitals increase their use of technology in how they provide services to patients? Which services are better suited to a virtual environment?   

Sign up to the #SolvingTogether platform today by clicking here!  

Read @NHSEnglandNMD’s blog to find out more about the platform and challenges here.

How could ambulance services work differently in the future?

Ambulance services are at the heart of the UEC system. The UEC Strategy presents us with an opportunity to look at where ambulance services fit within a future model of care.

We want to know how ambulance services could best prioritise emergency services, while providing some support with urgent care? What technological developments could ambulance services utilise, i.e. drones? 

Click here now to get involved in the challenge how could ambulance services work differently in the future?

AACE shared the challenge:

Hilary Pillin shared her thoughts on the supporting ambulance services to work differently challenge:

What examples of a positive urgent care experience do you have? 

What made the experience good?

A key principle of the UEC Strategy is making sure all parts of the population have consistent access to urgent care services, so we can ensure patients receive care in the right place, at the right time.

We’d like to hear about examples of innovation and best practice so we can learn from experience and share with others.

How can we ensure future urgent care services meet the needs of the population? Do you have examples of services successfully working together to give people a better experience? Have you had a particularly good experience of urgent care, and if so, what made it good?            

Click here to share your examples of a positive urgent care experience!

There has been brilliant engagement with this challenge:

What could help people find the right service when they have an urgent care need (an illness or injury that requires urgent attention but is not a life-threatening situation)?

There is a difference between urgent care and emergency care.

Urgent: an illness or injury that requires urgent attention but is not life-threatening. Urgent care services include GP appointments, pharmacy advice, community services, NHS 111, out-of-hours GP appointments, and/or referral to an urgent treatment centre.

Emergency: life threatening illnesses or accidents which require immediate, intensive treatment. Services that should be accessed in an emergency include ambulance services (via 999) and emergency departments.

To help inform the UEC Strategy, we want to know how we can help people to feel confident in accessing the right service for their urgent healthcare need.

How can we best make use of existing capacity across primary, community and urgent care services?
How do we ensure emergency departments are only used for emergencies?

Click here to get involved in the what could help people find the right service when they have an urgent care need (an illness or injury that requires urgent attention but is not a life-threatening situation)? challenge .

How might hospitals increase their use of technology in how they provide services? Which services are better suited to a virtual environment?

Technology is evolving at pace, creating new opportunities for patient care. During our development of the UEC Strategy, we want to explore how we can best utilise digital transformation to make sure we create a system that is responsive and resilient for the next five to ten years.

We’re asking for thoughts on how we can use technology to support people in their own home:

·       How can we make better use of digital innovations, such as virtual consultations, online bookings and virtual wards?

·      When people need to visit an emergency department, how can we use technology to improve their experience while they wait to be seen?

Click here to share your thoughts on how might hospitals increase their use of technology in how they provide services?Which services are better suited to a virtual environment?

Views on shaping the UEC strategy are welcome from anyone:

Seize the opportunity to have your say!

Thank you to NHS South East for sharing the campaign:

110 million urgent calls or visits every year - that's a staggering figure! Let's get #SolvingTogether to make sure our NHS urgent care system works effectively for everyone. 

Join in the conversation by clicking here.  

Wellbeing

A powerful way to rethink imposter syndrome. Flip to a growth mindset: "The highest form of self-confidence is believing in your ability to learn". Thank you @tnvora.

New research: "belonging" is the force that has the most impact on change being successfully delivered. Many people affected by change feel a sense of "un-belonging". Stewarding through this is a key element of successfully leading change. Click here to read 'How to Get Your Team on Board with a Major Change' for more insight.

The Big Conversation

Would you like to find out the 10 things @HelenBevan has learnt about improvement over her career? 

You can watch Helen's Big Conversation session by clicking here.

Find more fantastic content from The Big Conversation for Improvement by clicking here to access the digital goody bag.

Improvement

How can you make data meaningful, simplified & understandable?  Simple steps to take in the art of analytics @apha_analysts.

Facilitation is a balance between structure & improvisation. It's a much-underrated skill. Effective facilitators:

1. provide structure
2.  manage participation 
3. offer neutrality
4. clarify issues 
5. make progress faster

 Click here to read 'Five Skills Trained Facilitators Wield to Create Highly Effective Meetings' for more insight.

Helen quotes this proverb more than any other: "trust arrives on a tortoise & leaves on a horse". Trust has to be built/earned. It can take a very long time. Yet one or two instances that betray trust can quickly ruin a trusting relationship. Click here to read 'Trust is precious' for more insight.

Five "cognitive errors" (distortions in thinking) that can skew our view of reality & impact our behaviours & actions: 

1. Heaven’s reward fallacy 
2. Curse of knowledge 
3. Fundamental attribution error 
4. Fallacy of change 
5. "Bikeshedding" 

Click here to read 'Want to Communicate Effectively at Work? Eliminate These 5 Cognitive Distortions' for more insight.

Leadership 

As leaders of change, we are seeking to make change happen in complex systems. Such systems are adaptive and emergent so it's (often) impossible to predict the effects of our actions. Failure is something we have to live with and embrace. Find our more by clicking here to read 'Embracing Failure in Systems Change'.

Feeling respected is one of our most fundamental needs at work. Leaders must make extra effort to show respect when people work virtually. Leaders can show respect through:

1. time 
2. validation
3. tangibility 
4. visibility 

Click here to read 'Disrespected Employees Are Quitting. What Can Managers Do Differently?' for more insight.