09:02:46 From Katie Young to Everyone: Morning all, I thought I’d share the upcoming Q events – you can sign up to any via the links :-) North of Tyne approach to Wellbeing – one hour event North of Tyne is one of the first combined authorities to adopt a Wellbeing Framework. At this event the framework will be shared, covering how it was developed and how it is being used. https://q.health.org.uk/event/north-of-tyne-approach-to-wellbeing-one-hour-event/ 10 May 2022 12:30 – 13:30 ******* Improvement Cymru National Conference 2022 Sharing experience, research and good practice on Improvement from Wales and the world. https://q.health.org.uk/event/improvement-cymru-national-conference-2022/ 10 May 2022 – 11 May 2022 09:00 – 17:00 ******* 09:02:54 From Katie Young to Everyone: Quality Improvement Grand Round: Maternity Care Midwives from Yeovil District Hospital, Somerset share their story of service improvement. https://q.health.org.uk/event/quality-improvement-grand-round-maternity-care/ 10 May 2022 12:00 – 13:00 ******* What is Quality? (part two) These webinars will be investigating Juran’s Little Q and Big Q and how this should influence Quality Improvement. https://q.health.org.uk/event/what-is-quality-part-two/ 11 May 2022 12:00 – 13:00 ******* 09:03:06 From Katie Young to Everyone: ******* Embedding Sustainability into Quality Improvement Join us & our inspiring panelists for a two-part shared learning forum on embedding sustainability into QI education, training and practice https://q.health.org.uk/event/embedding-sustainability-into-quality-improvement/ Part One: May 20th 12:00-13:30pm; Part Two: June 9th 12:00-13:30pm ******* ‘Work as done vs work as imagined’ – making quality management a daily reality (Webinar 3) https://q.health.org.uk/event/work-as-done-vs-work-as-imagined-making-quality-management-a-daily-reality-webinar-3-4/ 25 May 2022 14:00 – 15:30 09:03:31 From Katie Young to Everyone: ******* Tackling youth mental health crises: Helping young people help themselves Digital peer support has been evaluated by the Anna Freud Centre and found to improve mental health in young people. https://q.health.org.uk/event/tackling-youth-mental-health-crises-helping-young-people-help-themselves/ 26 May 2022 12:00 – 13:00 ******* Creating an effective integrated care team – using a systems approach, with John Mortimer https://q.health.org.uk/event/creating-an-effective-integrated-care-team-using-a-systems-approach-with-john-mortimer/ 14 Jun 2022 12:00 – 13:00 ******* 09:04:39 From Katie Young to Everyone: Here is the calendar link for all https://q.health.org.uk/get-involved/events/ 09:06:43 From Cleo Butterworth to Everyone: My son (literally!) 09:06:50 From Douglas Findlay to Everyone: Morning walk 09:06:53 From Katie Young to Everyone: A gorgeous sunny day gets me out of bed, I love a walk in the sunshine 09:06:54 From Sam Hudson to Everyone: The Blank Page … I am writing a book, so I leap out of bed and start writing. 09:06:58 From :) Kate Phillips to Everyone: My breakfast 09:07:00 From Sophie Lowry to Everyone: Getting out for a walk! 09:07:00 From Mhukti to Everyone: Family, friends, work 09:07:03 From Katie Cullum to Everyone: My two children 09:07:06 From Ed Jebson to Everyone: currently at work - helping pharmacy team understand how to move forward with their improvement ambitions 09:07:07 From Lucinda Hollinshead to Everyone: Connecting with people, learning, improving...a bit of exercise too! 09:07:09 From Heather Stacey to Everyone: Sometimes the excitement( or anxiety) about work ,sometimes a fab plan for the day. 09:07:09 From david.gibson to Everyone: Running along the beautiful river Tees 09:07:18 From Vardeep to Everyone: learning something new 09:07:26 From debbie.wilson to Everyone: my early morning dog walk, because I get to listen to the bird song, feel the freshness of the day, and mindfully pause before the rush of work! 09:07:28 From DHickford to Everyone: - friends - connecting 09:07:30 From Fran Dunn to Everyone: Learning new things - adventure (in the broadest terms) 09:07:31 From Emma.Mordaunt to Everyone: Doing something that makes a difference, and family/friends 09:07:59 From Sahana.Rao to Everyone: New start- 09:08:25 From Ed Jebson to Everyone: catching up with the chat on a global friends chat group from overnight 09:09:37 From Connie Sharrock to Everyone: my dog 09:09:51 From Heather Stacey to Everyone: My old dog too sometimes 09:14:24 From Connie Sharrock to Everyone: 😃 09:14:38 From Fran Dunn to Everyone: Old but very valued 09:15:36 From Cleo Butterworth to Everyone: Absolutely!! 09:15:58 From Heather Stacey to Everyone: very ! 09:30:29 From Cleo Butterworth to Everyone: John has said he is happy to be interrupted with questions at any time :- 09:30:59 From Cleo Butterworth to Everyone: I will monitor chat and let him know 09:36:06 From debbie.wilson to Everyone: there are massive hierarchy and power issues with challenges, as we know in the NHS! where teams feel psychologically safe we can hear the most valuable voices 09:38:02 From Fran Dunn to Everyone: ??? Has the treating trust agreed to fund the treatments? NICE guidance doesn't always=funding 09:38:56 From lynwilliams to Everyone: I think its really important to ensure that the evidence base is set out and the conversation supports informed choice 09:39:12 From :) Kate Phillips to Everyone: It might depend on my age... 09:39:29 From Katie Cullum to Everyone: yes I was going to say age will matter 09:39:30 From Connie Sharrock to Everyone: that's a toughy- and thank you for asking my question cleo! I think it would depend on so many variiables 09:39:40 From emily to Everyone: also what else would I have to "give up" in the cure/ kill 09:39:41 From lynwilliams to Everyone: it will also depend on my view of medicine 09:39:42 From debbie.wilson to Everyone: it is complex according to quality of life! 09:39:53 From Vardeep to Everyone: As a patient I think I would go with treatment A, 09:39:54 From lynwilliams to Everyone: medicine versus a holistic approach 09:39:58 From Heather Stacey to Everyone: agree with kate : probably I want year + rather than months tough question - would want time to process ! 09:39:59 From DHickford to Everyone: ask the patient whats important to you 09:40:00 From Guy Peryer to Everyone: For me: Treatment A - with guaranteed time to resolve social connections - say sorry, thank you and I love you. It's just a matter of time :) 09:40:03 From Sahana.Rao to Everyone: Depends on circumstance and what needs to be "sorted" personally and professionally 09:40:07 From Sophia M to Everyone: my belief and confidence 09:40:14 From Charlotte Sharp to Everyone: I would try to find out what is important to the patient before imposing my own opinion. Would try to only give my opinion if asked.... 09:40:15 From Connie Sharrock to Everyone: my children 09:40:17 From david.gibson to Everyone: I struggle with providing certainties and need to actually contextualise the science. How do the trials reflect real life scenarios? 09:40:18 From debbie.wilson to Everyone: asking what matters most? 09:40:29 From Ed Jebson to Everyone: a personal thought of what I may want to do, how long I want to do that.. does the remission period meet that? 09:40:31 From Charlotte Sharp to Everyone: When the decision is on a knife edge, sometimes people do want to know the clinicians' personal view if they were in that position 09:40:42 From Heather Stacey to Everyone: focus on what matters to them - would not wish to impose 09:40:43 From Katie Cullum to Everyone: You may as a professional advise based on what you have seen with the treatments 09:41:01 From debbie.wilson to Everyone: controvertial cost! what does cost mean? 09:41:52 From Connie Sharrock to Everyone: you hear this so often 09:42:00 From Connie Sharrock to Everyone: which is a shame] 09:43:37 From Heather Stacey to Everyone: so important that people are given clear honest information 09:43:48 From lynwilliams to Everyone: circle of support 09:44:05 From Guy Peryer to Everyone: A compassionate community :) 09:44:50 From Ayobola Chike-Michael to Everyone: I think it is important that communication is checked between patient and professional regularly about what is being said and what is being heard. At the base of this must be empathy from both sides 09:47:30 From debbie.wilson to Everyone: reminds of "a time to kill" film.. moral complexity and emotive law case! 09:48:50 From Cleo Butterworth to Everyone: My kind of film! 09:49:07 From lynwilliams to Everyone: not familiar to me 09:49:18 From lynwilliams to Everyone: really interesting EPESTO 09:53:09 From lynwilliams to Everyone: its so concerning that so few people have all of that power! what about their values and ethics…. 09:54:17 From Cleo Butterworth to Everyone: Good question! 09:57:39 From Heather Stacey to Everyone: so much to think about ! 09:57:43 From lynwilliams to Everyone: Thank you John, really thought provoking 10:08:29 From debbie.wilson to Everyone: I sing in a little choir! 10:08:47 From Ayobola Chike-Michael to Everyone: I sing in praise team at church 10:09:12 From Vardeep to Everyone: I was ust thinking the same Cleo, it's so impressive and it makes us all feel valued :) 10:16:39 From debbie.wilson to Everyone: does this align with the old power/new power concepts? 10:18:16 From Fran Dunn to Everyone: With out 'Unknowning' it will be difficult to change central thought process. I think the Donald Rumsfeld adage is useful in this situation - known knowns, and the unknown Unknowns 10:24:45 From Fran Dunn to Everyone: Interesting that in the US there are very different understanding of Public and Private as terms 10:32:38 From Fran Dunn to Everyone: This is our regional mantra 10:33:54 From Cleo Butterworth to Everyone: Don't ask for permission, ask for forgiveness - LOVE that!!! 10:36:26 From Fran Dunn to Everyone: There is a cultural paradigm where some services are seen as less worthy, linked to what was said in relation to Private and a bit with respect 'Victorian' in its approach. As a civil society we seem to be stuck in 1902 10:38:00 From Douglas Findlay to Everyone: Listening to John, I’m reminded of Wilde’s definition of a cynic’ “someone who knows the cost of everything and the value of nothing”. Sometimes this feels like our govt’s view on managing MH 10:39:14 From lynwilliams to Everyone: we are working much more with testing out small changes before scaling up and context is key as is full involvement of those working on the issue including service users and carers 10:39:40 From lynwilliams to Everyone: co production is absolutely necessary 10:44:40 From Douglas Findlay to Everyone: Lyn, Coproduction is sadly an overused term in Health and Social care, (much like CoP). The term coproduction needs to be shared in definition and utility 10:45:25 From Heather Stacey to Everyone: if we value building relationships and trust we need to recognise this takes time 10:46:22 From Cleo Butterworth to Everyone: I'm reminded of the saying - slow down, we don't have much time! 10:46:24 From lynwilliams to Everyone: Douglas, I understand that though I apply it in its real sense and thats challenging for those not used to a true co productive process…I am an action researcher so I do understand its true application as it should be democratising in its values 10:53:04 From Lucinda Hollinshead to Everyone: Well said Debbie 10:53:37 From Fran Dunn to Everyone: So true Debbie, I come away from meetings needing to sense check that I haven't overstepped the mark 10:56:19 From Fran Dunn to Everyone: Gaslighting is common for those who express dissent or even just away from the party line 10:57:53 From Charlotte Sharp to Everyone: That is a massive amount of emotional labour Debs, sorry to hear that 10:58:18 From Vardeep to Everyone: Thanks Debs for sharing 11:00:48 From debbie.wilson to Everyone: theres a sop for that.... we overly govern.... 11:00:55 From Sam Hudson to Everyone: Thank you Debbie. I think what you are describing is so important to think about and surface. The frustration! 11:01:11 From Heather Stacey to Everyone: WhatsApp and zoom not approved for me ! 11:02:11 From Fran Dunn to Everyone: WhatsApp and Zoom not approved for me - however we still use them - Zoom on personal devices, WhatsApp not for business conversations. Signal seems to be a new option for us 11:03:35 From Sam Hudson to Everyone: https://www.nationalvoices.org.uk/publications/our-publications/patient-noun-adjective-understanding-experience-waiting-care 11:03:52 From Sam Hudson to Everyone: This is my report that John has mentioned a couple of times ... 11:04:39 From Fran Dunn to Everyone: As a Civil Servant I have time I can use for volunteering. I think it is 5 days a year. 11:05:26 From Charlotte Sharp to Everyone: Really tough for you to be balancing that with a busy and demanding work life, and thank you for sharing. And I definitely agree with John about not saying you're not intelligent - from where I'm sitting you're one of the shining stars of this group, so stand proud! x 11:05:51 From debbie.wilson to Everyone: love reverse mentoring!! 11:05:57 From Sam Hudson to Everyone: nicely said Charlotte 11:06:46 From Charlotte Sharp to Everyone: Oh sorry I thought that was on DM to Debs 11:07:41 From Cleo Butterworth to Everyone: I think we all agree with you Charlotte! 11:07:54 From Charlotte Sharp to Everyone: 🙃 11:08:05 From Connie Sharrock to Everyone: we definitely do!! 11:08:22 From lynwilliams to Everyone: there are also examples of staff councils too in other NHS organisations, in particular in Nottingham 11:11:37 From :) Kate Phillips to Everyone: I'm sorry to hear that Cleo ❤️ 11:11:37 From Heather Stacey to Everyone: so sorry to hear this Cleo 11:11:47 From debbie.wilson to Everyone: wow Cleo, incredible share, thanks. how horrific to be blamed and victimised!! you have such bravery. should not happen. how toxic. the impact..im so sorry to hear such a thing. 11:13:04 From Connie Sharrock to Everyone: WoW Cleo - thank you for sharing your experience 11:14:15 From Sahana.Rao to Everyone: Oh Cleo, this is so horrible. You are amazing for standing up for your values. Thanks for sharing -truly an inspiration. 11:15:52 From Fran Dunn to Everyone: Listening to both Lyn and Cleo, much is made of how the Nurses are leaving the NHS alledgedly about pay, but in reality I wonder how many are related to management behaviours. 11:17:12 From Heather Stacey to Everyone: these stories show the huge impact that lack of support, lack of psychological safety and lack of civility can have . 11:17:27 From Cleo Butterworth to Everyone: Thank you all 11:17:47 From Charlotte Sharp to Everyone: Thank you Cleo and Lynn for sharing with us 11:17:51 From lynwilliams to Everyone: thank you Cloe…made me feel really emotional …. 11:18:00 From Katie Young to Everyone: Thank you so much for sharing 11:18:03 From lynwilliams to Everyone: thank you charlotte 11:20:03 From Sam Hudson to Everyone: Thanks Lyn and Cleo. My husband is in a similar situation now. You have helped me to understand the true implications more clearly, so thank you. 🙂 11:22:14 From Charlotte Sharp to Everyone: Thanks again for sharing these devastating experiences Cleo and Lynn. In addition to those wanted to offer a more positive experience of raising patient safety concerns to a senior level some years ago - although not an enjoyable experience (aka very stressful!) I was supported by senior colleagues to do so and felt that it had been worthwhile in the end. I feel very lucky hearing these experiences that it didn't cause me any personal harm. So a happier tale for as/when we may need to do the same, as it can work out alright in the end, but clearly hugely variable according to the individual organisation and the strength of colleagues around us... 11:23:33 From lynwilliams to Everyone: perfect track Cleo! 11:25:08 From Connie Sharrock to Everyone: i love your music choices cleo 🙌🏻 11:26:26 From debbie.wilson to Everyone: i needed that muscial uplift, thanks for an amazing choice of songs x 11:33:16 From Fran Dunn to Everyone: Something I see with 'Junior' Officers who post in for 2yrs and need to change the world prior to their next posting 11:38:34 From debbie.wilson to Everyone: John is a magician of book production out of the hat! 11:38:53 From Fran Dunn to Everyone: 😂 11:40:40 From Fran Dunn to Everyone: Scapegoating of Senior Civil Servants is a convenient way of sweeping inconvenient outcomes - for the most part Civil Servants are unknown/faceless persons 11:42:26 From Connie Sharrock to Everyone: i really love that analogy 11:43:28 From Sophie Lowry to Everyone: I'm sorry I'm going to have to step out for 10/15 mins. Love the dancefloor / balcony concept though - going to be using that! 11:43:59 From :) Kate Phillips to Everyone: I love that dancefloor/balcony concept too, really helpful :) 11:44:18 From Fran Dunn to Everyone: Already militarising the Balcony to Dancefloor to concept 11:44:40 From Connie Sharrock to Everyone: it is making me think of my night out on Friday :) 11:51:03 From Fran Dunn to Everyone: Fear is an amazing barrier in some of the Sectarian conflicts 11:52:08 From Douglas Findlay to Everyone: This sounds remarkably like Partygate without the responsibility 11:56:32 From lynwilliams to Everyone: i have always made sure that I have a circle of support outside of the workplace 11:56:42 From Fran Dunn to Everyone: @Connie in that example where do the local council stand? 11:57:22 From Connie Sharrock to Everyone: they are on both the dancefloor and the balcony i would think fran?? 11:57:48 From Fran Dunn to Everyone: @ Connie would they be your supporters, or some of them 11:59:32 From Fran Dunn to Everyone: The last organisation I was with instigated Back to the Floor Fridays, where all Nurses in Management positions did exactly what you describe Douglas, this started in about 2016. 11:59:52 From Katie Cullum to Everyone: I worked as a FTSU guardian I really feel these should be external to the hospital as when trust is lost within a hospital people won't speak 12:00:28 From Connie Sharrock to Everyone: safety in numbers 12:01:13 From Connie Sharrock to Everyone: i agree @katie 12:01:48 From Fran Dunn to Everyone: Safety in numbers is ideal, but some organisations use 'Sniper' tactics to pick off individuals to weaken the approach 12:02:04 From Connie Sharrock to Everyone: agree fran 12:02:07 From debbie.wilson to Everyone: we call it "back to the floor" and have a really personal feedback system for staff we are privaleged to work with..we ALL signed up to and LOVE it , we all have been coached, and offer coaching conversations. Our boss is the biggest at shouting out the brilliant clinical work, humbled to be part of the clinical day as often as possible 12:02:13 From Cleo Butterworth to Everyone: Oh dear :-( 12:03:05 From Cleo Butterworth to Everyone: My oh dear was about the snipers by the way!! 12:09:30 From Charlotte Sharp to Everyone: Totally agree Debs. Major issues at the moment with everyone fatigued by going above and beyond all of the time.... 12:11:40 From Fran Dunn to Everyone: Burnout is being discussed more and more in respect of clinical staff. With the pressure to review Untoward events from a Patient Safety perspective, where sufficient staff rest is a contributing factor to any error or incident 12:18:42 From Sophia M to Everyone: the point I was going share is the newly formed COP of mine is bearing the impact of the Command and Control ways of working that we have been through the last 2 years. 12:18:56 From Heather Stacey to Everyone: lots that I am thinking about - bit about me using my techne knowledge which can lead to me moving into to offer solutions. this new language and framework I think will really help me. 12:19:37 From Cleo Butterworth to Everyone: Me too!!! 12:19:57 From Fran Dunn to Everyone: @Sophia how are you seeing this demonstrated and how are you rephrasing that? 12:22:09 From Connie Sharrock to Everyone: Thank you John 12:22:16 From Sophia M to Everyone: @Fran what i am seeing is everything is asked as a permission towards the convenor. I have not got to that stage of thinking yet of what i will do or the COP will do. So any wisdom from the group is welcomed 12:22:25 From Katie Young to Everyone: Yes, thank you so much John 12:22:28 From Heather Stacey to Everyone: thank you so much John - I have so much to think about and learn from. 12:22:31 From Katie Cullum to Everyone: Thank you John very interesting session. 12:22:36 From debbie.wilson to Everyone: thankyou John, and everyone, good Cop morning- its been emotional! 12:22:37 From DHickford to Everyone: thank you john really interesting concepts and stories 12:22:41 From lynwilliams to Everyone: absolutely brilliant morning thank you 12:23:33 From Fran Dunn to Everyone: Thank you John, this has been useful session with much to think about 12:23:33 From lynwilliams to Everyone: I am sorry I have to leave as I am out in Greece and have dialled in especially for this session …..big thank you to John, Cleo and Sam and see you tomorrow 12:24:14 From Sam Hudson to Everyone: thanks Lyn see you tomorrow 12:24:31 From debbie.wilson to Everyone: sounds lovely! enjoy greece 12:24:46 From Connie Sharrock to Everyone: happy holidays Lynn 12:24:52 From Fran Dunn to Everyone: @Sophia I am concerned that I will have this permission based approach 12:27:31 From debbie.wilson to Everyone: the value to 'we' language is realy important, with the start small advice 12:28:48 From debbie.wilson to Everyone: amazing change agency! 12:29:47 From Sam Hudson to Everyone: Homework: Bring an object/photo that reflects: “The value I feel is most important for Communities of Practice” 12:30:02 From Sam Hudson to Everyone: Cleo will talk about this in a moment. 12:31:29 From Ayobola Chike-Michael to Everyone: Thanks very much John 12:32:03 From Mhukti to Everyone: Thank you John and to everyone that shared their stories today! 12:32:14 From Ed Jebson to Everyone: Thank you John and all 12:32:19 From Sophia M to Everyone: thank you all 12:32:19 From Lucinda Hollinshead to Everyone: Thank you so much John, you've really got me thinking!