Most transformation efforts fail. Major new research from @BainandCompany says only 12% of big change programmes produce lasting results. They identify six "good practices" for large scale change strategies that greatly increase the likelihood of success: 1) Treat transformation as a continuous process rather than a discrete programme. 2) Build it into the operating rhythm of the organisation 3) Explicitly manage energy for change - sequence changes to avoid widespread organisational fatigue 4) Use aspirations, not benchmarks, to set goals - top-down data driven mandates can crush transformational thinking 5) Adopt a “middle-out”, rather than "top down" approach 6) Allow sufficient funding (in the research, nearly every failed transformation wasn't funded properly) hbr.org/2024/05/transformati…. Via @HarvardBiz

We're extremely honoured to announce Lynsey Russell, Senior Charge Nurse in Critical Care @NHSBorders as RCN Scotland Nurse of the Year 2024. @ColinPoolmanRCN Scotland Director says the judges were inspired by her passion, dedication, & outstanding contribution #BestOfNursing

Good for the cause: TED has published my TEDxArendal talk on ted.com 🙏🏿 #preeclampsia #women #cardiovascular #health ted.com/talks/meryam_sugulle…

Great opportunity to showcase and be inspired by improvement projects going on in @NHSBorders Abstract deadline Friday 3rd May - Get them in 🤩 @JonAntrobus @LauraJones04 @sarahjhoran_j @NHSBordersCPP @flylip @grievesie1 @LouiseM17513002 @rhonamo69 @JulieCa15064979 @Zeus836

Can’t think of a better team in the world to work with. Well done everyone. Well deserved

Are you looking for something new this year? If you are a First5 GP you can apply for an exciting opportunity with NHS Borders. Dr Tommy Galliano shares more info below! Apply here 👉 apply.jobs.scot.nhs.uk/Job/J…

In response to Audit Scotland's findings that there is significant risk that NHS Forth Valley is not financially sustainable in the short term and importantly these challenges are being felt by boards across Scotland BMA Scottish council chair @DrIainKennedy said... 🧵👇 1/4

TL;DR: No difference in mortality, functional recovery or return to prior place of residence at up to 1y after surgery with spinal vs general anesthesia for hip fracture surgery. 2/2

Can you change culture in an organisation? Yes! Rewarding and cost effective? Yes! Quick or easy? No, BUT this doesn’t mean you shouldn’t tackle the elephant in the room

1. Please don’t waste your time with crappy meaningless audits! So many opportunities to do quick small projects that will make an actual difference 2. Agree that endless data collection is for the birds. Focus on changing something with minimal effort on data

Gutted for Cav! Nightmare end to anyone’s TdF but such a shame to miss the stage win record bbc.co.uk/sport/cycling/6614…

Shocking but not surprising. We are not resourced or funded to run the health service of a developed nation

NEW: we need to talk about NHS staff retention. At a time when Britain’s healthcare system is acutely short of workers, *1 in 7* UK-trained doctors are practising overseas. No other developed country is like this, which immediately tells you there’s a problem. Let’s dig deeper:

New on #pslhub today, a flow chart from @1974nigel which illustrates the sequential steps in the National Safety Standards for Invasive Procedures 2 combined with the World Health Organization (WHO) surgical safety checklist. Link🔗pslhub.org/learn/patient-saf… @CPOC_News @AnnieHunn

Final day of @nasa study trip! Has been monumental, and so grateful to have been able to experience this. @SQSFellowship #sqsfcohort13

Total number of biases is not important. For more important to recognise that clinical bias is a Thing, and affects everyone’s decision making. Even yours.

Far more balance reporting of junior doctors’ pay dispute in the @guardian. Sort yourselves out BBC theguardian.com/society/2023…

We are now accepting applications for Cohort 15 of SQSF. Apply now to start your game changing experience! Info available on the QI Zone: learn.nes.nhs.scot/1906