Very often in healthcare, we make a massive effort to improve our delivery performance by changing our processes and practices. We should probably start much higher up in our knowledge structure by considering our paradigm - our beliefs about how to make change happen. If we do that, we start to frame the problem in different ways & adopt different principles for improvement. Graphic: adapted from @profhamel

A patient presented for evaluation of painful right knee joint. What is the likely diagnosis? @pratikorho @grepmeded #MedEd

Reflects the same learning from Canterbury NZ . Deming said the same thing decades ago. Shared purpose, trust, interdependence and relationships. It's always about people.

Blue for the sky Yellow for the fields of corn Lionhearted each and every one 💙💛 #UkraineWillPrevail

!!! Ukraine's Interior ministry asked residents to take down street signs in order to confuse oncoming Russian troops. The state road-signs agency went one step further. (Roughly: all directions are to "go fuck yourselves")

Shaping Our Future Clinical Services - Shaping Our Future Wellbeing - Cardiff and Vale University Health Board shapingourfuturewellbeing.co…

Tweets of the Week is live - ft @LouWaters_QI @sylviaduckworth @woodard_julie @sketchplanator - and a wealth of useful insights about wellbeing, #VirtualCollaborate, leadership...and much more! nhshorizons.passle.net/post/… Find it useful? 💡Please share.

This is what an angry kōtare looks like and it is terrifying. Sound on for the full horrifying effect. #birds #NewZealand #kingfisher

Our thoughts are with all our colleagues in Cardiff & Vale at this difficult time.

The efforts people go to change the outcome of an election. This is third world politics at best.

What an amazing story. The whole world has followed him.

. @captaintommoore ART by FOOTPRINTS! 👣 My portrait of the inspirational WW2 veteran, who’s raised over 23 million pound for the NHS by walking... created by me WALKING in paint! 👣 #THANKYOUTOM have a wonderful 100th birthday!! #TomorrowWillBeAGoodDay #YoullNeverWalkAlone

Just walked round Dragons Heart Hospital and seen the amazing progress in last 24 hours. Not least the oxygen provision- thanks @boconline Can I also thank the 600 contractors/tradies that are working around the clock @MottMacDonald @CAV_LenRichards

We are conscious we have a vital role to play and our staff are very aware of this

Great visit to the Principality Stadium yesterday to see how the plans for our surge hospital are going. Good to meet all the team & see the plans coming on a pace. Well done to everyone involved & thank you for all your hard work @CV_UHB

Principality Stadium turns field hospital with up to 2,000 beds as @WelshRugbyUnion works with @CV_UHB @cardiffcouncil @WelshGovernment @CAV_LenRichards 'It's a privilege to offer our services and facilities at this time of national emergency' CEO Phillips bit.ly/PSHospital

Fantastic response from our communities and we still need more! Check out our pages @CV_UHB how to join

Lovely to welcome colleagues from Tan Tock Seng Hospital (Singapore) as part of their UK study tour - great to share what we are going to implement Shaping Our Future Wellbeing & benefits of an integrated whole system model - lots to learn from them too @CV_UHB @CV_ihscpship

Having faced the Porthills fire a year ago, we know what this like. This though is on another level. Our hearts and thoughts go out to everyone impacted by this monster.

If you attended #Amplify2025 then consider attending for an update about our digital strategy and find out about implementation of Patient knows best..an electronic patient record intended for all our patients across @cv_uhb