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2nd December 2016
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Fab Change-Day Do-Athon
Come to a FREE workshop day with Helen Bevan, Roy Lilley and friends and help turn Change Day into a year of change.
Top speakers, great venue, join-in, help write some good practice guidelines and make a difference.  
What's not to like!  If you are coming - book now.
That's news
News and Comment from Roy Lilley
Harassed didn't quite do it.  Stressed, wound-up, fragile might get somewhere near it.

Over a cup of friends-of-the-hospital latte we sat and had a chat.

'I know why they do it and of course, I respect the freedom of speech and all the rest but, it's getting ridiculous.'

I was talking to (we'll call her Sarah), a Trust comm's and PR person.  She is a mum; once worked in local press, a journalist by trade, who is trying to put a polish on some of the duller news from a Trust.

She pulled her blonde hair behind her ear, leaned forward and spoke in whispers; 'Why do they do it?  They know the answers.  They know it's a mess.  It costs a fortune...'

Her voice tailed off. 

Here's the situation;  this year the Trust doubled their budget to deal with Freedom of Information requests.

Back in 2012 the then Prime Minister David Cameron told the Justice Select Committee that FOI was; "furring up the arteries" of government, adding that the current question-and-answer format could be superseded by regular publications.

I get that, absolutely, publish everything we have; especially during times of cuts and turmoil.  People have the right to know what's going on and how decisions are being made.  But.... and it is a BIG but... some local authorities are spending, approaching half a million a year on FOI enquiries.

In 2012, in the NHS, one estimate put costs at 30m.  I guess we are now at 50m.

The BBC once used to report the news, now they try and invent stories.  Like all other news channels, they are rolling 24hrs a day and they need stories, ideas and to fill the airways.

The easy thing is to look for a soft target and find a new angle.

So, because programme producers are not very innovative, reporters lazy and editors plain desperate... they turn to the NHS.  There is always a story.


"Ambulance services are struggling to reach seriously ill and injured patients quickly enough after rising demand has left the system over-stretched... a BBC investigation has found."

Really?  It took a BBC investigation to discover that?  I know that.  You know that.  Pretty well every daily newspaper knew that.  Anyone working in the NHS knew that and anyone who has rung for an ambulance knew that.

Every local newspaper knew that, every local BBC correspondent knew that.  Every bloke in the queue in the chip shop knew that.

It's a story for the history channel.

In fairness, people living in a cave in outer Mongolia may not have known.

Can anyone tell me why it would have been necessary for the BBC (using taxpayers hard-earned) to FOI every ambulance trust (running on less and less of the tax-payer's hard earned) to ask them for the state of play... causing them to spend more of their budgets (the taxpayer's hard earned) and answer.

They could have phoned and asked... too difficult and expensive for the BBC.  They are cost shifting their research budget.  They could have sent a reporter... that would entail effort.

They could have looked on NHS Digital's web-site and ferreted about... that takes research nouse and even more effort, analytic skills, intelligence, understanding and working at a high, independent, investigative level.

The BBC are troublemaking and lazy.  If you get an FoI from them shred it and see what happens.  

My guess is nothing will happen; they are too bone idle to do proper research and too bone idle to follow anything up.

Here's an idea; write to the BBC and under the FOI rules, ask them how many FOI's they did last year. That's news.
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Disclaimer
Medicine for Managers

Dr Paul Lambden
'...a lot has happened since we last covered this topic....'
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The 
Academy of Fabulous Stuff 
Awards

Full report and links here by
Phil Hawthorn.
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CTCT-20160921_214058_1
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The Great Change Day 
Do-Athon
Really exciting day
Helen Bevan
Roy Lilley 
and other top Speakers and workshops featuring the top 5 Change Day topics.  Come and help write some good practice guides.
11th January
RCN Conference Centre, 
Cavendish Sq
Tickets are free.
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CTCT-20160825_133953_1
This is a bunch of flowers.  You'll find better stuff
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Doin' some good stuff?
The Academy is the largest repository of free, workable, shareable good ideas in the NHS.
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Please share your good stuff!
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News and Stuff
News boy
Dr Phil's Health Revolution
Dr Phil Hammond 
back on tour 
For a full listing and tickets
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STP Summit

The IHM have commissioned a report on their progress and prospects; taking to the people doing the job.
Published on 10th January; launched at the 
STP Summit 
RCN Conference Centre 
Cavendish Sq., London
Expect contributions from... 
  • Free copy of the report
  • Simon Tarzan Stevens, 
  • The Jim Reaper Mackey, 
  • Chair of NHSI, Ed Smith 
  • STP Leads, 
  • Local authority leaders
  • Workshops and an action plan report
 10th January 2pm-6pm 
followed by a drinks reception 
Come and find out what is the truth of STPs and their plans, what happens next.
Tickets limited, special IHM deal
WOW!  
Tickets are flying out!  Book now!
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 New
HealthChat
Peter Wyman
Chair of the CQC
24th January 2017
Yes, really, me and the CQC!
King's Fund
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Dr Rodney Jones
This week's great analysis
Using social groups to identify high areas of utilisation.
You will struggle to read anything more interesting
Must read
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Gossip
shh
This is what I'm hearing;
if you know different,
tell me here
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>>  I'm hearing - loads-a old stagers, like , me disagreeing with the Tinkerman on the value of Griffiths.  I can tell you the NHS was run by consultant 
fiefdoms.  Roy Griffiths did a great job for us!
>>  I'm hearing - HEE will lead a review on flexibility on doctors' training.  
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Gooroo
The Great Gooroo 
writes exclusively for us.
Should we just give up on waiting times?
This is a very good read!
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Need inspiration, a good idea or solve a problem
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New Health-Tec Award

'Nominate your technology that is making a difference to your patients 
for a Health Tech and You Award!'
We thought this was a really good idea so we are partnering the Professional Choice category
Nominate someone and make their day!
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