YOU need to get involved so when they start discussing stroke you can DEMAND 100% RECOVERY. Don't you dare get bamboozled by medical staff and researchers that say it can't be done. Send them to me.
Oops, I'm not playing by the polite rules of Dale Carnegie; 'How to Win Friends and Influence People'.
Telling supposedly smart stroke medical persons they know nothing about stroke is a no-no even if it is true.
Politeness
will never solve anything in stroke. Yes, I'm a bomb thrower and proud
of it. Someday a stroke 'leader' will try to ream me out for making them look bad by being truthful, I
look forward to that day.
‘National improvement board’ to be set up by NHS England
NHS England has launched a new framework for quality improvement and delivery, including a national board that will pick a ‘small number of shared national priorities’.
The new document, announced to NHS chairs and chief executives this week, says NHSE will “establish a national improvement board, to agree the small number of shared national priorities on which NHSE, with providers and systems, will focus our improvement-led delivery work”.
It follows a review, led by South East regional director and former trust chief Anne Eden, which found NHSE’s “structures and governance do not yet optimise our ability to focus on a small number of shared national priorities effectively”.
The review says NHSE will, among other actions:
- Create a “national improvement board” to “agree a small number of shared national priorities and oversee the development and quality assure the impact of the NHS improvement approach”;
- “Set an expectation that all NHS providers, working in partnership with integrated care boards, will embed a quality improvement method aligned with the NHS improvement approach”;
- “Incentivise a universal focus on embedding and sustaining improvement practice”, including with “regulatory incentives alongside clearer and more timely offers of support”; and
- “Work with the [Care Quality Commission] to align the revised CQC well-led [inspection method] with the improvement approach”.
National management of NHS improvement work has been through several reorganisations in recent years, with Hugh McCaughey, the most recent national director of improvement in NHSE, leaving last year. Improvement functions were moved into the NHSE transformation directorate led by Tim Ferris.
The review says NHSE will “consolidate capability and expertise into a national priority improvement function, whose role is to co-ordinate action”, but does not state where this will sit in its new structure, or who it will be led by.
It highlights how several trusts, including Leeds Teaching Hospitals Trust, Surrey and Sussex Healthcare Trust, and East London Foundation Trust, have used improvement methods to achieve better performance as well as morale.
The review also looked at how NHSE works with poorly performing organisations.
It found: “There are further opportunities to support our most challenged organisations and systems more consistently and effectively…
“People told us that NHS England’s recovery support programme works well and marks a positive shift from the previous special measures regime. We increasingly need to focus on earlier intervention for support and sustainable improvement.”
It says NHSE’s “support for challenged systems team” will work with its regional teams to ”more consistently co-ordinate intensive support”, including “collaboration with other regulators and royal colleges to ensure consistent support and no duplication”.
It will review its oversight framework – under which systems and trusts are rated from 1 (best) to 4 (worst) according to a range of measures – including “how national and regional teams more consistently support organisations in segment 3 and offer longer-term support to organisations exiting segment 4”.
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