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Molly Crawford

Continuous Improvement Support Practitioner

Frimley Health NHS Foundation Trust

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  • I know you mentioned the ISO Standard (BS ISO 7101:2023) Healthcare organisation management – Management systems for quality in healthcare organisations – Requirements in the last few days on here Thomas. I’d be interested to develop an understanding of any healthcare organisations that are implementing the ISO standard please or are thinking…Read more

    • I am working with one large Trust to help design and implement a QMS to this ISO Standard. I’m sure that some others may be but I don’t know which. I do no that several other Trusts are interested in the standard as you can see from comments in this SIG. This week I’ll be posting questions and answers from my last webinar. A number of questions…Read more

    • I am very curious of the adoption of ISO 9001 standards within hospital settings currently, particularly at the ORGANISATION level rather than limited to individual departments or service lines. Having a clear picture helps us examining existing implementations in other UK hospitals, also help identify potential gaps and inform our own approach,…Read more

      • I think that ISO 7101 is the standard that the NHS should use at the organisation level and for main Trust delivery of care. Other areas that have specific requirements like Labs, Pharmacy and Radiology should use a management system based on Annex SL, as is ISO 7101 (and ISO 9001). An Integrated Management System could then be used to manage…Read more

      • It’s important that Trusts see the full picture rather than just look at individual Departments and Services. The full picture is looking at ‘performance’ right across the organisation.

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  • Hi there Q Folks, I am starting a PhD working with universities in England and Canada. The focus is the perception of whistleblowing and the treatment of whistleblowers in healthcare services. Do people feel that it would be helpful to discuss this in this forum or a designated special interest group? All thoughts welcome – Tom

    • Hi @tombell – what an important topic, and (unfortunately) one that always seems to be quite timely.
      I’ve actually been discussing this area with David Naylor – author of ‘Speaking Up in a Culture of Silence: changing the organisation behaviour from bullying and incivility to one of listening and productivity’.
      He’s keen to bring together a few…Read more

      • Hi Matthew – thanks for the comments and insights. An intro to David would be great thank you – please feel free to share my email (tom@cormetis.com) – kind regards – Tom

    • I’m sure you have already reached out to the freedom to speak up guardians Tom?

  • Let’s have a look at ‘complexity’. The NHS don’t have monopoly on complexity; what about space travel, nuclear submarines, power stations, missile systems, AI, IT, MRI scanners, etc. These are all examples of complexity – in specification, design, realisation, operation, and very importantly Quality Management. But guess what? They all have…Read more

    • I believe referring to people as ‘complex’ e.g., in mental health care feels a bit like it says more about the practitioner’s willingness to listen and apply evidenced-based principles to helping the person than it does about the person in distress. All humans are complex. If we develop systems which continually try to improve health care throu…Read more

      • I’m sure you could be right Alan but that’s not what Quality and Patient Safety Management is about. Also, the ‘complexity’ I’m referring to is the complexity of the ‘system’ and not the patient. Never-the-less co- production can play a part in healthcare improvement but the critical need if for people that understand system design and quality and…Read more

    • With respect Tom, design professionals will need to work with clinicians, patients and carers to balance the health care economy. I expect quality and patient safety will require a person-centred approach to be effective. Co-production is imperative, as is asset-based community development, to support unpaid carers having to manage risk at home.…Read more

    • I don’t disagree but my point is that most Service design activity is about ‘system’ design. Things like IT interface, record keeping, scheduling, data collection, Process Management, Juran’s trilogy, etc. All areas requiring Professional skills. Co-production with Service users comes later in the process, never-the-less it is still very important.

    • Morning Tom. I appreciate your expertise. A coordinated approach to redesigning service delivery will need to consider local context, the views of service users and founding principles of the NHS.

      • I do agree Alan. Local context etc should be part of the Service specification That is provided by the organisation commissioning the Service and is used in the design or re-design of the Service delivery system.

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