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

Hi Hilda,
I am guessing our people who have left the NHS won’t be included in this space, but they should be, otherwise lessons won’t be learnt. As a former NHS employee I would be willing to make a contribution and I’m sure others feel the same. Respectful, democratic debate has to be the way forward.
All the best.

Hi Alan

Like yourself I left the NHS and I think regardless of the sector nurses find themselves working in the challenges are the same, there is also a recruitment and retention issue in the care sector which employs nurses as well as the third sector. I think also our voices can share why we left and what would have prevented this.

I never…Read more

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

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

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

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.