Special Interest Group
Philosophy and ethics for health care improvement
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Latest group activity
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Thomas John Rose posted an update 6 months ago
Join me for another exciting webinar taking a good look at standard work and its many benefits, next Tuesday at 1pm
Adding value to QI projects and learning from error in the NHS with Dr Tom Rose
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Diane Slater joined 6 months ago
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Thomas John Rose posted an update 6 months ago
I have another formula: The NHS will not manage Quality Management or Patient Safety Management until Quality Improvement = Continuous Improvement. Remember the formula, QI=CI.
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Thomas John Rose posted an update 6 months, 1 week ago
The NHS will not manage Quality or Patient Safety until work-as-done = work-as-imagined. Remember the formula, WAD=WAI.
How can we achieve this?
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Hi Tom, the more I hear from MacQuarrie team, the more I learn.
As this is the philosophy group, I pose the conundrum can we ever complete the tasks our imagination presents? I offer that we can approach (as close as we might wish) but change/evolution brings us a movable feast.
I’ll bring my knife and fork!
best wishes
Rollo-
Yes Rollo, I’ll bring mine as well! With far too many SOPs. Standards and Guidance available our imagination runs wild. We need to hone in on the best and implement CI. Here is another formula: QI=CI, more about that shortly!
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Thanks Tom for the stimulating thought!
Rollo, I think what you say is important. Here’s a related thought: providing good healthcare requires a high level of responsiveness to emerging situations that are often unanticipated in their detail. Because of this, there may be a limitation to how far work-as-done can ever reflect work-as-imagined–in…Read more
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Polly, The situation you describe is the same for all safety critical processes in all safety critical industries. This should not, and in other industries does not, prevent work-as-done being the same as work-as-imagined, and that work-as-done being clearly documented, monitored and continually improved. The NHS stands out as having many ‘work…Read more
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Hilda Campbell MBE posted an update 6 months, 2 weeks ago
Boundaries matter for wellbeing. This podcast recorded with QNIS may be of interest https://www.boomplay.com/episode/4817581 If for any reason the link does not work, please try looking in your search engine Hilda Campbell and Clare Cable QNIS podcast on Boundaries. Check out the other resources QNIS also share on their website h…Read more
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The link didn’t work but the search did. Thanks
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@hilda-campbell-mbe Tom’s right! There was something wrong with the hyperlink, but it was easy enough to find it afterwards 🙂
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Thank you for sharing this Hilda! I just had a chance to listen while I made my lunch 🙂
I really valued how you approached this topic — and especially that you emphasised institutional boundary setting (e.g. triage, managing workloads, caring and responsive management) as well as individual boundary setting. It seems extremely important to…Read more
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Thomas John Rose commented on the document Pyramid of Characteristics sought from health professionals to improve connections receiving care, created through the experience of those using services 7 months, 1 week ago
I’m sure that Process Visualisation could play a part here re clinician/patient conversation/understanding.
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Hilda Campbell MBE posted an update 7 months, 1 week ago
May be of interest
RCN publishes survey report on mental and physical health equity in care settings
After conducting a survey of over 4,000 nursing staff, the Royal College of Nursing (RCN) has published a report on mental and physical health equality in care settings across the UK. It highlights the challenge of addressing mental health needs…Read more
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Thanks for sharing Hilda.
This made me think about a project which highlights some really important aspects of mental health care inequality. It’s called DeSTRESS, and is an applied social science research project coming out of Exeter Uni.
It’s investigating the ways that poverty-related issues are pathologised and looking at the impact of…Read more
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And here’s the link! http://destressproject.org.uk/project-background/
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Thanks for sharing Polly. This supports our own findings working with thousands of people in communities over 32 years that there is a risk ‘natural’ responses to life stressors are being over medicalised and therefore not treated in a way which helps address the root cause, and left unaddressed with prolonged periods of anxiety and depression…Read more
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Polly Mitchell commented on the document Pyramid of Characteristics sought from health professionals to improve connections receiving care, created through the experience of those using services 7 months, 2 weeks ago
Thank you for sharing this, Hilda. I initially had a similar thought to Rollo about where technical skills fit into this picture. And that set me wondering about all of the things that support the pyramid — maybe the pyramid sits on top of an iceberg ! — including resources, education and training, fair working conditions, good leadership and…Read more
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Hi Polly
As shared with Rollo, from my experience people were looking less for technical skills and more just a chance to be considered as a human being who had feelings and thoughts about what may happen next.
You are right, this also applies to staff, its something we explore often in the staff wellbeing SIG is the compassion paradox. If those…Read more
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Rollo Moore commented on the document Pyramid of Characteristics sought from health professionals to improve connections receiving care, created through the experience of those using services 7 months, 2 weeks ago
an admirable summary diagram, with an aspect of priority; would you expect a person involved in care to offer technical information and if so, is the level of explanation to be judged as part of the communication skill? (some patients may desire more explanation than others). Although I’m thinking of radiation therapy which is not often a solution…Read more
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Hi Rollo
Thanks for you comments and kind words. What we found in putting this together was that people were not so much interested in the technical information as such, more that their anxiety about what to expect was allayed and that they felt they were seen as a person. (for some too much technical information caused more anxiety)
You are…Read more
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Thomas John Rose posted an update 7 months, 3 weeks ago
I recently underwent surgery. No doubt this process was kicked off with a diagnosis followed by a treatment plan followed by a post-surgery care plan followed by a discharge plan. I’m not sure if any of this was documented but I certainly did not see any. I was involved in some discussion at various points but did not see any documentation. Was…Read more
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Thanks for sharing your experience Tom.
This raises interesting really interesting questions, one of which is whether person-centred care should be assessed and evaluated in a more generic way — by looking at whether certain pre-determined tools and procedures were used (e.g. shared decision-making tools; documentation of diagnosis, treatment…Read more
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I like this little booklet: https://www.health.org.uk/sites/default/files/PersonCentredCareMadeSimple.pdf
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Hi Thomas
I hope you are recovering well. My own service when we delivered direct one to one (mental/emotional health) asked people at the first appointment what they wanted to achieve by using the service. Often people said ‘I don’t know, my GP told me to come’ We often spent time exploring why they did come and what difference they hoped it…Read more
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Hilda Campbell MBE posted an update 7 months, 4 weeks ago
Thank you for creating this space, I look forward to joining in the discussions.
Kind regards
Hilda
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About this group
This group is for people who are interested in discussing the fundamental purposes of health care improvement and some of the ethical issues that arise in planning, conducting or researching improvement. It is meant for anyone who is interested in asking these ‘big questions’ but it assumes no previous knowledge of philosophy or ethics. Members who care about these questions will bring their own real world perspectives on managing these questions, their own various professional and disciplinary expertise, and a willingness to have a conversation about conceptual and ethical uncertainties.
The main vehicle for the Special Interest Group will be a series of online discussions on specific topics in this area, with recommended pre-reading, held roughly every two months.
