Healthcare on the Mend?

“Are you scared to try something new because if no one likes it, it will be remembered…” An advert aimed at selling chicken-free dippers with an underlying message which is so profound.

Change is hard and uncertain, there is no doubt about this. It’s a complex individual and social movement which requires a collective effort to move the status quo; from a working system which is safe(ish) to a new state which potentially hasn’t been tried and tested before with no guarantees things will be better.There are likely  to be many wrong turns along the way and what you set out to do initially, will almost always not work. You can see why things do stay the same way for many years without upheaval.

This is never so true as in the health and social care setting in the UK. In 2023, we are slowly emerging from a global pandemic which took the lives of hundreds of thousands of people, there are over seven million people on waiting lists for specialist clinical care or surgery, response times for ambulances are double the national standard, workforce shortages are expected to reach over 300,000 in the next decade and the NHS is used as a political football at every possibility. It’s a pretty bleak picture.

Having watched the Barbie movie recently, I feel like we can all relate to ‘Sad Barbie’ – “I’m just going to wait here for things to change”. Where you are so frustrated and you just don’t know why those people who make the decisions don’t just sort it all out and sort it out quick. Sadly, this isn’t how change happens, although it would be nice to think that we can just wait it out until it happens to us. Change begins by accepting that there are some things which are not in our control. However, there is a vast number of things that are within our control and influence, and that change starts from within – by focusing on the things that you can control and making incremental steps towards the goals that you want to achieve.

Aklak and I are profound optimists and although there have been a few ‘Sad Barbie’ moments in our careers, its been a vital trait when you work in the line of work we do. Having been around improvement, patient safety, change management, human factors and generally moving to “a new and shiny state” for many years now; we believe fundamentally that change is good and although it might not always go in the way you want it to, these incremental changes towards a predetermined goal begin to add up eventually to take you to a better place than where you were before. Every missed step is an opportunity to learn. This is not an exclusive club though and anyone can take part. This is a philosophy we want to spread. We are by no means experts in this area, I started out life as an admin assistant as well as working as a healthcare assistant part time and somehow ended up in this place today where I work with national bodies, executives of organisations and the like.

I never really intended to be where I am today but have always found the area of change fascinating. Something I keep hearing over and over again and a maxim I choose to use is, “just get started”. Don’t wait around, there is never going to be a perfect time. On an episode of a well-known podcast, I recently listened to the podcasters recall how looking back, they set themselves a goal of reaching one million subscribers on YouTube. Something which seemed unachievable, but it was something they were really passionate about. They had never used a microphone before and they started off by completing film and video reviews and… they sucked at it. BUT…James the lead podcaster spoke about how he learnt so much from just doing a month of this and getting feedback, making changes and going again. Today they are one of the top podcasts worldwide. Well, if anything, this blog series is our metaphorical casting off from shore and giving it a go.

Over the coming weeks, we plan to cover all things healthcare from future developments, leadership trends and the way improvement is evolving. As well as slightly wider topics such as how wellness is impacting health and what international health services are doing which could be useful models to adapt and adopt. We want our blogs to be a break from the doom and gloom that is often associated with the NHS. The NHS is a magnificent organisation, founded on principles of hope and outstanding morals. There is no denying that there are important changes which need to happen for it to see its 80th birthday though. Yet everyday miracles happen in our health care system.  It provides exceptional care when we enter the world, all the way through until  we leave it. Generations of people work within NHS organisations and many people meet their partners there. It is so much more than a healthcare service. It is so easy to talk about the bad, and as discussed hard to make a stand and begin to make change for the better. We want to shine a light on some of the amazing things that we have seen and give a bit of optimism for the future.

Even if nobody reads it (well I know my mum will, so that’s at least one person…), it will progress our knowledge and understanding of a topic that we are zealous about and we think that this could bring a host of benefits not only to the improvement community but to those healthcare staff who have never thought to improve something and would scoff at the thought of trying. “I’m just going to wait here for things to change”… These are the people who may benefit most from this and we hope through this series to begin to present this topic in a fun and interesting way to capture a wider audience and encourage people to take that first step. We hope you can join us on the journey…

Cheers

Tom Rollinson Quality Improvement Partners Team

Join us for the next blog…”Are you seriously expecting me to change the world in 4 months?!”

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