✨Gabbie Parham✨RN DN QN

Seriously impressed with @P_MillerNHS describing her ICB approach and especially wonderful to hear her describe how the lessons from #WiganDeal has informed and inspired the fantastic innovative modern nhs development Dorset is taking. 👏👏👏👏 #ntsummit

Owen Williams calls for a focus on the next leadership generation. We need to retain and develop them into the leaders of the future but it has to be an exciting opportunity, not drudgery.

Patricia Miller feels there’s still a lack of freedom for leaders to act. In response to the example above, she felt ICBs don’t need to be told what assurance framework should look like, or get sign-off for JDs. “If we need that level of supervision I might as well be a band 7.”

“We need to change the way that we lead to give ICSs the space to lead”, says @ChrisHopsonNHS - for example he says winter planning was a national-level framework that allowed ICSs flexibility to determine how/where to spend the funds; managed using board assurance framework.

Now at #NTsummit @ChrisHopsonNHS says the perspective of now sitting in NHS England brings home the consequences of being in a taxpayer-funded national health system, for which politicans have accountability for spending.

Patricia Miller says the biggest lever for change is focusing on how we personally need to change as leaders. Also, change isn’t a process - we have to change the conversation from micromanagement and targets to ask something different and allow autonomy of ICS leadership.

“You’ve confused accountability with the illusion of control … you think that by having templates and spreadsheets, you think you’re in control, and you’re not”, former DH director of finance Richard Douglas tells @ChrisHopsonNHS #NTsummit

But as @ChrisHopsonNHS pointed out earlier there's a natural tension with how muxh power can be devolved ultimately the NHS is a national service & national leaders will ultimately b held to account for performance #ntsummit

@buckinghamh' description of ICBs as the "squeezed middle" between NHSE and trusts seems to have resonated. Qs towards @ChrisHopsonNHS focused on urging NHSE to be less prescriptive and trust ICB leaders more #ntsummit

Phone running out of battery already so I must bow out of livetweeting…the #NTsummit is being livestreamed. Before I go, will leave you with wise words from @RFLchiefexec - health leaders should think about comms with public from the perspective of what you’d want as a patient.

Stress, burnout and job satisfaction in the NHS staff survey #NTsummit

Working for the NHS is bad for your health. @mancunianmedic sets the scene for a session on the workforce burnout crisis. #NTsummit

#NTsummit this morning looking at workforce wellbeing in the NHS. Very worrying evidence of mental health impacts. Pandemic exacerbated stress on staff who are stretched by gap between supply and demand

#NTsummit @Kevin_Fong speaking on burnout at the Nuffield summit; ‘NHS staff are more than tired, they’re injured’

.@Kevin_Fong highlights that the rate of posttraumatic stress in NHS staff following the pandemic is comparable to that in the British military serving in Afghanistan. That has a cost. #NTsummit