Jon Antrobus

@LawrenceDunhill We have done an extensive piece of work on this. Important to note that it’s a measure of efficiency of your system, not a stick to beat people with. Can chat if this is helpful, can’t DM you as I don’t have a blue tick!

Having a look at 'late-starts' in surgical theatres & getting numbers back which appear pretty shocking. One eg below which is typical. Grateful for any help in understanding different factors at play in this area - can DM me in confidence retweets wud help too 🙏

Most transformation efforts fail. Major new research from @BainandCompany says only 12% of big change programmes produce lasting results. They identify six "good practices" for large scale change strategies that greatly increase the likelihood of success: 1) Treat transformation as a continuous process rather than a discrete programme. 2) Build it into the operating rhythm of the organisation 3) Explicitly manage energy for change - sequence changes to avoid widespread organisational fatigue 4) Use aspirations, not benchmarks, to set goals - top-down data driven mandates can crush transformational thinking 5) Adopt a “middle-out”, rather than "top down" approach 6) Allow sufficient funding (in the research, nearly every failed transformation wasn't funded properly) hbr.org/2024/05/transf…. Via @HarvardBiz

We're extremely honoured to announce Lynsey Russell, Senior Charge Nurse in Critical Care @NHSBorders as RCN Scotland Nurse of the Year 2024. @ColinPoolmanRCN Scotland Director says the judges were inspired by her passion, dedication, & outstanding contribution #BestOfNursing

Good for the cause: TED has published my TEDxArendal talk on ted.com 🙏🏿 #preeclampsia #women #cardiovascular #health ted.com/talks/meryam_s…

@MerySOslo What a legend! Great talk Meryam

@jeffcullen0 @ShoulderGeek1 @DrJN_SportsMed @AdamMeakins I’m doing a shoulder list tomorrow so I’ll ask and see if he knows!

Ok looking for some evidence 🙏 Recently had a 🏉 player with SLAP tear and had letter back from Ortho consultant He mentions the ‘Liverpool sign’ in LHB tendinopathy but searching on this only gives me updates on Mo Salah 🤷‍♂️🤣 @ShoulderGeek1 @DrJN_SportsMed @AdamMeakins

Great opportunity to showcase and be inspired by improvement projects going on in @NHSBorders Abstract deadline Friday 3rd May - Get them in 🤩 @JonAntrobus @LauraJones04 @sarahjhoran_j @NHSBordersCPP @flylip @grievesie1 @LouiseM17513002 @rhonamo69 @JulieCa15064979 @Zeus836

Can’t think of a better team in the world to work with. Well done everyone. Well deserved

@LauraJones04 Yes that’s my plan! Takes a bit of time to build the culture but I am working on it

relevant to our discussion today @JonAntrobus 🙌

@GalensGhost Amazing pictures Cath. Hope you’re having a great time!

Got to love the #falklandislands ❤️🇫🇰

Are you looking for something new this year? If you are a First5 GP you can apply for an exciting opportunity with NHS Borders. Dr Tommy Galliano shares more info below! Apply here 👉 apply.jobs.scot.nhs.uk/Job/JobDetail?…

@alysonwalkerRHC @SQSFellowship @designcouncil @operanomad Amazing work Aly!

Using a co-design approach for healthcare improvements is rewarding, effective and fun. I couldn’t be prouder of our work so far to transform patient & family experiences of coming to the operating theatre. #design #empathy @SQSFellowship @designcouncil @operanomad

In response to Audit Scotland's findings that there is significant risk that NHS Forth Valley is not financially sustainable in the short term and importantly these challenges are being felt by boards across Scotland BMA Scottish council chair @DrIainKennedy said... 🧵👇 1/4

@LauraJones04 @lmhastie @lwrightQI @DannyBellQIF @Zeus836 @rhonamo69 @JulieCa15064979 @IdaHassing1 @lynseywelsh03 @zimscotcaroline @ronniedornan I know you’ve worked hard on getting the board up to speed with QI as a business strategy. Do you think senior mgt are well sighted on this too?

@JonAntrobus @lmhastie @lwrightQI @DannyBellQIF @Zeus836 @rhonamo69 @JulieCa15064979 @IdaHassing1 @lynseywelsh03 @zimscotcaroline @ronniedornan

@GalensGhost @DrDanielAlbert Agree deeper. With faster/shallow breaths a greater % of Vt is dead space

@DrDanielAlbert I would say deeper, at least up to a point. A bit of PEEP can help too, especially if lying down.

Anaesthetic colleagues, help please. To increase oxygenation without blowing off more CO2: faster breaths or deeper breaths?

@nickydeacy It’ll go nicely with the icing

Quality reduced aisle in Eastbourne Waitrose! Friday night dinner inspiration…

@GalensGhost Wow - is that from Orkney?

Fantastic display! #aurora #northernlights

TL;DR: No difference in mortality, functional recovery or return to prior place of residence at up to 1y after surgery with spinal vs general anesthesia for hip fracture surgery. 2/2

@LauraW13109 @LouiseM17513002 So … any reason we can’t just do it then? @lynseywelsh03 Whaddya think?

@JonAntrobus @LouiseM17513002 So many bottles! I’ve never used it in practice but wrote about the traffic light system at uni. Seems a brilliant idea 💧🚦

How are you giving water to patients? Water jugs? Bottled water? Interested in what the NHS across Scotland is currently doing?