Alec Murray

@ruth_glassborow @LWiC_QI #lwicfrailtycollab OH: “Machine thinking (in complicated systems) leads to blaim, failed predictions and constant desire to analyse components”. We often work in complex systems in HSCPs... so we need to work differently.

@hughesthenews BBC article neglects to mention Scotland’s National Naloxone Programme (est’ 2011). The medicine is stocked in all community pharmacies in Scotland for easier access when needed in an emergency overdose situation [spread the word] :)

Many pharmacies also already offer a ‘Take home Naloxone’ (THN) service for friends & families of those at risk of opiate overdose as part of the board’s drug and alcohol services mentioned. This is not clear in the article. Greater public awareness and tackling stigma required.

Sadly, it’s been my experience having gone back to ‘the coal face’ that there’s still a perceived lack of enough time and resource for QI approaches at clinical service levels.

It certainly reminds me of the content and ambition in the 2010 Quality Strategy for Scotland…🫤 The country as a whole needs QI graduates (and QI efforts in general) better connected and invested in nationally. Also keen to see more of these ‘measurable improvements’ shared. 🤔

Encouraging points the new health secretary makes. “Reform”/change, “improvements”, “efficiencies”, “productivity”, “performance”… sounds like a job for our Qualified Quality Improvers? Don’t let us down @neilcgray, congratulations (& agree with your post match analysis ;)

@crystalski Hi Sarah-Jayne, get in touch if you’d like further details. The situation was chaotic and I see by searching twitter it seems a regular occurrence. However, I think there are a few simple actions that could’ve alleviated the situation and would’ve appeased customers.

@mratgmurray Hi Alec, Sorry to hear that you were amongst unhappy and delayed travelers. Thanks ^Sarah-Jayne

Absolute carnage at Innsbruck with @crystalski reps like headless chickens and a lot of unhappy & delayed travellers. Fascinating to watch though. A lot can be learned from even the most dysfunctional system! #systemsthinking Do we maximise the learning ‘when things go wrong?’

@pharmacybh ‘Thanks for the heads up’ I’ll ‘ping’ that to you by ‘end of play’ Thursday. Unless you want to ‘touch base’ and do some ‘blue sky thinking’ before then?

If we want to build learning systems for improvement, we must encourage our teams to be curious. A culture of curiosity leads to psychological safety, experimentation & problem solving. Yet a recent large study found most leaders regard curious people as "insubordinate" & like them less than people who don't question things. However, curious people who are politically skilled are liked & supported by their leaders. Lessons for leaders AND change agents here. Change agents: how do we express our curiosity in constructive ways, asking the right questions at the right time? hbr.org/2023/11/resear… By @OUOBProf

Enjoying the new @sabrinanetflix series, but the English dep’t of Greendale need to step up the grammar lessons a notch. #smartalex #anAlec can’t help myself #noapologies . Any jobs going?

(2/2) is that negative behaviours flourish under pressures and go un-challenged. “I-matter” could be a useful metric and yet use and perceived value is varied. # Why are performance management and incentivisation for improved quality/efficiencies such dirty subjects in the NHS?

(1/2) Was the real way to belong? Totally agree and resonates loudly. I’ve been in only two roles within my NHS career where I felt this was the reality & it was all down to authentic leadership. It was great. Unfortunately there’s no incentive for this & my general experience is

Gasps in the NZ audience as @adamgordon1978 describes the 30,000 excess deaths in care homes in the first 6 months of covid. It was a different beast in the UK #anzsgm

Today is national mentor day. Who has been the bestest mentor/inspirational leader in your career? Repost and lets say thanks. I'll go first - @pharmScot and @TKM_ihub . You both have that perfect mixture that always inspired me to do my utmost with autonomy, trust and respect 🥰

(2/2) Pt #consent is not an issue #co-design & #consultancy? The technology IS there. The system is just out of date needing bold transformational change. #Nottingham incident would’ve been highlighted far earlier - greatest loss & impact being that to trust between Pts and Org’

(1/2) It’s high time NHS looks at improving access for people’s OWN data. It’s incredulous that people are told to go home and wait on a letter this day and age (which can take months) when likes of Amazon etc allows for alerts and up to the MINUTE delivery updates. #Newcastle

Bringing our bad mood to work can have greater impact than we think. Recent research from @LSEManagement suggests that leaders who demonstrate consistent positive emotions at work (as opposed to fluctuating emotions) create the conditions for more positive, engaged teams & better outcomes. The researchers say leaders should: 1) Build emotional intelligence (EQ), including a deep understanding of emotions at work 2) Recognise the power of maintaining consistent positive emotions at work 3) Be aware just how much our own emotions can be influenced by the mood or behaviours of the people who lead us: blogs.lse.ac.uk/businessreview…

@AsdaServiceTeam No worries. just thought provoking as it led me to ponder similar human behaviours regardless where a person works or does #Deming. An interesting dilemma you put me in though, my initial reaction was ‘don’t want to be a snitch’ & guess that too is a transferable behaviour #nhs

@mratgmurray Hi Alec, this is very strange indeed! Would you be able to let us know the location of this store so we can give them a call about this? Thanks so much! - Elle 🌷

This in @asda last night. Couldn’t cope & had to leave aisle immediately! 😝 Left contemplating though how tasks perceived as simple can be misinterpreted for lots of reasons or worse - subversive action taken to make a point? Whichever there’s always a reason behind this.#Deming