Andy Ware

Final day of #WMHLEx. Kicking off with more international learning @SANEAustralia sharing their digital services for people with complex mental health needs 🇦🇺 Joining us via Teams in Aberystwyth & Cardiff. “Designed against user need, not service or policy need” . Diolch 🏴󠁧󠁢󠁷󠁬󠁳󠁿

@AlexiaJaouich & Sarah Harte from Stepped Care solutions, a Canadian non-for-profit holding the international learning session - the model , Stepped Care 2.0 - a flexible open access model . Introduced by Dr Chris O’Connor #WMHLEx 🇨🇦🏴󠁧󠁢󠁷󠁬󠁳󠁿

Breakout room 2 - Rebecca Temple-Purcell & Jon Bisson delivering the trauma informed practice at #WMHLEx. Adapting the medical model with social, psychological & behavioural dimensions not as “third class” passengers. Examples from the knowledge exchanges that already took place

Breakout rooms at #WMHLEx - Dr Chris O’Connor & Ewan Hilton of Platform, talk open access care, what are the implementation considerations in Wales? Delegates share beat practice , what do we do differently & how it can sustain ? “This is not a flash in the pan”. Dr O’Connor

Keynote speaker @HoratioClare gives a shout out to Mental Health pharmacists, their value adding role & the importance of trials for effective treatments. Individuals going through hell hesitant for medication & the stigma of MH. #WMHLEx

Q Lab Cymru are proudly involved in the Wales Mental Health Exchange in Aberystwyth taking place from yesterday, today & tomorrow. We have already had a powerful opening from Des, @ashton_hewitt , Ciara & @HoratioClare . “Mental health is a universal human experience”. #WMHLEx

1/2 We are saddened to hear of the sudden passing of friend and colleague Nigel Hullah. Nigel worked very closely with our Dementia Team and leaves a remarkable legacy, having been a huge presence in the national and regional dementia programmes.

@amcunningham @HelenhowsonBC What are the chances we can still find that ‘tweet’? I remember it being a corker. Hope you are well.

@ACRWare @HelenhowsonBC Yep that was me :-)

Here is one for you @HelenhowsonBC I’ve been the staff member trying to figure out why a pt is not on the list . I remember maybe @amcunningham sharing a similar story on X of a ‘Not an appointment letter’? Untrusted assessment, over checking, #sillyrule = mega-failure demand

@HelenBevan Maybe it’s the mental models that evolved which altered the choice of methodologies ? Dominance or single ontological sense making? Since updated from Pascal. Source here - cambridge.org/core/journals/…

A history of change: How approaches to change have evolved in alignment with prevailing mental models & dominant corporate functions of the time: 1960s: Operations focus: change processes were linear, planned & efficient. Leadership followed a top-down approach 1980s: Finance focus: Shift to service-oriented, more strategic stance. Change as a means of increasing capital allocation & share value 2000s: Internet/tech focus: change leaders as renegades who innovated, moved fast and broke things 2020s: Design focus: As the complexity & interconnectedness of challenges continue to grow, large-scale systemic transformation @marziaarico/designing-change-7beaa944b8a6" target="_blank" rel="nofollow noopener">medium.com/@marziaarico/d… By @marziaarico

@JohnWSeddon @JohnWSeddon couldn’t it also be the case that when the acuity, needs & goals of pt’s are matched with the right expertise, it’s entirely appropriate for the few to take up more clinical capacity, as they are performing at the top of their scope to deal with the variety?

Absolutely the big lever. In every service studied we find a small proportion of patients consuming a disproportionate amount of capacity - it's failure demand at scale.

@AlexMorrish @JohnWSeddon Likely a #sillyrule - to determine your urgency your notes are needed, but can’t be released without an appointment. Creating one automatically prints a letter which is normally destroyed . Some are accidentally sent and pt’s turn up & frontline staff don’t have them on the list.

@JohnWSeddon Mixed experience of the NHS today. Visited my local hospital, needed Radiology C. Only A and B listed on the hospital layout. Took me longer to find it than to have the scan. Staff as usual, were lovely. Then came home to this classic. WTAF? 👇🏻 1 of 2

@DrGW0 @alisonleary1 Productivity doesn’t feel right but I know what you mean on the sentiment. My MSc diss looked at cases of ‘whole system approaches’ in Wales = Staff trying to make a difference. The lit review touched on 70 k staff post pandemic leaving & with it tacit & idiographic knowledge

@alisonleary1 How can productivity be fairly assessed in the NHS?

@Oohgpwales Congratulations ! 🥳

Pleased to share, my MSc is completed. My dissertation ‘Cases of Whole System approaches in NHS Wales & implications of Systems Thinking in Practice for #Improvement practitioners’ had recommendations aligned to the health & care quality standards. Thanks to all that contributed

Cardiff Met's water polo teams are heading to Malta for training and need our support to make it happen. Every bit helps! Please consider donating and sharing this. Thank you! gofund.me/be4d9a71

Going over to #bluesky to check it out . Acrware.bsky.social . Not seeing the fantastic stuff I used to from the NHS in the timeline . Will try and share and post more over there too.

@transport_wales share their experience of combining the Com-B model with @snowded ‘s Esturine mapping at @BSU_PHW’ CoP at the @SophiaGardens in Cardiff. @PublicHealthW #BeSciCoP2024 thecynefin.co/estuarine-mapp…

"".... you may reduce defects to zero and go out of business... something else has to happen". -Dr.W.E.Deming. HT to @TegidRhys for sourcing the quote, from here at about 13 mins - youtu.be/2MJ3lGJ4OFo?si… with Deming consulting Dr R. Ackoff, systems thinker and pioneer of OR.

Great 2nd session yesterday with my Q Lab Cymru colleague @PhD_Sport_Psy providing an insights session for @ImprovementCym teams. Blending participatory techniques with research done from Dr Gary Klein to create ‘insight strategies’ #SeeingWhatOthersDont #QLabCymru #5Cs