richard Best

@JoeTeape Hope your enjoying the new role - if you want try a trip to Dartmoor and try some hills - offer is there - it certainly helps focus the mind? :)

(1/3) It needs repeating: in 1994, Ukraine was persuaded to give up its nuclear weapons to Russia in return for the US, the UK, and Russia guaranteeing Ukraine’s sovereignty, security, and territorial integrity.

@JoeTeape @TorbaySDevonNHS welcome back to Devon.

@JoeTeape @UHSFT @SotonChildHosp enjoy

@JoeTeape @UHSFT @SotonChildHosp brilliant - hope it goes Fab.

@DGFTimprovement @DudleyGroupNHS hope your having a great day

Excited about our annual #DIP improvement showcase today, celebrating our amazing improvers across acute and community services. 🤩 @DudleyGroupNHS

@billchapman_ buy responsibly Chocolate oranges are not just for Christmas 😀😀

@RyanDaviesLibby @NHSDevon @BetsiCadwaladr well done lets talk.

I am delighted to share that I have a new role with @NHSDevon ICB as the Transformation Director 😊 Looking forward to the opportunities & challenges that come with the change of role. I have loved my 2 years @BetsiCadwaladr as the IHC Director, working with amazing colleagues ❤️

@RCEM_VP i wonder what the stats and presentations are like for a transient 210000 population? hope it's not too busy.

Good news. I’ve found an Emergency Department that isn’t crowded (although it will be busy later). It’s in a large field somewhere in Somerset. And it will be gone in 5 days.

@SarahPickbourne @UHP_REI @Nickymetty wow what a great crowd and so much energy in the room - really enjoyed the mixed up tables...thanks for giving the #huddles #pdsa #TeamHealth a go.

Fantastic away day with the ophthalmology team today. Great conversations about how we can improve and work together across the teams. Thanks @BestRM7 and team for joining us. @UHP_REI @Nickymetty #peoplefirst

@tong635 great insight - whose pace do we support learning? and who is the customer of the coaching process?

What happens when you apply #TimeToThink to #CoachingKata? You get some interesting coaching insights! Sometimes what the improver needs most to continue learning for themselves, is not the next coaching question!

@JoeTeape rest - i have to stop for last 2 months - now swimming or Pencil pick up exercise with your toes may help?

Go #TeamMedicine @howes_nat and all, great to see you continuing with daily earning huddle to improve pre10 discharge.👏 #PeopleFirst

@andreadgibbons @improvementmph @HealthInSW @DawnsTomorrow @DrAmarShah @RCHTQIHub @theQCommunity @FabNHSStuff @LouRodrigues_QI great to see you all. and such great energy from all teams.

.@improvementmph have had a fantastic day today at the @HealthInSW SW Collaboration Event today! 🤗 Thank you to @DawnsTomorrow and @BestRM7 for hosting, @DrAmarShah for speaking & @RCHTQIHub & others for making it happen! 🙏 @theQCommunity @FabNHSStuff @LouRodrigues_QI

@tong635 @BednallRuth @pcetraining @KazBrown48 wise words and reminder of a great #NHSkata we need to hear more of. thanks @tong635

Reflections in #NHSKata learning group, developing skills in #ScientificThinking and improvement coaching. Improver: “my anxiety level is down to zero now that I am experimenting and learning”. Coach: “fast when the improver is in their comfort zone, slow when they're less sure”.

@HelenBevan this is all fab stuff. but surely fundamental is a learning routine at all levels - team daily huddle , service weekly learning, exec daily huddle and curiosity about learning process. of course you may have to stop thinking you know it all already first....

How can we build a culture of learning at scale? There's an increasing focus on ‘learning networks’ (as well as, or instead of, learning within organisations). It's built on a sense we need to support learning to occur across scales & boundaries - from the individual to system-wide. How to develop an effective learning network: 1) Take a decentralised approach: create a network of diverse experiences and voices. 2) Structure for emergence: create some "simple rules" that foster the exchange of knowledge and the emergence of new ideas, behaviours, actions & connections. 3) Let go of certainty: help network members to see learning (and unlearning) as a strength rather than a threat. 4) Build trusted relationships: create processes to foster ties & trust across the network. 5) Invite ‘boundary spanners’ (people who have connections across other networks): support those who are not ‘inside the tent’ including reframing their role in the learning process & the value they bring 6) Co-develop a learning strategy: give all members the opportunity to be part of collaborative decision-making. 7) Regard learning together (collective sensemaking) as "real work": learning should inform action in real time and be done in context, rather than abstract ‘learning time’ outside the system or the work. 8) Encourage network members to take experimental action: start with small tests. 9) Incorporate critical reflection: Develop methods of surfacing differences in how a group sees, understands, & responds to situations. 10) Build a collective memory: Define processes for capturing, distilling, applying & sharing knowledge. 11) Create a simple evaluation framework: e.g., how people work together, new behaviours & practices, confidence & capability to engage with difference & unlearn. medium.com/centre-for-pub…. By @theasnow. See also orangecompass.com.au/images/Scoping… by @orangecompassAU

@HillMitch2022 @drvic @NM_Improvement @NorthMidNHS @andyfinlay07 that's the way to do it- brilliant - data and curiosity and coaching #awesome go @NorthMidNHS

And we are OFF and IMPROVING 🏃🏾🏃🏼‍♀️🏃🏽‍♂️! Today we huddled to review 3 of our most impactful experiments aimed at improving Trust-Wide Flow! Leaders and teams used data 📈 to drive a conversation about their PDSAs! @drvic chaired these curious conversations brilliantly 🌟

@SarahLBud @UHP_NHS @DrDSheridan @KellJHB @howes_nat keep them visits going - so much great stuff and learning to see

@DGFTimprovement well done on your journey so great to see you share this statement of confidence in approach. Go Dudley

The effects of a continuous improvement system on employee engagement. Interview with Chief Executive, Diane Wake and Director of Improvement, Peter Lowe. youtu.be/wnTwWJ92Bok

Huge thanks to Acute Medicine & Radiotherapy for hosting our recent Go Sees: amazing to see both teams in action delivering wonderful care. Good to share thoughts & ideas on how to support & grow these invaluable services: all helping to support improvement across #TeamMedicine🙌