Patient experience

This category contains 54 posts

We can’t go on like this – innovate or die, says Jonathon Fagge

Innovation is messy, expensive, and disruptive, and many of the attempts to innovate result in failure. It is an exercise in risk-taking; an investment of time, energy, credibility and money, for an uncertain outcome. For the architect that conceives, the organisation that sponsors, and the people that must adapt, it is an uncomfortable and sometimes … Continue reading

Time to level the playing field for sickle cell and thalassemia sufferers, says John James

The recent peer review of NHS services for people with haemoglobin disorders (inherited blood diseases that affect how oxygen is carried in the body) highlighted what we always knew about these services: they are far behind the standards of other patient services within the NHS. But what really needs to be done to change this? … Continue reading

In the depth of winter, there is within the NHS an invincible summer, says Dr Darren Kilroy

When the days are short, and operational fuses often even shorter, our thoughts turn to how best we can sustain our appetites for reform and innovation while grappling with the stark issues of the week, month and quarter before us. We struggle to absorb the revelations from the think-tanks into the pressures of the do-tank. … Continue reading

Can we overcome the challenges, risks and fears of the Better Care Fund, asks Michael O’Higgins

The NHS has promised to do more for patients. It has promised higher quality care and better patient experience; to put patients front and centre of everything it does; to do its best, being open and honest at all times. It seems obvious to me that the premise of integrated care – to deliver care … Continue reading

We all have a part to play to deliver the new blueprint for urgent and emergency care, says Professor Keith Willett

You will have all seen Sir Bruce Keogh talk about the recent publication of NHS England’s Urgent and Emergency Care Review End of Phase 1 report. I have led the review for Sir Bruce and our report sets out a vision for how we can deliver a new system of urgent and emergency care. Our … Continue reading

Nursing in black and white: Elizabeth Anionwu CBE reflects on a meeting with a South African NHS nurse

In November 2013, I had an extremely thought-provoking meeting with a South African nurse who now works in the NHS.  It was a fascinating discussion in which she compared her experience in pre and post-apartheid South Africa with her 13 years of employment in an English hospital.  Just three weeks later came the announcement of … Continue reading

Surely positive and proactive actions – not punitive practice – must undergird our culture change, says Angela McNab

Since my last blog on our journey to achieve culture change, it’s been a pretty bumpy ride for our trust, and probably for others! Daily communications put the spotlight on NHS services and commonly draw attention to ‘failures’ of some kind. On top of these criticisms, we have had two quite difficult incidents in our … Continue reading

Four decades, numerous configurations, one aim: parity of esteem. Are we there yet? asks Stephen Dalton

I think I must be getting on a bit. I seem to be increasingly relying on cultural references to recall when and where I was, and what was happening at that moment in time. Is it any wonder, then, that my reflections on the struggle for parity of esteem takes us from the Punk days … Continue reading

A few lights, a camera and some real-life action helped us demystify what it’s like to live with a mental illness, says Dan Charlton

A stark finding from a survey of people with mental health problems by Mind a few years back revealed that a quarter felt more frightened and vulnerable because of media reporting of mental health. This is one very good reason why it matters that on 7 October this year, The Sun chose to run the … Continue reading

Disease-specific pathways and hospital-based care are a redundant strategy for the multi-morbidity future, says Sir John Oldham

Over the next 40 years, most healthcare systems worldwide will face a tsunami of need from people with long-term conditions such as diabetes, chronic airways disease and circulatory diseases. There will be a rise of 252 per cent by 2050, and this is built into existing demography and prevalence. The mathematics are inescapable. In England … Continue reading


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