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NHS England and NHS Improvement
Start at the end !
Dr Robert Varnam PhD MSc MRCGP
Director of Primary Care Improvement
@robertvarnam
robert.varnam@nhs.net
@robertvarnam
Most of us have tonnes of ideas for how to improve healthcare
@robertvarnam
…but we learn early on that making change happen
Is hard and disappointing
@robertvarnam
Most of us are really good at rushing in without asking
what we’re aiming to accomplish
@robertvarnam
Pitfall 1 – begin at the beginning
@robertvarnam
Pitfall 1 – begin at the beginning
@robertvarnam
Pitfall 1 – begin at the beginning
Start with the END in sight
You’ll need planning, testing & refining
to succeed
Don’t let enthusiasm to act
overcome the discipline of design
@robertvarnam
Pitfall 2 – be too eager to make your contribution
@robertvarnam
Pitfall 2 – be too eager to make your contribution
To someone with a hammer
everything looks like a nail
@robertvarnam
Pitfall 2 – be too eager to make your contribution
@robertvarnam
Pitfall 2 – be too eager to make your contribution
Keep the OUTCOME in sight
Value achievement more
than contribution
Don’t focus more on what you bring
than what the patient needs
@robertvarnam

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NHS Improvement Tips: Start at the End and Avoid Pitfalls

Editor's Notes

  1. About me What we’re doing today 2 pitfalls … common in improvement – esp medics
  2. Let’s say you have an idea. Who has an IDEA to IMPROVE healthcare?
  3. 10 ideas / session
  4. STORY – “terrible pain in me knee” What are you doing?! It got better. OK if I don’t always come to GP about it?
  5. Common sense, yes?
  6. Common sense, yes?
  7. Common sense, yes?
  8. Common sense, yes?
  9. We’re EAGER And we’re MEDICS
  10. We’re EAGER And we’re MEDICS
  11. We’re EAGER And we’re MEDICS Hours on your contribution vs outcomes?