I've just been reading through the Welsh Government Report of the Independent Review in Neonatal Services at Prince Charles Hospital in Cwm Taf Morgannwg University Health Board. Much of it was sadly familiar, as I wrote an internal review of women and child health services in that region about 15 years ago. A few things... Continue Reading →
Believe it or not I've halved the size of this blog already - the third installment of The Story is the Measure. I've suggested that this is true for any complex systems, particularly those involving people, so I first told a Story about people and then explained what happens when organisations try to Measure stuff.... Continue Reading →
Still in reflective mood, a pattern seems to be emerging within my writing therapy. You'll have to take my word for it, as I've only shared a very small proportion of my recent ramblings. I typically employ a free writing technique to stimulate the prescience necessary to rant meaningfully about something crap - like the... Continue Reading →
I've been threatening to do this for ages. Occasionally, it has been known for me to get, as my Grandmother would put it "arsey", about how people represent things and ideas. Typically, the arseyness emerges as a result of some bewildered enthusiast taking a list of their favourite trendy words - drawing boxes around the words,... Continue Reading →
For more years than I care to mention, I've been embroiled in a long term programme of work exploring flows in healthcare. In simple terms, how the work and the patients move around the system. For the past two years it's gone onto the back burner. Actually the instruction from the then hopeless Leaderist, was... Continue Reading →
After a rather marvellous weekend at NHS Hackday Cardiff 2015, I'm knackered. But, equally excited with the potential that emerged in just few hours by interacting some carbon with some silicon. Lindsey (coding witchcraft), Warren (sexy engineering), Michael (social inspiration), Jas (clinical rudder), Gareth (sense checking) and me (noisily interfering) worked on different bits of bringing a... Continue Reading →
Population health has been defined in many ways, of which this opening gambit from Wikipedia is a good example, "the health outcomes of a group of individuals, including the distribution of such outcomes within the group".[1] I think that’s a bit dry! I like to think of population health at the scale of a community; with... Continue Reading →
An absolutely excellent resource for anyone with a penchant for mashing up some systems theory, healthcare and “how to work in a way that is more congruent with the people and communities you are actually a small part of”. That last bit is mine.
I certainly wouldn’t put my own contributions in the same category as those giant shoulders listed in the blog, however, if you’d like to see what some of the ideas look like, when you sneak them into practice in one small corner of the world, take a look here:
Fred Nelson
We believe the following ten resources to be great systems thinking and complexity in health resources for health professionals in all fields seeking to apply these ideas to their work.
1. No list of systems thinking resources would be complete without includingSystems thinking for Health Systems Strengthening by the Alliance for Health Systems Research and WHO Geneva. This is the third in a series of flagship reports by the Alliance for Health Systems Research and has had a widespread, and increasing influence. This Report provides a realistic understanding of effective approaches to strengthening systems, especially in low-income countries and global health initiatives. The report also outlines simple steps to take when seeking to apply the often-elusive systems thinking. The ten steps it gives to applying systems thinking to a health system are (1) convene stakeholders, (2) collectively brainstorm, (3) conceptualize effects (4) adapt and redesign, (5) determine…
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complexwales.com 