If you’re wondering how to tackle the NHS 10 Year Health Plan, join our in-person workshop for practical insights and peer-to-peer learning. 11 Sep, 12.30-4.30. Speakers include @sallywarren.bsky.social and @benallengp.bsky.social. Find out more and sign up: www.tickettailor.com/events/kalei...

⭐ Patients are increasingly finding out they may have cancer by seeing their results or codes on the NHS app... ⭐ 1) Results filled, but not 'hidden', then seen before bad news is broken. 2) Letters from hospitals to GP, coded & added to NHS app, before broken bad news.

V tough previous day in General Practice. Come to work to find this on my desk from someone in my team 🙏 Do we notice and act when our colleagues are struggling?

⭐️NHS app & SystmOne integration alert⭐️ SystmOne results filing is designed to create actions for RECEPTION Yet.. The NHS app takes the instructions aimed for reception, and labels it for patients as 'What you need to do' Tech teams need to get their heads together! GPs need to adapt in the meantime

⭐️How do job descriptions affect car insurance?⭐️ My car would cost a... Geriatrician £447 State registered Nurse £487 Gynaecologist £586 GP £600 'Hospital consultant' £618 Nurse £638 Surgeon £660 Surgeon NHS £760 Hospital Dr £796 Doctor £808 Cardiologist £909 Obstetrian £1118!

⭐️"If I've learned anything from my life in football, it's that success is much more than the final score," he said. "True success is how you respond in the hardest moments."⭐️ The 'final score' is not always in our control. But our preparation before, & our response after, is in our control.

⭐️I have this pinned to my wall behind my patients now...⭐️ When people are stuck... And issues in their life impacting on their health... This series of coaching questions can unlock important changes...

⭐️What are your top tips for using social media in health care?⭐️ I'm delivering a talk 15.40pm today and I'll share the best answers!

⭐️Prediabetic Fell Runners?⭐️ I don't know many fell runners... But two of them have been diagnosed with prediabetes in the last year. Both in their 40s and the fittest people I know. What's going on? Do Hba1c's give false positives in extreme levels of fitness?!

⭐️We want leaders who deliver?⭐️ ✨️HOW✨️ they deliver matters more. When we give power to a bully, we need to submit or be crushed. It's painful to watch it play out. Please, let's consider the character of who we give power to. Because their values will persist beyond any outcomes.

@benallengp.bsky.social read out his poem 'From Harrowing to Hope? - A GPs day' at our annual conference yesterday. The case for investment and support for continuity of care in general practice is made better here than in many corporate dossiers.

🌟How does the configuration of your clinical room determine your body language?🌟 Becase body language matters... Changing the layout will change your body language with patients... (Eg I have a standing desk, with my computer up and out of the eye line)

⭐️Back seat driving: How to Lead When You’re Not in Charge⭐️ A common question I hear is 'How can I drive change when I'm not in positions of authority. How would you answer it? Below are 8 of my ideas. What are yours? medium.com/@BenAllenGP/...

Once upon a time (25 years ago) the NHS had a good understanding of the causes of long waits in A&E. The biggest problem was flow through beds. It wasn't attendance volume, staffing levels or overwhelmed GPs...

⭐️Does anyone want to join me in reducing how much we look at the news for a bit?⭐️ I think it reduces my ability to make a positive contribution to the world. I question how usefully informed it makes me. Anyone else in?

#3goodthings 1. After 2 x 50 min consultations with a chap with dementia, he's gone from a blank stare to cracking jokes. Deprescribing & vitamin replacement. Love working in a surgery that this is possible. 2. Great city wide teaching session with my team. 3. Lovely message from a colleague You?

#3goodthings 1. My work opportunity with a GP surgery (a previous #GoodThing) has been cancelled. V gutted. I've recovered & managed to make a new plan. 2. 8 hours gardening! A willow arch with this pattern ⬇️ 3. Started a new book on 'Lean' organisations. From engineering. Sounds helpful! You?

⭐️What organisations support admin & reception teams?⭐️ I'm doing a talk for admin in Primary & secondary care. What organisations support their development? Perhaps have resources and a community? I'd love to connect them up! Tag who you think may know! bjgp.org/content/72/7...

⭐️And what do you do if medications bought online make you v unwell?⭐️ Send an email? 🤔 People turn up in General Practice, with side effects to medications we can't prescribe... And aren't paid to manage. But where else can they go? This system is carnage. www.bbc.co.uk/news/article...

⭐️Theory of Constraints in the NHS/ Service Industries?⭐️ 💡Interesting text from engineering 💭 I'm curious to know if anyone has applied or adapted this theory for managing patient needs in hospitals or GP surgeries?

✅️ In Lincolnshire, only schools can refer for ADHD/ Autism ❌️ GPs can not. ✅️ In South Yorkshire, only GPs can. ❌️ Schools can not. What about where you are? Vastly different approaches with significant implications...

#3goodthings 1. Cleaned bike & changed worn out parts Needed self discipline 2. Gardening & cycle across town without getting rained on! V thankful 3. Another GP practice wants to pay me for a few months improvement work. Good to know I have abilities that mean I'm sought out for paid work You?

⭐️Is it mandatory to apply NICE guidelines?⭐️ See what NICE say at the beginning of each guideline ⬇️ They are a GUIDE They offer evidence based information. Patients are free to decide. Clinicians can offer options & advice, and are not accountable for patients' decisions Agree?

#3goodthings 1. Challenging facilitation this morning. Tiring, but went well. 2. Amazing to have a whole day out of practice with my GP partners to think & plan. Thankful to the team for enabling it! 3. Walked daughter back from ballet & wraps at the Kurdish Grill! Love it! You?

#3goodthings 1. At home with just my daughter this week 💕 Made her fav meal (korma). She loved it. 2. 3 hours in the garden again 🌱15 or so more plants in ⬇️ 3. A comment on our work WhatsApp was really funny & indicated how much they like working together. It's been such a great addition. You?

#3goodthings 1. Enjoyed connecting with my son playing marbles & talking about him starting a business. Connecting a challenge at times. 2. Loved being in the garden planting again! Restorative & creative. 3. Laughed a lot with a few v funny friends from church. Such community at church and work ❤️

⭐️Requests for weight loss jabs in General Practice are going through the roof...⭐️

💰Its ironic that people on the tightest domestic budget (practicised at economising) are furthest from their organisations' financial decisions. 💸And those with the largest personal incomes are the ones solely responsible for economising actions in their organisation. 👭How could it be different?

#3goodthings 1. Day gardening! Sun. Barrowing woodchip. Planting. Pruning. 2. Planned to come in for 2pm Primary-Secondary interface meeting (in my own time) then thought "Nah, I'll listen in whilst I garden" Worked great Really inspiring! 3. Wine & food with my amazing in-laws. V lucky. You?

⭐So heartening to join the Primary Secondary Interface NHSE meeting today ⭐ Wonderful hearing from people who have solved the challenges I face every day in my GP practice. A thread Eg ➡️ Fit notes: A poster on the ward reminding patients to ask for a sick note. 1/5

#3goodthings 1. Sparkling sun on wet morning garden 2. Mostly gardening: putting new plants in Taking into account preferred conditions of the plants, the colours, flowering season & heights! 3. Electric blanket. Luxurious & eco at the same time (instead of heating upstairs) What went well for you?

#3goodthings 1. My daughter delighted after challenges at school got resolved by school. 2. Got a new, daft enforced, tick box question on our clinical system removed across the whole city. Find it v satisfying! 3. A long, brilliant conversation with my daughter about ethics & free will!

⭐️You risk far less criticism for failing conventionally... Than creating change... and risk failing unconventionally⭐️ And so the opportunities for improvement pass by... And so the status quo rolls on...

⭐️If you were facilitating an annual review of your organisation with your senior leaders, what would you plan?⭐️ What questions? What data? What decisions? What tools, processes, or exercises? What would your goal be?

#3goodthings 1. I love my church community. Lots of friends over years. So precious. 2. Pizza night! Every 3 weeks we make pizzas, with wine & music One of my fav family traditions 3. A struggling friend let me make them a freezer meal. It actually feels a real compliment to be allowed to help them

#3goodthings 1. Been so looking forward to seeing sun on the snow in my garden☺️ 2. Really helpful session with my coach. Helped me to welcome some challenging emotions & situations. Amazing when we can reframe our situations. Really appreciate people who help me to do that 3. MOT went OK!

⭐️We know 100% bed occupancy leads to failure⭐️ 💥Just like teams!💥 When 100% of our time is DOING, teams fail for similar reasons. SPACE to listen, problem solve, dream, cross barriers, socialise, empathise, learn & experiment makes our DOING more EFFECTIVE. A GP example? ⬇️

⭐️A (probably clumsy) approach trying to encourage feedback (and hopefully a feedback culture)⭐️

⭐️Helpful approach, I wonder?⭐️ Worked well when I asked a similar one about moving more. Ways to use a GP Facebook group!

⭐ How a nurse was able to improve care and reduce demand for frequent callers with unmet needs⭐ Inspiring story of a care coordinator. Very, very doable. www.youtube.com/watch?v=5XJw...

⭐️As Government wants to shift care in community, we have...⭐️ ❌️Stopped doing ECGs We've done it unfunded for years. Now done at hospital (funded). ❌️Stopped doing warfarin monitoring: the funding did not cover the cost of a new machine. Now done at the hospital. ✅️ We'd happily do it if we broke even!

⭐️An impressive interview does NOT mean impressive candidate⭐️ It means impressive interview 💥People's past predicts their future ➡️Recruitment requires unearthing their track record & EXCLUDING interview performance To think a 💰💰 Football Club doesn't know this is staggering!

⭐️Merry Christmas?⭐️ My message to our patients is one that I would wish for everyone ❤️

⭐️Happy Christmas me!⭐️

⭐️Dug out the family mug system!⭐️

Can anyone else help Robin?

⭐️How many unnecessary GP appointments are wasted because schools manipulate parents due to being judged on attendance stats?⭐️ Parents think child is not well enough to attend. But not so unwell they need a Dr. But school put pressure on to 'prove' they are ill. Not a GPs role.

⭐️What are your top tips & resources for networking, horizon scanning, engagement, learning & news in the NHS⭐️ (Eg people, podcasts, websites, gatherings) Below are mine⬇️ Please: ✅️Add yours ✅️Like any you agree with ✅️Reshare to help others I'll turn into an article! 1/8

podcasts.apple.com/gb/podcast/t... Weekly reminder of the excellent Ockham Health podcast & Ben Gowland this week going solo a summary of where we are at in primary care. ⬇️ funding 🗺️ no plan post Fuller & Darzi waiting 10 year plan.

⭐️Gathering patient feedback on changes we've made...⭐️ ✅️Takes seconds. ✅️Allows patients to shape the service ➡️ Making it better & creating ownership. ✅️ Especially important on touch points THEY experience that we don't (like access points)