Wednesday, 8 January 2014

It’s the patient experience, stupid!


I have always thought that the main role of local Healthwatch was to collect the experiences of patient using the health and social care services.

But one of their board members is quoted in the minutes of their November board meeting as saying

 “Healthwatch Bucks could make a business case for the integrated collection, analysis & reporting of patient feedback across health and social service provision in Buckinghamshire”.


So why does this board member think Healthwatch Bucks needs to make a business case to do what it is contracted to do anyway?  By using the words ‘business case’ he is suggesting, in my opinion, that they should seek funding to do this job. 

They should be doing it now as part of their primary function, not asking for more funds!

I wonder if he has seen what Healthwatch Buckinghamshire says on its own website.

This statement is included as part of their ‘What we do’ section on the Healthwatch Buckinghamshire website

“Collect data and stories about the good and the bad, so we can use evidence based criteria to influence commissioning and policy.”

They expand on this theme in their ‘What will Healthwatch do’ section of the website:
“….seek the views of people about their needs for, and their experiences of, local care services.”
“Examine the quality of local health and social care services.”
“Make the views of local people known, and reports and recommendations about how local care services could or ought to be improved, to people responsible for planning, providing, managing or scrutinising local care services.”


Even the CCG has something to say on the issue:
In their draft paper on the Review and Development of our (AVCCG) Commissioning Intentions they say:
“(the CCG will) Work closely with Healthwatch to expand the feedback we receive on patient experience from direct observation and feedback from patients, clinicians and the public including those from hard to reach communities. “.


It is high time Healthwatch Buckinghamshire stopped talking and got on with its primary function.


Go out and collect the experiences of patients and carers of health and social care service provision.

Friday, 11 October 2013

A&E issues in Buckinghamshire


There are a lot of unhappy people in the south of Buckinghamshire, especially in the High Wycombe area.  They want their A&E and other hospital services back! The sad truth is that this is unlikely to happen.

As I have written about previously (What is happening to my hospital)  the A&E service closed down in 2005 and first there was the Emergency Medical Centre then in 2012 there was the Minor injuries and Illness Unit (MIIU). This must have felt like a downgrading of services each time there was a change.

The authorities did not do a good job in explaining the reasons for these changes to the residents of High Wycombe and the surrounding area.

As part of their inquiry into the actions being taken as a result of the Keogh inquiry into Buckinghamshire Healthcare NHS Trust the county Council health and social care select committee is going to examine the provision of A & E services.

I am predicting that they will say something along these lines:

  • Better facilities for A & E should be provided at Stoke Mandeville Hospital.
  • More permanent  Consultants, junior doctors and nurses in A&E are needed at Stoke Mandeville Hospital.
  • Better parking is needed  at Stoke Mandeville Hospital.
  • Better transport links (roads and public transport) between High Wycombe and Aylesbury are needed.
  • An effective and regular publicity campaign about the appropriate service to use (A&E, MIIU, Pharmacies, GP surgeries etc.) is needed.


They may use a few more words though.

See press articles

See Steve Baker MP for High Wycombe Blog

Communication

I love this quote:

Communication is primarily a function of trust, not of technique.  When the trust is high, communication is easy, it is effortless, it is instantaneous, it is effective - it works.

But when the trust is low and the emotional bank account overdrawn, communication is exhausting, it is terribly time consuming and its like walking in a minefield.

I wish I knew who said it?  so I googled it and ..........

 Stephen Covey, from The 7 Habits of Highly Effective People