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YorkshireALS 27/7/17 (Accountability matrix - RACI tool (Carl to send…
YorkshireALS 27/7/17
Accountability matrix - RACI tool (Carl to send slides)Responsible doers, accountable, consulted, informed. You can only have one "a".
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how will health and social care integrate - holding to account,
Jennie: Epaccs, how to share GP LD healthcheck data with screening teams and vice versa
Steven Covey circles model - circle of influence, circle of concern
Jenni: many projects. EoL care on top of cancer role in Macmillan GP role as well as small associate governing body role. Trying to role out end of life protocol document across the community (OCP). Aiming for an integrated document to be rolled out across the system. e.g. my Right care but expensive. Linking in with York CCG. Going with enhanced summary care record via the GP system. Concerns that the trust cannot add to it although they can view it. Aim for it go across York and Scarborough. Needs to be done by 2020. Gwyn to connect Pablo and Jenni.
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Superchicken - Margaret Heffernan: kindness and generosity on you tube "why it is time to forget the pecking order at work"
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Gwyn: update on one voice and MH pilot. "came out of luck" Action: recognise the good I did and how I communicated it to the relevant people to build their trust in me. How I can hold others to account in my own way.
Angela: how do deal with high staff turnover at the CCG. Is it a culture problem? - recognised by Angela but no interest from the team. Bullying now acknowledged even by PAs. Addressing through a staff survey. Asked to be involved in week 5 of a 12 week project around a new model of care around admissions avoidance. Angela asked to case find the patients for the admissions avoidance pilot 2-3 months in advance. Has tried the Dr. Foster model. Now asked not to do it when she has come up with a solution to trial. Sounds l like there is distrust of newcommers and she feels she needs to support the senior level of management? Can she tell them she needs to do it. Actions: will hold to account who has run with sorting out the OT, will take care planning forward for the identified 2% risk.How will you be more listened to? How to create the right culture. How to model the behaviours to drive the right culture. How to find the support that you need.
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Louise: Physical monitoring in eating disorders LES. Discussed at the LMC. Went to North Yorkshire LMC - all to go away and look at the gold standards model and meet back. Now thinking should it be a PES. Is it specific for students. They can only find 30. Felt shot down. It was very bad. Felt as though the person had a prepared response and they did not want to do it as it was inadequately resourced. Turned a stone over and want to turn it back. Knowing when to walk away. Will tackle the goal in a different way.
Sam: met with the chief nurse and had a positive response that she had arranged the meeting. Recognised that her way of working had changed and she was finding it difficult to transition the environments. Action plan developed starting with gentle emails to build relationships "start making friends". Met some supportive colleagues at rDASH and was able to share some of the problems. Recognised she didn't want to disappoint the people she had been head hunted by.
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