The Model-Driven Hospital

The Model-Driven Hospital By Lord Ara Darzi Modern hospitals are hugely complex, with thousands of staff delivering sophisticated care, often to extremely sick patients. They employ the most advanced technology and equipment and can cost £1 billion a year to run. Although the standard of care delivered in the NHS is the equal of any…

Built in a Day?

By Steve Allder As the Romans used to say, “Qui tacet, consentit.” So while I feel ambivalent about writing, it is better than silently accepting the status quo. Despite the current crop of bad-news stories, I do not doubt the NHS’s incredible value at home and abroad. Its longevity and ability to preserve the ideals…

The Fourth Quadrant

Former United States Secretary of Defense Donald Rumsfeld structured our knowledge into known-knowns, known-unknowns and the famous unknown-unknowns, inadvertently providing a great framework for health. For some reason, he missed the unknown-knowns, presumably the things we don’t know, but that others do. This Fourth Quadrant is the big challenge in healthcare – we can’t do…

An Apple A Day

Isaac Newton’s afternoon under an apple tree shook many ideas, not least our understanding of inertia which, it turned out, was not what brought everything to a halt, but the magical something that kept things as they were until something else stopped them or sped them along. Eventually, he wrapped it up with the bit…

Key questions for the Cumberland-FMLM Press release

Why are modelling and simulation important? Simulation and modelling are techniques that are used to help designers and managers understand how a system works. Computer games are a class of models that have been adapted for entertainment and learning. “Systems thinking is increasingly recognised as crucial in the armamentarium of healthcare leaders and is prominent…

NHS leaders look to Brunel to boost efficiency

Top medical leaders will use simulation and modelling to get the best from health resources through a new agreement between the Faculty of Medical Leadership and Management (FMLM) and The Cumberland Initiative. Led out of Brunel University London, the initiative brings academics, clinicians and companies together to change the efficiency and quality of care in…

Some like it Blac

In the late seventeenth century, London’s coffee houses drew in thinkers and launched marine insurance, the Stock Exchange and auction houses. Meanwhile, physicians consulted, wits and writers debated, and there was thinking space for scientists.[1] I was reminded of that scene when I was a guest at Café Blac in Glenferrie Road, Melbourne, where 30…

Queuing Theory investigates NHS waiting times : Patient satisfaction at all costs?

The average Brit spends over an hour a week engaged in the vexatious business of queuing. From the post office to the pub toilet, standing in line to wait a turn is a stoically accepted yet deeply frustrating part of daily life. But within a vast organisation like the NHS, queues are more than just…

Virtual Festival of Evidence

What I have learned from 10 years of trying to improve quality and reduce cost in the NHS LISTEN WATCH coming soon… MORE Dr. Steven Allder | Taunton Hospital Whole systems thinking for complexity and fragility: challenges and guidance LISTEN WATCH coming soon… MORE Prof. Carol Jagger | University of Newcastle Major challenges in hospital…