Rachel Burnham
@RachelBurnham
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Tutor @AccessProjectUK / Student @Hult_Business / Director Performance & Info @GSTTnhs (+ Acting @KingsCollegeNHS ) / My (tired) own views @RachelBurnham
South East London via Barnsley
Joined May 2011
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Pinned Tweet
Sad and excited and scared and [insert all other emotions here] to be moving back “oop Norf” from the summer.
To South Manchester / Cheshire all being well*
As
@OHSELCCIO
said “sad news but at least they’ll understand you better up there”
*please pray to the estate agent gods
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Tell you something that's incredibly cool about working in NHS management that I massively missed in other sectors... It is *so* easy for me as a woman at the (still clinging on to this) younger end of my career to look up & see and work with masses of senior female role models.
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Our (v wise!) COO said to me when I started in current post a few weeks ago - your jobs is to do two main things: advocate for your patients and look after your staff. Helps me to focus the mind at times like this and perhaps others too so sharing… 🙏
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I find the NHS habit of referring to people by their grade so bizarre & objectifying. "I'll send a band [x] to sort that" just not..human?
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That
@jessphillips
interview though 🙏🙏🙏 - I left it feeling like I might quite fancy being an MP if you can do the job like Jess does...
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Petition to support the NHS this Christmas by letting your relatives who work for it give you presents that haven’t been wrapped please.
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Made the mistake of searching what people are saying re “NHS managers”.
I have worked in a think tank, arms length body, consultancy, VC, NHS - & can safely say the ONLY difference between managers is that complexity of problems to solve in NHS is far higher than other sectors
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Some personal news, as they say. Am delighted & humbled (people more professional than me seem to use this word when I assume they mean terrified?!) to be appointed to a new role, in addition to my GSTT hat, as Director of Elective & Diagnostic Recovery in the South East London
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The NHS: the only place outside of XFactor where “doing 110%” is an actual target 😉
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Just had the ULTIMATE COVID meeting bingo: someone on mute and person who told them they were on mute WAS ALSO ON MUTE 👌
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Repeat after me: Just saying "apologies for the tight turnaround" does not make your deadline acceptable. 🙈
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Can confirm the Great Annual Leave Use Up of March 21 is actually fairly pleasant.
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It's a beautiful crisp morning at Guy's Hospital and am on a snack buying mission for our dedicated admin staff who are giving up their December Saturdays to book patients instead of wrap presents. Will pay a visit to team vaccine HQ this pm - if I meet my phone call target 👀😉
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Can confirm I have gone on holiday, not checked emails or worked at all, and have not - in fact - come back to 1) being fired 2) total disasters that only Rachel Burnham specifically is capable of fixing 3) outrage from my colleagues that I have taken time off
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Gutted to be too late for “30 under 30” lists; but delighted to make todays “20 [troublemakers] over 20” today. Or similar. As my sister said, if there’s a medical emergency on a plane will I step forward and start tweeting abt collaboration?
#NHShero
👀
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Emailed a group of trusts yesterday - noone I had met before and selected a little at random - to ask for some advice and my inbox today is FULL with their advice, SOPs, pathways, contacts, offers of a home cooked meal (okay not that one).
Ah, the NHS 💙
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Shame I was too lazy to walk outside and improve this photo but there we have it - a top ten
#SkiesFromGuys
I think. 👏🏻👏🏻👏🏻 (no filter)
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Today’s my last day covering the Director of Ops post in Cancer and Surgery. It’s been a total honour. Grateful for so much support, patience and humour from the brilliant teams I have worked with and learned from.
Any tears are caused by today’s inclement weather.
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Some slight switching of hats tonight as I say goodbye to managing the GSTT performance team to cover as Director of Ops in the Cancer and Surgery Clinical Group. Very proud of this team and their commitment to patient care as well as huge talent (and choice in hand cream) ❤️
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Beautiful people getting boosted; beautiful staff boosting them; beautiful London in the background. A little hope.
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Going to push my pen extra hard today in recognition of 75 years of the NHS. Proud to be a part of it. Aware we have lots to improve to deliver the service required for staff and patients.
Both can be (for me) true at the same time.
#NHS75
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Seriously proud and grateful to this team.
A weeks’ worth of the prostate waiting list cleared on a Saturday.
All those colleagues pictured on the right choosing to come in and deliver this.
RARP HIT List
@GuysUrology
anyone seen a turnover like this? 32 seconds! 8 standard op times, in 2 theatres with minimal gap in between. Super team.
@dr_imranahmad
@elboghdadly
with concept. Delivered by
@cathcartsurgery
@cbrownurology
@prokarurol
@UroNoel
@ata_jaffer
@GSTTnhs
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Bow down
@kjadams_surg
@dr_imranahmad
and the Guy’s main theatres nursing team
@GSTTanaesthesia
who ROCK. PDSA cycle last week reduced late starts in theatres from 33 mins to 9 mins - releasing 22 hours of time to treat more patients. We will review, learn and go again… 🙌🙏
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NHS admissions teams are absolute heroes. Some of ours have come in both days this weekend, tackled ++work with good humour, and hearing them on the phone with patients (and the skill and care required to do it well) reminded me there is nothing 'back office" about these jobs 💙
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48,000 words, 170 pages, 3 years of progressively more boring tweets - and I’ve just submitted my final MBA dissertation 🥳🎉
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Some very honest (and - by and large, from my v personal perspective- accurate) reflections from this group of leading CEOs. What action is now urgently being taken as a result? Who by?
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One measure of our success in improving the diversity of NHS leadership will be how the HSJ headlines look a year from now… todays baseline not brilliant….
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Leaving work for the day with more of a spring in my step than I arrived - no, not month-end reporting but the positive news this PM from Dad's scan. Could kiss all the lovely staff at Sheffield Teaching but don't worry I know that's not in the People Plan...thankyou card instead
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"Thanks for the nudge" is an annoying, management speaky thing for me to say in an email at the best of times.
It was even worse when I missed out the "g" on an email sent yesterday.
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Just wondering, is there any age or level of seniority one achieves that stops the “youngest (apparent) woman in the room - you must take the action notes” phenomenon? And indeed, where do I send my invoice for backdated pay for this additional role please?
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Exciting day at St Thomas’ taking delivery of our first dedicated admin development brochures - setting out the opportunities available to develop & progress your admin career at GSTT. Proud of the team who have made this happen; looking at you
@MichaelaCashma1
& Matilda…
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NHS colleagues planning for recovery / stabilisation over coming weeks: I am gathering a fair few approaches from across the country and sharing them with senior ops colleagues to hopefully help all of us in our thinking. Email me at rachel.burnham
@gstt
.nhs.uk to take part
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Ignore the minor name badge typo but congratulations to PROF
@JKDhesi
! Great start to a rainy Friday for me - hearing about the roll out of POPs across SEL and nationally; and being challenged to think differently about how we support our complex patient cohorts… 🙏🏻🙏🏻
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Extremely niche tweet but Wednesday is NHS weekly data submission day and today marks the second Wednesday of submitting our waiting list data post Epic go-live. If you know, you *know* how hard that is. Couldn’t be prouder of the team I work with that they’ve managed this…
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I know you all think I’m the biggest waiting list geek there could possibly be, but today 45 of my colleagues turned up in their *lunch break* to an entirely optional lunch & learn demo of a new “follow up waiting list dashboard” and now I’m worried I’m not being geeky enough 🤷🏻♀️
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Having spent a fair amount of time in the past few years talking about how valuable I think apprenticeships are... am now very excited (and a little nervous) to have been accepted on to the
@GSTTnhs
Executive MBA apprenticeship scheme with Ashridge, and due to start next Jan 🤓
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I know I'm from Barnsley but yesterday my husband paid £37 for two small wines and two tubs of ice cream at the theatre and surely now we must own a wing or section of seats or something due to our significant donation?!
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Last day at
@GSTTnhs
today for a spectacular Deputy General Manager. 10 years of supportive leadership and hard work for our teams and patients. You have taught me lots and I am very grateful.
Thank you James.
St George’s are extremely lucky.
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I know there’s nothing more boring than other peoples dreams - but last night I dreamt I had to have my foot amputated in an outpatient clinic under LA because that was the new GIRFT good practice and I didn’t want to be an outlier.
Peak NHS performance dream?
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For the first time in my career, someone has drafted an email for me to send out, rather than the other way around. In it, I guess in an attempt to sound more like I would, they’ve included an awkward (bad) joke in the first line.
#proud
#leadership
#etc
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Back from leave after two weeks off today. My finding? As someone wiser than me once told me - the hospital has functioned for ~1000 years without you, it will do perfectly well for a fortnight 😅. Rest matters… and we’re all just a small part of a big
#TeamGSTT
…
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Four years of being married today... each year to date we have taken a city break on our anniversary. Year 1 - Paris, 2 - Rome, 3 - Berlin. I think for this year we will do London, for a change....
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V lucky to be home in Yorkshire for Christmas this year. Wrapping presents, seeing family, sherry on tap (ahem, post midday). Only awaiting one thing to make this scene truly festive: that’s right folks, the publication of the planning guidance 🎁🎁🎁
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As the proud owner of a normally v well managed inbox, I am horrified to learn that - if you take a week out of managing emails due to operational priorities - most of them become irrelevant and didn't even need a reply anyway 😱 WHY have you not told me this previously? Yes, you
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Just agreed to meet our clinical director for Dental at 2.30....
*don’t do it Rachel*
*don’t make the joke*
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Was feeling a bit self pitying as I went out for some “Christmas dinner for two” bits whilst my family are up North. Ironic then to spot this sign for the first time round the corner from home -& on a GSTT building no less. Reminder of why staying at home this one year matters.
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Not sure if it’s the full moon or the…y’know…2yrs of responding to a pandemic w multiple other curve balls thrown in…but have noticed lots of brilliant colleagues struggling a little this week. My aim for today: be kind to as many people as I can, leave for the weekend, REST
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I'm going to take a guess that people who send you three "gentle reminder" emails about a free conference place within 5 working days probably aren't the best placed to be running sessions on the current operational and strategic challenges in healthcare.
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As someone wise once told me (looking at you
@AdamSewellJones
) “a sign of a good leader is creating more leaders, not followers”. Couldn’t be prouder of these two future NHS leaders (…& the fact they still want to hang out with me outside of work when I’m not their boss anymore)
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💜HAPPY LOVE ADMIN WEEK💜
A week to recognise and show our gratitude to our admin and clerical teams who are the absolute backbone of our work to support clinical teams and patients
#LoveAdmin
@GSTTnhs
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Obsessed with all these photos of NHS leaders & their teams across the country in essentially empty sheds with heat and plastic chairs tonight, ready to make history tomorrow. So NHS. You just know someone will label their milk & put it in one of the vaccine fridges tomorrow 💔🥰
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I am at the stage of NHS management where, were I to discover a time machine, truly the most exhilarating opportunity it would offer me would be to go back to 19/20 and to meticulously note the conditions of activity delivery in order to recreate them once more in 24/25.
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#Nye
on St David’s Day felt extra appropriate. It’s a privilege to work in the NHS - a good reminder of what we should be all about.
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Well folks, don’t know about you, but still no headhunter call here... 🤷🏻♀️👀
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I am not procrastinating; merely looking for the best location to write my MBA assignment this weekend 👀
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Can someone, somewhere pls promise me they're working on a way to match people who've recently lost their jobs or had their hours cut with all the current posts in the NHS / Vaccination projects so I can stop worrying about it and get back to my day job? 🙏
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Well I can highly recommend ending your week with a
#LoveAdmin
awards ceremony. So much genuine enthusiasm & gratitude for the tremendous work our admin teams do
@GSTTnhs
. Brilliant way to end the week. (Sorry to my wonderful comms colleagues for going rogue on ugly slides 🤣💜)
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Another beautiful London morning - found a thirty minute meeting where happily I am far too junior to do anything except listen and so able to “Teams and walk”. Too often I spend 10-12 hours pd sitting on Teams and my health is embarrassingly suffering. Time for some change…!
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Get yourself a Deputy Chief Nurse who unloads the dishwasher in your shared kitchen every morning at 7am so the whole team have a clean cup to come in to 🥰 Toni - your kindness and leadership will be so missed.
Today we bid a fond farewell to our deputy chief nurse
@Antonialynch
.
Thanks for everything Toni! Our colleagues
@RUHBath
are very lucky to have you and we know you'll be brilliant 💙
#TeamGSTT
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Some will be fed up of me talking about this by now...but *where* in the NHS is the systematic sharing of what’s working (and what’s not...) right now in elective care restoration and recovery? E.g I read about the brilliant idea
@mmould_pooleNHS
is leading in the Guardian...(!)
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Trust me when I say that the life of an NHS Director of Performance currently is not always sunshine and roses. A nice exception this afternoon hearing about the work of the
@GSTTnhs
gastroenterology team who have embedded a data scientist within their department
@philaberry
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Bag packed, shoes shined, new notebook at the ready... Think I am ready for my first day
@GSTTnhs
tomorrow! (Photo taken on this morning's run, am keen but not *that* keen that already there waiting....)
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Okay so I had a lot of meetings this week BUT I also gained a new niece AND a clear CT TAP for my Dad so on balance I think a decent 7 days for me 🥰
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Managed to squeeze in a visit to the birthday girl yesterday - 93 and able to fit in a brief photo opportunity between customers at work…
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There are some days you just need to turn your office fruit bowl into a chocolate bowl and I am not ashamed of this.
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I really, really hate the e-passport gates at airports. So totally unsupportive for anyone with eyesight issues - make you take your glasses off and then just...guess...what you’re meant to do. Always leave me feeling vulnerable, not that hard to have a voiceover?
#accessibility
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As new job advice goes, I don’t think I’ve had better than
@steve_r76
gave me at my induction mtg upon joining NHSI London team: “if you work hard, are kind to people and can add up, you won’t go far wrong” (I still can’t add up but hope my love of Excel makes up for it…)
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Bright and early ready for site tour of Harefield this morning. Looking forward to meeting new colleagues and can confirm have spotted fields…
#WereNotInSELAnymoreToto
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Cheers! To the end of the week, end of an era
@blenheimchalcot
(huge thank you to my ace colleagues) and to my return to the NHS family. But first, cocktails 😍
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A Friday at Guy’s (and thus Borough market) means a “congratulations on submitting the draft op plan / reaching Friday / only having two more reports to write before the end of the day” gift from me, to me… 💐
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Despite a difficult summer by anyone’s standards (!) our pre-assessment team led by
@nazia1khan
@iAnaesthetise
@GSTTanaesthesia
have: launched ASA1 fast track pathway pilot; developed urgent / complex pt pathway; repurposed our vaccine hub space to get thru pre-op backlog 🤯🤩👏🏻
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Cheesy grin hidden by mask but was delighted to welcome colleagues Ross and Derval, hospital Directors
@RBandH
, to St Thomas’ this morning for a mini site tour and to compare notes on recovery challenges and opportunities
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"if you could just redesign entire services in every single way multiple times, whilst delivering the usual levels of activity and keeping everyone safe, that would be great" essentially our ask of staff at the mo. Absolute miracles being worked. 👏
Shall we take moment to recognise the emotional exhaustion NHS staff are no doubt feeling going into winter? The uncertainty & the surge/ ebb nature of Covid demands a huge amount from everyone mentally. It’s ok to feel knackered. That’s basically what I’m saying.
#Covid19UK
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My first meeting today is starting at the Pret on the corner of Waterloo Rd and Lower Marsh. A true sign of return to 90% of BAU activity.
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I’m not saying my husband is melodramatic, but he just asked me how long he should keep “his bandage” on post booster. (Small plaster)
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Not a bad place to wait when you..ahem… forget your work pass 😳
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Clearing my inbox with my WiFi turned off - my new top tip for not irritating colleagues and disturbing their weekend for my own want of organisation / peace of mind.
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Bright spot in a tough week - the nominations for our first
@GSTTnhs
admin awards are pouring in - hundreds in after only a few days. The testimonies are total proof of how much high quality admin impacts patient care. Now, how on earth do we shortlist?! ⭐️✨🌟
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Had to send a photo of myself "at work" for a thing. Got myself what I think is known as a "classic Tommy's" as I thought a photo of me on Teams 8+ hours a day may not give the "exciting careers available in the NHS" vibe I was after.
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“If elective recovery is only about three session days and weekend working it is not going to succeed, hearts won’t be in it - let’s work smarter not harder” 👏👏👏
@svig2
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Was fairly sceptical about this article when I saw it a few days ago… but had a demo from the ChelWest team earlier today and the work is seriously, seriously impressive. Particular benefits for surgical teams when list planning I suspect.
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Interesting snippet (amongst lots of good work from the team at BHR): “Three out of every five of our surgical admissions (via A&E) were on a waiting list of some kind.”
Improving elective care IS improving emergency care. We must change the narrative…
#SharingElectiveStuff
Our Trust has been leading the way nationally in reducing waiting times⏱️
We're committed to ensuring our patients get the care they need, and our teams have found new innovative ways of working to do this 🏥
Find out more➡️
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Lots of “R” words starting to fly around the NHS last few days - risk (and mitigation of it, partic on waiting lists), restoration, recovery... but think we need to support staff to prioritise rest, respite and reflection (the new “three Rs”?) first...?
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Very excitingly, I have finished my MBA assignment ahead of trajectory and so can now move on to bank holiday questions such as “white or rosé: which is the better strategic fit for this afternoon and why?” In this assignment I shall...
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NHS breakfast meeting locations:
Pret on the corner of lower marsh and Waterloo road: bit in your face and obvious, "I'm going to a board to board meeting to become a Foundation trust" type vibe
Natural kitchen in the station: discreet, "system by default" vibe (better food)
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A year this week since I rejoined the NHS. A few weeks later, we found out Dad's cancer had spread & he needed chemo. A few months later, we started seeing & responding to Covid. I haven't made much progress on waiting times (!) but I'm v proud to be part of our 1.4M strong team
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Strong feeling this morning that I need to start "normalising" my routine again as much as possible. Shorter hours where I can, but mainly making time for exercise, healthy food, phone calls to friends instead of work / scrolling / sleep / repeat.
#MarathonNotASprint
etc
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See one; do one; teach one…anyone up for me replacing your hip please? Great morning in Guy’s main theatres. Thanks to Zameer Shah for showing me the ropes. Brilliant expert nursing team too
@DawnHar48936953
. Improvements to be made to flow but we are on it 😊 cc
@iAnaesthetise
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NHS managers sometimes get a bad rap, but the 🔝 Camilla, strategy analyst & Matt, service manager (+ me, odd jobber) have been running around today to ensure all our patients for surgery next week are safely swabbed at home. Huge thanks to them both; they're a credit to
@GSTTnhs
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