- a useful metaphor?

Permanent White Water (Vaill, 1996 & Covey, 2006)

ILL

The Constants Change Choice

Principles (Covey, 2006)

The one indisputable fact that characterises organisational life, is that

CHANGE is

inevitable.(Beverly Alimo-Metcalfe, 2005)

Challenges to Change

The greatest difficulty in the world is not for

people to accept new ideas, but to make them forget

their old ideas!John Maynard Keynes ‘Are you kidding? I like it

here!’

Choice

Between what happens to us and our response to it...

...is our freedom to choose our

response

True North

The main thing

is

to keep

the

main thing

the MAIN THING

MAIN THING

What

is the

for the Cardiac Rehabilitation Team?

A patient is the most important person in our hospital.

They are not an interruption to our work.

They are the purpose of it. They are not an outsider in our

hospital. They are part of it.We are not doing them a

favour by serving them. They are doing us a favour by

giving us the opportunity to do so.

Campaign Map• 3 million people

• All Hospitals, Primary Care & Ambulance services

• Six content areas– Leadership– Critical Care / Rapid response– Medicines– Healthcare associated infection– Surgical care– General medical and surgical care

• Aims– To save 1000 lives

– Avoid 50,000 cases of harmover a 2 year period (2008-2010)

• 852 lives saved by NHS staff in Wales

• More than 29,000 episodes of harm have been averted in the first 12 months

Making a Difference

www.1000livesplus.wales.nhs.uk