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Tom Rose

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Profile Information

  • First name
    Thomas
  • Last name
    Rose
  • Country
    United Kingdom

About me

  • About me
    I'm working on a solution to the 'error' situation in the NHS
  • Organisation
    University of Birmingham
  • Role
    Research Fellow

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  1. Content Article Comment
    Better process visibility/documentation would help. The new British standard, BS ISO 7101:2023 would help with this. Currently it's a case of the blind leading the blind. Documenting healthcare processes is not difficult if it's kept simple. It would be a big step towards a Learning Health System.
  2. Content Article Comment
    I agree that the NHS's version of quality is not sustainable nor effective. For WAD to equal WAI in the NHS will take a lot of work and careful design. The current situation with WAD must change, and, I should add, WAI. I'm looking forward to Parts 2 and 3. Thanks.
  3. Content Article Comment
    The NHS is a long way from the aviation industry when it comes to safety and you have hit the nail on the head with this blog. A solution for the NHS will not be found until two two conditions are first met. For simplicity I have come up with two formula. Fist: WAD=WAI, and second: QI=CI. There is a great deal of change required for the NHS to meet these two conditions, far too much to show here. WAD is Work as Done. WAI is Work as Imagined. QI is Quality Improvement as interpreted by the NHS, and CI is Continuous Improvement. Once these two conditions are met then the NHS can start to implement three, universally recognised systems. These are Process Management System (PMS), Quality Management System (QMS) and finally a Safety Management System (SMS). Clinicians', on there own, will not achieve this, they need to seek help from outside the NHS.
  4. Tom Rose started following Claire Cox
  5. Content Article Comment
    'Health and Care processes' and 'assuring processes are safe' are mentioned during the video. Lots of work required here in the NHS. Are you talking about 'work as imagined' or 'work as done'? because in the NHS they are very much not the same thing. You can't design a SMS without Process Management. You will find that all the industries that you listed above have very strict Process Management Systems as the key foundation to their SMSs.
  6. Content Article Comment
    I'm working on the design for a Quality Management System with an integrated Safety Management System for the NHS. It's proving to be hard to get support for this as the NHS think that they have already got quality and safety covered.
  7. Content Article Comment
    This is a great blog. very well done. Fantastic imagination in putting it together. Work-as-done is so important. Much more important than work-as-imagined as this is very rarely to current practice. Have you seen my Roadmap and Framework for change?
  8. Tom Rose started following The voices of the patient safety frontline – the Patient Safety Management Network two years on
  9. Content Article Comment
    https://www.eventbrite.co.uk/e/quality-management-in-the-nhs-tickets-696649366007?aff=oddtdtcreator&utm_campaign=Informz&utm_medium=Informz&utm_source=Email Join the webinar where I'll be talking about my ideas for healthcare
  10. Content Article Comment
    It is that very tactic that I have been working on. There is no simple solution but never-the-less a solution is required and quickly.
  11. Content Article Comment
    What a great example of what is wrong. Very well done. I am in the process of designing a Roadmap and Framework to address this issue in the NHS. It will not be a quick fix as all processes in the NHS need to go through the process illustrated by you. It will also require recourses outside the NHS. But - it is a necessary and much needed activity. I have been working on this issue for 7 years, since retiring, and have not made much progress with the NHS. They need to understand that they can not make the necessary changes without professional help from proffecanals that know what they are doing. Key issues to be addressed include a just culture and staff welfare.
  12. Tom Rose started following Patient safety research collaboration and A managed culture change for the NHS
  13. Community Post
    Strategy - NHS Culture Change.pdf
  14. Community Post
    I am a Research Fellow at the University of Birmingham and through my research I am working on a roadmap for better patient safety in healthcare, particularly the NHS. I would love to collaborate with this group. The topics of culture, behaviours and conflict and their links to PS play a large part in my roadmap. I can provide draft details for discussion and review by this group.
  15. Content Article Comment
    The key difference between the airline and hospital environments is that that airlines manage their processes. This is a pre-requisite for error reduction in healthcare.
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