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    • Travel in Style with Quinn's and Design Your Perfect Ring with BloonileElevate your travel experience with Quinn's European linen, premium luggage, and Italian leather bags. Design your dream engagement ring online with Bloonile and save with promo code 'listen'.

      When planning your next trip, consider elevating your travel style with Quinn's. They offer high-quality, European linen, premium luggage options, and Italian leather bags at affordable prices. Plus, Quinn's partners with factories that use safe and ethical manufacturing practices. Meanwhile, when it comes to buying an engagement ring, the convenience of designing one online with Bloonile is unmatched. Choose your diamond and setting, and have it delivered right to your door. And as a special offer, use promo code "listen" for $50 off purchases of $500 or more. On a personal note, Rosie Ramsey shared her experience of traveling with a large family, expressing the relief that everyone got along well despite initial concerns. And this week's sponsor is a reminder to embrace the unexpected and not be surprised when traveling with children. So, pack your bags with Quince and design your perfect ring with Bloonile for an unforgettable journey.

    • Daytime Drinking at the Pool: A Holiday FavoriteThe speaker cherishes daytime drinking at the pool during holidays and holds a strong dislike for nighttime drinking, reminiscing about old leisure centers and the nostalgia they bring.

      The speaker passionately enjoys daytime drinking during holidays and strongly disagrees with those who prefer nighttime drinking. He believes daytime drinking around the pool is the best part of a holiday and would even go as far as to drink all his drinks in one go if allowed. He reminisces about an old leisure center pool where he spent hours jumping in the diving pool and waving at friends. The speaker also mentions his disdain for changes in local leisure centers, comparing it to a favorite food with a new recipe that ruins the experience. Despite acknowledging that the new pools offer better facilities, he still holds a fondness for the old one due to nostalgia.

    • Memories of leisure centers and mischievous schoolmatesThe speaker recounted experiences of unwanted attention due to technology in leisure centers and the cleverness of their peers who created a website with a camera in the toilet, highlighting the impact of technology on their lives and the importance of making thoughtful decisions.

      The speaker shared memories of two leisure centers, one with an infamous "knob porthole" incident and a website with a camera in the toilet, leading to unwanted attention and consequences. The other leisure center, New Haven Point, did not have these issues. The speaker also mentioned their schoolmates creating a website with a camera in the toilet at their old school, causing a stir and leading to disciplinary action. Despite the mischievous behavior, the speaker acknowledged the cleverness of their peers and the impact of technology on their lives. The speaker also shared their frustration with the amount of time spent trying on clothes and the influx of parcels in their household. Overall, the conversation touched on the themes of youthful mischief, the impact of technology, and the importance of making thoughtful decisions.

    • Professionalism and clear communicationMaintain respect and clear communication in all interactions, even casual ones, to avoid misunderstandings and frustration.

      The importance of maintaining professionalism, especially in business interactions, was a recurring theme in the conversation. The speaker expressed frustration when a service provider referred to his hobby as "Cuddle Club" in a voice note. This incident highlights the need for clear communication and respect for boundaries, even in casual contexts. Additionally, the speaker mentioned his new podcast series, "Narcissist Apocalypse," which he described as evolving over the years. He shared his amusement at another podcast host's lengthy introduction and self-promotion during their introduction. This anecdote underscores the value of brevity and focus in content creation. The conversation also touched on the speaker's plans to start Brazilian jiu jitsu and the importance of prioritizing commitments. Overall, the conversation covered various topics, including podcasting, professionalism, and personal experiences.

    • Learning fractions through 'Storybots'Finally grasped fractions as parts of a whole, simplified by finding greatest common divisor.

      The educational series "Storybots" helped one person finally understand fractions after years of struggle. The individual, who had previously only understood the concept of a half, watched the show and learned that fractions represent parts of a whole, with the number on the bottom indicating how many equal parts the whole is divided into. For instance, 3 fifths means three parts out of five equal parts of a whole. The person was amazed and felt buzzing with excitement after finally grasping this concept. They also learned that simplifying fractions involves finding the greatest common divisor and dividing both the numerator and denominator by it. The person had previously joked about their school's education system but now took back their criticism and acknowledged that they may not have paid enough attention in the past. They also shared an experience of an eventful day on holiday, where someone had a panic attack on a plane, causing the person to have an uneasy flight. Overall, the individual's newfound understanding of fractions and their reflection on their past education brought about a sense of accomplishment and appreciation for learning.

    • The impact of fear and anxiety on perception of realityFear and anxiety can significantly alter our perception of reality, shaping our thoughts and behaviors. Acknowledging and managing these emotions is crucial for maintaining a balanced perspective.

      Fear and anxiety can significantly impact our perception of reality. The speaker in this conversation expresses a fear of flying, believing that every time he gets on a plane, a version of him dies in another universe. This belief stems from his anxiety and fear of flying. However, he also acknowledges that this thought process is not something he actively seeks out and that he's grateful for the reality where he's survived all his flights. Another theme that emerged in the conversation was communication. The speaker mentioned that he values less communication and that there's always a "thing" that gets in the way of having children. This "thing" turned out to be his anxiety on flights. Overall, the conversation highlights the power of fear and anxiety to shape our perspective of reality and the importance of acknowledging and managing these emotions.

    • Language barriers can lead to misunderstandingsClear communication and understanding are crucial in any situation, especially when language barriers exist. Proper qualifications and respecting boundaries are also important to avoid misunderstandings.

      Communication and understanding are essential, even when language barriers exist. Chris shares an experience where he and a friend, Rafe, encountered a heated argument between a Portuguese woman and a man at a reception desk. The man, it turned out, was a CrossFit trainer, and the woman was upset because he had diagnosed Rafe's foot injury without proper qualifications. The incident was a reminder of how easily misunderstandings can occur when people speak different languages. Despite the language barrier, Chris was able to piece together the situation and realize that the argument was similar to many petty disputes he had seen before. The incident also highlighted the importance of having proper qualifications and respecting boundaries, as the woman was upset that the man had examined Rafe's foot in front of her without her consent. Overall, the experience was a reminder of the importance of clear communication and understanding in any situation, regardless of language barriers.

    • An unexpected medical visitAn ordinary clinic visit led to protective gear, unease, and a mysterious encounter with a sick child and her mother.

      An unexpected experience at a seemingly ordinary medical clinic led to an extraordinary discovery. The cost was surprisingly low, and despite initial hesitation, both Rafe and the speaker entered for an x-ray. However, they were shocked to find the doctor fully geared up in protective equipment, and Rafe was required to have someone hold his leg during the procedure. The speaker, unprepared and unprotected, was left feeling like an alternate universe version of himself. Afterward, the speaker couldn't help but wonder about the potential consequences of their visit, even experiencing a brief sensation of dizziness. The most memorable part, however, was their encounter with a sick child and her mother in the waiting room. The mother carried a transparent, scaffolded bag that kept its shape even when empty, reminiscent of a climber's chalk bag. As the child vomited profusely right next to them, the speaker was left with a sense of unease and a lingering question about the nature of their encounter.

    • Navigating Health Challenges: Personal Experiences and ResourcesBeing prepared for unexpected health issues and having supportive resources can help manage the challenges of caregiving and maintaining personal health.

      Life can be unpredictable and challenging, especially when it comes to health issues. In the discussion, the speakers shared their experiences with sickness and the difficulties that come with it, whether it's dealing with a sick child or being sick themselves. They also touched on the frustration and exhaustion that can come with caregiving and the importance of being prepared for unexpected situations. Additionally, they highlighted the importance of having supportive resources, such as Kleenex tissues for allergy relief or health insurance plans, to help manage these challenges. Overall, the conversation emphasized the importance of resilience and adaptability in the face of adversity.

    • Effective Communication during Shared ExperiencesDuring shared experiences, clear communication and consideration are crucial to prevent misunderstandings and conflicts. Respect each other's preferences and sensitivities, and avoid letting emotions escalate situations.

      Communication and consideration are key in resolving conflicts, especially during shared experiences like family vacations. The speaker in this conversation had an uncomfortable encounter with her partner on a plane due to seating arrangements and food choices. The situation escalated into an argument, highlighting their differing preferences and sensitivities. The speaker felt disrespected when her partner didn't prioritize sitting together, especially since they had children. She believed that her partner was being inconsiderate and rude, leading to a heated exchange. The partner, on the other hand, felt embarrassed about an unintended physical reaction and didn't want to be judged for it. Despite the misunderstanding, both parties could have communicated more effectively to find a solution. Instead, they allowed their emotions to escalate the situation. This incident underscores the importance of open and respectful communication, especially during shared experiences when tensions can run high. Additionally, the speaker mentioned a past conflict where she accused her partner of criticizing things only to enjoy them later. This pattern of behavior, she felt, was inconsistent and confusing. Overall, the conversation highlights the importance of understanding each other's perspectives, being considerate, and communicating effectively to avoid misunderstandings and conflicts.

    • Initial reactions to new experiences can be negative but may lead to unexpected enjoymentBeing open to new experiences, even if initial reactions are negative, can lead to unexpected enjoyment and richer relationships.

      People's initial reactions to new experiences can be negative, but giving them a chance can lead to unexpected enjoyment. This was evident in a conversation between two individuals discussing their participation in a murder mystery event. One person expressed their dislike for organized fun and their initial reluctance to attend. However, they eventually found themselves enjoying the experience despite their initial reservations. This experience resonated with the other person, who shared a similar past attitude towards trying new things. They also shared their frustration with being held back by their partner's negative attitude towards certain foods, using the example of unwanted sausages in their household. The conversation highlights the importance of being open to new experiences and not letting initial negative reactions hold us back from potential enjoyment. Additionally, it touches on the impact of negative attitudes and how they can affect relationships.

    • An unexpected wedding night experienceEvery wedding night can bring unexpected twists and turns, from stolen flowers to lack of intimacy. Trust and communication are key to navigating these moments.

      The speaker had an unusual experience on their wedding night involving stolen wedding flowers and a lack of sexual activity. They got married in 2021 during a time when restrictions were lifted and had a great time with their loved ones, but admitted to drinking too much. The podcast discussed the repetition of stories and encouraged listeners to share their own experiences or opinions. The speaker also mentioned that some stories may be shared on other podcasts, but they always aim to share the stories first. The conversation also touched on the importance of trusting people and the unexpected twists that can occur on wedding nights. Overall, the conversation was lively and entertaining, with the hosts encouraging audience engagement and interaction.

    • Misunderstandings and Embarrassing SituationsClear communication is essential to avoid misunderstandings and embarrassing situations. Misunderstandings can lead to awkward moments and even damage relationships.

      Miscommunication and misunderstandings can lead to embarrassing situations, even on the first night of a married life. The speaker shared an experience from her university days when she and her friends went out and one of them mistakenly thought the speaker was using real chicken fillets to enhance her cleavage. The friend ended up bringing raw chicken fillets to the bar, causing a huge embarrassment for both. This incident highlights the importance of clear communication and the potential consequences of misunderstandings. Despite the awkward situation, the speaker maintains a light-hearted attitude towards the incident and even keeps a nickname for her friend involved.

    • Unexpected twists and turns in lifeLife can surprise us with unexpected events and strong odors, but staying calm and adaptable can help us navigate through them

      The speakers in this discussion shared various experiences, some unpleasant, involving strong odors and unexpected events. One of them recalled an incident where they suspected food poisoning from raw chicken, leading to a mystery about the source and consequences. Another spoke about the frequent use of a particular word in their podcast and its potential implications. A third shared a personal story about giving birth at home and her husband's reaction. Despite the differences in topics, there seems to be a common thread of surprise and uncertainty running through their stories. The speakers also showed a sense of humor and acceptance, even when faced with challenging situations. Overall, the conversation highlights the unexpected twists and turns that life can bring and the importance of staying calm and adaptable in the face of the unknown.

    • A husband's decision to wash hands during childbirth leads to a heated discussionEffective communication and understanding between partners is crucial during childbirth, balancing personal hygiene and immediate assistance is important.

      During a critical moment in childbirth, a husband's decision to leave the room to wash his hands was perceived as abandonment by his wife. This incident led to a heated discussion about the importance of prioritizing tasks in such situations. While the husband argued that hand hygiene was crucial, his wife believed that he should have stayed to support her. The conversation highlights the complex emotions and decisions that can arise during childbirth, and the importance of communication and understanding between partners. It also raises questions about the balance between personal hygiene and immediate assistance during emergency situations.

    • A candid conversation about childbirth and raw emotionsThe speaker shares her honest and emotional experience of giving birth, emphasizing the intensity and complexity of the human experience.

      The speaker in this conversation shares a vivid and graphic description of her experience of giving birth, expressing her raw emotions and honest reactions. She emphasizes that she would not have handled the situation as calmly and professionally as people might expect, and she would have been deeply affected by the experience. The conversation also touches upon her past experiences, her desire to marry, and her thoughts on hygiene and body image. Despite some light-hearted moments, the overall tone is candid and unfiltered, highlighting the intensity and complexity of childbirth and the human experience.

    • Celebrate Mother's Day with thoughtful gifts from Moonpig and Whole Foods MarketCreate a personalized card from Moonpig for $5, enjoy savings on body care and candles at Whole Foods, and surprise mom with flowers, desserts, and more.

      This allergy season, tackle allergies with Kleenex and show your love for mom with a personalized card from Moonpig. For just $5, create a thoughtful card with your favorite photos and a heartfelt message, and we'll mail it the same day. This Mother's Day, celebrate every mom in your life with Moonpig. Additionally, for the best Mother's Day gifts, look no further than Whole Foods Market. Take advantage of unbeatable savings, including a 33% discount on body care and candles with Prime membership. Surprise mom with a beautiful 15 stem bunch of tulips for just $9.99 with Prime. Complete her special day with festive rose, irresistible desserts, and more delicious treats. Make mom feel truly appreciated this Mother's Day with the thoughtful gifts and savings from Moonpig and Whole Foods Market.

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    With the brunt of winter fast upon us, and the flurry of increased demand that has followed, the NHS is drawing upon all its nous and creativity to see how it can generate efficiencies and optimise patient pathways.

    With that in mind, National Health Executive sat down with three leading industry voices to discuss how we can arrest the backlog and keep patients flowing in and out of the door this winter.

     

    Communication

    One of the more notable things that was addressed during our discussion was the necessity of not just communication but effective communication – that doesn’t just apply to patients either, it also includes colleagues and sector partners too.

    Sue Moore, the Director for Outpatient Recovery and Transformation at NHS England suggested that by collaborating with the NHS’s various regional bodies, Primary Care, the Royal Colleges, and sector providers, the healthcare industry has an opportunity to identify what ‘best practice’ is – or, at the very least, what best practice is not.

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    She said: “One of the key areas that we are trying to establish is how do we, as an organisation, partner better with the NHS?”

    Because it is only through that communication and collaboration with providers and stakeholders that the health sector can establish what best practice – the best practice that will help serve the seven million people who are currently waiting for treatment.

    One of the best examples that was mentioned was Super September, where providers are given the chance to trial small initiatives and ideas that might help expedite treatment pathways.

    What Sue and her colleagues at NHS England found was that, during the two-week period in which the Super September scheme ran, over 66,000 more patients were seen and “significant” inroads were made into the lists housing the very longest waiters.

    Sue explained: “Some people did some work on Did Not Attends, some people did work on the validation of lists and asking patients if they still wanted or needed that appointment, there was work on looking at how clinics are constructed and the templates [they used] – a whole range of things.”

    But the question is, how do we take initiatives like Super September and scale them up? How do we ensure the best and most effective methods are adopted nationally? Because as is said a lot in this industry, and indeed many times during our discussion, there isn’t one thing that is going to solve everything; there is no panacea for patient backlog and treatment pathways – one size does not fit all.

    The answer: That word again – communication.

    One of the first things Sue noted on the podcast was what the Outpatient and Recovery Programme is focusing on. Two of those things were ensuring that patients see the value of even going to an appointment in the first place and the other centred around exploring and developing the idea of creating clinical environments where patients, who are medically suitable, can initiate their own follow-up appointments. Or in other words a patient-initiated follow-up (PIFU).

    The key to achieving success in both those areas goes hand-in-hand – by empowering patients and seeing them more “as a partner”, as Rob Music the CEO of The Migraine Trust alluded to, the health sector can help patients see the value of appointments and give them more ownership over their care.

    By doing this, and providing patients with the requisite education around the relevant diseases, clinicians can help the public optimise their own treatment pathways and reduce delays and waiting times.

     

    Technology

    Guidance around how best to implement PIFUs was released by NHS England back in May 2022; the document detailed everything from how many specialities to start up with and what specialities are even suitable, all the way to the benefits and potential pitfalls of this method of care.

    This is also something AbbVie have been able to help other providers with. Rachael explained that when they collaborated with some rheumatology services and explored the potential of PIFUs, a lot of services said they still needed help developing and then establishing their PIFUs. 

    She said: “It became very clear to us that we needed to help services connect together, so that they could understand what the pitfalls are, what the hurdles are, and what are the things you need to consider in order to set up a PIFU service that would be successful, whilst also mitigating some of the challenges.”

    It was then flagged how a lot of “myth busting” needs to be done around PIFUs and how some staff’s notion that they would be overwhelmed by an avalanche of triggered appointments isn’t actually true – or doesn’t necessarily need to be true.

    As long as you have the right technological infrastructure in place, implementing successful, effective, and efficient PIFUs is “not that difficult to do,” according to Sue.

    Sue explained: “There needs to be a really effective tracking mechanism to enable patients to trigger an appointment, if they meet the criteria. But similarly for the clinical team to know that a patient has triggered an appointment.”

    Sue added: “For me, this is about confident patients, clinical leadership, and being really respectful that not one model fits all.”

    In support of that mantra, Sue’s Outpatient Recovery and Transformation Programme worked in conjunction with the Getting It Right First Time team to produce outpatient guidance for the top 10 by-volume specialties that identifies, by subspecialty, which people would be suitable for PIFUs and which people would not.

    Sue commented: “It collates all the best practice guidance of really where you start, and what we've said on an individual basis is we're very happy to support and make the connections for people to do that.”

     

    Final thoughts

    Rachael Millward

    ·         There isn’t one thing that is going to solve everything – it will be a range of different factors and measures that combine to achieve the desired outcome.

    ·         But we also need to be clear on what those desired outcomes are and understanding that patients present in very complex ways.

    ·         PIFU and education around things like remote monitoring will be a key part of that solution.

     

    Sue Moore

    ·         Providers need look at the entire pathway when exploring innovations and they need to employ an enthusiastic approach and drive themselves forward to implement the necessary change.

    ·         Communicate, collaborate, and congratulate.

    ·         Use technology for the right reasons and when it is necessary, rather than for the sake of it.

     

    Rob Music

    ·         More people need to be trained as specialist GPs and nurses, drawing upon some of the best practice in the community.

    ·         Better leadership from ICSs in terms of their service design and how patients interact and ...