Blackpool was also in the news for
other reasons last week. It appears all three of our piers are at risk of collapsing
into the sea. The sand on the beach beneath them has been eroded over the years,
by as much as 3 metres, leaving the iron legs and foundations dangerously exposed
to erosion. Even more worrying is that it is the weight of the sand below that helped
keep the piers stable. Sounded like a triumph for the sea and potentially a disappointment
for us pier lovers if they get closed. I’m told the pier owners have bought a bulldozer.
The aim is to move some of the sand back. I’m not sure it’s a struggle they will
win.
I heard about another struggle
that feels like it might be difficult to win. It was a briefing led by Amanda
Pritchard, NHS England Chief Executive, on preparing for this year’s Winter
period. The briefing was in advance of the official guidance being released late
last week. That in itself is a triumph for NHS leaders fed up with reading in
the media news about changes to policy, new guidelines and so on before they have
been told themselves. I was however, a little disappointed to find the briefing
focused primarily on the positive elements - early preparation, joined up
working with social care, increases in virtual wards and so on - and didn’t
mention how performance over the forthcoming Winter, particularly around urgent
and emergency care, would be linked to capital funding allocations in 2023/24. The
targets are stretching and the threshold expectations high. I expect it will be
a tough few months.
However, I did receive some excellent
reassurance that my colleagues are up for the challenge last week. I was able
to spend some time with a wonderful group of colleagues responsible for our
Transfer of Care Hub. Now I like words and I was interested to find out if the
change of name (from discharge to transfer) was something more than just words.
It was. Discharging patients from hospital, even if they person is going to receive
step down care, or supported care in the community or their own home can sound
so final. For many families it can sound like we are abandoning the patient,
their loved one.
Talking about a ‘transfer of care’
can lead to more positive and reassuring conversations with the patient and their
families. Transfer of care is about continuity of care. It is about a ‘home first’
approach with levels of support and care being provided where this is not immediately
possible because of an individual’s needs, and which can continue to be changed
until such time as the person is able to return home safely. I was truly impressed
with their absolutely effective teamworking approach; an approach that saw folk
from different professions, organisations and sectors, all working at putting
the patient at the centre of their endeavours. Truly a triumph for innovation, creativity,
determination being translated into practice. Many thanks to my colleague
Melissa Harrison and her team, for facilitating my visit and helping me better understand
this important part of our Trust’s work.
I was also impressed last week
when I attended the Stockport Council Fair and Inclusive Summit. On the morning
of the summit, there were probably 200+ people gathered together in the magnificent
Stockport Town Hall Ballroom. The summit was an opportunity to explore and hear
about how the Council were working with partners, many from the voluntary
sector, faith groups and social enterprises, to make Stockport a fair and more
inclusive place to live, work and thrive. It was brilliant to feel the energy
and passion in the room, to hear of the great work different groups, individuals
and the Council were doing, often with limited resources. Thank you to Caroline Simpson, Chief Executive, and her team for organising such a great event, and thank
you too for the invitation to be part of it.
It is the kind of partnership
working that I witnessed at the Summit and in my visit to our Transfer of Care
Hub that reassures me that working collectively and collaboratively, we stand a
good chance of getting through the Winter and ensuring we are able to continue
to provide safe and appropriate care to all who need it.
So I pretended
I hadn’t heard. The voice persisted, ‘Professor, you are a professor’. I
turned to find a man sitting on a mobility scooter smiling broadly. He had
looked me up, and knew a great deal about my professional life, recognising me
from my social media images, he decided to say hello. We had a great conversation,
and I think (hope maybe) that neither of us were disappointed by our encounter.
The triumph? Simply being an authentic me.
Dear Professor , I very enjoyed your story, thank you so much, you shared with us. Tony, you are as a unique person/ man/ husband/ Dad Grandfather / forever professor/ collegues, everybody remember of you, and make a respect for you in the World. I also, love to go buy staff at the ALDI store in USA :) Best, Ildiko
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