LA QUESTION
Why is the emergency department always behind?
Placez vos gommettes sur ce qui compte le plus. Une idée appuyée par une preuve peut prendre une place réservée.
fermé · retour à la phase Actions
Mode invité. Choisissez un pseudo pour rejoindre la salle et participer.
Vos gommettes
Une par idée, 5 au total. Minimum : un vote.
Places réservées aux idées négligées : 5 — proposez-en une avec un lien, et elle compte dès que 2 personnes jugent la source pertinente.
pourquoi
À la fin de la phase, une idée proposée entre par tirage au sort et les autres selon le nombre de propositions, au plus une par catégorie de parties prenantes. Un modèle vérifie seulement si la page porte sur le même sujet — jamais si elle prouve l’affirmation. Ce jugement revient à la salle, et une proposition que personne d’autre ne soutient n’obtient pas de place.
FAMILLE 1
An improvement takes two years and a chief executive lasts eighteen months
votes : 7discuter
Procurement takes longer than the technology lasts
votes : 1discuter
FAMILLE 2
One-year funding buys agency staff, not permanent ones
votes : 5discuter
Winter money arrives in November for a plan needed in June
Observed, not measured — I would want the data too.
votes : 9discuter
FAMILLE 3
We have never once been asked to plan for ten years
votes : 7discuter
The workforce plan was written before the last three years
votes : 2discuter
FAMILLE 4
Nobody is paid for the patient who did not need to come
votes : 4discuter
Nobody owns the whole patient journey
Narrower than it reads; the wider version is someone else's card.
votes : 2discuter
FAMILLE 5
We are measured on activity, so activity is what we produce
To be precise: this is about the situation, not a person.
votes : 2discuter
Capital and revenue cannot be swapped, so we rent what we could own
Narrower than it reads; the wider version is someone else's card.
votes : 0discuter
FAMILLE 6
Staff leave faster than we can hire them
votes : 14discuter
We report to eleven bodies and none of them to each other
votes : 10discuter
HORS FAMILLE
The incentive is to treat, never to prevent
Narrower than it reads; the wider version is someone else's card.
votes : 10discuter
The money for prevention sits in a different organisation
votes : 0discuter
Every part of the system optimises its own budget
Meaning the recurring case, not one incident.
votes : 3discuter
A nurse cannot afford to live within an hour of here
Observed, not measured — I would want the data too.
votes : 0discuter
Politics changes the target every election
votes : 1au premier plan ↑ · fermer ✕
The data we report is a year old by the time it is published
Scope: here specifically, not everywhere.
votes : 3discuter
We compete with the hospital down the road for the same nurses
Scope: here specifically, not everywhere.
votes : 0discuter
Every inspection costs six weeks of senior time
votes : 2discuter
A saving in social care is a cost here and nobody nets it
Observed, not measured — I would want the data too.
votes : 9discuter
A ward closed for repair has never reopened
I mean this happens weekly, not once in a while.
votes : 0discuter
The regulator asks for the target and the auditor asks for the money
votes : 0discuter
Beds were removed on a model that assumed community care that never came
Meaning the recurring case, not one incident.
votes : 0discuter
The new system was chosen by people who will not use it
Observed, not measured — I would want the data too.
votes : 0
↳ proposée pour une place : https://example.org/ops-incident-review.pdf could not read it (HTTPError) soutien : 1 sur 2
discuterThe same patients come back within a week
votes : 12discuter
Nobody may open a bed without permission from three bodies
I mean this happens weekly, not once in a while.
votes : 1discuter
The estate is older than anyone working in it
votes : 4discuter
Pay is set nationally and the housing market is not
votes : 0discuter
Beds are full because nobody can be discharged
votes : 10discussion (1)
People wait hours in a corridor before anyone sees them
votes : 15discuter
Training numbers were cut a decade ago and take a decade to fix
votes : 0discuter
Vacancies are counted as savings in the same month they are a crisis
Scope: here specifically, not everywhere.
votes : 3discuter
We cannot see the GP's data and they cannot see ours
votes : 2discuter