问题
Why is the emergency department always behind?
把你的贴纸用在最重要的内容上。有证据支持的想法可以占用一个保留席位。
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你的贴纸额度
每个想法最多一张，共 5 张。至少投一票。
有 5 个席位为被忽视的想法保留——附上链接提名一个，当 2 人认同来源相关时就会计入。
为什么
阶段结束时，一名被提名者通过随机抽签入选，其余按提名数入选，每个利益相关方类别最多一个。模型只检查页面是否关于同一主题——从不检查它是否证明了这个主张。那要由房间来判断；没有其他人支持的提名不能占用席位。
类别 1
An improvement takes two years and a chief executive lasts eighteen months
7 票讨论
Procurement takes longer than the technology lasts
1 票讨论
类别 2
One-year funding buys agency staff, not permanent ones
5 票讨论
Winter money arrives in November for a plan needed in June
Observed, not measured — I would want the data too.
9 票讨论
类别 3
We have never once been asked to plan for ten years
7 票讨论
The workforce plan was written before the last three years
2 票讨论
类别 4
Nobody is paid for the patient who did not need to come
4 票讨论
Nobody owns the whole patient journey
Narrower than it reads; the wider version is someone else's card.
2 票讨论
类别 5
We are measured on activity, so activity is what we produce
To be precise: this is about the situation, not a person.
2 票讨论
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.
0 票讨论
类别 6
Staff leave faster than we can hire them
14 票讨论
We report to eleven bodies and none of them to each other
10 票讨论
未归类
The incentive is to treat, never to prevent
Narrower than it reads; the wider version is someone else's card.
10 票讨论
The money for prevention sits in a different organisation
0 票讨论
A nurse cannot afford to live within an hour of here
Observed, not measured — I would want the data too.
0 票讨论
Politics changes the target every election
1 票讨论
The data we report is a year old by the time it is published
Scope: here specifically, not everywhere.
3 票讨论
We compete with the hospital down the road for the same nurses
Scope: here specifically, not everywhere.
0 票讨论
Every inspection costs six weeks of senior time
2 票讨论
A saving in social care is a cost here and nobody nets it
Observed, not measured — I would want the data too.
9 票讨论
The regulator asks for the target and the auditor asks for the money
0 票讨论
Beds were removed on a model that assumed community care that never came
Meaning the recurring case, not one incident.
0 票讨论
The new system was chosen by people who will not use it
Observed, not measured — I would want the data too.
The same patients come back within a week
12 票讨论
Nobody may open a bed without permission from three bodies
I mean this happens weekly, not once in a while.
1 票讨论
The estate is older than anyone working in it
4 票讨论
Beds are full because nobody can be discharged
10 票讨论中（1）
People wait hours in a corridor before anyone sees them
15 票讨论
Training numbers were cut a decade ago and take a decade to fix
0 票讨论
Vacancies are counted as savings in the same month they are a crisis
Scope: here specifically, not everywhere.
3 票讨论
We cannot see the GP's data and they cannot see ours
2 票讨论