About Tales from the Black Tower
Dr Custodes is a shadowy GP figure with a keen interest in what's going on at the Black Tower - previously the home of the decrepit PCT but now inhabited by something much more scary...
Tagsacute trusts Andrew Lansley Andy Burnham Black Tower CCG CCGs clinical commissioning groups Coalition commissioning consortia CQC Finance foundationa trusts GP GP commissioning GP consortia health bill Jeremy Hunt Lansley locums mental health NHS NHS England nhs reforms Olympics PBC PCT PCTs pension pensions QIPP RCGP RCGP Conference reforms Responsible Officer revalidation secondary care Silver fox Steve Field strike Tales from the Black Tower The NHS Commissioning Board White Paper x factor zombies
Dr Geddes says that the model of general practice needs to change, Custodes has been saying that for a while.
Dr Geddes says let’s prioritise primary care for going to 7/7 working, trouble is the BMA says we need to go to 7/7 working only once we’ve sorted out the hospitals.
In the old days when the FHSA had money (ask your dad son he’ll tell you about FHSAs) the Custodes’ practice went on a teambuilding jolly weekend. We did an exercise in trust, all the staff stood in a circle ventral/dorsal alignment and on the command go we all sat down, ending up sitting on a the knees of the person behind.
The difference in practice team success was commitment and trust
Each of us needed to change our position, we all knew we had to do it first, but in reality we had to do it together.
Some practice teams never did get it right, some individuals didn’t sit, or stepped out of the way, they usually ended up last man standing. Some tried to sit only when others had sat, and in those circumstances everybody ended up toppling over like a row of dominos.
Some teams did it like a dream, first time, no problems.
So what was the difference between teams who sat and those that fell?
It wasn’t the instructions – we all had the same instructions, it wasn’t the size of the group (you can’t do this with four people but after eight it gets easy).
Simply put the difference was commitment and trust.
All the members have to commit that even if they don’t really understand why the change needs to happen, and even if it is going to be uncomfortable, they are still going to commit to make the change. Everybody else has to trust them to do exactly what is required.
So here’s my Custodes challenge – start the reform of the system in your area by asking the chairs and chiefs of all your various system organisations to try this one simple party game.
If it works go ahead and change your bit of the system – if it doesn’t don’t bother – you’ll just end up on your arse.