Again I shamelessly take themes that you, gentle readers, generate yourselves rather than having creativity myself. Again I'm caught by Disillusioned's comments about differences in service provision arising within the same Trust.
So I had a rummage around the stats and, what do you know, Disillusioned is right.
Within our Trust the General Adult services are pretty hit and miss. Some folk get a decent service, many don't. I could wax lyrical about why this is, but it'd be futile and consume me with despair which really isn't in the spirit of the Christmas season!
Within my own corner, Older Adults, my sector is seen to be working well. I've had my annual appraisal last week with a Director from another hospital and he reckoned All Was Good. I've presented at conferences how our team works, since it's seen as A Good Thing. Our Trust likes it and has had me doing teaching and roped in to meetings 'bout it all. In truth, it's all about the team (not me) so it's curious that I get to say my spiel when it's the team as a whole doing the work.
But it got me comparing my team with others. And there is indeed a lack of parity. My team has less qualified and less unqualified staff than any other team. It's the smallest. Other teams, that are larger, have broadly the same amount of work to do (referral rates and sector populations being comparable). In all teams no new patient has to wait more than 10 days to be seen, in our team referrals are all usually seen within the week. Access time aside, from referral with memory problems to receiving your first prescription for a cognitive enhancer, my team gives fastest access, a couple teams are similar but somewhat longer, one team has a delay of almost 2 months longer.
Interesting to see that folk in the same patch with more staff and the same amount of work have a less responsive service.
Now how the heck is this tactfully taken forward?