‘Collaboration’ is the watchword in the NHS at the moment, whether through Primary care networks, Integrated care systems, or other three letter acronyms. I write this genuinely torn about whether I want the experience of Pagwell to be one we see transferred to reality. If we want a more collaborative society, is this the future? Do we want it to be?Īs you might have twigged, poor Norman Hunter hasn’t been fired from his fictitious trust, nor do I know of any NHS chair or chief executive who have ever been fired for their inability to collaborate with others. I look forward to working with his successor as they bring in the new leadership that the trust needs to deliver the effective joint working that local people deserve and the hospital’s staff care so passionately about delivering.” Pagwell MP Heath Robinson said: “This is clearly for the best for Pagwell’s hospitals as well as for Norman personally. The public would struggle to understand how such little effort given to collaboration could be met with anything other than an immediate change in leadership.” In a statement, NHS Improvement said: “While the trust was experiencing significant additional demands, the failure to build constructive relationships with its key partners including other NHS organisations, local authorities, and charities, was simply unacceptable. Local MPs raised concerns over the independent review commissioned by Hunter and NHS Improvement in order to look into doubts raised by senior clinicians about the trust’s poor performance against national standards for effective collaboration both inside and outside the Trust. The trust’s Lower Pagwell Hospital received four enforcement action notices from the Care Quality Commission last year over its ‘inadequate’ approach to partnership working, and Hunter has also faced criticism from politicians over delays to the publication of a high-profile review investigating the trust’s approach to learning and sharing with neighbouring trusts. Norman Hunter said he would leave the trust at the end of August, stating that he wanted to “regain a better work life balance.” The under-fire chair of the Pagwell Heights NHS Foundation trust has announced he will leave the position after local MPs called for him to resign. In thinking this through, a story caught my eye: If we want a society with collaboration at its heart, what will we do to get there? It’s a question we ponder with regards to the NHS at Kaleidoscope - a social enterprise which brings people together to improve health and care. Exploring the Collaborative Society: How do we build and support collaborative culture within public services? How we create new forms of mutual and local accountability, governance, and leadership feel like they are at the heart of Myron Rogers’ maxim “the process you use to get to the future is the future you get”. In the second guest blog in our series exploring the idea of the Collaborative Society, Richard Taunt from Kaleidoscope Health and Care explores how the normal command and control might not be the right approach to engendering a collaborative culture within the NHS and local health systems. We have invited a number of leading thinkers and do-ers to contribute their ideas about this concept and its implications through a blog series, as well as events and a podcast series in the autumn. Specifically, what a Collaborative Society could look like, how you build it, and where the green shoots are already paving the way. Over the past 10 years, the Trust invested nearly $20 million in animal welfare in Arizona and Indiana, and we continue to champion this cause.Collaborate has a resolution for 2019: to be bold about the future we want to create. We give special thanks to our animal welfare partners and their unswerving commitment to our communities’ pets. Since then, euthanasia rates in Maricopa County dropped over 88%, and Marion County fell over 84%. In 2012, the Trust and partners in the animal welfare community in both states helped establish collaborative initiatives to reduce the number of unwanted dogs and cats through increasing spay/neuter surgeries, adoptions and public education about responsible pet ownership. After 10 years of dedicated collaboration and investment, our communities’ companion animals today face a far better fate. In 2012, nearly 37,000 dogs and cats were euthanized in shelters in Maricopa County, Arizona in Marion County, Indiana, it was over 6,600. Celebrating 10 years of tremendous gains for companion animals
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