1. Reflections West Cheshire Co-learning on November 4 2014

2. Reflections/lessons learnt Both England and Sweden aspire to be a population- based system. We are on the same track. Giving control to the patients will lead to using clinical time in a more effective way. ’’Get new pair of shoes and wear them in’’ attitude- don’t focus on laggers, focus on early adopters and the laggers will follow. Adaptation and integration of Improvent Science into daily work, being expanded in the organisation. A massive cultural change Everybody having two jobs, the empowerment piece important

3. Reflections/lessons learnt Driving change-Change shouldn’t be driven. It should be found and facilitated- from below NHS England document from the minister of health- it cannot be centrally driver, you need a general vision. (länk) we shouldn’t be talking about patients, we should talk about people