1. Mel Pickup Chief Executive Warrington and Halton Hospitals NHS FT

3. Excellence for our patients  SAFETY  EFFECTIVENESS  EXPERIENCE

4. Caring for our staff  LEADING  ENGAGING  DEVELOPING

5. Here for our Communities  GOVERNANCE  FINANCE VIABILITY  PROFILE & PERCEPTIONS

6. FRANCIS - KEOGH - BERWICK MID – STAFFORDSHIRE - MORECAMBE BAY - ? HARD TRUTHS

7. James Titcombe Morecambe Bay Julie Baily Mid Staffs Cure the NHS

8.  Complaints  Incidents  Near misses  HSMR  SHMI  Never events  HCAI  Outcomes  Mortality alerts  Etc. Etc. Duty of Candour

10. SPEAK OUT SAFELY CAMPAIGN Encourage NHS organisations + independent healthcare providers to develop cultures that are honest and transparent to actively encourage staff to raise the alarm when they see poor practice and protect them when they do so

11. Eloquently articulating the problem is great But then what ?

12. By empowering trainee doctors to undertake service improvement projects they can share their broad hospital experience and learn about leadership in the process. (HJS. 2013 Penlington & Marshall)

13. An often underused resource for change and Spreading innovation to improve services for patient in the NHS is trainee doctors. (HJS. 2013 Penlington & Marshall)

14. The benefits of engaging trainee doctors in leading change and spreading innovation should not be underestimated. Trainee doctors are able to spread innovation across trusts in unique ways because they understand the structure from the bottom up and are often keen to make a difference to make a difference to services before they move on.

15. What stops juniors getting involved in service change and improvement

16. Surgeries MD / CEO forums Moaning Problem dumping Talking shops ………. here is my problem now please go away and fix it. ………. mysuggestion would be more junior doctors please!

17. WHY ?

31. TOUCHSTONE Something that is used to make judgements about the quantity of other things A test or criterion for determining the quality or genuineness of a thing

32. Every body is some ones - COUSIN BROTHER GRANDAD HUSBAND NANNA MUM WIFE GIRL FRIENDS SISTER DAD NEICE BOYFRIEND AUNTIE UNCLE

34. Alice ………… Little Nan …. …..Darth Vader. …… Touchstone

35. Who’s yours?