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Mark Cannon
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Applying the Vanguard Method in Health
Applying the Vanguard Method in Health

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Is Dora dead?
'Is Dora dead?' asked her GP of the community based team who had been helping her.  It was an understandable question.  Dora was, how can you put it, one of those patients.  Daily calls for months on end in and out of hours were 'normal' for her - she was s...
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What matters medicine
'Vision without execution is hallucination' Thomas A Edison In applying the Vanguard Method (tVM), two Councils, Stoke and Bromsgrove and Redditch have, in their words; 'developed a completely new way of working with all partners that goes well beyond co-lo...
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Systems failure and systems thinking
This article first appeared on the Nesta website on 18 March 2013.   Professor John Seddon - 18.03.2013 Mid Staffordshire NHS Foundation Trust and successive tragic events in children’s services represent the tip of the iceberg of systems failure[1]. Recomm...
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Wicked problems or wicked paradigm
Are there such things as wicked problems?  Or are they simply the manifestation of a greater evil, a wicked management paradigm? Over the last month or so I have heard many people mention the fact that the NHS faces many 'wicked' problems.  A financial sque...
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Why are we waiting?
Twitter can be a great place for stimulating discussion.  This is certainly what happened when Mark Cheetham, a colorectal and general surgeon shared some data on waiting times to see him in an outpatient clinic.  It was generous of him to reveal this data ...
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