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Neil Spenceley Profile
Neil Spenceley

@neilspenceley

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Enjoys adrenaline - my ACL’s less so - delivers oxygen. Fascinated by healthcare culture and complexity. Director of PICU and Anaesthesia.

Glasgow, Scotland
Joined October 2013
Don't wanna be here? Send us removal request.
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@neilspenceley
Neil Spenceley
6 years
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Neil Spenceley
2 years
I love being Brooke's @PICU_Scot named consultant. There is however just the one snag...
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@neilspenceley
Neil Spenceley
2 years
@who_let_mum_out One of the best days I've had on our intensive care unit was when I had the privilege to work with our fab cleaner Phyllis. Without her our unit would be shut. Everyone has a unique skill, gift and passion
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@neilspenceley
Neil Spenceley
7 years
Unintended consequence of the @PICU_Scot #MoVE project: Reckless patient laughs heartily as he mows down two intensivists. @jennakhills @MarkGlasgowPICU @PaediatricSPSP @DrDaleNeedham @DoctorBegg
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Neil Spenceley
7 years
PICU cleaning shift with Phyllis. So important, the place would be shut without her. @jenfrodgers @AvileneCasey @jasonleitch @PICU_Scot
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Neil Spenceley
6 years
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Neil Spenceley
5 years
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@neilspenceley
Neil Spenceley
6 years
In @PICU_Scot all of our senior fellows undertake a nursing shift. Learning how work is done from some of the finest innovators in healthcare. @AvileneCasey @theRCN @jenfrodgers @jasonleitch @StevenShorrock @EmiliaClarkeTM @HorsleyCarl @davidjvaughan @FionaCMcQueen @FabNHSStuff
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Neil Spenceley
1 year
We crowned our own King of PICU today. Congratulations Joe on 50 years service to the NHS!! @NHSGGC @PICU_Scot @jasonleitch @redfernjam @FabNHSStuff
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@neilspenceley
Neil Spenceley
3 years
@TessaRDavis One of my first Paeds consultants Malcolm Donaldson, husband of Julia (Gruffalo?), said to me: Neil, firstly try observation. If that doesn’t work try observation and if your back’s really against the wall then try…observation. The answer’s there right in front of you. #Legend
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@neilspenceley
Neil Spenceley
3 years
Still one of the most enlightening and inspirational days as a medic was being a nurse for the day. I was hopeless! A huge Thank You to all nurses, especially @PICU_Scot @HorsleyCarl @AvileneCasey @jasonleitch @FionaCMcQueen # #nursesday2021
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Neil Spenceley
3 years
Did a 12 hour @PICU_Scot nursing shift yesterday - well nearly, I was a wee bit late… A real privilege to work with such superstars. Thank you to all nurses. You are the glue of every healthcare organisation. The eyes, the ears, the advocates of every patient.
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Neil Spenceley
7 years
I’ve been overwhelmed today by people’s kindness and generosity. The weather has attempted to grind things to a halt but NHS staff and the public are having none of it. Lifts, rota swaps, home baking. It could be like this all the time... @adrianplunkett @orangedis @jasonleitch
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Neil Spenceley
5 years
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@neilspenceley
Neil Spenceley
1 year
Team Glasgow at #pccs2023 Everyone helped in their own unique way to make it the best PCCS meeting ever. Heartfelt thanks to all. @PICU_Scot @PICSociety @PicPod_Podcast @FabNHSStuff @fionam_miles @HorsleyCarl @jasonleitch @CathyAofC @GlasgowEpic
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Neil Spenceley
6 years
We’re off!! #LfEConference18 The projector’s not working but who cares, we’re all here!!⁦ @davidjvaughan ⁩ ⁦ @fionam_miles ⁩ ⁦ @SuzetteWoodward ⁩ ⁦ @HorsleyCarl ⁩ ⁦ @PICU_Scot ⁩ ⁦ @jasonleitch
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@neilspenceley
Neil Spenceley
3 years
Rare opportunity to come and work as a consultant in Glasgow's fabulous @PICU_Scot . There'll be a few nice flights too... An iconic unit in an iconic city, next to the great outdoors. Closing date 21st of Jan: @MarkGlasgowPICU @drpeterdonnelly @NHSGGC
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@neilspenceley
Neil Spenceley
4 years
The best two minutes one can spend when thinking about how to improve system performance.
@TheKingsFund
The King's Fund
4 years
How can leaders foster a work environment where people feel safe to speak up, share new ideas and work in innovative ways? Amy Edmonson explains why psychological safety at work is so important and what leaders can do to create it:
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Neil Spenceley
4 years
Is it just my children that have profound sensory inattention to dishwashers? In, not beside...
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Neil Spenceley
7 years
This is brilliant. Everyone has a role in the NHS. Many are unsung but all are crucial for patient care.
@NHSMillion
NHS Million
7 years
Not all heroes wear capes (or scrubs)
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Neil Spenceley
3 years
@docib It’s a huge issue. We only select from the top 1%, and for academic achievement rather than attitude and aptitude. Some of the best doctors I know are nurses.
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Neil Spenceley
4 years
Last time I was in this hall was for a Metallica concert. Slightly different experience today #vaccination Both absolutely amazing, left me slack jawed and the former - deaf for a week. @DrGregorSmith @jasonleitch
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Neil Spenceley
5 years
Fab PICU nurse: ‘You’ve got 1:10000 and 1:100000 (magic) adrenaline’. Me: ‘The writing’s a bit wee for me, not sure I can read it in a hurry’ Fab PICU nurse: ‘We know, that’s why the label is vertical for 1:10000, horizontal for 1:100000, ta da!’ Brilliant. @HorsleyCarl
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Neil Spenceley
7 years
Neil @IHFLimited has transformed the SCM into Swiss Cheese: Matured? From simplistic, static and linear to dynamic, active and complex. We would welcome your thoughts. Thanks to Matt Scanlon. @jasonleitch @adrianplunkett @StevenShorrock @HorsleyCarl @kevinfong @MartinBromiley
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Neil Spenceley
4 years
Flu jab soothed by new (non-patient facing) ⁦ @PICU_Scot ⁩ face mask
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Neil Spenceley
4 years
I sometimes wish Zoom/Teams had a ‘Raise your eyebrow’ feature...
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Neil Spenceley
4 years
Commendable but aiming for zero and being preoccupied with failure are the very things that have created constraint in a complex system. Leads to burnout, lack of flexibility and poor system performance. We should be enhancing system adaptability @HorsleyCarl @davidjvaughan
@HardeepSinghMD
Hardeep Singh MD
4 years
“Towards Zero Patient Harm in Health Care: Global Patient Safety Action Plan 2021-2030” -Flagship WHO initiative opens for public comment Landmark guidance for #patientsafety so pls review. Delighted to contribute & work with WHO team @NeelamDhingra1
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Neil Spenceley
6 years
Great honour to be presenting with @orangedis yesterday at the #EUSEM18 session on Wellbeing. Such a brilliant grasp of Civility which is beneficial to the safety of all in healthcare: Patients, nurses, cleaners... @al_corfield @adrianplunkett @civilitysaves @davidjvaughan
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Neil Spenceley
1 year
#pccs2023 as a complex system...
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Neil Spenceley
6 years
Great talk from @fionam_miles on Burnout and Moral Distress. Let’s stop endlessly talking about it and start doing something about it. Be proactive! @davidjvaughan @HorsleyCarl @adrianplunkett
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Neil Spenceley
5 years
Spent the morning shadowing the Award Winning theatre porters at Glasgow Children’s. So kind and compassionate. Great insights into their system, what works well and what could be better. #work -as-done. @alysonwalkerRHC @HorsleyCarl @davidjvaughan @StevenShorrock @CherylGillis83
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Neil Spenceley
6 years
Arrived in the unit this to be greeted with this! Already I’m in a better mood. It’s going to be a great day @adrianplunkett @alysonwalkerRHC @PICU_Scot
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Neil Spenceley
1 year
My new favourite quote from @picudoc13 and @KenCatchpole 'Whereas the use of non-experts to provide clinical care would be viewed as negligence, the use of non-experts in patient safety is the standard of care' @HorsleyCarl @SuzetteWoodward @StevenShorrock
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Neil Spenceley
2 years
Sunrise at Lac du Montriond
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@neilspenceley
Neil Spenceley
8 years
Medics doing a PICU nurse shift. Learning from the best #InternationalNursesDay @jenfrodgers @ljford83 @jasonleitch
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@neilspenceley
Neil Spenceley
6 years
Happy 1st Birthday Andikan! All our love from @PICU_Scot @DoctorBegg @MarkGlasgowPICU @jennakhills
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@neilspenceley
Neil Spenceley
7 years
This is a brilliant publication with some great contributions from Dekker and Hollnagel on work-as-imagined vs work-as-done. I refer to it frequently when teaching @adrianplunkett @davidjvaughan @picudoc13 @HorsleyCarl @IHFLimited
@StevenShorrock
Steven Shorrock
7 years
ICYMI #HindSightMagazine 25 on work-as-imagined and work-as-done.
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Neil Spenceley
7 years
@PICU_Scot in Malaysia with @HLHcharity performing cardiac surgery with the local, and quite fabulous, team. Humbling.
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@neilspenceley
Neil Spenceley
5 years
This applies to everyone in healthcare, not just surgeons. The effect on people’s psychological safety and ultimately the patient is increasingly clear. ⁦ @orangedis ⁩ ⁦ @LfEcommunity ⁩ ⁦ @SuzetteWoodward
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Neil Spenceley
7 years
This is just phenomenal. Fabulous work by the @PICU_Scot physio team. QI, teamwork, engagement, spread, the lot @jasonleitch @DrDaleNeedham
@jennakhills
Jenna Hills
7 years
1yr ago only 6% of our intubated pts received mobility within 1st 3days of admission. Since launching #MoVE we increased to 80% #earlyrehab
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Neil Spenceley
2 years
The next generation of Spenceley boys with #HighlandLegend Colin Baillie. Most influential teacher I ever had.
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@neilspenceley
Neil Spenceley
5 years
#simulationsunday Pulmonary Hypertensive Crisis. Best approach? Do the basics well and create a psychologically safe environment: listening and vulnerability leads to constant feedback loops ‘what have I missed?’ @HorsleyCarl @davidjvaughan @DrKlugs @LfEcommunity @CherylGillis83
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Neil Spenceley
4 years
Nothing quite like some on point messaging. #understood
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Neil Spenceley
3 years
I’m assuming the owners of all these private jets currently flying over my house have organised some sort of altruistic lift-share scheme to help out those with no transport whilst minimising their carbon footprint? #COP26Glasgow
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Neil Spenceley
3 years
22:45pm, looking North from Jura. Scotland: I’m sure that’s Gaelic for ‘Why would you live anywhere else...?’
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@neilspenceley
Neil Spenceley
7 years
Where there is @marksandspencer there is hope. Staff stayed in overnight at QEUH @NHSGGC so those of us who made it in today can have treats galore. Thank you. #randomactsofkindness
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Neil Spenceley
5 years
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Neil Spenceley
2 years
Three suns in Tignes this morning
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@neilspenceley
Neil Spenceley
7 years
Poor Behaviours in Healthcare talk now on-line. Thanks @jasonleitch . @ggyrach @StevenShorrock @Manoj_K_Kumar
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Neil Spenceley
6 years
Delighted with the therapeutic effects of the Jura sun this weekend. My West of Scotland vitamin D levels have risen from ‘Almost certainly fatal’ to ‘Critical’.
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@neilspenceley
Neil Spenceley
2 years
No it's not Greece. Loch Lomond at its finest...
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@neilspenceley
Neil Spenceley
6 years
Heading home. Thanks Australasia for a brilliant and humbling week of Safety-II, biking and new friendships. Cheers. @HorsleyCarl @fionam_miles @davidjvaughan @LizCrowe2 @ANZICSACCCN_ASM
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@neilspenceley
Neil Spenceley
6 years
A remote Scottish Island, a pub, a distillery and a sunset. Life is complete... @davidjvaughan @HorsleyCarl @adrianplunkett @alysonwalkerRHC @StevenShorrock @orangedis @jasonleitch
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Neil Spenceley
6 years
Amazingly powerful story of Sepsis with Andrew, his family and @adrianplunkett No mention of vents, lines or drugs rather they told of kindness, compassion, openness and honesty. #sepsisinchildrenabdn2018
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Neil Spenceley
4 years
@jackgkennedy The question for me would be: ‘Why is your routine interaction with this piece equipment normally successful despite the varying conditions of work?’ So, why does your work normally work? Why is it usual for nothing to happen? This type of thinking provides some life balance.
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@neilspenceley
Neil Spenceley
4 years
#respitesunday . Chief cameraman - again -which is more dangerous than it looks. #Win Hill⁦ @HorsleyCarl ⁩ ⁦ @davidjvaughan ⁩ ⁦ @fionam_miles ⁩ ⁦ @DrKlugs ⁩ ⁦ @LfEcommunity ⁩ ⁦ @CherylGillis83 ⁩ ⁦ @KerryJeavons
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Neil Spenceley
3 years
Gorgeous commute this morning. #Glasgow
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@neilspenceley
Neil Spenceley
7 years
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@neilspenceley
Neil Spenceley
1 year
Second time in a week that I get the chance to present with @StevenShorrock Presenting @HSJptsafety Only this time being brought to order by the fabulous @DawnBenson20 @HorsleyCarl @janekohara @DrLaurenMorgan
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Neil Spenceley
2 years
Last nights supermoon rising over Loch Lomond. Seen whilst decending off Benn Dubh. Magical.
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@neilspenceley
Neil Spenceley
5 years
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@neilspenceley
Neil Spenceley
4 years
I’ve come across a new term: ‘Kintsugi’ Fixing cracked pottery with a gold, silver, or platinum lacquer. When put back together the whole piece looks beautiful as ever. It doesn’t hide the cracks, it owns its broken history. @LizCrowe2 @HorsleyCarl @davidjvaughan @LfEcommunity
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@neilspenceley
Neil Spenceley
7 years
Good, and short, article on WhatsApp in Medicine by Des Spence. Work-as-Imagined vs Work-as-done. @adrianplunkett @davidjvaughan @HorsleyCarl @JBraithwaite1 @picudoc13
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@neilspenceley
Neil Spenceley
2 years
Due to a colleague retiring you now have a rare opportunity to become part of our fabulous team in a fabulous part of the world. People make Glasgow... @PICU_Scot @drpeterdonnelly @MarkGlasgowPICU @LfEcommunity @HorsleyCarl @davidjvaughan
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Neil Spenceley
7 years
Star Wars sunset over Stirling. #LoveScotland
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@neilspenceley
Neil Spenceley
1 year
Autumn colours on Loch Lomond. Chilly but magnificent
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@neilspenceley
Neil Spenceley
6 years
Great day at the iconic House for an Art Lover discussing @ProjectLiftScot with @julianstodd Glad to see complexity and leadership in the NHS being viewed differently encouraging uncertainty / ambiguity. @HorsleyCarl @davidjvaughan @fionam_miles @adrianplunkett @craigwhitephd
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@neilspenceley
Neil Spenceley
3 years
New Years health kick in full swing. Was vegan for at least an hour today.
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Neil Spenceley
2 years
There's carbo loading pre Etape and @HarryGowBakery carbo loading pre Etape. Anything else is frankly amateur... @EtapeLochNess
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Neil Spenceley
1 year
Fabulous Keynote Presentation from @davidscooper Teams are everything. No new fancy technology improved their outcomes.
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@neilspenceley
Neil Spenceley
6 years
The 21st of June, my favourite day. 12:30am and just home (from a fine purveyor of ale), this is the view. The lingering light of the far north makes you smile. @adrianplunkett @HorsleyCarl @davidjvaughan @StevenShorrock @picudoc13
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Neil Spenceley
3 years
Homemade lemon tart for the fabulous @PICU_Scot nurses tonight
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@neilspenceley
Neil Spenceley
1 year
It's a sell out! 400 delegates from all over and all walks of PICU life. Have a listen to Chris about what to expect from this epic conference in this iconic city. #pccs2023 4-6 Oct @HorsleyCarl @fionam_miles @LfEcommunity @PICU_Scot @PICSociety @TomDuffinPhotos @DavieIrwin
@PicPod_Podcast
PICPOD
1 year
Next week is the #PCCS2023 conference, a sell out blockbuster in Edinburgh @PCCU_Edinburgh . We spoke to Chris Kidson from the organising committee to go over some highlights. #PedsICU @PICSociety
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Neil Spenceley
7 years
Brilliant Human Factors in Healthcare event on the 3rd of June in Glasgow @MartinBromiley @MarkJohnston71 @StevenShorrock @adrianplunkett
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Neil Spenceley
2 years
There are cool lecture theatres and cool lecture theatres. This is the latter... @UofGlasgow Talking about Safety-II with MB ChB Year 3 today. Finally...!
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Neil Spenceley
2 years
@trey_coffey_TO @PICU_Scot Overall oversight of a patient who's stay has been identified as potentially long term. Day to day stuff done by duty general consultant. Neither role seems to allow you to choose any colour...
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Neil Spenceley
7 years
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Neil Spenceley
7 years
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@neilspenceley
Neil Spenceley
7 years
Great day yesterday presenting @RoySocMed on Patient Safety with @JamesTitcombe . Fantastic, spontaneous talk by Mark Stacey on Resilience during the Oxford Circus ‘Lockdown’ to ourselves and sheltering members of the public. Just Brilliant. #keepcalmandcarryon
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Neil Spenceley
6 years
Another amazing sunset over Loch Lomond, this time with some rare company. @davidjvaughan @MarkGlasgowPICU @HorsleyCarl
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Neil Spenceley
1 year
Tremendous evening of Glasgow and Well-being banter with @josinclanz Brimming with fabulous ideas for promoting system thinking in her NZ National role Godspeed! @HorsleyCarl @fionam_miles @orangedis @LfEcommunity @StevenShorrock @civilitysaves @pbnes @JWailling
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Neil Spenceley
5 years
45 minutes to #respitesunday . Gorgeous view looking South from Newtonmore. 11:15pm. A couple of hours dive from home but, a world away. Work is work, life is everything else... @HorsleyCarl @davidjvaughan @DrKlugs @orangedis @LfEcommunity @KazemiAlex @CherylGillis83 @keirshiels
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Neil Spenceley
5 years
Great talk about the successes of neonatal care in Japan by @Telle_101 . Introduced me to ‘Ikigai’. Reminded me of Asset Based Community Design: everyone has a skill, a gift and a passion. @HorsleyCarl @LizCrowe2 @StevenShorrock @davidjvaughan @fionam_miles @CherylGillis83
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Neil Spenceley
5 years
@LfEcommunity
Learning from Excellence
5 years
Measurable impact of positive feedback in healthcare: The PRAISe project is now published after peer-review. The full-text is available at Peds Quality and Safety ( @PQS_LWW ) @AlisonSJones5 @rhiani101
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Neil Spenceley
7 years
@jenfrodgers talking at the #SQSF10 Networking Event. Hot off the press: data demonstrating a 56% reduction in deteriorating patients needing significant PICU intervention at RCH Glasgow. #watchers #PEWScot @LMacfarlane20 @BernieMcCulloch @PaediatricSPSP @jasonleitch
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Neil Spenceley
8 years
Our new signage has arrived. Looks fantastic! @PICU_Scot @StudioRydo @jenfrodgers
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@neilspenceley
Neil Spenceley
1 year
Even Manchester furniture shops have realised what's required to improve system performance #resilienthealthcare @HorsleyCarl @StevenShorrock @picudoc13
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