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Stories from the frontline of the NHS

Healthcare aims to be patient-centred but a large gap remains between the fine words and the reality. Care often feels designed for the convenience of the organisations that deliver it, and not enough around patients and their families, or even around the frontline staff who provide it. Why does this happen? What does it feel like? What can be done about it? This book stimulates reflection on these questions by listening closely to those at the frontline. It provides accounts from patients, carers and healthcare professionals who are patients about what it’s like when services get it right, and wrong, from birth up to the end of life. Quite simply, we want to draw upon the power of storytelling – which is increasingly valued as a tool for learning – to help policymakers and practitioners to understand how to deliver better care. We also hope to enlighten the general reader about how they might go about navigating “the system” while it remains imperfect. There is a growing literature of first-person accounts from patients and from healthcare professionals. This book differs by providing a collection of narratives of experiences of the NHS in England to paint a rich and varied picture. Alongside these narratives we provide some international context, and an overview of the history of moves towards a more patient-centred approach to care. We present the theory and practice of storytelling in the context of healthcare. We also seek to help the reader to draw out the practical learning from the individual accounts.

The PRIA experience
Mandakini Pant

, behavioural and attitudinal changes and change in emotions. It aimed to develop an awareness of a person’s potential so that they could become confident, sensitive and informed. Practical learning activities were explored to enable the participants to see alternative ways of being to reflect on their everyday experiences and articulate their needs and priorities. The training programmes also reinforced the collective identity among the participants by building the information base and capabilities. • Learners acquired new knowledge and skills through formal teaching

in Knowledge, democracy and action
Open Access (free)
Naomi Chambers and Jeremy Taylor

of moves towards a more patient-centred approach to care. We present some of the theory and practice of storytelling in the context of healthcare. And we seek to help the reader to draw out the practical learnings from the individual accounts. This book is primarily focussed on England. Our storytellers relate experiences of the NHS in England, and our policy and historical scene-setting is also mostly from an English perspective. The English healthcare system is by far the largest in the UK and one of the largest among high-income countries. It

in Organising care around patients
Ingo Peters, Enver Ferhatovic, Rebea Heinemann, and Sofia Sturm

the Iraqi request for more practical learning experiences’ ( Dari et al ., 2012 : 56; Troszczynska-van Genderen, 2010 : 19). In Mali, domestic stakeholders criticised that the European trainers and experts delivered courses too abstract for daily practice, indicating a lack of knowledge of the reality on the ground ( Bøås et al ., 2018 ). The Malian government

in The EU and crisis response
Open Access (free)
Renaud Bardez and Pieter Dhondt

competition between, and indeed within, universities. Each university sourced these ‘raw materials’ from their partner hospitals and the most interesting specimens were used as visual support in their theory classes ( Figure 5.1 ). In this way, in the anatomical museum, theoretical and practical learning came together. Considered within the context of a history of medical learning, the

in Medical histories of Belgium