October 2008
Welcome to Quicksilva's monthly newsletter with thoughts from Quicksilva staff.
Incentives – what a great idea for getting things done…or so you might think. I had a moan earlier this year when the Government set a target of 30% of its contracts being let to SMEs. My point then, as now, is that incentives are very powerful and do indeed drive human behaviour, often in unanticipated directions. For example, an easy way to meet the 30% target is to let all the high volume unskilled contracts to SMEs...job done!
We are now seeing GPs targeted to avoid admitting patients to hospital which seems to me to be an accident waiting to happen. "Doctors paid thousands not to send patients to hospital for treatment". What on earth are they thinking?
Setting incentives is a highly skilled psychological exercise which needs to be tested by 360 degree reviews to ensure that the targets are specific and unambiguous. In fact, if you look at the target in terms of "what do we want more of?" and ensure the response is based on positive language that would be a good start...
Except in the case of the Chinese government where a bonus scheme has been introduced for hospital doctors. Hospital budgets are fixed but doctors can get more cash by administering more care – a recent report says "it is likely that the incentive to increase the quantity of care provided would operate regardless of whether the care was medically necessary" The effect of performance-related pay of hospital doctors on hospital behaviour: a case study from Shandong, China - what a surprise.
It’s not only our managers who get something so fundamental so wrong.
Gayna
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SMI gets Choose and Book compliant with Quicksilva
Specialist Medical Imaging Ltd (SMI) is to become fully Choose and Book compliant, ensuring that millions of NHS patients have rapid access to its imaging services.
SMI specialises in providing Non Obstetric and Obstetric ultrasound and Osteoporosis - DXA services to all sectors of healthcare (www.smiscan.co.uk). Bookings for its 30 mobile scanning units are currently managed by the EMMA online electronic medical system from Ascensus. Ascensus will partner with Quicksilva, an independent provider of software and services to the public sector, to integrate EMMA with the NHS Data Spine making available appointments instantly accessible for SMI's fixed and mobile scanning units. The partnership will not only potentially reduce waiting times for patients but it will shorten the time for results to be reported to GPs.
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New starter's point of view - Lisbon
As a new employee, getting to know forty people at one go can be quite tricky, so whoever came up with the idea of getting everyone onto a flight to Lisbon for a couple of days to help put names to faces deserves a great deal of credit. The normal rolling pattern of bids and development makes it difficult to find a way in to a new company; even when a new project begins it is hard to make headway not knowing the background on previous work, or who to talk to for information on specific details, with the result that you accumulate knowledge gradually on a one-to-one basis when people are not too snowed under.
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Agile Software Development
Quicksilva is committed to structuring projects as a means of steering, managing risk and ensuring a common understanding of the approach to be taken to achieve project success. We use our delivery model, the QUBE, to guide the development and implementation process.
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In the News... |
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Stark images of death on cigarette packets
From Times Online
Graphic pictures of throat cancer, rotting lungs and teeth and a corpse in a morgue will appear on the back of cigarette packets from next month, the Department of Health said.
Quicksilva thoughts...
Many of us will welcome the introduction of stark visual warnings on cigarette packets to illustrate the harsh reality of the effects smoking will have on the long term health of smokers – approximately 87,000 will die prematurely each year as a result, quite a disturbing statistic. Is life not as precious to some as it is to others? Evidence suggests that these morbid images will be more effective on plain packets, so if the government implements legislation to remove all branding from cigarettes packaging, they will hopefully prove to be a very powerful tool in discouraging people from smoking. If just one person gives up smoking as a result, then surely they have to be worth a shot?
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Computers could read mammograms
BBC News
A computer plus one expert are as effective at spotting breast cancer as the two experts usually used to read a mammogram in the UK, research suggests.
Quicksilva thoughts...
This is an exciting development in computer-aided detection using artificial intelligence techniques, which if implemented correctly could leverage both improved cancer-patient survival rates and crucial savings for the NHS.
Development of these systems requires an initial outlay, however long term gains will be realised in either the saving of health professional resource or increased sampling and detection rates, or even both.
This technology will be life-saving - increasing the numbers and range of patients being scanned will have a marked impact on detection rates, providing that all important early diagnosis which is so crucial to patient survival.
Computers don’t get tired. They don’t get distracted. They don’t take holidays. They don’t get ill. They simply provide reliable, scalable, consistent analysis, crucial to cancer diagnosis. Improvements in software development can only lead to them eventually superseding the human diagnosis, becoming the clinician of choice in the future.
Technologies like these are a huge step forward, and should be promoted throughout the NHS. Notwithstanding the accuracy and scalability that these systems provide, their efficiency-savings must be very welcome news to an NHS deciding which cancer drugs it can afford...
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Nano Breech: When particles are so small that they seep right through skin
From Science Daily
Scientists are finding that particles that are barely there – tiny objects known as nanoparticles that have found a home in electronics, food containers, sunscreens, and a variety of applications – can breach our most personal protective barrier: The skin.
Quicksilva thoughts...
The possibilities of nanotechnology are endless. With nanoparticles being so small (between 1 and 100 nanometres) there is great interest in the potential of their use in biomedical, optical, electronic fields and even cosmetics.
This new research shows that they can breach the skin and enter our bodies. In the future this could mean tiny nanoparticles could enter the bodies and be used to fight diseases and break down tumors.
There is an important question about safety though. This paper does not look into the long term risks of nanoparticles entering your body and certainly there is a risk that someone could create malicious nanoparticles.
For the moment though, nanoparticles have been seen creeping into everyday cosmetic products, such as sunscreen and lip gloss. As research continues into future uses of these miniscule particles, responsibility lies heavily on the scientists involved.
There must be future investigations into the possible long term effects they can have on a human body as well as a way they can be prevented from breaching the skin before irreversible damage is done.
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Now teenage thugs can blame their hormones for bad behaviour
From Mail Online
Teenage thugs could be suffering from a mental illness caused by a hormonal imbalance, scientists suggest today.
A Cambridge University study of boys aged between 14 and 18 found a link between levels of stress hormone cortisol and anti-social behaviour.
Quicksilva thoughts...
My first question is why was this study carried out only on teenage males? Within the news articles today, I believe you see an equal level of males and females involved in thuggish activity and therefore I firstly think this article is quite biased and will get a certain quantity of readers backs up.
The use of drugs to tackle the problem? If this solution continues to be used for any and every problem, we will more than likely be in a world that sees more violence and bad behaviour as individuals become immune and require higher dosages etc... What happened to preventative cures?
Maybe, the solution is not to provide youths with ammunition (as it were) by engulfing them in situations where they feel that not only thuggish behaviour is the answer, but is the norm...
I say ban those violent computer games and E-numbers!
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Sick leave 'link to early death'
From BBC News
People who have long spells of sick leave for psychiatric reasons are twice as likely to die from cancer as healthier employees, research suggests.
Quicksilva thoughts...
Employees who take long spells of sick leave for circulatory or psychiatric problems for surgery are at an increased risk of dying early, says a new study. Jenny Head from University College London and colleagues investigated whether the reason for sickness absence improved the prediction of death compared with overall sickness absence irrespective of diagnosis.
I'm a great believer in the use of various predictive tools that are being deployed within the health service, for example, identifying people that are at risk of re-hospitalisation. When our personnel department doesn't accept my own death as a reason for not coming into work but ask for two weeks notice to train my replacement I'll know things are going a little too far!
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Quicksilva Caption Competition 7
How to enter
Email captions to captions@qxlva.com
Deadline: 27th November 2008.
We will include our favourite(s) in next month's newsletter!
Our favourite from last month
In the new economic climate the sales team had to chase down new leads.
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Computers in the future may weigh no more than 1.5 tons. - Popular Mechanics, forecasting the relentless march of science, 1949 |
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