Luminary Learning Gastrointestinal Disorder- Issue 1

‘Clinicians Versus Clinicians Versus Managers’ or a New Patient Centred Culture That Eradicates... •  49 The EFQM excellence model can stimulate greater accountability and support better per- formance results which ultimately improves patient quality in accessibility, safety, effectiveness, appropriateness and service efficiency [15]. With a UK shortage of consultant radiologists and 44% of NHS trusts (93 out of 156) not offering interventional radiologists around the clock [18], the Excellence model could help provide a healthcare quality governance tool to identify specific action for upskilling and enabling a new hybrid role in endovascular services to achieve quality improvement. This would focus more effort into a new ‘dual’ hybrid role to meet the needs of patients instead of focusing on the development of uni-discipline specialties. As an improvement tool the Excellence model can connect and align healthcare governance and organisational struc- tures and processes to increase quality across the healthcare system [15]. In an area such as endo- vascular services that is continuing to evolve across medical specialties, a more objective system wide improvement tool is required to keep a focus on the aspiration of excellence for patients. Acknowledgements  Dr. Rahil Kassamali interventional radiologist for his comments on earlier versions of this chapter. References 1. Taifel H, Turner J. An intergrative theory of intergroup conflict. In: Austin WG, Worchel S, editors. The social psychology of intergroup relations. Monterey CA: Brooks/Cole; 1979. p. 33–48. 2. Nancarrow SA, Borthwick AM. Dynamic and professional boundaries in the healthcare workforce. Sociol Health Illn. 2005;29(7):897–919. 3. Deci RL, Ryan RM. Intrinsic motivation and self-determination in human behaviour. NewYork: PlenumPress; 1985. 4. Deci EL, Ryan RM. The ‘what’ and ‘why’ of goal pursuits: human needs and the self determination of behaviour. Psychol Inq. 2000;11(4):227–68. 5. Deci EL, Vansteenkiste M. Self-determination theory and basic need satisfaction: understanding human development in positive psychology. Ricerchedi Psichologia. 2004;27:17–34. 6. Ryan RM, Deci EL. Self-determination theory and the facilitation of intrinsic motivation, social development and well-being. Am Psychol. 2000;55(1):68–78. 7. Martin G. Interprofessional boundaries. In: Cockerham W, Dingwall R, Quah S, editors. The Wiley Blackwell encyclopedia of health and illness, behaviour and society. London: Wiley; 2014. 8. Francis R. The report into the inquiry of mid staffordshire hospital. 2013. 9. Reicher S, Spears S, Haslam SA. The social identity approach in social psychology. In: Wetherall MS, Mohanty CT, editors. Social identities handbook. London: Sage; 2010. 10. Sherif M. Group conflict and co-operation: their social psychology. London: Routledge and Kegan Paul; 1967. 11. Messina LM, Schneider DB, Chuter TAM, Reilly LM, Kerlan RK, LaBerge JM, Wilson MW, Ring EJ, Gordon RL. Integrated fellowship in vascular surgery and intervention radiology. Ann Surg. 2002;236(4):408–15. 12. Rosch J, Keller FS, Kaufman JA. The birth, early years and future of interventional radiology. J Vasc Interv Radiol. 2003;14:841–53. 13. Green RM, Waldman DL. Five year results of a merger between vascular surgeons and interventional radiologists in a university medical center: implications for training. J Vasc Inter Radiol. 2003;38(6):1213–7. 14. EFQM. Introducing the EFQMmodel: EFQM Excellence Model. 2010. www.efqm.org 15. Favaretti C, De Pieiri P, Torri E, Guarrera G, Fontana F, Debiasi F, Flor L. An EFQM excellence model for integrated healthcare govrnance. Int J Healthc Qual Assur. 2015;28(2):156–72. 16. Nabitz U, Klazinga N, Walburg J. The EFQM excellence model: European and Dutch experiences with the EFQM approach in healthcare. Int J Qual Healthc. 2000;12(3):191–201. 17. Moeller J. The EFQM excellence model: the German experience with the EFQM approach in healthcare. Int J Healthc. 2001;13(1):45–9. 18. TheRoyalCollegeofRadiologistsandtheBritishSocietyof InterventionalRadiology. Investing inthe interventional radiology workforce: the quality and efficiency case. 2014. Source: Aylott J, Godbole P, Burke D. (eds). ‘Clinicians versus clinicians versus managers’or a new patient centred culture that eradicates ‘them and us’? Why Hospitals Fail: Between Theory and Practice. 1st ed. Switzerland: Springer International Publishing; 2017, pp. 163-168. DOI 10.1007/978-3-319-56224-7_17. © Springer International Publishing AG 2017.