A5 Measures to hold self accountable for clinicians, managers, and patients too. #pbcn2016 #futureNHS #patientpref

A5Recognize innovation is experimentation for learning fast. If disciplined to do so, there is no failure #pbcn2016 #futureNHS #patientpref

A4 Assumption that 'evidence' tells clinicians what right thing is for you or me when we have different preferences.#pbcn2016 #patientpref

A3 1st step - practical process tools embedded in service delivery to give patients the voice clinicians need to hear.#pbcn2016 #patientpref

A2 Give clinicians practical tools to hold themselves accountable for no avoidable ignorance - patients' & their own.#pbcn2016 #patientpref

A2 The voices can be silent. Data we need can come from truly informed choices that reflect what matters. #pbcn2016 #futureNHS #patientpref

A2 What is missing is the many voices of patients who have different preferences because of what matters most to them.#pbcn2016 #patientpref

A1 Agree answer is both, but key learning to inform decisions at top as well as bottom is front lines. #pbcn2016 #patientpref

A1 Answer lies in where we have the most to learn -- and that is at the front lines from patients and staff. #patientpref