1) The document summarizes a #ProjectA tweet chat held on July 26th, 2018 to crowdsource ideas for improving patient pathways and ambulance services. 58 people participated generating 311 tweets and 65 new ideas. 2) The key themes that emerged from analyzing the tweets included: creating patient-centered pathways, improving pathways through collaboration between health services, pathways that could be replicated elsewhere, improving mental health and frailty pathways, and potential new pathways. 3) Two priority areas identified based on the tweet chat were improving pathways for frail, elderly patients and pathways for patients with mental health issues.

1. Compiled by: Leigh Kendall @leighakendall
Rosie Redstone @rosieredstone and
Camilla Lindo @camilla56026807 of the
Horizons team.
#ProjectA
Tweet chat
summary
26th July 2018

2. Contents
Slide
What is #ProjectA? 3
Crowdsourcing the ideas 4
What happened in the tweet chat? 5
What were the outputs? 6
The themes that emerged: 7 - 11
• Creating patient-centred pathways
• Improving pathways through collaboration
between health and care services
• Pathways that could be replicated
elsewhere
• Improving mental health pathways
• Improving frailty pathways
• Potential new pathways
• Two priority areas
Data sources 14
Dates of tweet chats 15
The #ProjectA Ideas Platform 16

3. What happened in the tweet chat?
On 26th July at 7pm the Horizons team hosted a 60 minute
#ProjectA tweet chat seeking responses to the following
questions:
1. Introduce yourself – hello my name is…
2. What do we mean by a patient pathway - and why are
patient pathways important for helping improve
ambulance services?
3. What pathways do you have now that work well, and
could those pathways be replicated elsewhere for
another group?
4. a/ How could we redesign patient pathways to provide
care that is most appropriate for the patient’s needs -
and to help make sure ambulance services are used
effectively? b/There are groups of people who are more
likely to use ambulance services. How could pathways
be redesigned to best support them?
5. What is your one big idea for improving patient
pathways with respect to ambulance services? What
sort of pathways would you like to see?
58 people participated with a total
audience of 173,306 generating 311
tweets and 65 new ideas!
Source: FollowtheHashtag
Most
participants
were from the
UK, with some
in the US,
Canada, and
Europe.
Source:
FollowtheHashtag
The ProjectA influencers. Source: Symplur

4. What were the outputs?
The #ProjectA team evaluated the 311 tweets* from the tweet chat and identified 65
as specific ideas that could be added to the ideas platform. Some will be new posts
and others may add support or breadth to existing ideas.
We grouped the ideas into the following themes:
- Creating person-centred pathways
- Improving pathways through collaboration between health and care services
- Pathways that could be replicated elsewhere
- Improving mental health pathways
- Improving frailty pathways
- Potential new pathways
Each person who initiated the
tweet has been invited to post
their idea on to the ideas platform.
*Please note that this curation includes only those tweets that included the hashtag #ProjectA

5. What is #ProjectA?
#ProjectA (for ambulance) is a
twelve month project to mobilise
frontline ambulance staff and
patients to identify and implement
ideas that will contribute to
improvements in urgent and
emergency services.
The project was initiated by Simon Stevens, the Chief Executive of NHS England,
after he spent time with ambulance crews in London and the Midlands. Simon
identified the potential for frontline ambulance staff to play a much bigger role in
innovation, service redesign and problem solving. He has asked the NHS Horizons
team to work with the Association of Ambulance Chief Officers (AACE) to develop a
year-long initiative that supports and builds on the excellent work that is underway
in many parts of the system and builds on the ideas and energy of frontline
ambulance staff.
The ambition is to identify at least 4 major change ideas that can be developed,
prototyped and implemented by frontline staff across all ten ambulance trusts, in
time to start making a difference in winter 2018/19. The whole ethos and approach
of #ProjectA is one of co-production and collaborative decision making.

6. Theme 1: Creating person-centred pathways

7. Theme 2: Improving pathways through
collaboration between health and care services

8. Theme 3: Pathways that could be replicated
elsewhere

9. Theme 3: Improving mental health pathways

10. Theme 4: Improving Frailty pathways

11. Theme 5: Potential new pathways

12. Theme 6: Two
priority areas

13. Crowdsourcing the ideas
The #ProjectA Ideas Platform has been designed around five specific challenges
that emerged from the work at the launch event on 28th June. These are:
• The partnership with the public challenge
• The patient pathways challenge
• The roles, practices, wellbeing and career progression challenge
• The working with partners challenge
• The thinking the unthinkable and current “rules” and perceptions challenge
The #ProjectA Ideas platform will remain live until September 2018 and is being
underpinned by five tweet chats, each focused on one of the five challenges.
Leigh Kendall, Communications Lead, NHS Horizons
How to run a successful twitter chat

14. Data sources for this analysis
1. Follow The Hashtag
http://analytics.followthehashtag.com/#!/archive/projecta-dashboard-v1-2018-
07-27-1?id=dashboard&from=20180726180000&to=201807262100004
2. Symplur healthcare hashtag project:
• https://www.symplur.com/healthcare-
hashtags/ProjectA/analytics/?hashtag=ProjectA&fdate=7%2F8%2F2018
&shour=6&smin=30&tdate=7%2F18%2F2018&thour=6&tmin=30
3. Wakelet https://wakelet.com/wake/5f0ef01d-d90f-474b-a78e-
9b3622b2be72

15. Dates of future tweet chats
Partnership with the public Tues 17 July 7-8pm #ProjectA
Patient pathways Thurs 26 July 7-8pm #ProjectA
Roles, practices, our wellbeing and
progression
Wed 8 August 7-8pm #ProjectA
Working with partners Wed 15
August
7-8pm #ProjectA
Thinking the unthinkable, current
“rules” and perceptions
Tues 21
August
7-8pm #ProjectA
Join us on the tweet chats:

16. Continuing the conversation:
ProjectA.Crowdicity.com