In these challenging times we find ourselves in, the CLIC Team thought it would be helpful to share some tools, resources, articles (and anything in between!) that may prove useful to all of you working in health and care across North Cumbria.

These are things that the CLIC Team are using themselves, enabling us to be a little more resilient and well in current circumstances.

We will be adding to this page over the coming weeks, and we will be including it within each of our eBulletins as a reminder that it's here and available to access anytime.


So, here are some things we're finding useful...

  • Dr Rick Hanson: The Neuroscience of Lasting Happiness - Practical self-help resources to overcome the brain's negativity bias and find more happiness, self-worth, love, and peace in your life... Rachael Davies from the team said: "I find these resources useful in gaining insight in to the brains bias to focus on negative experiences, it has helped me to develop tactics for appreciating the good and grounding me in the present moment, as opposed to mulling over the past and worrying about the future"
  • Harvard Business Review: That Discomfort You're Feeling Is Grief - "If we name it, perhaps we can manage it" - An article describing how David Kessler's ideas on grief relate to the coronavirus pandemic, and how we might manage what we're feeling... 
  • Outlook Time Saving Hints and Tips - At LOC in the Lakes 2020, Peter Skelhorn and Karen Gooding (IM&T Training, North Cumbria Integrated Care NHS Foundation Trust) shared some great time-saving tips for Outlook...  Amy Aitken from the team said: "With more people working from home, many of us are finding ourselves relying on emails now more than ever. This is a really useful guide on how you can manage your emails better, and ultimately save yourself some time"
  • Psychology Tools: Unhelpful Thinking Styles - An information handout describing common cognitive biases, and providing a simple reminder about being kind to ourselves... Amy Aitken from the team said: "Time and time again in conversations with colleagues across the system I hear them adopting 'unhelpful thinking styles', and I recommend this as a visual prompt to remind people to be objective, and kinder to themselves - it certainly works for me!"
  • The BMJ Visual Summary - Covid-19: Remote Consultations, A quick guide to assessing patients by video or voice call - This graphic, intended for use in a primary care setting, is based on data available in March 2020, much of which is from hospital settings in China. It will be revised as more relevant data emerges... Stephen Singleton from the team said: “GPs will clearly find this useful (we all want to be on the same hymn sheet!) but it helped me to visualise what GPs were doing and I thought the graphic on the right about symptom prevalence (clinical characteristic) was very informative”


We are facing an unprecedented national emergency and demand is being placed on the services that requires more doctors and nurses back into the NHS.

Are you a GP or General Practice Nurse who has retired within the last 5 years or is on a career break, and would like to help the NHS during this Covid-19 period? We are supporting doctors and nurses to return to practice. If you can help us and want to work in Primary care, please email and a member of the team will come back to you.

Please share with anyone recently retired who may be able to support our NHS on the frontline.


By Professor Stephen Singleton, Director of our Learning and Improvement Collaborative

LOC in the Lakes 5 was a fantastic day. This year it took place on 3rd March, at Rheged as always, and was attended by over 160 people.

Everyone is under enormous pressure. The combination of increasing demand (from a combination of an ageing population and new things we can do!) shortages of people and gaps in funding - and 20 years of building tighter governance and effectiveness/safety procedures - has left every team and every service under pressure. Something needs to change...

We heard from Helen Bevan, Chief Transformation Officer for the NHS, who reminded us about the need to keep learning, keep looking outwards and use our natural diversity to learn more and think differently - to use improvement tools to get gains, but also to transform the way we work where we need to.

And the diversity of workshops through the day was designed to help the delegates learn and reflect on those themes. From better use of Microsoft Outlook (and the tyranny of emails) to Tai Chi; from ‘Model Hospital’ to the Cumbria Production System - we looked at the challenge from many angles. We also heard the stories of practitioners, from GPs to ward managers, on how they had changed and improved the ways they work to gain time and build capacity to care.


Alan Martyn, the NHS National Director for Lean Transformation gave us a fabulous insight into how the methods of organisational commitment to a supportive culture, an aligned management system and the rigorous application of improvement tools, works in all sectors for all kinds of work - perhaps especially for healthcare! Stewart Gee from the Trust Innovation Group at Cumbria, Northumberland, Tyne and Wear NHS Foundation Trust (CNTW), closed the day with an equally inspiring run through the 12 years of disciplined transformation his Trust went through to get from the darker days of “toxic culture”, access nightmares, money and many other quality issues to become the outstanding - and always learning, always improving - organisation they are today. Together they reminded us that the ‘manageable day’ is far from just a personal responsibility but is also a corporate leadership task; that the techniques of organisational development and continuous improvement all do work - and will be transformational - but they require consistent, disciplined and long term application.

The immediate evaluation was incredibly positive. Everyone took positives away; everyone enjoyed the day (and the great band!) and everyone found some hope!

Videos and presentations from the day are available to view and download at: 

Thanks as always to the Academic Health Science Network for North East and North Cumbria (AHSN NENC) for sponsoring the event - we really couldn’t hold the day without their support.

Thanks also as ever to the team for putting it on and the speakers and workshop leads for contributing - but as always, thank you to the delegates for making LOC in the Lakes 5 such a great event.


CLIC will be cancelling or postponing all non-clinical events until further notice, and all clinical events/training scheduled up until 31st May 2020 have been cancelled. Please refer back to this website for further information. If you have any queries, please email  

Personal and team resilience is going to be tested. One service we can still offer is coaching through our North Cumbria Network of accredited coaches – and coaching is something that can be done virtually. Please see our dedicated coaching page for more information on how to access coaching.

Wednesday 25th March 2020

14:00 - 15:00

In response to Covid-19, the health system plans to rapidly expand the use of video consultations. This practical, online event will help those tasked with introducing this complex service change to learn from existing evidence and practice.

The audience will hear from Trish Greenhalgh: a GP and Professor of Primary Care Health Sciences at Oxford University. She is a leading expert in the adoption of service and technology changes in the health system who has gathered in-depth insight into the use of video consultations.

This online event will:

  • Summarise how to introduce video consultations to increase the likelihood of success
  • Provide practical tips to help you implement video consultations now
  • Offer a chance to ask questions and connect with others working on this
  • The event will be run through the easy-to-use online system Zoom, and is free and open to all, whether or not you are a Q member

This is an incredibly busy time for health and care professionals and you may well not be able to join this event live. A recording of the event and all event materials will be available online for you to view anytime. Or you can check out Trish Greenhalgh’s recent BMJ editorial summarising the evidence for information on this topic right now.

Follow this link to book: