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the improvement events iamp;#39;ve been involved with over the last few years have all had quite an impact when you can see the benefits but i think probably pippa the purposeful impatient admission event that took place in middlesbrough a number of years ago has been the one thatamp;#39;s had the most impactful means in terms of seeing the benefits for patients and for staff weamp;#39;ve docHubly reduced the length of time people spend in services but also made staffamp;#39;s job roles clearer more succinct and more satisfied one of the early messages i got was batch processing batch processing is a bad thing now in medicine the way youamp;#39;re trained everything is batch processing you know an outpatient clinic is where you batch a piece of work you concentrate a whole lot of work together other patients can see it once a ward round is a batch process and even within that you batch so at the end of the clinic you might do all your letters or even maybe do all the letters