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When people...

turn into patients...

the nightmare begins.

Big
Wheel is a major provider of training programmes and conference
interventions for the NHS and associated institutions
As well as drama-based presentations, we also
facilitate discussions and provide advice on conference format.
We also design, host and facilitate entire
conferences and training days.
Click for general information about our conferences.
For DVDs of some of our interventions
(for NHS Connecting for Health and the Mental Health
Helplines Partnership), contact
us.
RECENT WORK FOR THE NHS
TRAINING
DAYS
Training days are off-the-peg sessions which can be arranged
very easily. All you need provide is your staff. We can even
arrange a conference venue if you do not have appropriate
facilities available.
There are two main off-the-peg training days:
'I'm a Hospital Patient Get Me Out Of Here'
Improving hospital discharge.
Developed jointly in 2006 by Big Wheel and
Southend Hospital this is a one-day training programme to
focus attention on the issue of hospital discharge and to
develop a strategy to improve practice.
Includes 'The Great Escape': a spoof war film
in which three patients (dressed like POWs) try to escape
from a prison-like hospital. In association with Southend
Hospital, we are offering this programme to NHS trusts nationwide.
The intended audience is multi-disciplinary, to include primary
and acute care and social services, also interested parties
such as private care homes and pharmacies. MORE
DETAILS
Specialist Registrars' Service Improvement
Masterclass
Commissioned January 2007, this is a regular
bi-monthly one-day seminar we present with and for the Wessex
Deanery Professional Development Programme
Aimed at Specialist Registrars midway through their SpR programme,
this workshop helps hospital doctors identify opportunities
for service improvements, and develop strategies to make these
improvements happen. The session helps make clinical audits
relevant and useful. Ultimately we hope to encourage participants
to start leading service improvements at SpR and later consultant
level.
This programme has now been extended to include other staff
at SpR level, such as nurses, midwives, and paramedics
This training day is offered in association
with Wessex Deanery. MORE
DETAILS
CONFERENCES
Below is a short summary of our recent work
for the NHS and related bodies. If you are wondering how Big
Wheel can help you, and want to search by type
skip straight to Types
of intervention.
The 'Ways of Raising Awareness About The
Dangers Of Falling' Show (commissioned in
2001 by NHS National Primary Care Development Team: Healthy
Communities Collaborative, and annually since) A 45
minute show with a very long title. Helped focus delegates'
minds, entertain them, and clarify the themes of the conference.
(Includes the new James Bond movie Fall Over Another Day)
More
details
'Good Partnership - Bad Partnership'
(for Rapid Response Units 2003) A day-long seminar
in which Big Wheel presented a mixture of scripted sketches,
forum theatre, and facilitated discussion to look at how partnership
between different parts of the NHS can make life saving differences.
More
details
'Special Agents' (for the Modernisation Agency Learning
Exchange 2003): A large scale two-day conference to
look at the pitfalls facing NHS staff advising hospitals about
change. Involved an astronaut in a remote part of the galaxy,
several modernising genies, and a game show hosted by Florence
Nightingale, yes, Florence Nightingale. More
details
'Jargon Nightmare' (for the Coronary Heart Disease
Collaborative 2003) The nightmare visit
by an NHS external advisor who only speaks incomprehensible
Department of Health acronyms and jargon. For scripts and
pictures contact
us.
'Critical Care: Without Walls' (for NHS conference
on Critical Care 2004) We started this conference
off with a short symbolic drama encouraging thinking 'outside
the box'. For scripts and pictures contact
us.
'Change Your Life' (for The Expert Patient Programme
2004) Two short silly sketches illustrating the insensitivity
of many health professionals to chronic conditions were followed
by a moving drama lasting about half an hour, following a
patient with a chronic condition from hopeless depression
to joy and empowerment. Included an unexpected appearance
by Laurence Llewellyn Bowen. More
details
'Families Leading Planning': (for the National
Development Team) This was a set one-day conferences (repeated
in different parts of the country) on 'Transition' for young
people with Learning Difficulties, their parents/carers and
professionals. Two Big Wheel presenters led the conference
(and also presented some of the break-out sessions). More
details
'Get Stuffed' (commissioned
by NHS Healthy Communities Collaborative 2004, and annually
since) A series of conference interventions take place
in foyer areas during coffee and lunch breaks. Famous celebrities
are introduced and interviewed about their diets and undergo
a series of Healthy Eating Challenges. (in particular, Elvis
Presley never quite gets the hang of low-fat, low-cholesterol,
and Winnie the Pooh has problems with the concept of a balanced
diet) More
details
'Health's Kitchen' (for NHS Performance Development
Team 2005) Set in a restaurant which loses its Michelin
stars, this 15-minute tour de force of physical theatre
graphically demonstrates what it feels like to become a zero-starred
trust. For scripts and pictures contact
us.
'Finding Our Voice' (for the NHS Valuing
People Support Team 2005) Two Big Wheel presenters
led the 2-day conference on local Learning Disability Partnership
Boards, playing 'parody hosts', (think of the way the Oscars
are presented!) conducting the interactive training sessions,
facilitating the round-table discussions, and introducing
the speakers. More
details
'Partnership, Leadership and Change' (for NHS Performance
Development Team 2004) A 'forum theatre' workshop
incorporating a series of sketches. The day culminated in
an after dinner show about famous partnerships (e.g. Thelma
and Louise, Starsky and Hutch). For scripts and pictures contact
us.
A version of the above show was also performed for the British
Academy of Audiologists in 2004.
'Shakespeare for Dinner' (for NHS Performance Development
Team 2005) During their end-of-conference dinner party,
the team were joined by Macbeth, Lady Macbeth, a ghost and
a drunk porter. Highlights included Macbeth's conference presentation
on Strong Leadership, and the arrival of a Moving Wood. For
scripts and pictures contact
us.
'Who ya gonna call?' (for the Mental Health Helplines
Partnership annual conference 2006) A moving adaptation
of Shakespeare's Hamlet started this conference, portraying
the entire mental health care system. Hamlet and Ophelia were
played as people with mental health problems, trying to get
help. Two short amusing sketches helped stimulate debate later
in the day, and the conference ended with a game-show which
brought together all the themes of the day. For scripts and
pictures and a DVD of this conference contact
us.
'Connecting for Health: Ethical issues relating to children'
(for various conferences 2005-06 for NHS Connecting for
Health: CRDB) Three five-minute sketches, a silly
one, a serious one, and a Dickensian period drama, illustrating
both opportunities and threats presented by the Patient Record.
For a DVD of these sketches, contact
us.
'Easing the Patient's Journey': (for various conferences
2006-07 for NHS Connecting for Health) The next instalments
in our series about the Patient Record were two versions of
a Patient's Journey. The first demonstrates the benefits of
the Patient Record and the new technology being introduced
by CfH at all points along a Patient's Journey, from ambulance
to discharge. The second is a moving drama following the real-life
story of a young patient with a chronic condition, presenting
a series of potential ethical dilemmas. For scripts and pictures
contact
us.
'Connecting for Health: Now And In The Not Too Distant
Future' (for various conferences 2007 for NHS Connecting
for Health) This scenario follows two parallel patient
journeys, one now, the other when the improvements envisaged
by NHS CfH are up and running. Both scenarios use the example
of a woman who suffers a stroke, from ambulance call-out through
treatment, rehabilitation and discharge. Funny and moving,
this is a really theatrical spectacle, making clear the potential
future of a truly connected NHS. For scripts and pictures
contact
us.
TYPES OF PRESENTATION
The
Serious Drama (A Bit Like Eastenders)
The
Short Sharp Sketch (To Make a Short Sharp Point)
The
Game Show (Like On The Telly)
The
Workshop (Training, Role-Play, Forum Theatre, And All That)
Conference
M.C.'s (where we present and 'anchor' your conference)
The
Fantastic Mixture of Absolutely Everything
Designing
a whole conference
The
Serious Drama (A Bit Like Eastenders)
Format: a scripted play performed on
a 'stage' with costumes and a 'set' (can be presented to large
audiences of several thousand)
Duration: a 30-minute play, or
a series of 'episodes', like a soap opera
Best for: telling a story, such as the
story of a patient's journey
Example: 'Change Your Life' for the
The Expert Patient Programme 2004
This format is the opposite style of presentation to the 'Game
Show' or 'Workshop' style which are largely un-scripted. For
this, we write a tightly scripted play, which the actors rehearse
and perform to an audience which just sits and watches.
For the conference at the Royal Society of Physicians on 'The
Expert Patient Programme' we wrote a 30-minute drama which told
the whole story of a Patient's Journey.
A man with a chronic condition was seen first unable to cope
and very depressed. The audience also saw the bad effect on
his wife and their relationship. Over the course of the drama,
the man gradually took control of his life and learned to manage
his condition in a way that enabled him to enjoy life to the
full.
FROM

TO
This play was the second half in a series of presentations
- in the first half, we presented a series of sketches caricaturing
poor attitudes to Chronic Conditions among professionals and
Patients.
To read the full script (with great pics!), contact
us
Click
to return to list of 'types of presentation'
The Short Sharp Sketch (To Make a Short Sharp Point)
Format: a sketch which is simply watched
by the audience (can be presented to large audiences of several
thousand)
Duration: 5 to 10 minutes.
Best for: making a simple point really
clearly
Examples: (contact
us
for scripts, d.v.d. and pictures)
- The NHS Modernisation Agency Learning Exchange conference,
Harrogate CC 2003
- The Coronary Heart Disease Collaborative London conference
2003
- The National Conference on Critical Care, Birmingham
ICC, 2004
- The NHS Modernisation Agency Performance Development
Team (PDT) 'Change From Challenge' Seminar, London 2004
- The Expert Patient Programme conference, London 2004
- Connecting for Health CRDB conference 2005 - d.v.d. available
Sketches are economical ways to get a point across in a really
clear way, quickly and humorously. They need not be ridiculously
funny, if that would be inapproproiate. For instance, the sketch
we presented for the conference on Critical Care was actually
quite serious (though there were a few good laughs), as the
conference organisers were mindful that delegates wouldn't be
happy with any sense of 'trivializing' or 'dumbing-down'. But
they can be really hilarious - we've had senior NHS execs laughing
till they cry!
Click
to return to list of 'types of presentation'
The
Game Show (Like On The Telly)
Format: a parody of a TV Game Show (can
be presented to large audiences of several thousand but normally
to smaller 'studio' audiences of a couple of hundred)
Duration:
(1) a 45 minute 'one-off'
(2) a series of interventions over a whole
day or several days
Best for:
-
rounding-off a conference (so the partipants leave with
a spring in their step, a tune in their heads, and love
in their hearts)
-
'interrupting' a conference so that the delegates have
some 'light relief' - also inspiring debate.
Example: The Healthy Communities Collaborative
We used
our tried and tested Game Show format to help with three conferences
on raising awareness about Health issues. in particular The
Dangers Of Falling, part of the 'Slips, Trips and Broken
Hips' campaign, and Healthy Eating. Our brief for
all the conferences was to help the participants think as imaginatively
as possible about ways to raise awareness among a wide variety
of target groups.
The 'Ways of Raising
Awareness About The Dangers of Falling' Show
This was a 'one-off' 45-minute show, which took place half-way
through a three-day conference, so it both re-inforced what
the participants had been looking at, and helped inspire their
work during rest of the event.
Highlights included:
- the new James Bond movie 'Fall Over Another Day'
- James Bond goes on a mission to save the world but faces
various dangers (tripping over Q's gadgets or a rucked carpet
in M's office; falling off cliffs, out of bed, down a mine-shaft,
or into the arms of a beautiful spy). The audience has to
alert 007 to these dangers so that he can successfully complete
his mission.
- 'The Odd One Out' - the audience has to spot the
odd one out in a set of items related to falling.
- 'The Ways Of Raising Awareness About The Dangers Of Falling
Game', - working in groups of ten. Each group is given
a particular target group, (for instance, supermarkets) and
a silly prop (for instance, a banana). Each group has a couple
of minutes to come up with an awareness campaign for their
target group using the prop, to include a catchy slogan.
In feedback the particpants emphasised that the great aspect
of this presentation was the number of ideas generated in a
very short time, all of them interesting and amusing, some of
them potentially really useful. This helped enormously when
they spent the rest of the conference attempting to develop
similar ideas in more detail, as it broke down the intitial
block to coming up with new concepts.
Click
to return to list of 'types of presentation'
'Get Stuffed'
This was a series of interventions over a three-day conference
At a Blackpool hotel, teams assembled from all over the country,
all dedicated to promoting healthy eating. We opened the conference
with an evening Game Show, called I'M AN UNHEALTHY EATER, GET
ME OUT OF HERE! Various celebrities were introduced and interviewed
about their diets. E.g... ·
- Luciano Pavarotti, who ate a very healthy diet, but had
a problem with portion sizes;
- Jack Sprat, who was worried about his wife's cholesterol
intake;
- The Old Woman Who Lived In A Shoe, who had so many children
she didn't know what to do, never mind them all living in
a most unsatisfactory environment
Over the course of the conference, during coffee and lunch
breaks, in different parts of the hotel (such as the entrance
lobby, the dining room) the characters engaged in a series of
fearsome and dangerous challenges, in order to try to raise
their awareness of healthy eating. (e.g. The Affordability Challenge,
The Accessibility Challenge). The audience tried to assist them,
and voted them off the show one by one, telling them to 'Get
Stuffed'. Here are some highlights:
The Big Bad Wolf has a serious problem with the concept of
a balanced diet

Elvis Presley and Goldilocks both opt for unhealthy, easily
available breakfasts

Old Mother Hubbard is far more worried about finding something
for her dog than something for herself. And having only a cupboard
but no fridge is a problem.
Delegates unsuccessfully try to persuade Winnie the Pooh to
vary his diet.
Click
to return to list of 'types of presentation'
Other Game Shows have included:
- 'The Florence Nightingale Show' - in which the Lady
With The Lamp herself hosted a Game Show reminiscent of 'Blind
Date' in which a contestant had to choose between three possible
'dates', basing her decision on their ideas for improving
the NHS Modernisation Agency.
- 'Person Centred Planning: The Game Show' - in which
a presenter works with the audience to help a friendly but
rather stupid robot develop a person-centred plan.
Click
to return to list of 'types of presentation'
The Workshop (Training,
Role-Play, Forum Theatre, And All That)
Format: a variety of drama-based exercises,
for a smaller group (20-100)
Duration: normally a whole day (but
this would usually include other input - such as speeches and
presentations by other professionals)
Best for: working out policy, reviewing
good practice, analysing methods, practicing how to work well.
Examples: NHS Rapid Response
Units Seminar: Leicester 2003
We were asked to lead a seminar for a group within the NHS
called the RRU's (Rapid Response Units) which are 'sent in'
to help improve the serivces provided by under-performing Primary
Care Trusts. The particular issue of the day was 'Partnership'.
The aim was to improve the way different departments within
the NHS work with each other, in particular Primary and Secondary
Care, and also their partnership with other statutory bodies
like Social Services, and with the voluntary sector.
Big Wheel provided a theatrical framework for the day,
introducing each topic with a theatrical presentation. Other
professionals added their contributions; there were three speakers
from within the NHS, who presented more conventional lectures.
Reference was made by the lecturers to the dramas, and by us
to the lectures.
A professional facilitator was also involved, helping participants
to focus on the issues through a variety of teaching aids, and
assisting with a summing up at the end of the day.
The framework of the day was based on a genuine case history
we had been given by the NHS, in which failures of various NHS
departments to work well in partnership led to a patient suffering
unnecessarily, to huge extra costs to the NHS, and finally to
a malpractice suit.
We used drama in different ways during the day. Some examples:
- Bad Partnership / Good Partnership: a scene in a
G.P.'s waiting room, presented firstly when partnership is
working badly, then when it's working well.
- The NHS in the dock: a courtroom scene in which lawyers
sum up the case for and the case against the NHS.
- The G.P. makes a call: a piece of 'forum theatre'.
A G.P. makes a call to the patient on a referral from
an emergency doctor. The audience suggests ways in which the
doctor can use the call more effectively.
- The Partnership Web: We follow the path of a patient
through the NHS with the whole audience representing different
departments and associated bodies
Click
to return to list of 'types of presentation'
The
Conference M.C.'s (where we present and 'anchor' your conference)
Format: a couple of Big Wheel presenters
act as 'hosts' of your conference, usually playing a bit of
a double act rather like hosts of a TV programme. We make sure
things happen on time, that participants know what to do and
where to go, and that the atmosphere is cheerful and energetic.
Duration: however long the conference
lasts
Best for: making your conference go
with a bang (the really great thing is, you can relax and leave
the driving to us)
....
...
Examples:
(1) 'Families Leading Planning': a series of
conferences on 'Transition' for young people with Learning Difficulties
(January and February 2004)
This was a set of different presentations over
a one-day conference (repeated in different parts of the country).
Presentations were aimed at three very distinct groups (total
number of participants around 60) all of whom had to feel the
conference was FOR THEM:
- the young people with learning difficulties themselves
- their parents/carers
- professionals working in this field
Big Wheel's style of presentation is perfect for
this, as it uses a type of humour that is appreciated by all
these groups. Everyone could see the relevance of every part
of the programme. Two Big Wheel presenters led the conference
(and also presented some of the break-out sessions).
(2) Valuing People Support Team 'Finding Our
Voice':
A National Event for Family Carer Representatives
on local Learning Disability Partnership Boards - 60-70 participants
- two day conference, London 2004
Here again two Big Wheel presenters led the conference
as 'parody hosts', (think of the way the Oscars are presented!)
conducting the interactive training sessions, facilitating the
round-table discussions, and introducing the speakers.
On the second day of the conference, they disappeared
and re-appeared as actors - an example of...
The
Fantastic Mixture of Absolutely Everything
Click
to return to list of 'types of presentation'
Most of Big Wheel's work is a mixture of presentational styles.
That's our speciality. That's what makes us right for any conference,
on any topic, and for any type of audience, however senior and
nervous! Most of the examples given above have been combinations
of different presentation techniques.
Example: The NHS Modernisation Agency Learning Exchange
conference, Harrogate CC 2003
This appears above under the section on 'Sketches'
and also gets a mention in the section on 'Game-Shows'. Our
participation in the MA's conference was a great example of
The
Fantastic Mixture of Absoutely Everything. Using
Big Wheel in this way allows an audience to get to know the
presenters, so they become friends.
The conference was over two days (audience around
1000). We presented three distinct interventions:
(1) Day One, morning: Sketches
As part of the key-note speeches we presented two sketches
to illustrate particular concerns of the conference. The first
sketch looked at the difficulties faced by peripatetic external
consultants (the audience met an NHS astronaut who finds himself
on the wrong planet) The second sketch was a re-telling of Aladdin,
and showed us a hassled NHS manager being visited by a series
of modernisation 'genies'. Each represented a different type
of irritating external advisor. For scripts please contact
us
(2) Day One, afternoon: workshops
In the afternoon we led two drama-based break-out sessions
(each for around 20 participants. The aim of these sessions
was to look at different ways drama-based interventions could
be used by the MA in training and raising awareness. As a device,
we asked the particpants to devise a 'Game Show' which we would
present to the whole conference on Day 2. The aim of this 'Game-Show'
was to summarize and clarify the main messages of the conference.
(3) Day Three, afternoon: The Florence Nightingale Show
This was a show devised by the groups who attended the Breakout
workshop sessions and presented to the final plenary.
Florence Nightingale, yes, the Lady with the Lamp herself,
oddly reminiscent of Cilla Black and Dame Edna Everage, presented
a version of Blind Date, in which eager 'volunteers' picked
a 'date' according to the improvements they would make to the
M.A.'s programme. (the 'volunteers' were actually stooges -
also something we arranged the day before, so as to have people
who were happy about this)
Click
to return to list of 'types of presentation'
Fees
Fees depends on how many people are involved and how much planning,
scriptwriting and rehearsing is needed - also any very unusual
props, (like a NASA space suit!) The conference interventions
detailed above cost a range of fees between £1,500 and
£11,000. For more information about the kind of project
which may suit your event, and likely costs etc - do contact
us. It may not be as pricey as you imagine!
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