Lessons in cognitive unloading, skills mixing, flattened hierarchy and organisational agility from the Nightingale Hospital London during the first wave of the SARS-CoV-2 pandemic

George Benjamin Collins; Nikhil Ahluwalia; Lynne Arrol; Natalie Forrest; Alan McGlennan; Ben O'Brien; Alastair Proudfoot; Matthew Trainer; Richard Schilling; Eamonn Sullivan; Mark Westwood; Andrew Wragg; Charles Knight

doi:10.1136/bmjoq-2021-001415

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Lessons in cognitive unloading, skills mixing, flattened hierarchy and organisational agility from the Nightingale Hospital London during the first wave of the SARS-CoV-2 pandemic

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George Benjamin Collins Division of Medicine, University College London, London, UKDepartment of Cardiology, Barts Health NHS Trust, London, UK PubMed articles Google scholar articles
Nikhil Ahluwalia Department of Cardiology, Barts Health NHS Trust, London, UKDepartment of Cardiac Electrophysiology, Barts Health NHS Trust, London, UK PubMed articles Google scholar articles
Lynne Arrol Department of Clinical Governance, Barts Health NHS Trust, London, UK PubMed articles Google scholar articles
Natalie Forrest Senior Responsible Owner, New Hospital Programme, Department of Health and Social Care, London, UKChief Executive, Barnet and Chase Farm Hospitals NHS Trust, London, UK PubMed articles Google scholar articles
Alan McGlennan Department of Anaesthetics, Royal Free London NHS Foundation Trust, London, UKMedical Director, Barnet and Chase Farm Hospitals NHS Trust, London, UK PubMed articles Google scholar articles
Ben O'Brien Department of Intensive Care Medicine, Barts Health NHS Trust, London, UKDepartment of Anaesthetics, German Heart Center, Charité Medical Faculty, Berlin, Germany PubMed articles Google scholar articles
Alastair Proudfoot Department of Intensive Care, Barts Health NHS Trust, London, UKQueen Mary University of London, London, UK PubMed articles Google scholar articles
Matthew Trainer Chief Executive, Oxleas NHS Foundation Trust, Dartford, UK PubMed articles Google scholar articles
Richard Schilling Department of Cardiac Electrophysiology, Barts Health NHS Trust, London, UKQueen Mary University of London, London, UK PubMed articles Google scholar articles
Eamonn Sullivan Chief Nurse (testing), NHS Test and Trace, Department of Health and Social Care, London, UKChief Nurse, Royal Berkshire NHS Foundation Trust, Reading, UK PubMed articles Google scholar articles
Mark Westwood Department of Cardiac Imaging, Barts Health NHS Trust, London, UK PubMed articles Google scholar articles
Andrew Wragg Queen Mary University of London, London, UKDepartment of Interventional Cardiology, Barts Health NHS Trust, London, UK PubMed articles Google scholar articles
Charles Knight Queen Mary University of London, London, UKDepartment of Interventional Cardiology, Barts Health NHS Trust, London, UK PubMed articles Google scholar articles

Correspondence to Dr George Benjamin Collins; george.collins{at}ucl.ac.uk

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Collins GB, Ahluwalia N, Arrol L, et al

Lessons in cognitive unloading, skills mixing, flattened hierarchy and organisational agility from the Nightingale Hospital London during the first wave of the SARS-CoV-2 pandemic

BMJ Open Quality 2021;10:e001415. doi: 10.1136/bmjoq-2021-001415

Publication history

Received February 15, 2021
Accepted July 18, 2021
First published July 22, 2021.

Online issue publication

July 06, 2022

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© Author(s) (or their employer(s)) 2021. Re-use permitted under CC BY. Published by BMJ. https://creativecommons.org/licenses/by/4.0/This is an open access article distributed in accordance with the Creative Commons Attribution 4.0 Unported (CC BY 4.0) license, which permits others to copy, redistribute, remix, transform and build upon this work for any purpose, provided the original work is properly cited, a link to the licence is given, and indication of whether changes were made. See: https://creativecommons.org/licenses/by/4.0/.

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