Barbara Wren on Schwartz Center Rounds®

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  • Posted:Monday 11 July 2011

Barbara Wren, Facilitator of Schwartz Center Rounds® at The Royal Free Hampstead NHS Trust, explains how the Rounds work, who presents them and the topics that are discussed.


Suzanne Rankin

Chief Nurse,
Ashford and St Peters NHS Foundation Trust
Comment date
03 November 2011
I am so interested in the work you have been doing and thought it would be really useful to meet with you - could I come up and see you sometime?
We have slow progress on patient experience indicators and quite alot of stress in our system, very hot unscheduled care pathway and a very high proportion of elderly with dementia admissions - I thought Schwartz Rounds could be helpful.
Be good to hear from you


clincial Ops Manager,
St pancras hospital
Comment date
09 July 2013
would like to implement a tool to enable us to identify what the patients real needs are what they actually think and feel, as a means to ensuring that we are providing a compassionate and quality service.

I would appreciate some advice and documentation on what the Schwartz rounds means in reality.

Chris Hall

Information Analyst,
Torbay and Southern Devon NHS Trust
Comment date
03 January 2014
I have a distrust of any process whose name is a registered trade mark ®. This implies that it's motives are business oriented rather than care oriented.

Selena Moore

Ward Manager,
Comment date
14 March 2014
Heard about SR last year, very interested in setting up.


Comment date
28 April 2014
In reply to Chris Hall- with a start up of $3,900 and two year membership of $1,800, I am inclined to agree!

Jocelyn Cornwell

The Point of Care Foundation
Comment date
29 April 2014
In reply to Chris and Sue's comments re suspicion of trademarks and anything with a cost attached. You are not alone in feeling like this about a trademark and a cost, but there are reasons for both. Schwartz Rounds are the only form of reflective practice that I know that has lasted in an institution beyond the time of the person who started it. In the United States, there are hospitals that have been doing Rounds for 15 years, in the UK, the two trusts that piloted them in 2010 are still doing them. I am convinced that this is not because of the trademark per se, but it demands fidelity to the original design - and it is a design that works.

The Point of Care Foundation has licence agreement with the Schwartz Center in Boston to promote and support healthcare organisations in the UK to establish Rounds. We charge for the training and mentoring service that we provide in the same way as providers of training and professional support charge for their services. The agreement with the Schwartz Center explicitly requires us not to make a profit from the service, and we don't. To find out more go to

Keith Miller

General Practitioner and Clinical Lead,
Leeds West CCG
Comment date
08 November 2014
Other than the fact that these groups involve a number of different professionals, how does this approach differ from Balint groups, which have long been established? The structure appears almost identical, with a presentation followed by discussion around the human and emotional responses to difficult care experiences.

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