escalation call escalating culture issue issues Great experience SBAR things thanks person framework found helpful human learning escalate escalated communication situation team support TweetChat Trust barriers enablers joining future feel Fear Glad hours important information join Line making chat approach working staff shared seeking potential resolve processes prompt practice senior situations share rules talking week true understand agree Absolutely benefit area factors decision define colleagues made makes openness Interesting key forget higher FINAL feedback Frameworks fit flexibility habit health guess heart job improve huddle ideal ideas ops Options mental negatively Oops mitigate NHS learn magic manage managers keeping locality Locally level Love applying colleague conversation discussion facts empower expectations explore depends develop difference asked avoiding chats check clarity close closer community big bit blame affects action answer understanding talk training topic thinking thought works wrong Worked telling staffing standard sharing speaking significant stop rigid permission services set resources response risk