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Improving recruitment and retention of general practitioners – applying Employer

Brand thinking

Simon Barrow

East of England Deanery Spring Symposium, 26th March 2015

Hilton Hotel, Stansted

Purpose

To establish whether Employer Brand thinking can help to improve the attractiveness of being a GPFormat:• The problem• Introduction to the EB idea• Ingredients for success• The current environment• Thoughts on the way forward

Pressures

• Shift of resources and care into GP surgeries• Increasing demand on GPs – 2013: 340m

consultations vs 2008: 300m• Increasing demand from A&E• Waiting times: 26.2m waited over a week to

see a GP

Sir Bruce Keogh 20 Jan 2015

GP availability

• GPs per 100,000 population down to 60 in 2013

• 2014 applicants 5,477 vs 6,034 in 2013• Only 27% of GPs are under 40• Only 21% of medical students intend to be GPs

(and the figure should be over 50%)

How do we encourage more doctors with the necessary qualities to become GPs?

Neil McElroy, Defense Secretary in President Eisenhower’s administration.At Procter& Gamble, in 1931, aged 26, created the concept of brand management.

The Principles of Brand Management

• Focus on one brand not the whole group• Listening and research among all stakeholders• A coherent plan supported by an engaged and

inspirational leadership • Establish the truth about what makes you distinctive

and compelling• Fix whatever is holding you back• Coherent delivery with everyone on side• Rigorous measurement and senior mgt review

Tim Ambler Senior Research Fellow, London Business School and Simon Barrow

Definition of the employer brand

We define the Employer Brand as the package of functional, economic and psychological benefits provided by employment and identified with the employing company.

Journal of Brand Management, Ambler and Barrow 1996

Definition continued

The main role of the employer brand is to provide a coherent framework for management to simplify and focus priorities. Increase productivity and improve recruitment, retention and commitment

Journal of Brand Management, Ambler and Barrow 1996

Since then…

• First book on the subject in 2005 Barrow and Mosley

• Taken up by large organisations globally

• Now 446,000 Google pages on the subject

Brand relationships

Powerful consumer brands provide a focal point for:

Aspiration (When I’ve really made it I’ll drive a Mercedes)

Identity (The devil and I both wear Prada)

Engagement (My Nikes make me feel like running)

Advocacy (Let’s meet at Starbucks)

Trust / Loyalty (When the new watch comes out I’ll be the first in line)

The employer brand relationship

Powerful employer brands play a similar role:

Aspiration (It’s a company any actor should have on their resume)

Identity (I’m proud to tell people where I work)

Engagement (I’m committed to going the extra mile)

Advocacy (I tell people it’s the coolest place to work on the planet)

Trust / Loyalty (It would take a lot to get me to leave)

Why the EB needs such care

CustomersLife style is a factorThey’re externalThey don’t know everythingMistakes can be managedBroadscale communications

EmployeesWork is about life itselfThey’re familyThey do!Mistakes can be mortalOne to one preferred

Integrated brand management

Customer Value

Proposition

Employee Value

Proposition

Corporate Brand

DNA

Why should consumers consider you?

Why should they come back for more?

Why should people join you?

Why should they stay?

Why should they commit?

What shines through everything the organisation does and says?

Employee experience

Consumer experience

Marketing

HR

Leadership

Elements of the Employer Brand

Orie

nta

tion

Me

as

ure

me

nt

Process ‘Touchpoints’

Recruitment

Working Environment

Comm

unication

Performance &

Development

Reward &

Recognition

Core Values

Core

Compete

ncies

Everyday Behaviours

Brand o

f

Leadership

Style of

Management

Underpinned By

EmployerBrand

Experience

Recommended employer brand model

Headline Proposition

Corporate BrandVision / Mission

Personality

Values

Qualifiers

Employee Value Proposition

Defining attributes

Reasons to believe

Em

plo

yer

Bra

nd

The everyday basics you need to deliver on to ensure the proposition is credible

The core brand DNA of the organisation reflected in everything it says and does

The one quality you most want to be famous for as an employer

The distinctive qualities that further define the employment experience

The tangible proof points that make the proposition credible

Tailoring the umbrella position• Target propositions need to be aligned but also adapted to reflect:

– Regional / divisional strengths

– The specific needs and aspirations of different target groups

• Adaptation can be achieved through relative emphasis, distinctive local ‘reasons to believe’ and supplementary attributes (consistent with the overall brand)

CORE EVP

TVP

Division

TVP TVP

Region Talent Group

EB attributes / themesA B C D E

Brand DNA

Establishing clarity(?)Vision

Shared Objective

Services Vision

Core Competencies

Organisational Values

Brand Values

A digital vision for everyone

To be at the heart of 21st century living

World Beating Customer Service

ExcellenceCo-operationHonesty

RespectEmpowerment

EntertainingCreativeInnovative Challenging

World Beating Customer Service

Accountability

Problem Analysis & Decision Making

EmpathyEnthusiasm and

PassionDeveloping our

People

Passion for Excellence

Team Player

Close to Customer

ConnectedValues its

People

Passionate about the business

Friendly/ Helpful

Leading Edge & Agile

Credible & Confident

Successful &

Profitable

Cultural Characteristics

The fully loaded proposition

Excellence

Co-operation

Respect

Empowerment

Entertaining

Challenging

World Beating Customer Service

Accountability

Problem Analysis & Decision Making

Empathy

Enthusiasm and Passion

Developing our People

Passion for Excellence

Values its People

Passionate about the business

Honesty

CreativeInnovative

ConnectedFriendly/ Helpful

Leading Edge & Agile

Credible and

Confident

Successful &

Profitable

A digital vision for everyone

To be at the heart of 21st century living

World Beating Customer Service

Team PlayerClose to Customer

The complex context for GPsNo. 10

DOH TreasuryNHS

England

East of England Federation

Core Commissioning Groups

East of England Deanery

GP Practices

Hospital Doctors

Patients SpecialistConsultants

Royal College of GPs

Local Medical Committee

GMC

BMA

Carolyn McCall, CEO Easyjet

Limited opportunities

International young

American low status

Successful low pay

Fast growing hot and sweaty

A low-paying, low-prestige dead-end job that requires

few skills and offers very little chance of advancement.

71% happy agreed fairly paid91% treated with respect93% skills useful for the futureApprenticeship programme English and maths5000 UK students at any one timeVacancy ratio improved 4:1 to 14:12013 Great Place to Work: top 5 in UK

Employer Brand expression

Employee Value Proposition

A New Challenge Every day Igniting your potential

Putting you in touch with people ideas and

communities Enabling you to succeed

Touch point planning illustration

• Focus area: On-boarding • Developed via benchmarking

and ideation sessions with key stakeholders

• 5 key stages: – Pre-boarding – Welcome (Day 1 – Week 1) – Orientation (Week 1 – Month 1) – Integration (Month 1 – Month

3) – Acceleration (Month 3 – Year 1)

• Incorporating 9 brand-aligned ingredients

Wordle of values from FTSE 100 websites

Building the GP brand

Brand Busters

InconsistentUnsatisfactory

Off-brand

Brand Builders

ConsistentSatisfactoryProfessional

Well executedbut relativelystandard HR

practices

Brand Signatures

DistinctiveEngaging

‘Remarkable’

More brand specific and innovative, HR

practices

Influencers

Chaand NagpaulChair BMA GPs committee

“I still believe it is the best job in medicine and after 25 years I have never looked back. I believe this is the time for a renaissance in general practice and you all have a chance to be part of it. The future is bright, the future is general practice.”

Areas for development?

1. Identifying what is really distinctive and compelling about being a GP

2. Clarifying the differences vs other roles for doctors3. Establishing what needs to change about the GPs life

and work4. Establishing when and how contact can be made at

key decision points for students and young doctors 5. Changing the opinions of HMG, DOH, NHS l’ship6. Clarifying the present messages

EF 2 This essential feature is about your understanding of the impact on patient care of your values, feelings and ethics.Examples of this are:

EF 2.1 Awareness of your own capabilities and valuesEF 2.2 Delivering care with compassion and kindnessEF 2.3 Being able to identify the ethical aspects of your clinical practice

(prevention, diagnostics, therapy, factors that influence lifestyles)EF 2.4 Awareness of self: understanding that your own attitudes and

feelings are important determinants of how you practiceEF 2.5 Valuing and encouraging the contribution of othersEF 2.6 Being prepared to participate in service management and

improvementEF 2.7 Justifying and clarifying personal ethicsEF 2.8 Being aware of the interaction of your work and your private life, and

striving for a good balance between them

Royal College of General Practitioners Curriculum 2010

Areas for Development ? (2)

6. Addressing the ‘Brand Busters’ in the GP job7. Raising the distinctive profile of GPs

- innovation and clinical leadership- the vital role of primary care and preventative medicine- the holistic and human role

8. Establish the East of England benefits

Communication ideas (once the theme has been developed)

• Greater use of videos / testimonials / stories to bring the job to life and sell East of England

• Day in the life - showing the variety and rewarding aspects of the role, e.g. – GP and medical student training – Minor surgery – Research in practice – Multi-disciplinary meetings – Business meetings – Etc.

• More opportunities for work experience • Taster weeks for school 6th formers and medical students: shadowing

• Recruitment advertising and career websites often very generic

Distinctive look and feel

Tips for EB success1. Any action make sense for current GPs. The content of the working

experience is the heart of any EB not ‘branding’. It is about reality not ‘spin’

2. Any action should reflect the overall strategy for GPs and their vital role in the NHS

3. The project will need a powerful leader/influencer

4. EB is a long term commitment not a promotional initiative

5. Remember the principles of good brand management i.e. focus, coherence, coordination, research, planning, innovation and measurement

Key question areas for the General Practice Brand workshops 1000 and 1130: 26 March

Claire Giles and Louise Skoildebrand

1. Attitudes and qualities2. Making the case for GPs3. Improving the GPs job4. Making it happen

1. Attitudes and qualities

• How do people currently see GPs?• How do GPs want to be seen?• What are the qualities of the doctors you most

want to appeal to?

2. Making the case for GPs

• Who are you competing with for the sort of GPs you seek?

• What makes being a GP the best option for those doctors?

• What stories could you tell about being a GP which might help transform attitudes?

• What can we say about the East of England?

3. Improving the GPs job

• How can you make it easier for people to join you?

• What are the ‘Brand Busters’ • How can they be addressed –in the Practice,

Local region, at NHS mgt?

4. Making it happen

• What would you like to see happen as a result of this session?

• How can the argument for changes in the management of the GPs role be made more powerful?

• Who are the ultimate decision makers?• Who are the influencers on them?• What are the next steps for the East of England?

GP Employer Brand stages

1. Agree the development team2. Assess existing research and processes3. Conduct qualitative research with GPs about

essence of the job4. Identify what is truly distinctive (and what

needs changing) 5. Use both logic, emotion and bravery in

expressing that

Questions?

Simon Barrow simon@simonbarrow.org.uk 07 976 700 603

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