the nhs belongs to us all: engaging people in decisions...
TRANSCRIPT
The NHS belongs to us all: Engaging people in decisions about services
Jackie LyntonHead of Transformation
Horizons GroupNHS Improving Quality
www.changeday.nhs.uk@jackielynton
Example of an acute trust - patient and staff engagement sparked through NHS Change Day
•Grassroot staff and patient engagement•Social movement thinking•Community organising principles•Simple rules approach•Distributed leadership•Managing staff like volunteers
Making small changes to make a big differenceNHS Change Day www.changeday.nhs.uk
2013 -189,000 pledges 2014 – 802,000 pledges
A new source of energy
Source: @NHSChangeDay
My experience
Barking Havering and RebridgeUniversity Hospital – Patient Champion In light of negative press in the
organisation Ashley saw Change Day as
a chance to do something positive.
“People had huge pressures to deliver on things that
were much bigger than change day.”
Ashley's experience is about offering
people a choice to work together in the
face of big challenges, particularly those
that we share relationships with.
Our main Trust wide pledge for NHS Change day in 2013 Guardian Service – Informal way of raising concerns
Pitch to the board
“Would a member of NHS staff use a trulyindependent service where you can raise aconcern, issue or problem about anythingpertaining to your role, colleagues or workplace in complete confidentiality andanonymity?”
A service that created a safe environment foryou to come and just have a conversation.“
The service is run by Ashley
BHRUT & THE GUARDIAN SERVICE
Total 2012 Total 2013 Total All*
Would you feel safe raising
your concern?
Yes 752 58% 1072 80% 45,025 71%
No 192 15% 269 20% 6,999 11%
Would you feel confident your
Trust would address your
concern?
Yes 516 40% 932 70% 34200 54%
Staff Feedback:
The following responses in the 2013 NHS Staff Survey in the Health, Wellbeing and Safety at Work category had the largest overall shifts in the Trust when compared to 2012:
ENGAGEMENTCOMMITMENT ENERGY
Example pledge – Ashley’s storyPatient/Staff champion > to Board
Change Day gave me permission to use my energy in the direction that I wanted to use it to engage staff with real issues concerning patients“
”
Turning staff engagement into wider community engagement
• The Service provided at BHRUT completely addresses the recommendations outlined in the Francis Report in the area of ensuring an open and honest culture of raising concerns.
• It shows how patients and staff working together can create massive change
Questions
• Is it replicable?
• Can you use staff engag ement
as a way of engaging the wider
Community?
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How much impact do you think the NHS Change Day will make on patient experience?
Slide 11
When the question was addressed again, the percentage of patients feeling that there will be an impact had risen from 67% to 78%. Top 10 hospitals with the highest number of responses in relation
to this question
Top 10 hospitals where patients think there will be an impact.
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Who would you most trust to improve the future of the NHS?
Slide 12
66% of patients think that front line staff play a bigger role in improving the future of the NHS
Top 10 hospitals with the highest number of responses in relation to this question
Top 10 hospitals where patients feel that front line staff play the biggest role in improving the NHS
In general terms, the more positive the experiences of staff within an NHS trust, the better the outcomes for that trust.
The more engaged staff members are, the better the outcomes for patients and the organisation generally.
Source: Kings Fund – Employee Engagement and NHS Performance
Engaged staff. Engaged patients
ENGAGEMENTCOMMITMENT ENERGY
Thank you for listening
www.changeday.nhs.uk#nhschangeday
ENGAGEMENTCOMMITMENT ENERGY