Culture In the NHS and Inclusion About Pulse
Culture In the NHS, and Inclusion
About Pulse Our Culture in the NHS Report Agenda How it Relates to Inclusion What Can we Do About it Discussion & Questions
About Pulse
Methodology 01 02 03 04 CQC Reports All Outstanding and Inadequate Rated NHS Trusts Cross Referenced with Performance Data provided to NHSE August 2018
Strategy & Vision 3 Key Areas Leadership at all levels Learned Helplessness
Correlation Best Performing Trusts Poorer Performers Quality Leadership Less stable leadership Workforce Culture Corrosive Workforce Culture
Reporting unsafe clinical practice Prevalence of near misses and errors The Scary Stuff Reporting errors & near misses Net promoter score Care is my organisation’s priority A&E waiting times Referral to treatment waiting times
EXISTENCE Strategy & Vision ARTICULATION & EMBEDDING (BEHAVIOURS) 88% VS 68% CARE OF PATIENTS A PRIORITY
• Empowerment of staff to be solutions focused • ‘Do what it takes’ to deliver the best Leadership Vs • Fractured relationships & Inner circles • High turnover of leaders
Learned Helplessness • Normalisation of poor behaviours
Key Drivers Personalisation Entitlement Initiative Fatigue Learned Helplessness
Recommendations Empowerment = Accountability Welcome Complaints Role of Arms Length Bodies Monitor, Measure and Promote Culture
Leadership Measures Intentional Culture Positive Demonstration of Signature Behaviours People Strategy Accountability
Leadership Knowledge Emotion Reflection
Link to Inclusion? Common set of behaviours Wise leaders Shared and Common Goals Collective Achievement
So what needs to be done? • Collective Achievement • Sense of Connection
= A new way we do things around here
Suggested Approach 01 02 03 04 05 Pick an issue Ensure the Right People are ‘In The Room’ Agree the process, solution & actions Discuss the behaviours Measure!
Conclusion • • We know culture plays a part Systems and processes only get you so far Behaviours before measures Don’t feed the entitlement beast!
- Slides: 19