Schwartz Rounds Caroline Dancyger Clinical Psychologist Schwartz Round

Schwartz Rounds® Caroline Dancyger Clinical Psychologist & Schwartz Round Facilitator Pan-London Cancer Patient Experience Event 9 July 2014

The case for something different Cancer Patient Experience Survey Turnaround = cuts, cuts Staff Survey Supporting staff should be a central driver of strategies to improve: – patient care – productivity – financial performance

The origins Kenneth Schwartz The Schwartz Center for Compassionate Care Kings Fund The Point of Care Foundation

What is a Schwartz Round? A space to reflect on the impact our work has on us – Not about advice giving or problem solving A panel of speakers present a case/ theme – Each person talks about their experience and the impact the case had on them Then the audience joins in – Share reactions to the stories – Ask questions about panel members experiences – Reflect on their own experiences and share stories

The evidence Leads to changes in staff perceptions – Positive effect on interactions with patients – Enhances participants’ understanding of the perspectives and challenges of colleagues – Enhances interdisciplinary communication – Improves sense of support – Decreases staff stress and sense of isolation Recent NIHR funding to measure impact on patients

Schwartz Rounds at Barts Health Launched in May 2014 at Whipps Cross Hospital Clinical Lead: Angela Wong Facilitators: Nichola Kane & Caroline Dancyger Steering group

The challenges at Barts Health • Where to start? • Getting buy-in • Publicity, Publicity! • Not a quick fix

Feedback so far • Schwartz Rounds are definitely needed & wanted • Attendance – >100 staff – Drs, Nurses, AHPs, Social Work, Chaplaincy, Cancer Information Specialists, A&C, Governance, Education • 70% evaluations rated it as ‘Exceptional’ or ‘Excellent’

What attendees have said… Open & honest conversation - rare in this current climate It’s a privilege to hear peoples experiences Excellent. Very insightful to see how teams work together This was a really good session with open discussion of a difficult issue I’m not alone! This is an excellent initiative; paying attention to the emotional well being of staff and having time to talk about the complexity of caring with compassion

The future… • Get more facilitators trained • Roll out across multiple sites • How to get nurses off of the wards?

Any questions? caroline. dancyger@bartshealth. nhs. uk