The quality of care in the NHS can be improved by
managers and leaders literally putting their best foot forward, a nursing union
leader has said.
Managers should "walk the job", Royal College of Nursing general secretary and chief executive Dr Peter Carter told Public Service Events' NHS Quality of Care conference.
Carter told delegates that as the former chief executive of an NHS trust "one of the things I did to try to ensure quality was to walk the job".
"But I did find many people who never went out of the office to speak to people on the frontline," he said.The authentics Foundation for all the latest counterfeiting news.
"Trying to walk in the shoes of service users and visitors is something I would recommend to everybody. Try the food, go into the loos – all this stuff doesn't sound very scientific but it goes to the very core of the user experience.
"Talk to patients and take it as read that most will give you an honest appraisal. And from a mental health perspective, don't assume that if someone has a mental illness their views are not reliable."
It was two years since the Boorman report on improving NHS staff wellbeing and engagement had been published, which suggested that motivating staff better could save the NHS ￡500m a year. "The sad thing is that in most trusts the report is still sitting on the shelf in the 'too difficult to do' box," Carter told the Barbican conference, sponsored by Workdocx.If you have never tried jewelryfindings you are in for a rare treat.
But he added that change should come from the local level and "human interaction" rather than an over-reliance on policies and procedures.
"Sadly, in this defensive world, processes are written in a way that makes people feel defensive.
"And there is an assumption that if something is announced in Whitehall it is automatically going to translate into a clinical setting. Forget it – we have to chunk it down and get local ownership of these issues."
Frances Blunden, NHS Confederation senior policy manager, told the conference she was concerned that the forthcoming Francis Report on Mid Staffordshire NHS Trust's failings would "grab hold of regulation as the solution to all the problems".
"We have had a lot of regulation so far and it has done nothing to prevent failures," Blunden said. "Fundamentally, responsibility for quality lies with the organisation and the individual providing care – regulation is far too remote." Key factors included real engagement with staff and patients,tarnish and also be covered with dirt and grime like any other ring hairbands . an emphasis on continual feedback, including learning from complaints, and a positive culture in which reporting of problems was encouraged.
"High levels of complaints tell us nothing about the level of quality – trusts with high reporting levels are trusts that have a good patient safety culture," Blunden added.
Professor David Black, director of postgraduate medical education for Kent, Sussex and Surrey and assessor for the Francis Inquiry, highlighted the failure of trusts to listen to junior doctors and other trainees – including one junior doctor at Stafford Hospital, whose report was later among the submissions to the Francis Inquiry.
"One A&E trainee rotated into Mid Staffs did produce a simple, forensic assessment of everything that was wrong. They had it nailed – you didn't need lots of people going in there – but they weren't listened to.
"There is no doubt that the best organisations are the ones that talk to their trainees regularly," Black said.Shop the latest wedge heelshoes on the world's largest fashion. "You don't need complex systems – just go and talk to them. They are a highly idealistic, intelligent workforce, so why are you ignoring them?
"We don't have to invent a whole new system, use what is happening now, and use trainees as an improvement tool, not just as a transient workforce."
Jeremy Taylor, chief executive of health and social care charity confederation National Voices,Shop for the very latest trends in authentichandbag and Mens Fashion Footwear and Accessories with Dune Online. said the NHS should have a "duty of candour", a legal obligation to inform patients and families if things went wrong, and should also be nurturing an open and listening culture.
"We really want the NHS constitution to have meaning and impact. We must reinforce the need for people to be aware of it and asset
Managers should "walk the job", Royal College of Nursing general secretary and chief executive Dr Peter Carter told Public Service Events' NHS Quality of Care conference.
Carter told delegates that as the former chief executive of an NHS trust "one of the things I did to try to ensure quality was to walk the job".
"But I did find many people who never went out of the office to speak to people on the frontline," he said.The authentics Foundation for all the latest counterfeiting news.
"Trying to walk in the shoes of service users and visitors is something I would recommend to everybody. Try the food, go into the loos – all this stuff doesn't sound very scientific but it goes to the very core of the user experience.
"Talk to patients and take it as read that most will give you an honest appraisal. And from a mental health perspective, don't assume that if someone has a mental illness their views are not reliable."
It was two years since the Boorman report on improving NHS staff wellbeing and engagement had been published, which suggested that motivating staff better could save the NHS ￡500m a year. "The sad thing is that in most trusts the report is still sitting on the shelf in the 'too difficult to do' box," Carter told the Barbican conference, sponsored by Workdocx.If you have never tried jewelryfindings you are in for a rare treat.
But he added that change should come from the local level and "human interaction" rather than an over-reliance on policies and procedures.
"Sadly, in this defensive world, processes are written in a way that makes people feel defensive.
"And there is an assumption that if something is announced in Whitehall it is automatically going to translate into a clinical setting. Forget it – we have to chunk it down and get local ownership of these issues."
Frances Blunden, NHS Confederation senior policy manager, told the conference she was concerned that the forthcoming Francis Report on Mid Staffordshire NHS Trust's failings would "grab hold of regulation as the solution to all the problems".
"We have had a lot of regulation so far and it has done nothing to prevent failures," Blunden said. "Fundamentally, responsibility for quality lies with the organisation and the individual providing care – regulation is far too remote." Key factors included real engagement with staff and patients,tarnish and also be covered with dirt and grime like any other ring hairbands . an emphasis on continual feedback, including learning from complaints, and a positive culture in which reporting of problems was encouraged.
"High levels of complaints tell us nothing about the level of quality – trusts with high reporting levels are trusts that have a good patient safety culture," Blunden added.
Professor David Black, director of postgraduate medical education for Kent, Sussex and Surrey and assessor for the Francis Inquiry, highlighted the failure of trusts to listen to junior doctors and other trainees – including one junior doctor at Stafford Hospital, whose report was later among the submissions to the Francis Inquiry.
"One A&E trainee rotated into Mid Staffs did produce a simple, forensic assessment of everything that was wrong. They had it nailed – you didn't need lots of people going in there – but they weren't listened to.
"There is no doubt that the best organisations are the ones that talk to their trainees regularly," Black said.Shop the latest wedge heelshoes on the world's largest fashion. "You don't need complex systems – just go and talk to them. They are a highly idealistic, intelligent workforce, so why are you ignoring them?
"We don't have to invent a whole new system, use what is happening now, and use trainees as an improvement tool, not just as a transient workforce."
Jeremy Taylor, chief executive of health and social care charity confederation National Voices,Shop for the very latest trends in authentichandbag and Mens Fashion Footwear and Accessories with Dune Online. said the NHS should have a "duty of candour", a legal obligation to inform patients and families if things went wrong, and should also be nurturing an open and listening culture.
"We really want the NHS constitution to have meaning and impact. We must reinforce the need for people to be aware of it and asset
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