Freedom to Speak Up Guardian Terri Vaselli National Guardian How - - PowerPoint PPT Presentation

Freedom to Speak Up Guardian

Terri Vaselli

How much have your learnt?

National Guardian Freedom to Speak Up

Q1 If you were a patient, which hospital was no barrel of laughs? Q2 Name 3 mediums for contacting the FTSU Service Q3 Where is the Guardian based? Q4 Name 3 times the Guardian will meet you? Q5 Name the inquiry that reviewed Mid Staffs Health Trust I’m going to ask each table a question, get the answer right and you’re in for a treat! If you get the answer wrong the question will be offered to the other tables. Q6 What does COAT stand for? Mid Staffs Email, intranet, app, in person, Champion, telephone Occupational Health Days, Weekends or Nights Francis Inquiry Culture of Openness and Transparency

Why do Trusts have FTSUGs?

• Many colleagues at Mid-Staffordshire who tried to raise

concerns had been ignored by Managers and the CEO/Board and a culture of bullying was deeply embedded discouraging staff to speak up about concerns they had, resulting in patients dying.

• Following the Mid-Staffordshire Health Inquiry, Sir Robert

Francis recommended a Guardian is embedded in every Trust so that concerns about risks, malpractice or wrongdoing can be reported safely. The FTSUG Service is

now embedded in the NHS England Contract and is being rolled out to cover G.P. Services, Pharmaceutical & Dentistry

RECAP

National Guardian Freedom to Speak Up

Julie Bailey (Bella’s daughter), relatives /patients/community members all formed ‘Cure the NHS’ and successfully campaigned for a public inquiry. https://www.youtube.com/ watch?v=7W7Q4teKcuQ

Safety and quality are assured All staff have the capability to speak up effectively and are supported appropriately The Board is engaged in all Freedom to Speak Up matters and issues that are raised Speaking up processes are effective and continuously improved

Freedom to Speak Up Guardians

The NHS Standard contract requires every trust to nominate a Freedom to Speak Up Guardian. They work alongside NHS trust leadership teams to achieve the following outcomes:

A culture of speaking up is instilled throughout the organisation and the NHS

National Guardian - Freedom to Speak Up

What are Freedom to Speak up Guardians?

Here are some national NHS concerns which were not raised in a timely manner.

NHS NEGLIGENCE CASES

Harold Shipman – killed at least 215 patients over 24

• years. Two doctors

knew why one of his patients had died and failed to report their concerns leading to suspensions from the Medical Register Bristol Heart Surgeons James Wisheart and Janardan Dhasmana together with the CEO John Roylance were found guilty of serious professional misconduct after 29 children died during heart surgery between 1983 and 1995. Colleagues tried to raise concerns but were

• ignored. Dr Bolsin,

consultant anaethatist who ‘blew the whistle’ said 'In the end I just couldn't go on putting those children to sleep, with their parents present in the anesthetic room, knowing that it was almost certain to be the last time they would see their sons

• r daughters alive

Myles Bradbury – Paedophile (Addenbrooke's Hospital in Cambridge) abused 18 young cancer patients and ‘groomed’ his colleagues so they weren’t suspicious, although one of them did confront him but was told it was at the patient’s

• request. The Trust was praised for acting

decisively after a concern was raised in November 2013 Simon Bramhall from Queen Elizabeth Hospital fined and sentenced to a 12 month community order for branding his initials

• n patients’ livers!

Breast surgeon Ian Paterson (West Midlands Trust) was jailed for 20, after being found guilty of 17 counts of wounding with intent. He carried out unnecessary surgery or used untested techniques which left his patients at risk of further cancer. Concerns were first raised about his conduct in 2002 but he continued to work until 2011, when the Trust suspended him – later saying “better clinical governance might have led to action being taken sooner.

So let’s look at a concern raised here at BTHs

Comparative Data for Q1,2 & 3 for types of concerns being raised.

5 10 15 20 25 Attitudes & Behaviours Equip & Main Staffing Levels Policies & Procedures Quality & Safety Patient Experience Performance Capability Service Change Q 1 2018 Q2 2018 Q3 2018

Comparative Data for Q1,2 & 3 for job roles raising concerns.

1 2 3 4 5 6 7 8 9 Q1 2018 Q2 2018 Q3 2018

Communication – Attitudes and behaviours

When others are rude to us… …of us reduce the quality of our work …take it out on service users When we witness rudeness towards others… …see a drop in our performance …are less willing to help others 80% 25% 20% 50% When detecting sarcasm, our accuracy is… …over the phone …in emails 56% 73%

Kruger, J., Epley, N., Parker, J., & Ng, Z. (2005). Egocentrism over e- mail: Can people communicate as well as they think? Journal of Personality and Social Psychology, 89, 925-936. Porath, C., & Pearson, C. (2013). The price of incivility. Harvard Business Review, 91(1-2).

• Culture of
• Openness
• And
• Transparency

COAT ensures colleagues can feel safe when raising a concern and that it will be dealt with in a timely manner. As the FTSUG, I will ensure that the concern is investigated thoroughly so that risks can be assessed and the appropriate action is taken to reduce them. Staff also have their part to play when raising a concern: SOS – Speak Out Safely with ECHO in mind

• Expressing
• Concerns
• Honestly and
• Openly

At BTH we are embedding COAT across the Trust .

Let’s have a look at the intranet page where you’ll find details of the FTSUG Service

Remember, You Don’t Need Evidence to Raise a Concern.

• We are active listeners and your concern will be taken seriously
• I don’t carry out the investigation but I do facilitate the investigation when a concern is raised
• We have the support of the CEO and Board of Directors and can go outside the Trust if needed to

the National Guardian’s Office, CQC or other support networks

• We will offer help, support and advice throughout the investigation and thereafter if needed
• At BTH, we will ensure that ALL staff can raise a concern safely, in confidence and without fear of

reprisals

• Our Freedom to Speak Up/Whistleblowing Policy encourages staff to report any concerns such

as fraudulent activity, patient or staff safety, malpractice, bullying and harassment and also includes any concerns related to modern slavery/trafficking, child and forced labour.”

• We can signpost you to the right place so come and have a chat
• My hours are flexible so I can come to you any time both here or out in the Community

How to Contact the FTSUG

• Using the intranet or download the app – you can even raise your concern

anonymously

• Email – terri.vaselli@nhs.uk or bfwh.ftsug@nhs.net
• Post – Terri Vaselli | Blackpool Teaching Hospitals | Whinacre House

North Park Drive Blackpool | FY3 8NQ

• Telephone – 01253 951185

You can also refer to the FTSU Policy (Whistleblowing), your Trade Union, Line Manager or any of our Champions whose details can be found on the FTSUG section on the intranet. Contact details are shown on the leaflets, please take one and with your Manager’s permission, display it in your area of work

Questions

Terri Vaselli