Freedom to Speak Up: Introduction Kevin McNamara, Acting Chief - - PowerPoint PPT Presentation

Freedom to Speak Up: Introduction

Kevin McNamara, Acting Chief Executive

Who we are

• We are one of the biggest healthcare providers and employers in the south west, with 1.2 million

patient contacts a year.

• We employ 4,836 staff (4,147.64 WTE), of these half are nursing staff. Supported by 400

volunteers.

• We provide high quality healthcare from the Great Western Hospital in Swindon and community

healthcare in clinics and people’s own homes across Swindon.

• We have 523 beds, outpatient clinics, CT and MRI scanners, maternity services, an Intensive

Care Unit, an Urgent Care Centre and an Emergency Department.

• Our new strategy, developed with staff, patients, governors and others, was launched this year.

These are the four pillars of our strategy

• Our vision: We will deliver joined-up services for local people at home, in the community and in

hospital helping them to lead independent and healthier lives.

What we do

Our Care Quality Commission rating

Safe Effective Caring Responsive

Requires improvement Good Requires improvement Inadequate Requires improvement Good Requires improvement Requires improvement Require improvement Requires improvement Good Good Requires improvement Requires improvement Requires improvement Good Good Good Requires improvement Good Good Good Good Good Good Good Good Good Good Good Good Good Good Not rated Good

Well led Overall

Good

Requires improvement

Overall rating

In January 2016

Inadequate Inadequate Outstanding

Requires improvement Good Requires improvement Requires improvement Requires improvement Requires improvement Requires improvement Requires improvement Requires improvement Requires improvement Requires improvement Requires improvement Requires improvement

Medical care (including

• lder people’s care)

Surgery Intensive/ critical care Maternity and gynaecology Services for children and young people End of life care Outpatients Community health services for adults Urgent and emergency care services (A&E)

Good

Safe Effective Caring Responsive Requires improvement

Overall rating

in December 2018

Inadequate

Requires improvement Good Good Requires improvement Good Requires improvement Requires improvement Requires improvement Good Requires improvement Requires improvement Require improvement Requires improvement Good Good Requires improvement Good Requires improvement Requires improvement Good Good Good Good Good Requires improvement Good Good Good Good Good Good Good Good Good Good Good Good Good Good Good Good Good Good Not rated Good Good Good Good Good Good Good Good Good Good

Well led Overall

Inadequate Outstanding

Freedom to Speak Up

Carole Nicholl – Director of Governance and Assurance and Executive Lead for Freedom to Speak Up

• Carole Nicholl, Director of Governance and Assurance
• Sharon Keene, Lead Guardian and Regulatory and Compliance Manager
• Nick Bishop, Non-Executive Director and NED lead for FTSU

Who we are

Our Guardians

Sharon Keene, Regulatory and Compliance Manager Caroline Davies, Associate Director

• f Nursing

Chris Mattock, Chaplaincy Team Leader George Gough, Health Care Assistant Pete Coles, Trust Volunteer Maxine Buyanga, Matron

Staff Survey Results & FTSU Index Score

5 10 15 20 25 30 35 40 87 86 85 84 83 82 81 80 79 78 77 76 75 74 73 72 71 70 69 68

Index Score National Overview

Index Score Number of Trusts

GWH

Staff feel safe to speak up in any situation, including those situations where concerns might feel more difficult to address such as where concerns are more complex, long standing and embedded or they might involve a number of individuals

We are committed to

• Promoting an open and transparent culture across the organisation
• Ensuring that all members of staff feel safe and confident to speak out
• Modelling behaviours which promote a positive culture where we listen and act
• Ensuring that there is learning into action and that speaking up makes a difference

Our FTSU Strategy & Vision

• All Guardians have attended NGO external training
• Lead Guardian participates in educational programmes (webinars / coaching)
• Guardians participate in the NGO Annual Conference
• FTSU included in Trust induction
• Management Training via Divisional Meetings
• Core training being developed for line &

managers and senior leaders

Training and Development for Guardians & Staff

• Refreshed intranet information (Guardian biographies,

contact details and videos)

• Business cards for all Guardians
• FTSU desktop backgrounds / screensaver
• Posters in every staff room
• Regular Guardian drop-in sessions
• Guardian attendance at team meetings
• Communication Plan (regular information circulated)
• Freedom to Speak Up month and launch event
• Other (notepads, post-its, mint tins, selfie frame, pens)

Raising Awareness

• Focus on living our values where we self reflect /

call out poor behaviours

• Introduction of earlier conversations to resolve

concerns

• Revised policies and procedures
• Adjusted rostering
• Tangible changes (signage, lighting, heating)
• Training and education needs identified
• Workforce reviews recommended
• Additional equipment purchased
• Raised awareness of equality and diversity

Making a difference…..

• National guidance reviewed – self assessment

refresh completed

• Engage with the National Guardians Office and other

local networks to learn and share

• NGO bulletins considered for learning
• Case reviews discussed for learning
• NGO network events attended
• Buddying support from other Trusts
• Reaching out to wider health system & others

Learning from best practice & sharing

• Reports of high level findings to Board, showing active use of

FTSU in the context quality information

• Executive Director visibility / NED patient safety visits
• Monthly discussion with the Executive Directors on themes

and trends

• Quarterly FTSU updates for all staff via Communications

team / intranet

• Assessment of satisfaction from staff reflecting and sharing

feedback on their experience

• Annual Staff Survey results focus around improvement (KPIs)
• Freedom to Speak Up Month – Drop-in sessions and

workshops by the guardians

Continuous focus

Further steps

• Recruitment of additional Guardian representative
• Improved triangulation of information when considering

alerts

• Listening and learning from staff experience
• Strengthening links with other organisations across the STP
• Lead Guardian as FTSU vanguard into our primary care

practices to support primary care models to speak up

• Introduction of a Mandatory Training Module for FTSU
• Audit and review of our Freedom to our Speak Up cases
• Share a case with NGO 100 voices

Freedom to Speak Up Month

Programme Calendar

Freedom to Speak Up Month launch event

• 300 members of staff attended the event
• Joined by Trust Executive Directors and Sarah Speck, Regional Liaison Lead (South West)

National Guardian’s Office

• Staff support also attended, to meet with staff and tell them more about the services available

for anybody who needs additional personal or professional support

• Attendees could meet the Trust’s six FTSU Guardians, enjoy a cup of tea and a slice of cake

with their colleagues and find out more about the speaking up

• Goodie bags were available for them to take away to any colleagues who couldn’t make the

event, filled with green chocolates, note pads, pens and mints

• All attendees were given a FTSU awareness ribbon to wear and were entered into a raffle
• Box for staff to leave anonymous suggestions about how the service could best meet the needs
• f those who use it

Freedom to Speak Up Month launch event photos

Staff Support Services for Guardians

Jude Gray – Director of HR

Concerns have been raised by FTSU Guardians about the effects the role is having on their health and wellbeing:

• Emotional impact of concerns raised
• Lack of support and expertise
• Feeling out of depth

Looking after the Guardians

We know that our Guardians need looking after just as much as the staff who are raising concerns do…

• Mental health first aid training
• Regional networking
• Buddy system
• Coffee mornings
• ‘Switch off your Brain’ training
• Staff Support and Counselling Services – including anxiety management, self-care

and EMDR (trauma therapy)

How do we support our Guardians