Freedom to Speak Up Guardian Terri Vaselli
National Guardian How much have your learnt? Freedom to Speak Up Q1 If you were a patient, which hospital was no barrel of laughs? Mid Staffs Email, intranet, app, in Q2 Name 3 mediums for contacting the FTSU Service person, Champion, telephone Q3 Where is the Guardian based? Occupational Health Q4 Name 3 times the Guardian will meet you? Days, Weekends or Nights Q5 Name the inquiry that reviewed Mid Staffs Health Trust Francis Inquiry Q6 What does COAT stand for? Culture of Openness and Transparency 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.
Why do Trusts have FTSUGs? • 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 • 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.
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
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: All staff have the capability The Board is to speak up effectively and engaged in all are supported appropriately Freedom to Speak Up matters and issues that are raised Speaking up processes A culture of are effective and speaking up is continuously improved instilled throughout the organisation Safety and quality and the NHS are assured
National Guardian - Freedom to Speak Up Here are some national NHS What are Freedom to Speak up Guardians? concerns which were not raised in a timely manner .
NHS NEGLIGENCE CASES Harold Shipman – Bristol Heart Surgeons killed at least 215 James Wisheart and patients over 24 Janardan Dhasmana years. Two doctors together with the CEO knew why one of his Myles Bradbury – Paedophile (Addenbrooke's John Roylance were patients had died Hospital in Cambridge) abused 18 young cancer found guilty of serious and failed to report patients and ‘groomed’ his colleagues so they professional misconduct their concerns weren’t suspicious, although one of them did after 29 children died leading to confront him but was told it was at the patient’s during heart surgery suspensions from request. The Trust was praised for acting between 1983 and 1995. the Medical decisively after a concern was raised in Colleagues tried to raise Register November 2013 concerns but were ignored. Dr Bolsin, Breast surgeon Ian Paterson (West Midlands Trust) Simon Bramhall consultant anaethatist was jailed for 20, after being found guilty of 17 from Queen who ‘blew the whistle’ counts of wounding with intent. He carried out Elizabeth Hospital said 'In the end I just fined and sentenced unnecessary surgery or used untested techniques couldn't go on putting which left his patients at risk of further cancer. to a 12 month those children to sleep, Concerns were first raised about his conduct in community order for with their parents present 2002 but he continued to work until 2011, when branding his initials in the anesthetic room, on patients’ livers! the Trust suspended him – later saying “better knowing that it was almost clinical governance might have led to action being certain to be the last time taken sooner. they would see their sons or daughters alive So let’s look at a concern raised here at BTHs
Comparative Data for Q1,2 & 3 for types of concerns being raised. 25 20 15 Q 1 2018 10 Q2 2018 Q3 2018 5 0 Attitudes & Equip & Main Staffing Levels Policies & Quality & Patient Performance Service Behaviours Procedures Safety Experience Capability Change Comparative Data for Q1,2 & 3 for job roles raising concerns. 9 8 7 6 5 4 3 Q1 2018 2 Q2 2018 1 0 Q3 2018
Communication – Attitudes and behaviours When others are rude to us… 80% …of us r educe the quality of our work …take it out on service users 25% When we witness rudeness towards others… …see a drop in our performance 20% Porath, C., & Pearson, C. (2013). The …are less willing to help others 50% price of incivility. Harvard Business Review , 91 (1-2). When detecting sarcasm, our accuracy is… 73% …over the phone …in emails 56% 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.
At BTH we are embedding COAT across the Trust . • C ulture of • O penness • A nd • T ransparency 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 • E xpressing • C oncerns • H onestly and • O penly
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. o 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 o o 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 o We will offer help, support and advice throughout the investigation and thereafter if needed o At BTH, we will ensure that ALL staff can raise a concern safely, in confidence and without fear of reprisals o 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.” o We can signpost you to the right place so come and have a chat o 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
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