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 Requires Requires Overall rating Overall rating Inadequate Inadequate Outstanding Inadequate Inadequate Outstanding improvement improvement Good Good In January 2016 in December 2018 Safe Effective Caring Responsive Well led Overall Caring Overall Safe Effective Responsive Well led Medical care (including Requires Requires Good Good Requires Requires Requires Good Good Requires Good Requires older people’s care) improvement improvement improvement improvement improvement improvement improvement Urgent and emergency Requires Require Requires Requires Good Requires Requires Good Requires Requires Require Inadequate care services (A&E) improvement improvement improvement improvement improvement improvement improvement improvement improvement Surgery Requires Good Good Requires Requires Requires Requires Requires Requires Good Good Good improvement improvement improvement improvement improvement improvement improvement Intensive/ critical care Requires Good Good Good Requires Requires Requires Good Good Good Good Good improvement improvement improvement improvement Maternity and Requires Good Good Good Good Good Requires Good Good Good Good Good gynaecology improvement improvement Services for children Requires Good Good Good Requires Requires Good Good Good Good Good Good and young people improvement improvement improvement End of life care Good Good Good Good Good Good Good Good Good Good Good Good Outpatients Requires Requires Requires Not rated Good Requires Good Not rated Good Good Good Good improvement improvement improvement improvement Good Good Good Good Good Community health Good services for adults
Freedom to Speak Up Carole Nicholl – Director of Governance and Assurance and Executive Lead for Freedom to Speak Up
Who we are 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
Our Guardians George Gough , Caroline Davies , Sharon Keene , Health Care Associate Director Regulatory and Assistant of Nursing Compliance Manager Chris Mattock , Maxine Buyanga , Pete Coles , Chaplaincy Team Matron Trust Volunteer Leader
Staff Survey Results & FTSU Index Score Index Score National Overview Number of Trusts GWH 40 35 30 25 20 15 10 5 Index Score 0 87 86 85 84 83 82 81 80 79 78 77 76 75 74 73 72 71 70 69 68
Our FTSU Strategy & Vision 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
Training and Development for Guardians & Staff 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
Raising Awareness 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)
Making a difference….. 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
Learning from best practice & sharing 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
Continuous focus 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
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 of those who use it
Freedom to Speak Up Month launch event photos
Staff Support Services for Guardians Jude Gray – Director of HR
Looking after the Guardians 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 We know that our Guardians need looking after just as much as the staff who are raising concerns do…
How do we support our Guardians 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)
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