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Clinical Engagement

Clinical Engagement. Dr. Andrew Coley. National Programme for IT. The explicit aim of the National Programme is to connect delivery of the NHS Plan with the capabilities of modern information technologies 1.

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Clinical Engagement

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  1. Clinical Engagement Dr. Andrew Coley

  2. National Programme for IT The explicit aim of the National Programme is to connect delivery of the NHS Plan with the capabilities of modern information technologies1

  3. Connecting for Health and the National Programme: Enabling Healthcare & Engaging Clinicians 1 The purpose of this document is to ask the question; can the products of CfH and the National Programme become embedded into everyday clinical situations and will we see this enhance the consultation between the patient and clinician? Jan 2006

  4. To achieve success in actually transforming healthcare practices, through clinical computing, remains unusual. Professor Aiden Halligan 2005 The overriding problem with failed IT projects in general, and particularly in clinical culture, is lack of attention to the human elements of changing behaviour among professionals 2

  5. Success with clinical computing depends on far more than automation and attention to hardware, software and networks. It requires the simultaneous navigation of important socio-cultural pathways, each dependant on the other and all aimed at the transformation of the ways in which staff function as team-based professionals.

  6. What is Clinical Engagement? Does it become a tick box exercise in a project plan? Or is it a transformational path?

  7. “The overriding problem with failed IT projects in general, and particularly in clinical culture, is lack of attention to the human elements of changing behaviour among professionals” Department of Health. Delivering benefit from the National Programme for Information Technology (NPfIT): A strategy for engaging front line staff and patients

  8. Engaging grass root clinicians? H2O How often do they need more encouragement to drink?

  9. Establish the Culture and Beliefs to Deliver Clinical Engagement

  10. Seven key beliefs • Genuine engagement occurs most effectively following debate at a local level • Place the patient at the centre of a cultural move towards a new pathway

  11. “Observability & Trialability” is compelling Rogers & Plsek • Local clinical leaders are essential, they often have legitimacy with their colleagues and are seen as “honest brokers” • When a new system has been applied successfully in a local context, that this “strength of evidence” is very compelling

  12. Align roles and responsibilities between clinical leaders and managerial directors • The request for a clinician to change their working process will produce dissonance

  13. Disengagement Dissonance Behavioural management And transformational change Engagement

  14. Clinical Leadership Clinical engagement and developing clinical leadership are very much complementary to each other. Without clinical leadership, there can be no effective leaders to clinically engage with.

  15. Historical NHS Policy Implementation DH Clinical Advisors SHA The driver Of line management GP’s Nurses AHP’s PCT Clinical advise Clinical engagement Consultants Nurses AHP’s Trust

  16. New Double Helix Approach DH & CfH Clinical Advisors SHA Value Belief Engagement GP's Patients Pathway Driver Nurses PCT Consultants Trust AHP's

  17. Clinical Leaders Network

  18. Clinicians & Myers Briggs • Clinical Experts • Quality and Governance • Change Leaders

  19. The National Program enabling healthcare through enabling clinicians. Members of Clinical Implementation Support Team working with CSCA Clinical Advisor Acute Care Clinical Advisor Mental Health Clinical Advisor Primary/Community Chief Clinical Officer

  20. Multidisciplinary strategic clinical leaders Clinical Advisor Acute Care Clinical Advisor Mental Health Clinical Advisor Primary/Community Chief Clinical Officer

  21. Clinical Engagement Escalator Imbedding Clinical Champion to bring about Clinical Engagement and imbedding Multidisciplinary strategic clinical leaders Acceptance and implementation Clinicians for Product Testing Dissemination Early implementers Clinicians for Product Development Clinical volunteers Clinical Advisor Acute Care Clinical Advisor Mental Health Clinical Advisor Primary/Community Awareness-raising Chief Clinical Officer

  22. IT Clinical Leads Network Dear Colleague RE: A Clinical Network and the National Programme for Information Technology The National Programme for Information Technology (NPfIT) which is being delivered through ‘Connecting for Health’ aims to modernise the NHS IM&T systems, ensuring they are fit for the twenty first century, and help clinicians to improve healthcare. This should enhance the “NHS experience” for both the patient and the clinician working within healthcare. With these intentions in mind the Cheshire & Merseyside Strategic Health Authority clearly understand it is essential that working clinicians are aware of the vision for the future, have the opportunity to contribute to and inform system developments and are able to realise the benefits from implementation. At present we understand, from the clinical point of view, that the aspirations and visions are not being successfully communicated to the working clinicians within the SHA. We feel that this is absolutely critical that clinicians are connected to the National Programme. With this in mind we would like to create a clinical network with each PCT and NHS Trust. We are writing to you today to ask you to provide the name of one clinician from each PCT and Trust within your Local health Community so that we can engage these people in understanding the developing programme. In addition this network should allow greater communication across the members to share knowledge, ideas and concerns. Each clinician involved will also have a responsibility to reflect on any information received and to ensure that this is appropriately communicated to the wider clinical network within that community. We feel that this development is essential and has long been asked for by grass roots clinicians working within the Cheshire & Merseyside SHA boundaries. Yours sincerely

  23. References • Connecting for Health and the National Programme: Enabling Healthcare & Engaging Clinicians.CMSHA Clinical Engagement Methodology (Version 3) Jan 2006 • Department of Health. Delivering benefit from the National Programme for Information Technology (NPfIT): A strategy for engaging front line staff and patients.

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