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Ms Maureen Carroll

Ms Maureen Carroll. Stakeholder Analysis & Engagement. Respiratory MCN Learning Forum. Workshop Perspective:. Respiratory MCN’s Practical approach Logical approach Adaptable Non-academic Facilitation of mutual learning . Respiratory MCN Learning Forum.

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Ms Maureen Carroll

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  1. Ms Maureen Carroll Stakeholder Analysis & Engagement Respiratory MCN Learning Forum

  2. Workshop Perspective: • Respiratory MCN’s • Practical approach • Logical approach • Adaptable • Non-academic • Facilitation of mutual learning Respiratory MCN Learning Forum

  3. I have six honest serving men They taught me all I knew Their names are What and Where and When and Why and How and Who Rudyard Kipling Respiratory MCN Learning Forum

  4. Stakeholders Analysis Respiratory MCN Learning Forum

  5. Stakeholder Analysis: Where?

  6. Stakeholder Analysis: Who?

  7. Stakeholder Analysis: • Why? • Reason for recruiting individual • How? • Method of Recruitment • Invitation • Request for nomination • What? • Expectation • What do they do for the MCN? • What will the MCN do for them? • When? • Timescale – immediately / later stage • Membership - substantive / co-opted Respiratory MCN Learning Forum

  8. Stakeholder Analysis: Group Discussion: • Where? • Who? • Why? • How? • What? • When? Respiratory MCN Learning Forum

  9. Stakeholders Engagement Respiratory MCN Learning Forum

  10. Respiratory MCN Learning Forum

  11. MCN Operating Arrangements: • MCN Terms of Reference • MCN Aim, Role, Definition, Core Principles, Structure • Lead Clinician & Network Manager Responsibilities • Executive Group Aim, Remit & Membership • Steering Group Aim, Remit & Membership • Links to NHS Board • Subgroup Reporting Arrangements • Quorum • Voting • Frequency, venue & length of Meetings • Agenda & Minutes • Conduct at meetings • Changes to terms of Reference • Members Remit • SLWG & Subgroup • Aim, Remit & Membership Respiratory MCN Learning Forum

  12. Level of Stakeholder Engagement: • Stakeholders Forum • Steering Group • Executive Group • MCN Subgroups • MCN SLWG’s • Workshops Respiratory MCN Learning Forum

  13. Stakeholder Remit: • To fully engage and participate within the MCN on behalf of their professional group / organisation • To communicate MCN business to their professional group / organisation • To consult colleagues on MCN business and ensure a consensus view is brought forward Respiratory MCN Learning Forum

  14. Stakeholder Contract: • Personal Details • Who do you represent? • How did you come to represent this group? • Who will you canvass opinion from / communicate with? • What communication mechanism will you utilise to achieve this? • What will you do for the MCN? • What do you expect from the MCN? • Please intimate interest in MCN SLWG’s & Subgroups • Job Description – Roles & Responsibilities Respiratory MCN Learning Forum

  15. Tools & Techniques: • Patient Stories / Narratives • Service profiling • Patient Pathways • Open Review of Audit & Activity Data • Capacity & Demand Analysis • Flow Analysis (Modelling)* • Setting the Vision* • Identify & Priorities Issues* • Clinical & Service Modelling* • Group Structure & Membership • Identification of Clinical & Service Champions* • Involvement in Service (Re)Design • Involvement in Service Implementation – Active Delegation • Regular Feedback* • Self-assessment

  16. Flow Analysis:

  17. STEP 5 WHERE DO WE NEED TO BE BY 20XX? STEP 4 WHY DO WE NEED TO CHANGE? STEP 2 WHERE DO WE WANT TO BE? STEP 8 WHO ELSE NEEDS TO BE INVOLVED? ENROLMENT 8 STEPS FOR ENGAGING STAKEHOLDERS IN DISCUSSIONS ABOUT STRATEGIC REDESIGN STEP 1 WHO IS HERE? • STEP 6 • WHAT DO WE NEED TO DO BETWEEN NOW AND Xxx 20XX? What is the development gap and the change agenda? • Restructuring • Reconfiguration • Workforce development • Training • Investment • Building capacity • Building capability • Redesign • Modelling • Planning • Business cases STEP 3 WHERE ARE WE NOW IN 20XX? STEP 7 WHAT ARE OUR FIRST STEPS?

  18. Prioritisation: • Workgroup • Identify Top Issue • Briefly Outline Issue • Open Debate • Vote for Top 3 • Next Steps Feedback Sheet • Suggestions • Identify Importance • Identify Other “Next Steps” & Importance • Calculate Top “Next Steps” Respiratory MCN Learning Forum

  19. Clinical Model: Respiratory MCN Learning Forum

  20. Champions: • Clinical Champions • Topic Champions (SLWG Chairs) • Site Specific Audit Champions • Patient Champions • Service Champions • Clinical Champions • Co-Champions • Project Champions Respiratory MCN Learning Forum

  21. Regular Feedback: • Share & Celebrate • Status Reports • Activity Data Reports • Clinical Outcome Data • Performance Outcome Data • Patient & User Satisfaction Feedback • Trend Analysis • Lessons Learned Log Respiratory MCN Learning Forum

  22. Stakeholder Engagement: Group Discussion: • Have you used / participated in any of the examples given? • Could you adapt these examples within your area? • Outline other types of Stakeholder Engagement Tools & Techniques. Respiratory MCN Learning Forum

  23. CHANGE!!! RESISTANCE IS FUTILE INEVITABLE Respiratory MCN Learning Forum

  24. Why Do People Resist Change?: • When they don’t understand • The reason • Its nature • The possible consequences • If change means loss of • Power • Status • Prestige • Respect • Security • Approval • If it is personally inconvenient • Disturbs relationships • Move in location • Alters social opportunity Respiratory MCN Learning Forum

  25. Spectrum of Participants: • Champions • Change Agent • Participant • Observer • Not Involved • Silent Doubter • Sceptic • Cynic • Saboteur Respiratory MCN Learning Forum

  26. Rate of Adoption:Everett Rogers • Innovators (2.5%) • Early Adopters (13.5) • Early Majority (34%) • Late Majority (34%) • Laggards (16%) Respiratory MCN Learning Forum

  27. Push & Pull Factors • Drivers for Change (Push) • 18 Weeks • Demand • HEAT Targets • Quality • Restraints against Change (Pull) • Current Practice • Capacity • Skills • Time Respiratory MCN Learning Forum

  28. Dissatisfaction with Status Quo • Mapping Current Patient Pathways • Patient / User Interviews & Satisfaction Questionnaires • Patient Stories / Narratives • Data / Data / Data • Literature / Service Review • Site Visits Respiratory MCN Learning Forum

  29. Creating theVision!!! Respiratory MCN Learning Forum

  30. Co-operation & Collaboration • Understand the Need for Change • Encourage a Desire to Change • Create the Vision • Identify the Champions & Change Agents • Reduce Resistance / Don’t Force Drivers • Involvement in Design & Implementation of Change • Active Delegation • Create Ownership • Phased Approach / Quick Wins • Develop Pride / Sense of Achievement • Celebrate!!!!! Respiratory MCN Learning Forum

  31. Respiratory MCN Learning Forum

  32. Questions? Respiratory MCN Learning Forum

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