Risk, quality and trust: lessons from Francis

1. Risk, quality and trust: lessons from Francis Jeremy Taylor, CEO, National Voices At CfPS Annual Conference 10 June 2014

3. Themes from the Francis inquiry... • culture and behaviour • openness • transparency • honesty • standards • the patient and public voice • and it’s not just about mid-Staffs

4. The Government response • Chief inspectors – “an Ofsted for health” • Duty of candour - when things go wrong • Berwick - on “zero harm” • Cavendish – on nursing • Hart/Clwyd – on complaints • Keogh – on 14 other worrying hospitals • “Hard Truths” • But it’s not about the Government

5. What matters to patients? – the evidence • Treat me as a person • I need access • I need information • Talk to me • Involve me • Involve my family and friends • Respect my privacy, confidentiality and dignity • Help me stay well and independent • Join things up, don’t pass me from pillar to post • I need practical support • I need emotional support

6. It’s not just about the ward

7. Living with .....

8. Out-of- Hours Doctors Consultant Continence Adviser The Web of Care (Last 7 yrs) District Nurses Speech & Language Adviser GP Care team 2 live-in carers (alternating weekly) Replacement carer [Some night nursing – Health] Emergency carers & Barbara Dietician Dementia Advisory Nurse? Community Dentist Malcolm & Barbara Occupational Therapist Social Worker Equipment Service Oxygen service Direct Payments Team; Rowan Org. Wheelchair Service Alzheimer’s Soc outreach worker Physiotherapist Alternating Mattress technician

9. Care planning My goals/outcomes Person centred coordinated care “I can plan my care with people who work together to understand me and my carer(s), allow me control, and bring together services to achieve the outcomes important to me.” Information Transitions Communication Decision making

10. Organisational processes HCPs committed to partnership working Engaged, informed patients Responsive commissioning Personalised care planning Coulter, Roberts, Dixon: Delivering better services for people with long-term conditions – building the House of Care, King’s Fund, October 2013

11. Being person-centred • People - treat me as a person • Partners in decisions – involve me as much as I want to be, don’t just “consent” me • Self-managers - help build my knowledge, skills, confidence, I want to get on with my life • Citizens - understand my needs; respect my rights whoever I am • People helping people - connect me with those who can help me • Communities and leaders - we want to put something back: benefit from our collective goodwill , experience and leadership

12. Being person-centred • Risk - I want you to be safe and I want you to trust me • Quality – “safety, effectiveness, experience” - but also what matters to me • Trust – You need to earn my trust by being open, honest, and transparent. And you need to trust me

14. Kate Granger’s values • Communication • The little things matter • Person –centred care • See me – not my disease • http://play.buto.tv/HMzZc

15. Some questions for scrutineers • Can we find out what is going on? • What do patients and families think? • What do staff think? • What does the board worry about? • Do they learn? Do things change? • Are patients involved? How and where? • Are staff involved? How and where? • Where is the community?

16. Thanks for listening! • www.nationalvoices.org.uk • Follow us on Twitter • @NVTweeting • @JeremyTaylorNV