Compassion in practice: the relevance for all Professor Juliet Beal Director of Nursing: Quality Improvement and Care 31 st March 2014
Compassion in Practice Supporting Policy The NHS Constitution for England (2013) Everyone Counts: Planning for Patients 2013/14 Treating patients and service users with respect, dignity and compassion Francis Report and Hard Truths Winterbourne View The Keogh Review Don Berwick Report The Cavendish Review Clwyd-Hart Review
6Cs - Values essential to compassionate care Care Compassion Competence Care is our core business and that of our organisations; and the care we deliver helps the individual person and improves the health of the whole community. Caring defines us and our work. People receiving care expect it to be right for them consistently throughout every stage of their life. Compassion is how care is given through relationships based on empathy, respect and dignity. It can also be described as intelligent kindness and is central to how people perceive their care. Competence means all those in caring roles mist have the ability to understand an individual s health and social needs. It is also about having the expertise, clinical and technical knowledge to deliver effective care and treatments based on research and evidence. Communication Courage Commitment Communication is central to successful caring relationships and to effective team working. Listening is as important as what we say. It is essential for No decision without me. Communication is the key to a good workplace with benefits for those in our care and staff alike. Courage enables us to do the right thing for the people we care for, to speak up when we have concerns. It means we have the personal strength and vision to innovate and to embrace new ways of working. A commitment to our patients and populations is a cornerstone of what we do. We need to build on our commitment to improve the care and experience of our patients. We need to take action to make this vision and strategy a reality for all and meet the health and social care challenges ahead. 4
Six Action Areas Action Area 1: Helping people to stay independent, maximising wellbeing and improving health Action Area 6: Supporting positive staff experience Action Area 5: Ensuring we have the right staff, with the right skills, in the right place Action Area 2: Working with people to provide a positive experience of care Action Area 3: Delivering high quality care and measuring impact Action Area 4: Building and strengthening leadership
Compassion in Practice Implementation Plans: Action Area 1 Helping people to stay independent, maximising wellbeing and improving health outcomes Measurement of NICE Guidelines for public health outcomes Develop new models for public health Establish a network for public health clinicians to share knowledge and experience through an evidence base of contemporary public health knowledge. The DH is delivering Action Area 1.
Compassion in Practice Implementation Plans: Use existing networks to embed the 6Cs into discussions with patients and carers Action Area 2 Working with people to provide a positive experience of care Ensure information captured is used effectively to improve the needs of those who use health services Supporting organisations to improve the experience of vulnerable people Improving the experience of frail and older people within the urgent care pathway Action Area 2 is aligned to the work of Domain 4.
Compassion in Practice Implementation Plans: Action Area 3 Delivering High Quality Care and measuring impact National roll out of Open and Honest Care programme developed from the success of the North Regional Transparency Project Developing the safety thermometer for wider settings, building on human factors work to support safety in practice
Compassion in Practice Implementation Plans: Encourage provider boards to use available tools and resources to shape a positive culture within the organisation Action Area 4 Building and strengthening leadership Develop compassionate leaders across the system Increase accessibility into leadership programmes with particular focus on ensuring the equality and diversity of the workforce is represented
Compassion in Practice Implementation Plans: Action Area 5 Ensuring we have the right staff, with the right skills, in the right place Development of NICE approved tools for staffing levels in mental health, learning disability and community nursing Review the impact of 12 hour shifts All Universities incorporate Compassion in Practice values and behaviours into recruitment Review the impact on patients of supervisory status for ward managers/team leaders
Compassion in Practice Implementation Plans: Strengthen the delivery of the NHS Constitution pledges to staff Action Area 6 Supporting a positive staff experience Retention of a cohort of 1000 active care makers who drive and champion high quality health and care services at local and direct care level Work with employing organisations to ensure an open, transparent and safe environment where staff feel supported to meet their duty of candour
12 6Cs: Monitoring Progress
6Cs: Monitoring Activity 13 Weeks of Action twitter chats 582 participants 13.7 million impressions
Caremakers
October 6Cs Live! Story of the Month The Day Therapy Unit team at St Catherine s Hospice in Preston
6Cs Live! Communication Hub Introduction to 6Cs Live! Make your 6Cs Live! Pledge Become 6Cs Live! Champion and join the 6Cs Live! online Network 16
17 The 6Cs are for everyone
Getting involved Follow us on Twitter @6CsLive @JaneMCummings @JulietBeal @HilaryGarratt Follow hashtags #6CsLive #6Cs #Caremakers www.6cs.england.nhs.uk 18
EMPATHY WRIGHTINGTON, WIGAN AND LEIGH NHS FT http://www.youtube.com/watch?v=rbxb3dcaohu&feat ure=em-share_video_user
How wonderful it is that nobody need wait a single moment before starting to improve the world. Anne Frank Diary of a Young Girl, 1952