After analysing 60+ leaflets, working in healthcare 15 yrs and being a patient advocate for many years, here's the thread with 23 poster visuals all hospitals can do to empower patients to lead on their care. Fully educating, empowering and encouraging patients can save lives 👇
ONLY IN THE NHS DO WE
❗️Limit potential due to someones banding
❗️Refer to people by their banding
❗️See status attached to bands
❗️Dismiss ability based on banding
We need to stop bandism! As someone who’s been at every band from 2 to 8b-we need to appreciate the person more
Please stop using JUST-Without you, nothing in the
#NHS
would function
I’m just a HCA
I’m just a porter
I’m just a cleaner
I’m just a receptionist
I’m just a cook
I’m just a technician
I’m just a band 2,3,4,5…
YOU are helping to run the NHS
YOU are amazing ✊
YOU are valued 🌟
I’ve been thinking a lot about quiet leadership, quiet improvement and quiet working. So many people just get on with things, in a calm manner, no big statement or show. We need to see them more. Hear them more. Not take them for granted. The loudest person isn’t the only voice
As a fellow NHS Middle Manager who CRIED most days for the first 3 months, let me share why you should rethink your view on Managers in
#NHS
& stop bashing them
Also you can tell me who will do the following instead of them…and no you can’t just “not do” the following…🧵
I’m proud to be a NHS Manager
It’s one of the most rewarding jobs I’ve ever had
Don’t believe the stigma
I’ve drawn what a
#NHS
Manager does (ran out of space)
#proud2bOps
#sketchnote
👇
There are staff who work in the quiet corners of the NHS. You hardly see them. They are not in meetings or invited to events. They’re not in the communication news. You don’t know they exist. Who are they?
- Laundry staff
- Mortuary staff
- Health records staff
Shine a light
I started my
#NHS
journey as a receptionist. I felt invisible, I had ideas but nowhere to voice them. I knew everyone, saw everything & was yearning to do more. I often felt forgotten or dismissed. A receptionist is more than answering the phone e & booking appointments
Words are a powerful thing that can shape views, perceptions, beliefs & expectations.
How we talk about patients can dehumanise them & impact how we see them.
Think about your words
#PatientCare
🌟NEW LISTING🌟
How can you become a compassionate leader? Looking after & nurturing others drives success at work 💙
Based on the work by Prof. Michael West. You can get a copy here:
It’s not possible to jump from feeling “stressed” to “Joy in work” - which is why
@NeedsAtWork
are so important & the language we use with staff matters
Here’s my ladder of emotions - where are you at?
#NHS
A receptionist in
#NHS
is precious. They see things you don’t. Hear things you don’t. They have ideas based on experiences. They speak to more patients than others. They navigate queries & are first access
Thank you for all you do
Include them in decisions & improvement work
Barriers created in healthcare services cause “lack of engagement” not patients. Maybe rather than “how do we reach them” it’s “how do we redesign so they can reach us?”
Anyone know about the unwritten rule that you can’t “jump” past pay bands in
#NHS
? If you go for an interview that’s 2 bands higher than your current one & you get the job-all hell breaks loose
There will be no celebration or congratulations. The shock spreads like wildfire 🙈
Seen lots about wellbeing for
#NHS
staff and have drawn something free for use. ‘Basic needs at work’ charter
Every staff member should self assess with this
Every Chief Exec and Senior Leader should sign up to this
Change can happen through escalation
Someone, somewhere cares
To my fellow
#NHS
managers, admin staff & office workers, your roles are critical in helping manage the patient backlogs, organise the clinical sessions, support our clinical staff to focus on patient care (not on organisational tasks) without you, things would fall apart
“Are you clinical?”
“No”
“Oh…ok”
Non-clinical staff are just as valuable in the
#NHS
We care about our patients
We care about our staff
We help make things easy for you
We have some clinical knowledge
We are experienced
We spot things you might miss
We have our role too 💙
Here’s my latest pictorial describing “what is clinical governance” in
#NHS
#Healthcare
Governance is not and should not be used as “red tape” or “hinderance”
It is the fundamental backbone for keeping patients safe, cared for and well during our care.
A salary or job title might be “greater/higher” than others, but it doesn’t mean you are better than them, know more or are deserving of more opportunities
Seniority does not always mean greater intelligence, experience or productivity
Judge the individual not the title 🙌
Would anyone be interested in joining a space to celebrate, empower & inspire creative thinking for carrying out improvement work? Maybe we could have a theme every month & join forces to spur each other to excel? Appreciative inquiry at full force ✊
Once I worked so hard on a project only to be in the shadows when it was praised & congratulated
My more vocal, extroverted & confident colleague took over, she was fab at speaking. I couldn’t compete
To the quiet improvers, you’re doing amazing don’t let others drown you out
Being a Manager in the
#NHS
is so much more than “finance” and “beds.” It’s a complicated, demanding & varied role; often behind the scenes keeping things effective, safe, efficient, accessible & positive for patients. Also, supporting & leading a range of staff in many ways
I don’t care about job titles, hierarchy, status and privileges in a leader.
I care about how honest you are, approachable, inclusive, how you own your mistakes, ask for help & cheer on your team 🧁
I no longer think improvement and transformation can work if the basic needs for staff are not met. How can they carry out improvement if they are struggling & feeling stressed? Improve their working conditions first
@NeedsAtWork
Todays doodle:
“Hard to reach”
“Disengaged”
“Being difficult”
“Not responding”
Make sure you check it’s not
“We are inaccessible”
“We are not communicating right”
“The service is too complex”
“Our resources are not universal”
What we find “easy” is not the same for everyone
I have been thinking about coming off X but I think there’s still some decent people on it & in my little corner I will continue to share some doodles of hope & positive vibes
Sonia Sparkles was created on the notion we still shine through the darkness 🌟
Email Traffic System
Here’s a fab way of staying on top of emails & keeping that traffic flowing. With thanks to creators
@michelleljcox
@JoanneStreet9
Instead of “complaints process” there should be an “improvement process” that allows patients & families to be co-leads on what’s needed
Complaint processes are too detached & action plan oriented without proper improvement methodology or longevity. “Actions” are not improvement
Be more email conscious 📧
Does it need to be sent?
Does it need to go to everyone?
Is it easier to talk?
Do you really need to reply?
Is your reply kind?
Can it wait?
We need to stop saying “hard to reach” patients
Many patients are disadvantaged by OUR approach, design & biases in healthcare
This is why it’s so important to have a diverse workforce and co-design with patients
Maybe the problem is us in healthcare- not them
To make wellbeing meaningful, your basic needs must be met. You cannot grow without them
Join
@NeedsAtWork
to help me campaign for the basic needs for staff being met at work 💛🧡
#BasicNeedsAtWork
#NHS
🌳 🍃
Todays doodle: Spending 15 minutes at the end of a working day to reflect can help us to really switch off & stop those nagging thoughts - start a journal or just jot it down!
New pictorial!
Understanding your wellbeing needs at work & what to do to meet them is so important
My hierarchy
#wellbeing
checklist can help you understand what level you are at -use it as a conversation starter & make your wellbeing needs a priority
Learning & development opportunities should NOT be defined by your pay band in the
#NHS
Just seen a post about developing your leadership skills - band 5 & above only
Some managers and leaders are bands 2-3-4. Assess with the individual, not by how much they get paid
#bandism
I’ve updated my “Basic needs at work” charter to include tick box & a template
If anyone thinks these things are not affordable, NHS spent over £6 billion on bank & agency last year. Only a fraction of that is needed to stop some staff leaving & feel valued = less gaps
Nurses are amazing. One of the toughest jobs with so many challenges yet their love & care shines through. We need to look after them so they can look after others
@WeNurses
If “length of stay” is changed to “time away from home” what impact would it have? Change the language. The purpose. The WHY in healthcare.
We need to keep patient time I focus. Their time is Precious. Wisdom from Dr Amit Arora
@betterageing
at
#NHSConfedExpo
@NHSConfed
🧵 I compare myself ALL THE TIME and I hate it. I need to stop. I want to appreciate what I have and who I am. Stop chasing all the time.
🧵 Here’s my 16 go to points to help stop comparison from taking over your life. Change starts today! 🍁
So that’s a snippet of what
#NHS
Managers do - under environments of stress, lack of resources, demands, conflicts, deadlines, regulation, trying to motivate others & critics questioning your value. A lot of bureaucracy is driven by external, national & system level expectations
To every manager,
Let your staff have time off to show up for their kids
Let them be parents when it’s most important
Let them be the reason their child smiles, soars & flourishes
A few hours impacts a child’s lifetime
From
Every parent
Things that should be banned:
- Reports longer than 3 pages
- Meetings longer than 45 mins
- Job titles with more than 4 words
- Action plans with hundreds of lines
- Data that’s impossible to understand
- A checklist for a checklist
- Creating more work for no reason
😃
Being more consciously kind to others can have significant benefits for you as well as the recipient. Kind behaviours lead to better environment, mindset, outcomes and performance
#KindnessMatters
Dear
#NHS
Managers,
How are you holding up?
There’s so much you do
I drew just a few
How do you make it all fit?
Order, organise & sort it all out?
The booking, calling & planning
The juggling, creating & finding
You are the glue
We see what you do
And to us, you matter too
I love authentic leadership
It’s about being real, honest & being true to your values. Not about authority or pleasing your senior leaders
You are just you, are consistent and not playing a role
You make personal connections with others, lead from the heart & are honest
If you have
Cried at work
Felt angry
Stressed or burnt out
Dismissed or belittled
Ignored or forgotten
Scared or anxious
Then you can appreciate things like
Kindness
Compassion
Listening
Recognition
Trust
Empathy
Are NOT “fluffy” - they matter more than actions/performance
PS: I will be writing to every CEO asking them to adopt this. I care so much about our wonderful NHS. Without the staff, it would collapse. Also happy to tweak to meet different requirements. Will let you know how it goes 😁
Seen lots about wellbeing for
#NHS
staff and have drawn something free for use. ‘Basic needs at work’ charter
Every staff member should self assess with this
Every Chief Exec and Senior Leader should sign up to this
Change can happen through escalation
Someone, somewhere cares
Todays doodle: Being present. The bigger picture of everything going on can be overwhelming.
So start small and just focus on today. The now. The present.
Small things that can help reduce burnout and increase wellbeing - might not solve everything but we can still do the small things consistently through our behaviours, investment & intentions
What a difference small changes at work can make
A locker
Hot food
Access to a computer
Scrubs that fit
Having a break
Being able to have a drink
Get spiritual support
Good lighting
Heating
They are not expensive and can help staff in
#NHS
BASIC
NEEDS
MATTER
@NeedsAtWork
Want to improve
#culture
?
Start with
#kindness
being more regular
Move towards regular and consistent methods of spreading it - don’t rely on those annual events to improve it
#OD
👉
Back to back meetings don’t = increased productivity
⛔️ Stop creating culture that values it
⛔️ Block time with tasks you are doing
⛔️ Have shorter meetings
⛔️ Say no to meetings without purpose
⛔️ Ask can we talk another way
⛔️ Always put in your breaks
⛔️ Add when day ends
You need to know your teams emotional status; only then can you strive to move upwards to a “happy” workplace
It’s not something you can just jump to with a “teamwork event” - it takes time, nurturing & motivation
Keep checking in on how people feel 🪜
Our biggest downfall is thinking if we work harder, the workload will decrease - when in fact, it just increases, you become expected to work at that level & you spiral into exhaustion, stress & burnout
This is your sign to stop ✋
“They are not engaging. They are hard to reach. They are being difficult. They are resistant.”
What about it being flipped to:
“How can I engage better? How can I be more accessible, visible & on the same level? How can I make things easier, less complex & be more welcoming?”
Leadership behaviours for quality improvement
Curious -Ask why & what else
Creative -Imagine new ideas
Empower -They can do it!
Persistence -Don’t give up
Experiment -Try things give it a go
Learning -Good & bad
Listening -To learn & understand
Reflect -learn from experiences
Data does not need to be scary
Data does not need to be complex
Data does not need to be perfect
But you need some to understand where you are at and track where you are heading!
It “feels” better is good-but not enough!
#QI
& data for
@ELFT_QI