Political LeadershipHow to influence! And Current OH Issues

Carol Bannister

Royal College of Nursing of the United Kingdom

Political Leadership in Action - Influencing Policymaking

Identify the issue you are seeking to change

Turn the Issue into a proposal for policy

change

Map out your supporters within your constituency and start

talking

Work with your supporters to develop

a collective voice

Identify the policy outcomes you all agree

you want to see

Identify your stakeholders and decide whether they

will support you or not

Construct different messages for different stakeholders to gain

their support using evidence and experience - start lobbying

Build and use your networks to influence the outcomes

you desire - seek to collaborate

Negotiate coalitions and align common goals with other stakeholder bodies

Review learning, evaluate policy outcomes and implementation

process

Health policy change

Step 1

Step 7Step 6 Step 5

Step 4

Step 3

Step 2

Step 9

Step 8

Step 11

Step 10

Identify the issue & the policy

solution

Plan your influencing

strategy

Make it happen

Evaluate your impact

What you need

Political Coach& Political Mentor Credible within policy/political field Be committed to developing you as a political

leader Monitor your performance and assist to

collect evidence to demonstrate effectiveness Have time and energy to support you

Identify the issue & the policy solution

Identify the issue you are seeking to change

Turn the Issue into a proposal for policy change

Map out your supporters within your constituency and start talking

Plan your influencing strategy

Work with your supporters to develop a collective voice

Identify the policy outcomes you all agree you want to see

Identify your stakeholders and decide whether they will support you or not

Make it happen

Construct different messages for different stakeholders to gain their support using evidence and experience - start lobbying

Build and use your networks to influence the outcomes you desire - seek to collaborate

Negotiate coalitions and align common goals with other stakeholder bodies

Health policy change

RCN Principles- a framework for evaluating health and social care policy – 4 main principles Quality

Accountability

Equality

Partnership

Quality

Dignity

Safety

Standards

Sustainability Competence

Responsibility

Accountability

Involvement

TrustLeadership

Transparency

Equality

Advocacy

Diversity

Access

Universality

Equity

Partnership

Consultation and Negotiation

Representation Legitimacy

Collaborative decision making

Welfare Reform Bill, UK 2006QualityStandards Working across government departments for a seamless policy delivery

and UK wide standard setting.

Dignity Promoting self reliance, dignity and independence Work as a positive route out of welfare for those able to make the

transition

Competence Access to quality standards Access to training and support and supervision Competence, Capability assessment training

Welfare Reform Bill, UK 2006Accountability

Transparency Partnership approach to legislation/policy

implementation

Involvement Role of general practice staff and primary care teams Role of occupational health nurses Role of school nurses

Welfare Reform Bill, UK 2006EqualityEquity Overcoming poverty, exclusion and disadvantage Investment in individuals in a stable and growing economy

Access Principles of devolved government and diversity Access to appropriate infrastructure - for return to work Widening access - Poor coverage of OH service provision across the UK to case management and sickness certification

Universality ‘best practice’ - Pathways to work pilot roll out Workforce capacity building

Welfare Reform Bill, UK 2006Partnership

Representation, Consultation, collaboration and negotiation

Employer and employee engagement OH Professionals Claimants Other stakeholders – e.g. single issue lobby groups

The RCN welcomes:

Promoting self reliance and independence Work as a positive route out of welfare for those able

to make the transition Overcoming poverty, exclusion and disadvantage Investment as individuals in a stable and growing

economy Working across government departments for a

seamless policy delivery Principles of devolved government and diversity

Key Policy Messages for OHN’s Partnership approaches and involvement of nurses and other

stakeholders at all stages respect for the views of nurses Valuing and enhancing the skills of nurses Sufficient funding for workforce planning, capacity building,

training and supervision Access to sickness certification by nurses – change in Law Infrastructure of occupational health care to enable all to benefit National standards of competence and service delivery to

achieve equity

Key issues for nurses in practice Access to appropriate infrastructure for

management of return to work Promotion of rehabilitation and recruitment

‘best practice’ - Pathways to work pilot roll out Role of general practice staff and primary

care teams Role of occupational health Role of school nurses

Key issues for nurses in practice

Placement of employment advisers Access to quality standards Access to training and support Competence, recruitment and training Workforce capacity building Widening access to case management and

sickness certification Employer engagement

Nurses want to help!

Partnership approaches Valuing all professional practitioner input to the

process Valuing and enhancing the skills of nurses Sufficient funding for workforce planning and training Sickness certification by other health care workers Capacity building for nursing support Infrastructure of occupational health care to enable

all to benefit

Evaluate your impact

Review learning, evaluate policy outcomes and implementation process

NMC and 3rd part of the Register NMC web pages for portfolio route at the end

of the month Access information and guidance and pack Practice educators needed for OHN practice

parts of the curriculum Specialist content to remain in courses 4

generic and 2 specialist routes.

Welfare reform summit

RCN activists from range of nursing backgrounds

Meet on 27th October– Improving access to work– Reducing sickness absence and sick certification

by nurses– Investing in wellness and occupational health– Addressing work related heath– Public health approaches

Commissioning Work and Health for the NHS RCN to act as an expert witness for

commissioning needs Raising the profile of health and work given

the targets trust have to meet What can OH do for trusts and employers What is needed in the future given

government agenda.

Now - your policy!!