Outcomes report

@leighakendall

Fab Change Day 2016 took place on October 19th 2016. Thousands of people from over 150 NHS organisations, along with many others outside the NHS, made pledges and took action to improve the service.

Following Fab Change Day, we took five of the major themes that emerged and brought 100 people together in January 2017 to pick the best ideas to share across the NHS.The five topics were:• Dementia• Sepsis• Home first• Patient Experience• Leadership

DementiaDoFab Change DayDoathon Report

What is the issue?

• Dementia can’t be pigeon-holed into health or social care.

• It’s a cognitive disability, so we need to build ramps.

• There is no recognised sign or symbol to indicate dementia.

• Dementia carries a stigma – how might we break free and talk openly about it?

• Our dementia language is negative and unhelpful.

Our approach #DementiaDO is about low/no cost high impact changes involving the whole community in making life better for people with dementia & their carers. Read more in this blog.

Change doesn’t have to cost – a welcoming smile and a handshake can mean so much but costs nothing! 

We can’t afford to repaint our hospital in dementia-appropriate colour schemes & principles now, but we can commit to doing next time we redecorate. 

We can’t make all our policies & procedures dementia-inclusive overnight either but we can tackle them one at a time, when they come up for their ‘review-by’ date.

Our Quick win DOs • Know the person with dementia -

#hellothisisme. Commit to a pilot in your Trust / ward / area

• Visit the Academy of Fab Stuff dementia zone – terrific projects of all sizes and types

• Create a campaign in your area to commit to “no person living with dementia will miss a meal in my unit”. Explore the idea of Dining Companions. Involve local volunteers and managers to join in

• Join the Dementia Action Alliance

Our longer term DOs• Hear the voices of those living with dementia

& their carers. • Create a strategy group or join existing.• Commit to being a core member.• Sign up to John’s Campaign.

• Clear out the Clutter:• Review all dementia documentation for

negative language (e.g. dementia patient rather than ‘person living with dementia’).

• Review falls policy for use of restraints, bed rails etc for people with dementia.

• Open up dementia training to carers.• Visit DementiaDo.• Read dementia initiatives that work and get

inspired

Now: take action• Share with friends on social media:

post a link on Facebook or Twitter• Share with colleagues: do a

presentation • Be part of the conversation, use

the #DementiaDo and #hellothisisme hashtags to keep the conversation going.

• Contact us and let us know what you’ve done on the Fab Change Day website.

Get more information and inspiration at https://fabnhsstuff.net/

SEPSISFab Change DayDoathon Report

What’s the issue?

flickr / joebehr

• Visibility of sepsis in public consciousness & media is very low

• “What is sepsis?” is a difficult question to answer in a simple and easily understood manner

• Stories convey the miserable impact of sepsis – we need more, properly told and described

• Sepsis training is often done ‘behind NHS closed doors’. Could we open it up to all interested?

• Outside of the NHS there are few channels being used to educate and raise awareness.

• How might children and schools be educated about sepsis and the perils therein?

• How might we better educate poor health-literate areas and communities about sepsis?

Our approach

1. Help clinicians to be sepsis-aware.

2. Equip the public with knowledge and understanding about sepsis.

flickr / presidenciamxx

Our quick win DOs Go to Sepsis Trust website and download leaflets &

resources for use in your trust. Toolkits can be downloaded here http://sepsistrust.org/clinical-toolkit/

Contact your Trust comms team and ask them about their sepsis comms strategy. If it needs to be improved or is non-existent, then volunteer to be the connector to the sepsis clinicians. http://fabnhsstuff.net/2016/09/20/think-sepsis-save-lives/

http://fabnhsstuff.net/2016/07/03/think-infection-stop-sepsis-northumbria-healthcare

Introduce the Sepsis Game to your Trust in clinical meetings and waiting rooms.

Our longer term DOs Create a social media sepsis campaign. https

://fabnhsstuff.net/fabchangeday/campaigns/sepsistoolkit/

Set targets for clinicians to discuss sepsis at handovers, huddles & ward observations. http://fabnhsstuff.net/2017/01/30/think-sepsis-spot-treat-stick-beat/

Lead a ‘twit-chat’ [#owningsepsis / whatissepsis], to invite ideas for concrete, practical actions to combat sepsis in the Trust.

Engage with your Trust’s QI team & encourage them to design a targeted sepsis challenge.

Home First

Fab Change DayDoathon Report

What is the issue?We thought about how to address one of the toughest problems NHS and social care is facing. How to get people back to their own homes faster and safer and keep them there.

• Home First is a way of thinking. If we can start to think ‘Home First’ then our actions follow in a different way.

• There are plenty of great examples in daily use – but they are not easily collected and copied.

• The language that we use in health and social care is not always patient-friendly. ‘Delayed transfers, awaiting assessment’ and so-on.

• This needs to be realised at the front-line a grass roots inspired movement – top down mandate won’t work.

• Asking clinicians, therapists and social workers ‘how could we’ is often overlooked.

flickr / zeevveez

Our Quick win DOs

flickr / pnoeric

• Visit the Academy of Fabulous Stuff web-site to see a raft of Home First initiatives already in daily practice. What can you copy, what can you do better? Have a look…Developing a home first mindsetIndividualising pathway re-enablement

• Challenge the language. Make a personal decision to say “conversation” rather than “assessment” for example. Try “expected” not “estimated”.

• Visit the DH website to get Quick Guides such as Better Use of Care At Home

Our longer term DOs

flickr / atoach

• Therapists first – arrange a meeting of therapists from your local health economy and ask them what works to get people home. What to improve. With them, develop a 30 day action plan. Here’s an idea you can use.

• Start a conversation about sharing patient records and data within your health economy. Identify the log jams between services and create local, workable solutions to smash them. Here’s how to start.

• Create MDT case study meetings and joint working initiatives. Formalise dates and agendas. Make it part of the working month.

• Be the Pioneer!

Now: take action• Share with friends on social media:

post a link on Facebook or Twitter• Share with colleagues: do a

presentation • Be part of the conversation, use

the #HomeFirst and #hellothisisme hashtags to keep the conversation going.

• Contact us and let us know what you’ve done on the Fab Change Day website.

Get more information and inspiration at https://fabnhsstuff.net/

flickr / juliedecaluwe

Patient Experience

Fab Change DayDoathon Report

What is the issue?

• When people come into contact with health services, they are often feeling vulnerable, confused and out-of-their-comfort zone.

• The role of professionals is both to treat their symptoms but also provide them with reassurance and comfort.

• Focussing on Patient Experience ensures patients don’t just get better; they feel better.

Our Quick win DOs • #STOPTHEJARGON. MDTs, IOL, AAW,

CCU, PAU, NPT – use of acronyms and jargon with patients leaves them confused and intimidated. So stop it!

• Silent observing – sit for 2 hours watching and hearing patient and staff interactions. Make notes and provide positive feedback to staff. There is a lot to be learned by being a people watcher.

• Staff huddles to share patient information rapidly and effectively.

flickr / jonnygoldstein

Our Quick win DOs • 4Ws for our friends the Porters – welcome,

warm, water, warning. Set up a meeting with Head of Portering to introduce the importance of the Four W’s.• A warm welcome, a friendly greeting

goes a long way; ‘Hello my name is’…,• Check to see that the patient is warm

enough• Does the patient need a drink, check

and suggest it,• Warn the patient if they are likely to

experience a bump or unavoidable jolt because of a change in level; crossing the street or in some of the older lifts.

flickr / tamaiyuya

Our longer term DOs

flickr / presidenciamxx

• #FirstFiveMinutes – create a toolkit for capturing patient experience and highlighting key aspects.

• What are the 10 factors to measure and improve the patient experience where you work.

• Create empathy for patient experience by viewing with patient insight. Beg borrow or steal a frailty suit and see for yourself what it’s really like.

• Don’t wait for the next Fab-Change-Day have patient experience days and ask everyone for recent experiences, good and bad, to see what can be learned and done better.

• Have a welcome to our ward / unit / practice, policy and spell out what a ‘welcome’ means.

• Create a positive and patient-centred introduction for patients, using language familiar to them.

• Work with patients to decide what information should be included.

Now: take action• Share with friends on social media:

post a link on Facebook or Twitter

• Share with colleagues: do a presentation

• Be part of the conversation, use the #PatientExperience and #hellothisisme hashtags to keep the conversation going.

• Contact us and let us know what you’ve done on the Fab Change Day website.

Get more information and inspiration at https://fabnhsstuff.net/

flickr / Justien Van Zele

LeadershipFab Change DayDoathon Report

“A leader is one who knows the way, goes the way, and shows the way.”John C. Maxwell

@helenbevan

IntroductionHundreds of leaders from the health and care system made pledges for Fab Change Day, 13th October 2016. As a result, “leadership” was identified as one of the five key themes at the Fab Change Day Do-athon.A group of 26 people from across the health and care system came together to identify actions that leaders could take all year round, not just on one day to make a difference in health and care.

“I pledge to get as many execs and non-execs as

possible to visit the wards during Fab Change Week

and dine with the patients; I will also try to get this challenge repeated at

least monthly.”

 

“I will develop a local leadership

programme that will bring clinicians,

managers and social care colleagues

together”

 

“I pledge to continue building links between

trainees and senior leaders through

increased opportunities including mentoring”

What is the issue?

The team started by thinking how they would design a system of leadership that would deliberately fail. They then compared that to the current situation and identified lots of similarities between the route to failure and what actually happens.

flickr / dexflu

Our approachThe group wanted to highlight and increase the visibility of positive leadership traits. In the spirit of the Academy of Fabulous Stuff and Fab Change Day, they created the term ‘Fab leaders’, who create the conditions where everyone can do their best; they set their team and organisations up for fab-ness.

There was a recognised need to end the mystique and fables of leadership. Instead the team wanted to make leadership simple to understand. To this end, they came up with 10 things that Fab Leaders do.

flickr / joebehr

flickr / dvids

Introduce yourself to everyoneI don’t assume that everyone knows who I am just because of my status, reputation or long standing.

See the Hello My Name is… campaign for more ideas on this topic:http://hellomynameis.org.uk/

flickr / lylevincent

Talk less, listen moreI seek understanding before I seek to be understood. That means REALLY listening AND putting my phone away.

A useful article on listening in leadership:Listening is an overlooked leadership tool

I help others to develop as leaders, letting them make mistakes and supporting them to learn from it.

Some ideas shared on the Fab site:Supporting staff innovation at Aintree HospitalNottingham Just Do-it

flickr / lesphotosdejerome

Encourage others to step up and lead

I live the values of my organisation or team in my words, actions and deeds every day.

A great idea shared on the Fab site:Lancashire CEO back to the floor

flickr / mcdermottd

Walk the talk – always

I give time to others (team members, patients and families, colleagues, staff, partners). I regard the time I invest in learning from others as at least as valuable as writing reports and answering emails

A useful article about being accessible:Great leaders are accessible

flickr / pasa

Be accessible

I acknowledge other’s contribution, say “thank you” a lot when thanks are due, and publicise and celebrate other people’s successes

Some ideas shared on the Fab site:Encouraging people to say thank you

Wall of Fabulous Thank Yous

flickr / signote

Give others credit

I don’t have all the answers; other people may have better ones. I seek out feedback and encourage diversity and dissenting views because they often lead to better results.

flickr / tristanloper

Welcome challenge

I manage the balance between exerting authority when others need certainty and direction AND trusting other people to deliver.

A great idea shared on the Fab site:Speed Dating in Wirral

flickr / bayareabias

Work out when to intervene and when to leave

I remain positive and engaged even if I’m having a really bad day. I don’t impose my bad mood on other people.

Some ideas shared on the Fab site:Speed Dating in Wirral

flickr / foilman

Be consistent

I reflect on my own behaviour and performance, seek to improve it and make time for my own learning.

A great idea shared on the Fab site:Acorn badges presented as a welcome to new nurses

flickr / ben_grey

Prioritise self learning and improvement

Now: take action• Share with friends on social media:

post a link on Facebook or Twitter• Share with colleagues: do a

presentation • Be part of the conversation, use

the #doathon hashtag to keep the conversation going.

• Contact us and let us know what you’ve done on the Fab Change Day website.

Get more information and inspiration at https://fabnhsstuff.net/

flickr / iain

Created by the Fab Academy with support from the Horizons Team

@whooseshoes