Presentation by Joe McCrea to NHS Change Day Seminar hosted in London by Sir Bruce Keogh, Medical Director of the NHS - 7th Ma7 2013

1. What did the pledges tell us
about what matters to staff
and patients?
Joe McCrea
Social Media Lead for NHS
Change Day

2. An NHS social
movement for change
“Change is not the goal.
The goal is the goal”
A different approach
to transformation
Different....
A concentration on
impacts and outcomes

3. The biggest single
improvement event in
the history of the
NHS...
...and therefore of any
organisation in the
world
Historic

4. 189,000 pledges
made by frontline staff
and health
organisations
Enthusiasm for change?....
Pledge Total - 14th Feb to 13th March
Staff don't need to be given
direction to initiate or publicly
suggest change. Given the
opportunity and freedom
they will actively and
enthusiastically choose to do
so
Enthusiasm for change?....oh yes...

5. 76% of pledges
involved less than
9 people
54% of pledges
involved 1 person
93% of pledges
involved less than
50 people
A mass movement

6. Trusts lead the
way
Pledges from
across the NHS
Wide support from
NHS-aligned
organisations and
individuals
Across the NHS and beyond

7. Primary Care has
particular growth
potential - 5% of
CCGs and 0.1% of
GP practices
25% of NHS
Organisations
overall took part
But potential for so much more...

8. 189,000 pledges
made by frontline staff
and health
organisations
68% pledging
Better Patient
Care or Spreading
Innovation
Pledge Types

9. The power of a smile
36 pledges encompassing almost 3,500
people involved simply “smiling” with
fellow staff or patients
including at:•
Newcastle Upon Tyne NHS Trust;•
Birmingham Children’s Hospital;•
Oxford Health NHS
Trust;•
The Christie Hospital;•
Basildon and Thurrock
NHS Trust;•
Northampton General NHS Trust;•
Worcestershire Hospital NHS Trust;•
Shropshire
Community NHS Trust; and•
Chesterfield Royal Hospital.

10. Simple things make a difference
Clear out redundant and out of date paper
documents in offices from previous
managers and archive area to clear space
for operational work.
Made a huge difference in
the receipts and distribution
area within the Trust. 200
archive boxes were taken
away and confidentially
destroyed

11. The smallest voice can be heard
A 14 year old boy passed a note to his
nurse, Kath Evans, asking staff to interact
with patients a little more - because they
can be scared or worried
Kath promised to bring his
note to the attention of her
colleagues and the NHS

12. Help can always be given
East Cheshire Commissioning Consortium - create
a weekly opportunity for all staff to ask the
question “what have I done to help a patient this
week?”
Examples do not just include what they
have done directly as a result of the work
that they are ‘employed’ to do but also
recognise what they do when they do
come into contact with a patient – and
that can be a family or friend – be it in the
car park, supermarket or on the street.

13. 100+ little things can come together
Derbyshire Community Health Services NHS Trust
organised over 130 pledges involving over 400
staff. One of the biggest was the mobilisation of
over 220 local Innovation Scouts
All pledges have been logged locally by
the Innovation Hub who will follow up on
all pledges within 3 months. The Chief
Executive has pledged to report back to
the whole organisation on the progress
and sustainability of her pledges,

14. If you don’t ask, you don’t know...
“
I pledge to ask every child, young person,
parent or carer we see one thing they would
like to improve about their experience of
care”
“
I pledge to remember to ask if my more
junior colleagues have had a chance to stop
work for lunch or for a break.”
“
I pledge to publicise the launch of our new
real time experience system - to enable
people to feedback about our service in
real time”

15. It costs nothing to say ‘Thanks’
“
I pledge to make my work colleagues feel
supported and valued. To remind them of the
great jobs they are doing everyday”
“
As a nurse I pledge to say thank you to the
healthcare assistant I work with; asking her
what more I can do to support her in her
work”
“
Everyone working in the NHS deserves to
feel appreciated for the work that they do. It
doesn’t take much to do this, just a simple
“thank you”

16. Change can also be big
Queen’s Hospital, Romford pledged to
create a Wellbeing Centre
University Hospitals,
Leicester pledged to
introduce a more
accountable electronic
record-keeping system
in their dermatology
department

17. Everyone can create ripples
“Each of us can work to change a small portion of
events, and then the total — all of these acts — will be
written in the history of this generation.”
“Each time a man stands up for an ideal or
acts to improve the lot of others...he sends
forth a tiny ripple of hope, and crossing each
other from a million different centres of energy
and daring those ripples build a current which
can sweep down the mightiest walls of
resistance.”

18. Social media drives social action
6,000 YouTube Views
19 million Twitter
impressions
33,000 extended
Facebook audience
1,000+ access to
Podcasts

19. Enthusiasm for change?....oh yes...
The power of a smile, the smallest voice can be heard
Simple things can make a difference, 100+ little things
can come together, but change can also be big
If you don’t ask, you don’t know... it costs nothing to
say ‘Thanks’ and help can always be given
Everyone can create ripples and social media drives
social action
A mass movement across the NHS and beyond, but
potential for so much more..

20. Change can be enormous FUN!...
Our most
watched
YouTube
video!

21. What did the pledges tell us
about what matters to staff
and patients?
Joe McCrea
Social Media Lead for NHS
Change Day