Mike Cooke, Chief Executive of Nottinghamshire Healthcare NHS Trust, spoke at our conference, Patient voice and power in the new NHS.
Mike drew on his experience both as a leader within the NHS and as a service user, stressing the importance of openness from leadership and the involvement of patients in their care and in health care research. Mike advocated for a cultural transformation to help this happen.
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Mike Cooke: Hearing the patient voice and responding, a view from both sides
1. about Recovery
Positive about Integrated Healthcare
HEARING THE PATIENT VOICE
AND RESPONDING
A VIEW FROM BOTH SIDES
King’s Fund
5 November 2013
Professor Mike Cooke CBE
Chief Executive
1
3. about Recovery
Positive about Integrated Healthcare
INTRODUCTION
Openness – wanting to Hear, Listen and Respond
Involvement – working with people – Paul Sanguinazzi
Partnership –changing services, changing culture, changing
minds
Recovery [and Discovery]
Recovery Education College
FT – Membership, Communities of Interest
CLAHRC’s and Patient and Public Involvement [Senate]
Receptive culture and authentic leadership 6 years ago
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5. about Recovery
Positive about Integrated Healthcare
OPENNESS – WANTING TO HEAR,
LISTEN AND RESPOND
Positive – Values, ‘what we stand for’
Voice reports – Each Board, each month
Service User Carer Experience Survey [SUCE] 30,000+
Patient Opinion – real time service user/carer feedback
www.feedback.nottinghamshirehealthcare.nhs.uk
Patient Experience Challenge – the deal is:1] Capture 2] Share 3] Respond 4] Feedback
5
7. about Recovery
Positive about Integrated Healthcare
INVOLVEMENT – WORKING WITH PEOPLE
Invested historically in this – The Resource, Involvement
Centres, Recovery Education College
Paul Sanguinazzi, Wathwood Medium Secure Services
Not ‘dragging people into meetings’, involve in whole
agenda
Employment Resourcing Interview Forum [ERIF]
Strong approach, creative deployment e.g. Learning
Disabilities, Deaf Community
Winner of National E Health Insider Award – 10/10/13
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9. about Recovery
Positive about Integrated Healthcare
PARTNERSHIP – CHANGING SERVICES,
CHANGING CULTURE, CHANGING MINDS
Purpose of involvement – be up front about it
It is about improving outcomes – ‘new chairs on the
wards’; ‘no intensive care beds Mike’ ‘student or patient?’
Executive Leadership Council
Business Plans – Confirm and Challenge
3 rules:1.
2.
3.
Involvement of the right partners people [be inclusive]
Set objectives you cannot achieve on your own
Be brutally honest about progress
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11. about Recovery
Positive about Integrated Healthcare
RECOVERY [AND DISCOVERY]
Strategy
Personal
Recovery plan
Advance
Statement
Taking back
control
‘Someone to love, somewhere to live, something to do’
ImROC [Implementing Recovery through Organisational
Change]
Demonstration Site
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13. about Recovery
Positive about Integrated Healthcare
RECOVERY EDUCATION COLLEGE [REC]
Alongside Peer Support Workers – this is a key focus
‘Outpatients being discharged to students being graduated’
A card carrying Student [54] and Lecturer!
Examples of courses
Rolling this out
Julie Repper, Helen Brown
REC – build skills, is strengths-based, is social
technology that works
13
15. about Recovery
Positive about Integrated Healthcare
FT MEMBERSHIP
Public/Patient/Service Users/Carers 9082 [Public] 8847
[staff] + Living in Both Worlds
Communities of Interest – e.g. Deaf & Wellbeing; Looked
After Children
Passive
Membership
Semi passive
Active
Governors, Ambassadors, Volunteers [17-82], Peer
Support Workers, Staff promoted, developed further
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17. about Recovery
Positive about Integrated Healthcare
CULTURE AND LEADERSHIP
P
PEOPLE:
O OPENNESS:
S
I INTEGRITY
T TRUST
SAFE, SOUND, SUPPORTIVE, SENSITIVE
I
V
VALUE
E
Y = you and how you behave
E = effectiveness
S = style
EXCELLENCE
INNOVATION
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18. about Recovery
Positive about Integrated Healthcare
CONTACT DETAILS
Mike.Cooke@nottshc.nhs.uk
www.nottinghamshirehealthcare.nhs.uk
Nottinghamshire Healthcare NHS Trust
Duncan Macmillan House
Porchester Road
Nottingham
NG3 6AA
www.clahrc-ndl.nihr.ac.uk
www.crncc.nihr.ac.uk/about_us/ccrn/trent
www.mentalhealthclinicians.org.uk
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