Fab Change Day 2016 took place on October 19th where thousands of people from over 150 NHS organisations made pledges to improve healthcare. Following the event, five major themes emerged - dementia, sepsis, home first, patient experience, and leadership. 100 people then met in January 2017 to discuss the best ideas to address these topics. The document provides more details on initiatives and actions proposed for each theme.

1. Outcomes report

2. @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

3. DementiaDo
Fab Change Day
Doathon Report

4. 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.

5. 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.

6. 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

7. 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

8. 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/

9. SEPSIS
Fab Change Day
Doathon Report

10. 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?

11. Our approach
1. Help clinicians to be sepsis-aware.
2. Equip the public with knowledge and
understanding about sepsis.
flickr / presidenciamxx

12. 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.

13. 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.

14. Home First
Fab Change Day
Doathon Report

15. 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

16. 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 mindset
Individualising 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

17. 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!

18. 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

19. Patient Experience
Fab Change Day
Doathon Report

20. 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.

21. 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

22. 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

23. 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.

24. 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

25. Leadership
Fab Change Day
Doathon Report

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

27. Introduction
Hundreds 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”

28. 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

29. Our approach
The 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

31. flickr / dvids
Introduce yourself to
everyone
I 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/

32. flickr / lylevincent
Talk less,
listen more
I 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

33. 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 Hospital
Nottingham Just Do-it
flickr / lesphotosdejerome
Encourage others to
step up and lead

34. 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

35. 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

36. 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

37. 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

38. 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

39. 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

40. 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

41. 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

42. Created by the Fab Academy with support from the Horizons Team
@whooseshoes