The document summarizes the process of crowdsourcing input from Allied Health Professionals (AHPs) in the UK to develop a strategy and mandate for change in the NHS. Over 1,900 AHPs from across the UK and other countries provided over 16,000 contributions online over two phases to identify key challenges and priorities. Analysis of the input revealed four ways AHPs can impact the health system and four commitments, as well as four themes and 16 specific enablers to realize their potential. The crowdsourcing approach engaged more people than traditional methods and generated valuable insights to inform the upcoming "#AHPsmandate" strategy to be launched in October 2016.
Crowdsourcing a strategy for #FutureNHS #AHPsMandate
1. Crowdsourcing a strategy for #FutureNHS
#AHPsMandate
Suzanne Rastrick
Chief Allied Health Professions Officer
Dr Joanne Fillingham
Clinical Fellow to the Chief Allied Health Professions Officer
2. NHS Five Year Forward View
• Published in October 2014
• A shared vision across seven
national bodies
• New care models programme key
to delivery
• Focuses on both NHS and care
services
3. The challenges we face
Radical upgrade
in prevention
Health and
wellbeing
gap
1
New care
models
Care and
quality gap
2
Efficiency and
investment
Funding gap3
3
6. Agreement that gains can be
made for all AHPs and the
health and care by working
towards common goals and
challenges together.
• National conversation about
collective impact of AHPs
• What do we need to start,
stop, or differently?
• Examples of how we are
doing this already.
Professional bodies workshop
AHP strategy?
8. The obvious reasons for using crowd-sourcing in place of traditional methods are:
• engage more people within the process of solving challenges and generating
insight;
• engage people that are time constrained and geographically dispersed;
• reduce engagement costs – using less resource and time to reach out to staff
and customers to get feedback;
• reduce the innovation cycle time – creating collective insight and catalysing
collective action, fast.
• We’ve also found a reason that is much more important – half of the best ideas
lie within the 80% of people who normally don’t contribute.
*Clever Together http://clevertogether.com/web/
Why crowdsource?
“helping great leaders listen and empowering great
people to be heard”*
9. Crowdsourcing is a process of
empowering people to solve challenges
and generate collective insight.
#strongertogether
Ultimately…..
10. Content analysis overview
A thematic analysis approach to understand the contributions shared was used.
• Joanne Fillingham, with the support of Clever Together, facilitated and
analysed all of the contributions shared in our first online conversation.
• This thematic analysis approach included
– Reading through all of the contributions and clustering them into different themes
and subthemes.
– Creating a narrative for each theme directly using contributions from the online
workshop.
– Resulting in draft statements to present back for validation and improvement.
• 94% of coding was agreed by five regional AHP leads. The outstanding 6%
was re-analysed.
11. Feb/
March
•Professional bodies workshop 17 Feb 2016
•Review of national documents, polices and publications.
Apr/
May
•Phase one - online workshop launched 18 April & extended to 6 May.
•Thematic analysis.
June
•Thematic analysis and draft emerging mandate.
•CAHPO Conference 23 June – validation and improvement.
July/A
ug
•Online workshop open to AHPs and wider stakeholders on 4th July until 15 July.
•Thematic analysis and write mandate for change.
Septe
mber
•Formal processes for sign off.
Octob
er
•Launch Mandate for Change #AHPsmandate
Towards a mandate for change.
12. Engagement – How? Who with?
AHP network
Own organisation
Direct invite by email
Professional body
Social media
Nominated by a colleague
NHS Employers
Word of mouth
NHS England
NHS England website/blog
Other/blank
CAHPR
Clever Together
Health Educaton England
Health Watch
Council of Deans
NHS Commissioners
How?
- Email
- Platform
- Nomination
22. www.england.nhs.uk
Smaller AHP professions keen to
have their voice heard.
0.00%
2.00%
4.00%
6.00%
8.00%
10.00%
Speech and
Language
Therapist
Dietitian Orthoptist Art, Music &
Drama
Therapist
England AHP HCPC registrants 2016 Engaged in online workshop
23. www.england.nhs.uk
AHP professions needing encouragement
Data saturation reached by third week.
0%
5%
10%
15%
20%
Diagnostic & Therapeutic
Radiographer
Paramedic Chiropodists/Podiatrist Prosthetist/Orthotist
England AHP HCPC registrants 2016 Engaged in online workshop
24. High level findings
Defining our potential revealed:
4 ways AHPs will impact health & wider care system.
4 areas of commitment to achieve this change.
Realising our potential revealed:
4 themes which AHPs need to focus on with,
16 specific enablers that will help us to honour the
commitments.
25. “I honestly believe that if all AHPs in England were used
effectively, it would signal the total transformation of health
and social care which we desperately need. We save lives, we
rebuild lives and we do it all at a fraction of the cost of other
colleagues. We understand the medical but crucially, we
understand the social determinants of health -education,
poverty, housing, stigma”.
31. www.england.nhs.uk
0.00%
5.00%
10.00%
15.00%
20.00%
25.00%
30.00%
England AHP HCPC registrants 2016 Engaged in online workshop phase one
Engaged in online workshop phase one and two
Operating Department Practitioner,
Healthcare Scientist, Psychologist,
Assistant/Support worker, Doctor,
Patient/Service User, Dentist, Pharmacist,
Fireman, Carer.
Who took part?
32. “As a patient I am pleased to see the recognition of
individual and population/community wellbeing as this is
interlinked. There is huge potential for AHP to become
strong bridge builders between healthcare and
patients/citizens/communities helping to renegotiate the
relationship between citizens and health/healthcare, e.g.
implementing shared decision and co-production
approaches, promoting self-care and education, being
the pioneers of using digital as an enabler etc”.
34. Thank you
#AHPsmandate launched October 2016
“I’m a qualitative researcher and listening to what you have
done I just think that it sounds like a superb piece of work
to me. It just sounds so valid, it sounds reliable, because
you have got people’s voices and you have gone out to so
many people, it just sounds brilliant. So I am really looking
forward to it being published in October, can’t wait”.
Editor's Notes
In addition to this the NHS shared planning guidance 16/17 – 20/21 outlines a new approach to help ensure that health and care services are planned by place rather than around individual institutions.
In previous years, NHS organisations were required to produce individual operational plans for 2016/17, and they still will. But, in addition, every health and care system will work together to produce a multi-year Sustainability and Transformation Plan (STP), showing how local services will evolve and become sustainable over the next five years – ultimately delivering the Five Year Forward View vision.
To do this, local health and care systems will come together in STP ‘footprints’ – of which there are 44. The health and care organisations within these geographic footprints will work together to narrow the gaps in the quality of care, their population’s health and wellbeing, and in NHS finances.
The FYFV and this new approach is going to require a different type of leader than the leaders of the past. To deliver what is necessary is going to require leaders who can look across organisations and systems, system leadership, and those who are driven by their values, values based leadership.
?seperate each point out in to one slide and give evidence for each?
To engage people were either
emailed directly- started with a small email list of just over 300 emails.
Registered on the platform directly
Nominated by a colleague
-underrepresented
-opened platform for third week
-more engaged
-content of ideas and comments continued to fall in to same themes
-no knew ideas
-at that point data saturation was reached.