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How public, real-time
feedback is helping
healthcare get better
James Munro
Patient Opinion
james.munro@patientopinion.org.uk
Berwick Report, August 2013
Recommendation 8
“All organisations should seek out the patient
and carer voice as an essential asset in
monitoring the safety and quality of care.”
Keogh Report, July 2013
“Patients, carers and members of the
public… should be confident that their
feedback is being listened to and see
how this is impacting on their own
care and the care of others.”
I will be seen as a
troublemaker
“More than half of those who
had voiced a concern about
poor care felt that their
feedback wasn’t welcomed”
CQC, 2013
Nothing will
be done
“There is a lack of learning from
complaints, and providers are not
making clear to users that services
are being improved as result.”
NAO, 2008
“At times it also helps to actually reduce complaints.
We can get in touch with a user straight away and we
can avoid a lengthy complaint response.”
Dr Arne Rose, associate medical director, HEFT
Berwick on culture
“Achieving a vastly safer NHS will depend
far more on major cultural change than on
a new regulatory regime.”
9 levels of online engagement
Resistance or defensiveness
Controlling or organisation-
centric
Acceptance
Engagement
Initial commitment
Widening staff involvement
as recipients
Widening staff involvement
as active participants
Everyday Patient Opinion
The absence of fear
1
2
1
3
4
9
7
8
5
6
“I think Patient
Opinion has given
us much more of a
connection with
service users,
carers and families
and that’s because
we can actually
work directly with
people.”
Jane Danforth
involvement
officer
“As we’ve been on a journey, so have the users and carers
been on a journey. They now have trust in us, to know that we
do want to hear it, warts and all, and that we will work on what
the issue is.”
Jenny Newman and Sue Dyke, public engagement
“More than just
listening, it has
helped us to focus
on what
we can change to
improve our service.
We’ve learnt that
Patient Opinion
gives patients a
powerful voice,
which in turn has
empowered us.”
Lisa Metcalf
podiatrist
Berwick Report, August 2013
“Hear the patient voice at every level
– even when that voice is a whisper”

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How public feedback is helping healthcare get better

  • 1. How public, real-time feedback is helping healthcare get better James Munro Patient Opinion james.munro@patientopinion.org.uk
  • 2. Berwick Report, August 2013 Recommendation 8 “All organisations should seek out the patient and carer voice as an essential asset in monitoring the safety and quality of care.”
  • 3. Keogh Report, July 2013 “Patients, carers and members of the public… should be confident that their feedback is being listened to and see how this is impacting on their own care and the care of others.”
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  • 5. I will be seen as a troublemaker
  • 6. “More than half of those who had voiced a concern about poor care felt that their feedback wasn’t welcomed” CQC, 2013
  • 8. “There is a lack of learning from complaints, and providers are not making clear to users that services are being improved as result.” NAO, 2008
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  • 16. “At times it also helps to actually reduce complaints. We can get in touch with a user straight away and we can avoid a lengthy complaint response.” Dr Arne Rose, associate medical director, HEFT
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  • 19. Berwick on culture “Achieving a vastly safer NHS will depend far more on major cultural change than on a new regulatory regime.”
  • 20. 9 levels of online engagement Resistance or defensiveness Controlling or organisation- centric Acceptance Engagement Initial commitment Widening staff involvement as recipients Widening staff involvement as active participants Everyday Patient Opinion The absence of fear 1 2 1 3 4 9 7 8 5 6
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  • 22. “I think Patient Opinion has given us much more of a connection with service users, carers and families and that’s because we can actually work directly with people.” Jane Danforth involvement officer
  • 23. “As we’ve been on a journey, so have the users and carers been on a journey. They now have trust in us, to know that we do want to hear it, warts and all, and that we will work on what the issue is.” Jenny Newman and Sue Dyke, public engagement
  • 24. “More than just listening, it has helped us to focus on what we can change to improve our service. We’ve learnt that Patient Opinion gives patients a powerful voice, which in turn has empowered us.” Lisa Metcalf podiatrist
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  • 30. Berwick Report, August 2013 “Hear the patient voice at every level – even when that voice is a whisper”