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Creating a Revolution in Patient and
Customer Experience

Being Bold in Our Ambition
Kay Fradley, Head of Patient Revolution
But sometimes the NHS falls short
• Significant variation across Trusts

• 1 in 5 hospitals failing to get the basic right
  – food, drink and dignity

• Staff are increasingly unsatisfied with the
  care provided at their hospital

• Mid Staffs emphasised link between
  quality and patient experience

• Decisions about me, without me
Building the Future: The Patient Revolution
Patient Revolution ?

 • Local communities need to own their NHS services and
   have much greater say in how they are run.
 • A movement of people, sharing good practice
 • Patients need to be educated in this approach and so do
   clinicians and managers
 • Patients need the confidence to be able to raise their
   concerns regarding inadequate treatment
What is a Patient Revolution?


   Creating an NHS across the
 Midlands and East which delivers
  exceptional customer care and
        patient experience
What is a Patient Revolution?
 For patients and their carers this means that they will;

 Be treated routinely with dignity, compassion and respect, routinely
 involved in their care and in decisions about their care.


 For staff this means that they will;

 deliver care which values, understands and responds to the ‘whole’
                      customer experience and
  be supported to deliver a standard of service consistent with the
                         NHS Constitution.
So, our approach
•   Set the Direction
    Patient Revolution strategies part of system planning

•   Measure, benchmark and publicise Patient
    Experience
    Create a real time monitoring framework
    •Begin in Acute sector & role out in other areas

•   Create a social movement to accelerate and drive
    •Establish the Patient Revolution Council
    •Get patients & professionals to set out what good
    looks like across the NHS
Setting the Direction
•   Clearly defined vision and strategic goals
Measuring Experience

The Friends and Family Test
 How likely is it that you would recommend
 this service to friends and family?




   + why = valuable metric and comment
• Data returns for May 2012 were
  received from 100% of the 46
  acute trusts in the cluster region
• Trusts reported that from a total of
  151,612 inpatients in the period,
  22,132 (an increase of over 800
  patients from April) were
  surveyed, this equates to 14.6%
  of acute inpatients (a 6% increase
  from April)
• The combined Net Promoter
  Score for the cluster region for
  May 2012 is 62
• Individual trust scores range from
  29 to 89
• The average individual trust score
  is 63
Publicising Patient Experience
Embedding the Patient Voice

“Another aspect of the preference for figures rather than people has been the
failure to listen, or to listen properly. Many of the complaints made to the
Inquiry had already been made in precisely the same terms to the Trust. Many
of them, even if taken on their own as one person’s observation, should have
been enough to alert a listener to the existence of a serious systemic problem.”
http://www.midstaffsinquiry.com/assets/docs/Inquiry_Report-Vol1.pdf
Creating the Social Movement
Staff bad mouthing is an issue
Creating a Social Movement
                   •   System Led
                   •   Defining what good looks like
                   •   Share good practice
                   •   Clinical Chairs:
                        • David Levy, Medical Director
                           ULH
                        • Kay Fawcett, Executive Nurse
                           UHB FT
                        • Fay Baille, Executive Nurse,
                           Arden Cluster
                        • Steve Laitner, GP and
                           Associate Medical Director
                           NHSME
Supporting a Revolution
      Delivered/ Well underway                 In Development
       PR Council & T&F Groups            Skills Development: SDM/Co-
                                                    Production
       Vision and Case for Change
                                        Bespoke Customer Services Board
        Board Level Champions                 Development Package
        Friends and Family Test           Institute of Customer Services
                                               Accreditation Scheme
         Ambition Accelerator               Mystery Shopper Scheme
  Patient Stories Good Practice Guide      Friends and Family Test Rollout
  NHS Good Engagement Guide (EDS)         Patient Leaders/Ambassadors
        Performance & Opinion              NHS Constitution Re-launch
        Data Correlation Review           Ambition Showcase Events
                                          Ambition Showcasing Events
     Customer Services Alliance
                                        Building capability e.g. FT, Health
    Personalisation Tools Re-launch                watch, CCGs
Questions
Key Contacts:
• Dr Stephen Dunn, Director of Policy & Strategy (stephen.dunn@eoe.nhs.uk)
• Kay Fradley, Head Patient Revolution (kfradley@nhs.net)
•  Andrew MacPherson, Director of Customer Service & The Strategic Projects Team (
   andrew.macpherson@eoe.nhs.uk)

Please Contact :
Patient.Revolution@eoe.nhs.uk should you wish to receive the Patient Revolution Monthly
                                        Bulletin.

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Creating a Revolution in Patient Experience

  • 1. Creating a Revolution in Patient and Customer Experience Being Bold in Our Ambition Kay Fradley, Head of Patient Revolution
  • 2. But sometimes the NHS falls short • Significant variation across Trusts • 1 in 5 hospitals failing to get the basic right – food, drink and dignity • Staff are increasingly unsatisfied with the care provided at their hospital • Mid Staffs emphasised link between quality and patient experience • Decisions about me, without me
  • 3. Building the Future: The Patient Revolution
  • 4. Patient Revolution ? • Local communities need to own their NHS services and have much greater say in how they are run. • A movement of people, sharing good practice • Patients need to be educated in this approach and so do clinicians and managers • Patients need the confidence to be able to raise their concerns regarding inadequate treatment
  • 5. What is a Patient Revolution? Creating an NHS across the Midlands and East which delivers exceptional customer care and patient experience
  • 6. What is a Patient Revolution? For patients and their carers this means that they will; Be treated routinely with dignity, compassion and respect, routinely involved in their care and in decisions about their care. For staff this means that they will; deliver care which values, understands and responds to the ‘whole’ customer experience and be supported to deliver a standard of service consistent with the NHS Constitution.
  • 7. So, our approach • Set the Direction Patient Revolution strategies part of system planning • Measure, benchmark and publicise Patient Experience Create a real time monitoring framework •Begin in Acute sector & role out in other areas • Create a social movement to accelerate and drive •Establish the Patient Revolution Council •Get patients & professionals to set out what good looks like across the NHS
  • 8. Setting the Direction • Clearly defined vision and strategic goals
  • 9. Measuring Experience The Friends and Family Test How likely is it that you would recommend this service to friends and family? + why = valuable metric and comment
  • 10. • Data returns for May 2012 were received from 100% of the 46 acute trusts in the cluster region • Trusts reported that from a total of 151,612 inpatients in the period, 22,132 (an increase of over 800 patients from April) were surveyed, this equates to 14.6% of acute inpatients (a 6% increase from April) • The combined Net Promoter Score for the cluster region for May 2012 is 62 • Individual trust scores range from 29 to 89 • The average individual trust score is 63
  • 12. Embedding the Patient Voice “Another aspect of the preference for figures rather than people has been the failure to listen, or to listen properly. Many of the complaints made to the Inquiry had already been made in precisely the same terms to the Trust. Many of them, even if taken on their own as one person’s observation, should have been enough to alert a listener to the existence of a serious systemic problem.” http://www.midstaffsinquiry.com/assets/docs/Inquiry_Report-Vol1.pdf
  • 14. Staff bad mouthing is an issue
  • 15. Creating a Social Movement • System Led • Defining what good looks like • Share good practice • Clinical Chairs: • David Levy, Medical Director ULH • Kay Fawcett, Executive Nurse UHB FT • Fay Baille, Executive Nurse, Arden Cluster • Steve Laitner, GP and Associate Medical Director NHSME
  • 16. Supporting a Revolution Delivered/ Well underway In Development PR Council & T&F Groups Skills Development: SDM/Co- Production Vision and Case for Change Bespoke Customer Services Board Board Level Champions Development Package Friends and Family Test Institute of Customer Services Accreditation Scheme Ambition Accelerator Mystery Shopper Scheme Patient Stories Good Practice Guide Friends and Family Test Rollout NHS Good Engagement Guide (EDS) Patient Leaders/Ambassadors Performance & Opinion NHS Constitution Re-launch Data Correlation Review Ambition Showcase Events Ambition Showcasing Events Customer Services Alliance Building capability e.g. FT, Health Personalisation Tools Re-launch watch, CCGs
  • 17. Questions Key Contacts: • Dr Stephen Dunn, Director of Policy & Strategy (stephen.dunn@eoe.nhs.uk) • Kay Fradley, Head Patient Revolution (kfradley@nhs.net) • Andrew MacPherson, Director of Customer Service & The Strategic Projects Team ( andrew.macpherson@eoe.nhs.uk) Please Contact : Patient.Revolution@eoe.nhs.uk should you wish to receive the Patient Revolution Monthly Bulletin.