What Adds Value to the Patients Experience?
Empathy is the key to connecting with our
patients .
Janine lucking
National Improvement
Lead
Aim of this session
• What impacts on the patients experience
• Our behaviours
• What patients feedback
• Compassionate care &
empathy
Take a moment ……
• Reflect back over your clinical practice , where
have you truly engaged with patients and
changed the way you deliver care ?
• How many of us can truly say that our
professional or clinical approach has
significantly changed ?
What do you believe the
reasons are behind a lack of
significant change ?
Patient experience
• Good clinical care does not necessarily mean a good
patient experience
• How we behave, what we say & what we do can have a
huge impact on patient experience
• “ when in the waiting room, the receptionist was loudly
gossiping about lost patients notes – they were filed in
someone else's, she appeared to find this amusing !
• “ I had my appointment come through for a
colonoscopy, I spent a week planning and preparing
and then a month recovering emotionally “
I Overheard a Conversation ………
Patient Feedback
•
•
•
•
•
•

Questionnaires
Comment cards
Focus groups
Discovery interviews
Patient diaries
Many more …..
Comment cards
• What went well…..
Very efficient
&
professional
service

All the staff
were
fantastic
Good
explanation
of the
procedure

Excellent
service

Excellent
treatment
from the Dr

I could
not of
received
better
care

Congratulations
on such a lovely
team

Respectful
helpful
caring
team

Supportive
caring staff
Extremely
caring &
kind
Comment cards
• What could be better…..
Waiting times
are too long

Not being
kept
informed is
unfair

Staff chatted
too much
between
themselves
Waited
over an
hour with
no
information

More
information
needed
Why is the
admin process
so long
winded ?

To much
time to
think &
worry

The receptionist
was unhelpful –
almost rude!

Long waits

I wonder why
the
receptionist
was cold
towards me ?
Comment cards
• What's important to you?…..
I just want to be
with my wife
while she is
recovering

I hope
I'm not a
burden
I want to be
in safe,
caring &
professional
hands

I want to be
in & out as
soon as
possible

I just want to
feel like I'm in
good hands &
reassured

I need to be
on time today
as I have
carers time to
think about

I hope my Nan is
seen when
expected &
treated with
respect
I hope my wife
doesn’t think
something has
gone
dreadfully
wrong

I hope they
take time to
explain
everything so I
understand
I just want you to
keep to time with
appointments as I
have been NBM for
48hrs
Patient Experience Diary
Female aged 21 – Flexi Sig
“ It was so uncomfortable going in and I was experiencing a lot of pain, I didn’t

feel like I could breathe, even though I was using the gas and air. The Doctor
turned me onto my back to try to make it more comfortable. After another five
minutes or so the doctor said to me , “as we discussed earlier, I do need to go
further into your bowel, do you agree to this, otherwise you may need to come
back and have the procedure again?”
I agreed as I couldn’t think of anything worse than to go through this again.
The male nurse was very supportive, he kept telling me I was doing really well,
he held my hand and when the pain was really bad he wiped away my tears
when they rolled down my face.
The doctor then said she was going to stop and give me sedation and pain
relief.
When the sedation kicked in it felt like heaven, the procedure wasn’t half as
painful and it was over before I knew it. The doctor talked me through
everything she was doing which was a real comfort during the whole thing.”
Patient Diary
I then went into the recovery room; I was given a cup of tea and a biscuit
which was lovely. I asked if my mom could come in as I felt lonely and cold but
they said no. I don’t understand why no one is allowed to sit with you.

I then sat on a chair and a different nurse came to see me and handed me a
lot of leaflets and a letter for my GP. She told me that I had Crohn`s disease
and they had taken 15 biopsies. I found she didn’t explain things very well and
I was still a bit dazed so didn’t take it all in. I felt my mum should have been
there to listen to what she said.
A few hours later when I was writing this I still couldn’t remember what she
said , I have a report that says what they found and that I need to be seen in
outpatients clinic in 2 weeks but I don’t know how I make the appointment.
I hope my mum does.
Patient experience
• So many elements go into making a good
patient experience
• If we don’t ask we don’t know & we wont
improve
• Patients have lives & issues going on out side
the department that we don’t know about but
may influence their behaviour
• Staff do too !!
6C`s – values essential to
compassionate care

• Care - Care is our core business ,Caring defines us and

our work. People receiving care expect it to be right for them
consistently throughout every stage of their life.

• Communication - Communication is central to

successful caring relationships and to effective team working.
Listening is as important as what we say. It is essential for ‘No
decision about me ,without me’.
Communication is the key to a good workplace with benefits
for those in our care and staff alike.
• Courage -Courage enables us to do the right thing

for the people we care for, to speak up when we have
concerns.
• It means we have the personal strength and vision to
innovate and to embrace new ways of working.

• Competence -Competence means all those in

caring roles must have the ability to understand an
individual’s health and social needs.
• It is also about having the expertise, clinical and
technical knowledge to deliver effective care and
treatments based on research and evidence.
• Commitment - A commitment to our patients and
populations is a cornerstone of what we do. We need to
build on our commitment to improve the care and
experience of our patients.

• Compassion -Compassion is how care is given
through relationships based on empathy, respect and
dignity.
• It can also be described as intelligent kindness and is
central to how people perceive their care.
Defining Compassionate
Care
• The way in which we relate to other human
beings when they are vulnerable. It has to be
nurtured and supported. It involves noticing
another persons vulnerability, experiencing an
emotional reaction to this and acting in someway
with the person in a way that is meaningful for
people. It is defined by the people who give and
receive it, and therefore interpersonal processes
that capture what it means to people are an
important element of its promotion
What could we do
differently ?
• The ability to step into someone else's shoes

Value for the patient experience janine lucking

  • 1.
    What Adds Valueto the Patients Experience? Empathy is the key to connecting with our patients . Janine lucking National Improvement Lead
  • 2.
    Aim of thissession • What impacts on the patients experience • Our behaviours • What patients feedback • Compassionate care & empathy
  • 3.
    Take a moment…… • Reflect back over your clinical practice , where have you truly engaged with patients and changed the way you deliver care ? • How many of us can truly say that our professional or clinical approach has significantly changed ?
  • 4.
    What do youbelieve the reasons are behind a lack of significant change ?
  • 5.
    Patient experience • Goodclinical care does not necessarily mean a good patient experience • How we behave, what we say & what we do can have a huge impact on patient experience • “ when in the waiting room, the receptionist was loudly gossiping about lost patients notes – they were filed in someone else's, she appeared to find this amusing ! • “ I had my appointment come through for a colonoscopy, I spent a week planning and preparing and then a month recovering emotionally “
  • 6.
    I Overheard aConversation ………
  • 7.
    Patient Feedback • • • • • • Questionnaires Comment cards Focusgroups Discovery interviews Patient diaries Many more …..
  • 8.
    Comment cards • Whatwent well….. Very efficient & professional service All the staff were fantastic Good explanation of the procedure Excellent service Excellent treatment from the Dr I could not of received better care Congratulations on such a lovely team Respectful helpful caring team Supportive caring staff Extremely caring & kind
  • 9.
    Comment cards • Whatcould be better….. Waiting times are too long Not being kept informed is unfair Staff chatted too much between themselves Waited over an hour with no information More information needed Why is the admin process so long winded ? To much time to think & worry The receptionist was unhelpful – almost rude! Long waits I wonder why the receptionist was cold towards me ?
  • 10.
    Comment cards • What'simportant to you?….. I just want to be with my wife while she is recovering I hope I'm not a burden I want to be in safe, caring & professional hands I want to be in & out as soon as possible I just want to feel like I'm in good hands & reassured I need to be on time today as I have carers time to think about I hope my Nan is seen when expected & treated with respect I hope my wife doesn’t think something has gone dreadfully wrong I hope they take time to explain everything so I understand I just want you to keep to time with appointments as I have been NBM for 48hrs
  • 11.
    Patient Experience Diary Femaleaged 21 – Flexi Sig “ It was so uncomfortable going in and I was experiencing a lot of pain, I didn’t feel like I could breathe, even though I was using the gas and air. The Doctor turned me onto my back to try to make it more comfortable. After another five minutes or so the doctor said to me , “as we discussed earlier, I do need to go further into your bowel, do you agree to this, otherwise you may need to come back and have the procedure again?” I agreed as I couldn’t think of anything worse than to go through this again. The male nurse was very supportive, he kept telling me I was doing really well, he held my hand and when the pain was really bad he wiped away my tears when they rolled down my face. The doctor then said she was going to stop and give me sedation and pain relief. When the sedation kicked in it felt like heaven, the procedure wasn’t half as painful and it was over before I knew it. The doctor talked me through everything she was doing which was a real comfort during the whole thing.”
  • 12.
    Patient Diary I thenwent into the recovery room; I was given a cup of tea and a biscuit which was lovely. I asked if my mom could come in as I felt lonely and cold but they said no. I don’t understand why no one is allowed to sit with you. I then sat on a chair and a different nurse came to see me and handed me a lot of leaflets and a letter for my GP. She told me that I had Crohn`s disease and they had taken 15 biopsies. I found she didn’t explain things very well and I was still a bit dazed so didn’t take it all in. I felt my mum should have been there to listen to what she said. A few hours later when I was writing this I still couldn’t remember what she said , I have a report that says what they found and that I need to be seen in outpatients clinic in 2 weeks but I don’t know how I make the appointment. I hope my mum does.
  • 13.
    Patient experience • Somany elements go into making a good patient experience • If we don’t ask we don’t know & we wont improve • Patients have lives & issues going on out side the department that we don’t know about but may influence their behaviour • Staff do too !!
  • 14.
    6C`s – valuesessential to compassionate care • Care - Care is our core business ,Caring defines us and our work. People receiving care expect it to be right for them consistently throughout every stage of their life. • Communication - Communication is central to successful caring relationships and to effective team working. Listening is as important as what we say. It is essential for ‘No decision about me ,without me’. Communication is the key to a good workplace with benefits for those in our care and staff alike.
  • 15.
    • Courage -Courageenables us to do the right thing for the people we care for, to speak up when we have concerns. • It means we have the personal strength and vision to innovate and to embrace new ways of working. • Competence -Competence means all those in caring roles must have the ability to understand an individual’s health and social needs. • It is also about having the expertise, clinical and technical knowledge to deliver effective care and treatments based on research and evidence.
  • 16.
    • Commitment -A commitment to our patients and populations is a cornerstone of what we do. We need to build on our commitment to improve the care and experience of our patients. • Compassion -Compassion is how care is given through relationships based on empathy, respect and dignity. • It can also be described as intelligent kindness and is central to how people perceive their care.
  • 17.
    Defining Compassionate Care • Theway in which we relate to other human beings when they are vulnerable. It has to be nurtured and supported. It involves noticing another persons vulnerability, experiencing an emotional reaction to this and acting in someway with the person in a way that is meaningful for people. It is defined by the people who give and receive it, and therefore interpersonal processes that capture what it means to people are an important element of its promotion
  • 18.
    What could wedo differently ? • The ability to step into someone else's shoes