Niche In-Brief Spring 2018 - Flipbook - Page 9
We also run clinical effectiveness skills training courses,
and we try to take learning from incidents into role play.
We have new band 5s and 6s starting clinical
effectiveness training, we have role play scenarios with
dying patients on the floor, and we have scenarios of
common health care mis-communications, having front
line staff understanding and witnessing some of that
learning and how some of the recommendations translate
in active learning for them to take back to teams and
wards etc. I think if you send staff a memo or just send
them a report, it’s very dry, staff really struggle to
understand and empathise with the situation and to take
on board the impact of what that lesson is. The evaluation
from the clinical effectiveness training has been scored
very highly and staff seem to value it as one format for
learning.
What are the first encouraging signs you see at an
organisational and at a clinical delivery level?
We recently ran a ‘making families count’ event in the
Trust. The team did case re-enactments, presentations
and videos and a very powerful talk to 130 staff there,
which were mainly band 7 and above. One of the things
we asked staff to do after the event was to evaluate it and
then ask what the next steps were for them. We were
overwhelmed by the number of staff that emailed back
saying a) it was probably the best thing they’d heard in
their careers and b) they were motivated to make a
difference and a change in terms of learning from
homicides, learning from suicides, and actually
becoming champions in terms of working with families
bereaved by a homicide or suicide.
What we are seeing is more involvement with families
in terms of internal investigations, we know that families
are very much involved in level 3 investigations right at
the start. What used to happen was the Trust would
write a report which would go to the family and say
‘there you go, what do you think?’ It’s just the wrong
way around. What we are seeing is an incremental sea
change in the outcome and quality of our internal
reports because front line staff are now understanding
the importance of going and speaking to the families,
getting their views, asking them what they want to see
from the investigation, and getting their specific
questions embedded into the terms of reference for
investigations.
For anyone else embarking on this sort of journey
what advice would you give them?
Don’t be afraid to share, your neighbours will be doing
something great, don’t be precious about what you’ve
got. To share everything, learn everything that you can,
you’ll get it wrong sometimes but don’t be afraid to try.
Matt Walsh, Pennine Care NHS FT
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