Can Do Health & Care - NHS Uncomfortable Truths Report

Part 1: WHY as system leaders we need to address culture to improve outcomes | 31 Daniel: My reflection is that all the things we have discussed today are not new, they have been in our culture and in our system a long time. It is great to come together and gives me faith that as a system we are engaged in this process. We need some forgiveness for ourselves in how we have participated in these inequalities, but we need to do more. We need to think more about people being human beings, both patients and colleagues, and to understand their experiences. “Data is important, it guides the conversation, but the real power comes from people’s stories.” Ganesh: The ability to bring your authentic self to work resonated with me. Why is it that we don’t allow colleagues to feel comfortable, and what can we do to create the right culture? In education, why are we not role modelling at undergraduate and support worker level, thinking about population health so that when they qualify and start working that is at the forefront of their minds? “The system and structures are set up for us to be under pressure so we have a limited time with our patients… we have this high turnaround and short appointment times, we are not sitting down and thinking there is a person in front of us and having that ability to listen to them.” As a system we have a lot of opportunities to work with different partners, I am excited about opportunities to work with universities to support students as they are our future workforce. It is also about listening, we have the opportunity to improve not just our ambition but also how we operate in co-production and communication. James: It is about communities taking ownership in community health. We do a lot of listening, and we need to continue to listen, but we also then do something with it. Often at the top of organisations the right culture is in place, but we don’t manage people in the right way to develop that culture throughout. We are given the responsibility but not the authority to make the change, so let our people make decisions and get on with it. “It’s all about cooperation through communication not confrontation.” We need to evolve the system and that means people working together. Together we must be given that opportunity to do things together, we know what needs to be done and how to do it. It takes courage to say we are going to do it and do it in the right way.

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