Can Do Health & Care - NHS Uncomfortable Truths Report

32 | ICS System Learning: Uncomfortable Truths Kirsten: we have talked today about humanity. “There is a lot that aligns us and makes us very similar, but actually we are all individuals and have our individual points of view. You wouldn’t know my point of view unless you asked me.” At the moment, for all sorts of reasons, we are losing time, we don’t ask people and listen to what they need. My voluntary sector organisation listens to the family carers who ring us, we collate that information and each month look at it, and they are telling us that they feel people aren’t listening anymore. Some of our calls are from health and care professionals who are family carers, they are struggling to navigate the system as it is so complex. Andy: If you are surrounded by ‘yes’ people who tell you what you want to hear, you are not grounded and you are not hearing what you need to hear. Find people who will tell you what you need to hear and add them to your team. If you don’t have a diverse group close to you, you won’t hear what we heard today. Hear from them on a daily basis to make the changes we need. One of the reasons to change our system culture is that there is no one single culture. There are so many different cultures from the sole traders who provide home care all the way to the largest employers in the East of England; and the larger organisations have multiple different cultures. We need to address corrosive organisational cultures and we can only do it together. “One of the reasons why we are not addressing [culture] properly now is we don’t have any accountability. We need some kind of accountability, and we need to bring in all sectors in order to make that effective.” Amanda Takavarasha: I am heartened to see the level of commitment around the room and it is clear that everyone is equally engaged. “Historically the burden for driving forward change, the responsibility of that, has tended to lie with people who are also affected by those issues… and it is important to fight against that rhetoric.” It Is not enough for me as a Black woman to be part of a supportive organisation that has given me opportunities, makes me feel welcome and that I belong, when wider society reflects something different. It is about listening to people, humanising people, and realising that people are the experts in their own situations. People are best placed to understand their own needs in the context of their own lived experience, identity and culture. We need to ask ourselves, are we sensitive to people’s diverse and intersectional needs?

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