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Gaining front-line and clinical engagement for change
Many grand plans for service improvement have been brought to a stuttering halt because the right staff, the staff who have to implement the proposed change, weren't involved at the right time.
Front-line staff, the ones doing the work everyday, are the ones who know what will work and what won't. Perhaps more importantly in public service, front-line staff are the ones who will (or won't) make it work - they will exercise their professional autonomy and if they can't see a good reason, the change won't happen. It's vital to listen and understand what will/ won't work and what can/ can't be implemented. Many a service improvement initiative has foundered on this important principle.
The difficulty is, there are many theories around how to engage clinicians (in the Health Service),and front-line practitioners, together with their managers, but far too many of these theories work for the author and not for anyone else. Some haven't even been tried; they are just theories.
This section draws together our own experience of projects that have positively worked to engage staff, be they clinicians, management or other professionals, and across organisations as well as within organisations
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benefits approach
benefits frameworks
benefits management
Benefits Realisation
book review
business case
Care Pathway
Clinical Engagement
ECP
efficiency
employee engagement
GP Commissioning
health funding
Innovation
NHS
performance management
Project Management
RoI
Service Transformation
Skills for Health
Social Audit
social care
Social Enterprise
SROI
workforce design
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Most healthcare providers, in UK the same as everywhere else, get paid for each activity they do. If someone needs care, they get paid. If someone is well, they don’t. So there isn’t much incentive (for the healthcare provider) to keep people well, even though it is much better for the person, much better for the nation, and much lower cost. Minney.org Ltd is working with one CCG to generate enthusiasm and involvement, and the results are fairly successful….
GPs know the most about the patients registered with them, and have the biggest incentives to innovate and to commission better services. So why aren't they embracing Clinical Commissioning and using it to improve healthcare right across the country?
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The Consultants
The Social Return Company is an association of like-minded specialists with a great track record of engaging stakeholders, instituting common-sense measures, and reporting to invigorate. Our mission is that people enjoy what they do, and we achieve this by supporting them to measure and report, and recognise what they achieve. Some organisations have found this very valuable for PR/marketing, or contract negotiation.see http://minney.org/about-us-media-kit