Stories and narratives

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Welcome to the Partners In Care
Webex 8 – 28th November 2012
Today's focus is on
‘stories and narratives’
We will start at 8am
@LynneMaher1
© NHS Institute for Innovation and Improvement, 2012
Agenda for today’s WebEx
• Forthcoming Webex Dates
– Tuesday 15th January 2013
– Wednesday 6th February 2013
– Wednesday 27th February 2013- The Final WebEx
•
•
•
•
Sharing – stories and narratives presentations
Workbook reviews- update
Your feedback needed- short questionnaire
Time for questions
© NHS Institute for Innovation and Improvement, 2012
Rachel Clarke- Avon and Wiltshire
Mental Health Partnership NHS Trust
Sharing – stories and narratives
© NHS Institute for Innovation and Improvement, 2012
Shared Voice
Improving Bristol Specialist Drug and Alcohol Services
Avon and Wiltshire Mental Health Partnership NHS Trust
CAPTURE: WE LISTENED TO……
22 former and current service users
CAPTURE: WE LISTENED TO……
22 former and current service users
Multidisciplinary staff
workshop, 6 interviews
CAPTURE: WE LISTENED TO……
22 former and current service users
Multidisciplinary staff
workshop, 6 interviews
Stakeholder survey
CAPTURE: WE LISTENED TO……
Understand: Spider Diagrams
Understand:
Stories
Understand:
Stories
1. Clear Information
• Leaflets/ DVDs/ Open Days/ Text Service
2. Building hope and confidence
• Recovery Network/ Peer Mentors
3. Optimising detox and recovery
• Peer mentor led preparation groups/
Improve signposting after detox
IMPROVEMENT PRIORITIES
“Great to be heard and listened to”
“Very useful and thought provoking experience”
“Was an eye opener”
“Really great day – film clips very informative
and honest!”
“..an excellent way for Service Users to share their
thoughts and ideas”
“Very positive experience. Well done BSDAS for being
open. Positive intention for change was also very clear”
WHAT PEOPLE SAID…
1. Improve and Measure
• Co-design and implement
2. Roll out to other services
• January 2013
3. Training and coaching
•
Capability, Capacity, Confidence
NEXT STEPS
THANK YOU
Rachel.Clark@awp.nhs.uk
Head of Innovation
Avon and Wiltshire Mental Health Partnership NHS Trust
Ruth Wickens- Capital & Coast
District Health Board
Sharing – stories and narratives
© NHS Institute for Innovation and Improvement, 2012
Ruth Wickens and Nick White: Understanding and improving
patients’ experience of the radiotherapy mask
Norman
“There were two things that surprised me: one was the size of it. When you
think about a mask you think quite small, just covering your face, whereas
the mask that was produced was a big mask that went right down covering
the shoulders. The other thing was that I didn’t expect it to be attached to
a horizontal position – that was a surprise. Those two things made it hard
to cope with initially, from being told I needed a mask to the actual reality
of what that meant.”
Judy
“ Once again when that silence would kick in I’d be saying to myself, “What’s
happening? Someone please talk to me”. It might seem a very short time
to someone who’s on the other side of the wall and working on the
machine, but that silence can be a very long time when you’re lying there
and wondering what on earth’s going on.”
Cheryl & Phil
“You’re in, you’re bang, you’re on the table, your mask is put on, I never had
the chance to look around the room.... Your head is fighting to say I want
to get out of this, I want to get away.”
“Your head is fighting to say I want to get out of this, I want to get away,
being nauseated, held down, having something in your mouth – it was
horrible.”
Achievements





4 in-depth interviews
Patients valued the time and space to talk
Raised awareness of the issue
Spoke at psycho-oncology education session
Practice change – nursing, medical, radiation
therapists....
Where to from here?



More interviews?
Revisit the experience questionnaire?
Share what we’ve learnt – an experience event with
the staff who are supportive?
Change won’t be groundbreaking here.... but every little
bit helps.
Thank you to Rachel and Ruth.
Any questions or chat?
© NHS Institute for Innovation and Improvement, 2012
Workbook Reviews- update
• Most- not all - workbooks have now been reviewed.
• Most projects are still at the Capture stage
• All need to be moving onto Understand and even starting on
the Improve stage before Christmas
• In January and early February Improve and Measure
I do not need to see huge volumes just that you have
worked through, understood and demonstrated that you
have used the whole process.
© NHS Institute for Innovation and Improvement, 2012
Workbook Reviews- update
• Some people have not identified learning within the
workbook as they use the process or from the WebEx's.
This will need to be completed in the workbook when
they come back for the final review.
• Participation in the WebEx's – please make sure that
you put a note in the chat if you are listening with
someone else or if you do not see your name on the
participants list.
© NHS Institute for Innovation and Improvement, 2012
Workbook- Final Review
• Completed need to be in my inbox between the 6th and
8th February 2013.
• I have allocated Thursday 7th and Monday 11th to
undertake the reviews.
• This allows for a little time in case any further
clarification is needed within the workbooks.
• Certificates will be sent through to those who have
successfully completed the programme by 28th
February 2013.
© NHS Institute for Innovation and Improvement, 2012
Thank you to those who agreed to
be interviewed by Annette.
© NHS Institute for Innovation and Improvement, 2012
• Well........ I need you
• Undertaking a review
• How is the programme, what do
you think of this way of learning ( at
a distance), what works, what does
not work?
• Other comments always welcome
• Please complete the quick survey
that we have sent around
© NHS Institute for Innovation and Improvement, 2012
© NHS Institute for Innovation and Improvement, 2012
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