Clinical
Engagement
Dr. Andrew Coley
National Programme for IT
The explicit aim of the National
Programme is to connect delivery of
the NHS Plan with the capabilities of
modern information technologies 1
Connecting for Health and the National
Programme: Enabling Healthcare &
Engaging Clinicians 1
The purpose of this document is to ask the
question; can the products of CfH and
the National Programme become embedded
into everyday clinical situations and will we see
this enhance the consultation between the
patient and clinician?
Jan 2006
To achieve success in actually transforming
healthcare practices, through clinical
computing, remains unusual.
Professor
Halligan
2005
The
overridingAiden
problem
with failed
IT
projects in general, and particularly in
clinical culture, is lack of attention to the
human elements of changing behaviour
among professionals 2
Success with clinical computing depends
on far more than automation and attention
to hardware, software and networks.
It requires the simultaneous navigation of
important socio-cultural pathways, each
dependant on the other and all aimed at
the transformation of the ways in which
staff function as team-based
professionals.
What is Clinical
Engagement?
Does it become a tick box
Or exercise
is it a transformational
path?
in a project plan?
“The overriding problem with
failed IT projects in general, and
particularly in clinical culture, is
lack of attention to the human
elements of changing behaviour
among professionals”
Department of Health. Delivering benefit from the National
Programme for Information Technology (NPfIT): A strategy for
engaging front line staff and patients
Engaging grass root
clinicians?
H2O
How often do they need more
encouragement to drink?
Establish the Culture
and Beliefs to Deliver
Clinical Engagement
Seven key beliefs
1. Genuine engagement occurs
most effectively following
debate at a local level
2. Place the patient at the centre
of a cultural move towards a
new pathway
3. “Observability & Trialability” is
compelling Rogers & Plsek
4. Local clinical leaders are essential,
they often have legitimacy with
their colleagues and are seen as
“honest brokers”
5. When a new system has been
applied successfully in a local
context, that this “strength of
evidence” is very compelling
6. Align roles and responsibilities
between clinical leaders and
managerial directors
7. The request for a clinician to
change their working process
will produce dissonance
Disengagement
Dissonance
Behavioural management
And transformational change
Engagement
Clinical Leadership
Clinical engagement and developing
clinical leadership are very much
complementary to each other.
Without clinical leadership, there
can be no effective leaders to
clinically engage with.
Historical NHS
Policy Implementation
Clinical Advisors
The driver
Of line
management
GP’s
Nurses
AHP’s
Clinical advise
Clinical engagement
Consultants
Nurses
AHP’s
New Double Helix
Approach
Value
Belief
Engagement
Patients
Pathway
Driver
Clinical Leaders Network
Clinicians & Myers Briggs
• Clinical Experts
• Quality and Governance
• Change Leaders
The National Program enabling healthcare
through enabling clinicians.
Clinicians for Product Testing
Multidisciplinary clinical governance
Clinical advisors
Implementation
Members of
Clinicians for
Product Development
Multidisciplinary
clinical design
Support
Team working
with CSCA
advisors
Clinical Advisor
Acute Care
Clinical Advisor
Mental Health
Clinical Advisor
Primary/Community
Chief Clinical Officer
Clinical Champions to bring about
Multidisciplinary strategic clinical
Clinical Engagement and Imbedding leaders
Clinicians for Product Testing
Multidisciplinary clinical governance
advisors
Clinicians for Product Development
Multidisciplinary clinical design
advisors
Clinical Advisor
Acute Care
Clinical Advisor
Mental Health
Clinical Advisor
Primary/Community
Chief Clinical Officer
Clinical Engagement Escalator
Imbedding
Clinical Champion to bring about
Multidisciplinary strategic clinical
Clinical Engagement and imbedding leaders
Acceptance and
implementation
Clinicians for Product Testing
Multidisciplinary clinical governance
advisors
DisseminationMultidisciplinary clinical
Clinicians
for
Clinicians for Product Development
design
Product
Testing
advisors
Early implementers
Clinical volunteers
Clinical Advisor
Acute Care
Awareness-raising
Clinical Advisor
Mental Health
Clinicians for Product
Clinical Advisor
Development
Primary/Community
Chief Clinical Officer
IT Clinical Leads
Network
Dear Colleague
RE: A Clinical Network and the National Programme for Information
Technology
The National Programme for Information Technology (NPfIT) which is being delivered through
‘Connecting for Health’ aims to modernise the NHS IM&T systems, ensuring they are fit for the
twenty first century, and help clinicians to improve healthcare. This should enhance the “NHS
experience” for both the patient and the clinician working within healthcare. With these intentions
in mind the Cheshire & Merseyside Strategic Health Authority clearly understand it is essential
that working clinicians are aware of the vision for the future, have the opportunity to contribute to
and inform system developments and are able to realise the benefits from implementation.
At present we understand, from the clinical point of view, that the aspirations and visions are not
being successfully communicated to the working clinicians within the SHA.
We feel that this is absolutely critical that clinicians are connected to the National Programme.
With this in mind we would like to create a clinical network with each PCT and NHS Trust. We
are writing to you today to ask you to provide the name of one clinician from each PCT and Trust
within your Local health Community so that we can engage these people in understanding the
developing programme. In addition this network should allow greater communication across the
members to share knowledge, ideas and concerns.
Each clinician involved will also have a responsibility to reflect on any information received and to
ensure that this is appropriately communicated to the wider clinical network within that
community.
We feel that this development is essential and has long been asked for by grass roots clinicians
working within the Cheshire & Merseyside SHA boundaries.
Yours sincerely
References
1.
Connecting for Health and the National
Programme: Enabling Healthcare & Engaging
Clinicians.
CMSHA Clinical Engagement Methodology
(Version 3) Jan 2006
2.
Department of Health. Delivering benefit from the National
Programme for Information Technology (NPfIT): A strategy
for engaging front line staff and patients.