December 2016: EdgeTalks: Empowering people to be heard and helping leaders to listen as part of creating the #AHPsMandate

Releasing the Transformational Potential of Allied Health Professionals

#AHPsMandate#EdgeTalks

Dr Joanne FillinghamNHS Improvement

Dr Pete ThomondClever Together

@jkfillingham @petethomond

Overview

8 months• 2 online workshops:

• 1949 people engaged (AHPs and members of the public)• 16,128 ideas comments and votes

• Country-wide visits• Policy analysis• 53 case studies• One joined up report


Today’s agendaWe’ll follow the Clever Togethermethod

Copyright Clever Together © 2016. All rights reserved


What was our mandate to engage?


What was our mandate to engage?The FYFV a big driver

• Published in October 2014

• A shared vision across seven national bodies

• New care models programme key to delivery

• Focuses on both NHS and care services


5 new models of care with 50 vanguards selected.

What was our mandate to engage?We explored the challenges faced by vanguards


What was our mandate to engage?CHAPO 2015-2016 visits


Radical upgrade in preventionHealth and wellbeing gap1

New care modelsCare and quality gap 2

Efficiency and investmentFunding gap 3

8

What was our mandate to engage?We face three common challenges


What was our mandate to engage?We need to make clear a collective AHP response


Agreement:

gains can be made for all AHPs and for health & care by working towards common goals and challenges together.

• National conversation about collective impact of AHPs

• What do we need to start, stop, or differently?

• Examples of how we are doing this already.

But no need for a shared strategy…

What was our mandate to engage?We held a professional bodies workshop


1. We need to assert and demonstrate the transformative potential of AHPs within the health, social and wider care system in a powerful and evidence based way.

2. We need a product designed to inform and inspire leaders and decision makers by offering: • a clear view regarding the transformative potential of AHPs,• examples of innovative AHP practice, and • a framework to help develop local delivery plans.

Our mandate to engage



Crowdsourcing a process of empowering lots of people to solve challenges and generate collective insight.*

To achieve this… We need to work differently

*www.clevertogether.com



Crowdsourcing

To achieve this… We need to work differently

Triangulation is critical


Policy analysis

Leadershipengagement

The obvious reasons for using crowd-sourcing in place of traditional methods are:

• engage more people• tackle time and geography constraints• reduce engagement costs• reduce the innovation cycle time

*www.clevertogether.com

Why crowdsource?To help great leaders listen and empower great people to be heard*



How we generated interest

How we generated interestWe designed a communications campaign


Online

In print

In person

How we generated interestA call to arms with an invite to an “online workshop”


AHP networkOwn organisationDirect invite by emailProfessional bodySocial mediaNominated by a colleagueNHS EmployersWord of mouthNHS EnglandNHS England website/blogOther/blankCAHPRClever TogetherHealth Educaton EnglandHealth WatchCouncil of DeansNHS Commissioners

How?- Email- Platform- Nomination

How we generated interestHow, who….


How we generated interestFrom where….



How we generated interestFrom almost everywhere….


How we generated insight

How we generated insightA tailor made online destination


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Phase One - Logins

How we generated insightMonitoring and facilitating

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Phase One Ideas and Comments

Ideas Comments


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Phase One - Votes


How we generated insightA tailor made online destination


10,000+ ideas comments and votes to answer:• What could the collective

impact of AHPs be?• What do we need to start,

stop, or differently?• Where are we doing this

already (examples)?

www.england.nhs.uk

0.00%

10.00%

20.00%

30.00%

England AHP HCPC registrants 2016 Engaged in online workshop

How we generated insightWho took part


www.england.nhs.uk

0.00%4.00%8.00%

England AHP HCPC registrants 2016Engaged in online workshop


How we generated insightSmaller AHP professions keen to have their voice heard

www.england.nhs.uk

Diagnostic & Therapeutic Radiographer

Paramedic Chiropodists/Podiatrist Prosthetist/Orthotist0%

5%

10%

15%

20%

England AHP HCPC registrants 2016 Engaged in online workshop


How we generated insightSome professions needed encouragementData saturation reached by third week.

How we generated insightThematic analyses to understand the contributions shared

• NHSE AHP Clinical Fellow, with the support of Clever Together, facilitated the conversation

• All contributions shared in first conversation analysed:– every contribution read and clustered into themes and subthemes.– themes analysed to create a narrative for each - using direct contributions– draft statements to present back for validation and improvement.

• Coding agreed for 94% of content by five regional AHP leads. • Outstanding 6% of content re-analysed and recoded.


Defining our potential revealed:4 ways AHPs will impact health & wider care system.4 areas of commitment to achieve this change.Realising our potential revealed:4 themes which AHPs need to focus on with, 16 specific enablers that will help them to deliver the commitments.


How we generated insightThematic analysis revealed first stage of insight

How we generated insightShared first stage of insight at CAHPO conference



How we generated insightOur first stage of insight

“I honestly believe that if all AHPs in England were used effectively, it would signal the total transformation of health and social care which we desperately need. We save lives, we rebuild lives and we do it all at a fraction of the cost of other colleagues. We understand the medical but crucially, we understand the social determinants of health -education, poverty, housing, stigma”.


Phase Two – 4th July 2016Goal:Quality AssuranceValidate and challenge findings


How we generated insightA second online workshop


How we generated insightEveryone asked: do you agree or disagree?

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Phase Two - Logins



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Phase Two - Comments



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Phase Two - Votes



Physiotherapist

Occupational th

erapist

Diagnosti

c & Thera

peutic Radiogra

pher

Paramedic

Speech

and Languag

e Therapist

Chiropodist

s/Podiat

rist

Dietitian

Orthoptist

Art, M

usic &

Drama Thera

pist

Prosth

etist/Orth

otistNurse

Other healt

h and ca

re staff

Blank/O

ther0.00%5.00%

10.00%15.00%20.00%25.00%30.00%

England AHP HCPC registrants 2016 Engaged in online workshop phase oneEngaged in online workshop phase one and two

Operating Department Practitioner, Healthcare Scientist, Psychologist, Assistant/Support worker, Doctor, Patient/Service User, Dentist, Pharmacist, Fireman, Carer.


How we generated insightA second online workshop – who?


How we generated insightA second online workshop – patients and the public too

TOTAL1949

people engaged16,128

contributions


Thank you#AHPsMandate

“I’m a qualitative researcher and listening to what you have done I just think that it sounds like a superb piece of work to me. It just sounds so valid, it sounds reliable, because you have got people’s voices and you have gone out to so many people, it just sounds brilliant. So I am really looking forward to it being published in October, can’t wait”.



How we’re generating action



#AHPsintoAction






How we’re generating action#AHPsintoAction

AHPs into Action sets out clear responsibilities for: England's Chief Allied Health Professionals

Office, System leaders, and AHPs themselves.



AHPs into Action poses questions to leaders, within the framework of commitments and priorities identified by AHPs themselves, to challenge and guide thinking when developing new plans and strategies.



Specifically, Boards, STPs, Higher Education Institutions and academics are being asked to review their strategies against this framework and to use these questions as a tool to identify best practice and any gaps requiring action.



And we’ve achieved this by empowering people from across England… to co-create a new view of regarding the

transformative potential of AHPs, to shine a spotlight on examples of innovative

AHP practice, and to co-create a framework to help develop local

delivery plans.