1. Culture In the NHS, and Inclusion

2. Agenda About Pulse Our Culture in the NHS Report
How it Relates to Inclusion
What Can we Do About it
Discussion & Questions

3. About Pulse

4. 01 02 03 04 Methodology CQC Reports
All Outstanding and Inadequate Rated NHS Trusts 02
Cross Referenced with Performance Data provided to NHSE 03
August 2018 04

5. 3 Key Areas Strategy & Vision Leadership at all levels
Learned Helplessness
3 Key Areas

6. Best Performing Trusts
Correlation
Best Performing Trusts
Quality Leadership
Workforce Culture
Poorer Performers
Less stable leadership
Corrosive Workforce Culture

7. The Scary Stuff Reporting unsafe clinical practice
Prevalence of near misses and errors
Reporting errors & near misses
Net promoter score
Care is my organisation’s priority
A&E waiting times
Referral to treatment waiting times
The Scary Stuff

8. Strategy & Vision Existence Articulation & Embedding (Behaviours)
88% vs 68% Care of Patients a priority
Strategy & Vision

9. Leadership Empowerment of staff to be solutions focused
‘Do what it takes’ to deliver the best Vs
Fractured relationships & Inner circles
High turnover of leaders
Leadership

10. Normalisation of poor behaviours
Learned Helplessness

11. Key Drivers Personalisation Entitlement Initiative Fatigue
Learned Helplessness

12. Recommendations Empowerment = Accountability Welcome Complaints
Role of Arms Length Bodies
Monitor, Measure and Promote Culture

13. Positive Demonstration of Signature Behaviours
Leadership
Intentional Culture
Positive Demonstration of Signature Behaviours
Measures
Accountability
People Strategy

14. Leadership
Knowledge
Emotion
Reflection

15. Link to Inclusion? Common set of behaviours Wise leaders
Shared and Common Goals
Collective Achievement

16. So what needs to be done?
Collective Achievement
Sense of Connection

17. = A new way we do things around here

18. 01 02 03 04 05 Suggested Approach Pick an issue
Ensure the Right People are ‘In The Room’ 02
Agree the process, solution & actions 03
Discuss the behaviours 04
Measure! 05

19. Conclusion We know culture plays a part
Systems and processes only get you so far
Behaviours before measures
Don’t feed the entitlement beast!