1. EC LN ENGAGING COMMUNITIES LEARNING NETWORK National Social Partnerships Event 4 th December 2003 – Marriott, Maida Vale Community Trade Unions Patient Professional Team Member

2. EC LN ENGAGING COMMUNITIES LEARNING NETWORK National Social Partnerships Event 4 th December 2003 – Marriott, Maida Vale Culture/Trust Matrix Culture High Culture Low Low Trust High Trust Potential for effective relationship Low Trust/High Culture Effective Relationship High Trust/High Culture Poor Relationship Low Trust/Low Culture Ineffective Relationship High Trust/Low Culture

3. EC LN ENGAGING COMMUNITIES LEARNING NETWORK National Social Partnerships Event 4 th December 2003 – Marriott, Maida Vale T U Representative benefit for trade union members (may compete with other TUs) conduit for comms national/local TU conflict understand full agenda capacity Individual What is in it for them benefits? monetary gain? prof development? status C.V. commitment values (shared) Expert Patient inside information to get an inequitable service staff experiences – do we use this? staff knowledge as carer confidentiality Member of Team/Organisation common values dysfunctional/functional do they identify with the wider team/org? competition between teams especially if monetary gain end target

4. EC LN ENGAGING COMMUNITIES LEARNING NETWORK National Social Partnerships Event 4 th December 2003 – Marriott, Maida Vale T U Representative There may be good culture at the top but this needs to be filtered thorough Professional The individual as valued skill and knowledge resource across all networks (Expert Patient) Skills and techniques of EPP impact on wider activities Member of Team/Organisation Reliance on cascade structure for communications is not working

5. EC LN ENGAGING COMMUNITIES LEARNING NETWORK National Social Partnerships Event 4 th December 2003 – Marriott, Maida Vale Need to justify attendance:  TU work  in addition to ‘day’ job Need for inspirational leadership and commitment to deliver Involvement of staff must be:  of adding value  sustainable/managed  must address the real needs of staff, as identified by them – e.g. environment, facitilities, safety  Learn from ‘best value’ local government model of service review – both positive and negative

6. EC LN ENGAGING COMMUNITIES LEARNING NETWORK National Social Partnerships Event 4 th December 2003 – Marriott, Maida Vale T U Representative Responsibility and respect from ALL to ALL Improving working lives Training and culture learning reps Professional Taking off the blinkers in terms of management approach Embed it into the work people do Challenge the tick box culture (working with managers) Space for reflexive practice – sharing and learning from mistakes (Expert Patient) Listening to staff and valuing their experience and giving them time. Improving working lives (use it) Member of Team/Organisation Addressing the small things first with staff eg Time off + travel claims Work with the ‘Middle to Ground’ level to pyramid culture. Key advocates for NHS

7. EC LN ENGAGING COMMUNITIES LEARNING NETWORK National Social Partnerships Event 4 th December 2003 – Marriott, Maida Vale T U Representative Professional Pride in doing a good job Time to develop/train (Expert Patient) Valuing self management Opportunity for further development Member of Team/Organisation Not invested in management? external consultant/ management trainees

8. EC LN ENGAGING COMMUNITIES LEARNING NETWORK National Social Partnerships Event 4 th December 2003 – Marriott, Maida Vale Issues for PCTs re Staff Involvement Political vs operational agenda PCT HQ vs teams at work in community e.g. D.Ns, GPs Merging organisations and their varying cultures. How best to harmonise ways of working over time. Communicating – share good practice/making a difference How to change people’s perception to see the bigger picture and permeate through the system. How to identify what is the bigger picture and how it relates to staff in the organisation Giving individuals ‘permission’ to challenge and taking action as a result People are very busy

9. EC LN ENGAGING COMMUNITIES LEARNING NETWORK National Social Partnerships Event 4 th December 2003 – Marriott, Maida Vale How to encourage Staff Involvement Newsletters – giving opportunities for involvement Get rid of hierarchical job titles! Listen to what people are saying and act on it: - what irritates and annoys them (often quite a small issue that can be easily rectified)