values based diagnostics james moreton, skills for health london, july 9 th 2015
TRANSCRIPT
Values Based Diagnostics
James Moreton, Skills for Health
London, July 9th 2015
Values Based Care
• Values-based care is now a major priority for the UK’s health sector, supporting decision-making within a framework of shared values.
• Skills, knowledge and behaviours to provide compassionate, safe and high quality care and support. Not just a recruitment issue!
Values Based Care Diagnostic
• Understand your values. Every organisation has its own values that drive actions, behaviours, attitudes and norms.
• Skills for Health service identifies and articulates how your organisation’s values map against key drivers e.g. NHS Constitution.
• Diagnostic service developed by Skills for Health in NHS East of England with 10 Trusts and the local HEE.
• Investigated how values are lived/breathed to help enhance performance, re-focus OD strategies and offer the best care possible for patients.
Through a Values-Based Care Diagnostics
How Does it Work
• Worked with employers to implement and sustain VB cultures
• Match values with national standards
Findings
• Our report demonstrated that ‘good values’ in the NHS are under significant pressure.
• Managers and staff are trying to manage tensions that exist between competing economic , ethical, and emotional values.
• The project held a lens to these tensions by looking at some underlying themes:
– Corporate values alignment– The impact of rewards and punishment within cultures– Personal values and value judgements– Emphasis given to Economic, Ethical and Emotional values– Personal and organisational wellbeing– Values and leadership
Three Headlines
• The pressures that managers are under tend to force them to emphasise economic values. Many clinical practitioners are reluctant to abandon the principle of ‘best possible care’ in favour of ‘the care we can afford’
• The true level of real service loss is being masked by the goodwill and values of staff in a way that is not sustainable
• Staff feel undervalued because they perceive that the level of care for them as people is being undermined. They comment “how can the carers care if they feel undervalued and that the system has little regard for their own wellbeing?”
Further Work is to be Commissioned
