Values Based Standard® FVRH Pilot in conjunction with

Pilot Sites in NHS Forth Valley

Ward A12:Haematology,Neurology,Endocrinology,

Dermatology,Rheumatology & General

Medicine.

Breast Specialist Nurse Team, Oncology.

Ward 3, SCH, Continuing Care.

Now in Glasgow Council and NHS Lanarkshire

The Journey So Far

. Staff questionnaires & feedback

. Staff training

. Clinical area observations & feedback

. Patient stories

. Patient questionnaires including TCAB

. Patient experience surveys & feedback.

. Focus groups

Three Projects in A12

• Welcome Board

• Name Badges

• Values based tool “Tree of Me”

Data Collection / Analysis

Good learning from data collection, ie focus group data far richer than questionnaire, hence now have scope to re-vamp questionnaire

Good support from Quality Improvement team who supported the data analysis and writing up of results etc

Choosing themes that were in the main a “quick fix” and using “smart “ objectives and PDSA to support us

What has gone well

All staff have the chance to be part of

servicere-design

In the main all staff have been receptive and keen to participate in the pilot within Forth Valley

Well supported focus groups for

Breast teamPatients very

motivated

Supporting ward staff in their VBS journey – which

helped to ensure a “bottom up approach”

Good support from VBS facilitators as own role

allowed

Able to share /network at

conferences, ie poster

Getting people to understand the VBS vision

Getting people to understand the methodology

The volume of work can at times be overwhelming

Getting people to see VBS as a

“special free gift” to enhance

patient experience

Juggling work Spinning plates

VBS Team

The Challenges

Time constraints• For Staff• For VBS

Facilitators

Not always easy to access

patients if they were working

etc

Some people feel they “do all that anyway”

Delighted with how interested our patient reception staff were to hear about VBS and how they could

participate

The surprises !!!!!

Patients worried about contacting breast care nurse in case their question was silly

If you don’t ask you won’t know

Dept. of Silly Questions and Helpful Answers

Breaking bad news insensitively (medical staff)

Pleasantly surprised at how receptive medical staff were to VBS lunch time

event

Some of the feedback:• Some patients unhappy

with wire baskets for clothes in X-ray

Surprised patients did not mention waiting time at clinics

Delighted with patient

participation in

focus groups and way forward event

Real keenness from patients to be part of re-design

The Way ForwardThe Way Forward

Principal of name badge design being discussedat corporate level.

Welcome board idea: a working party is being formedto develop this to a finished product.

Tree of Me: Being tested in a 4 bedded bay, initial response and feedback positive

Spread

Normalising

• Spread

• Co-design

Co-design

Any Further Questions?

• Useful websites

• http://learnzone.org.uk/

• http://be.macmillan.org.uk