What are your top 3 ‘makes a difference’ messages you would give to the people planning and providing your care, support and treatment?
I am keen to include the ‘individuals’ voice’ in training. Why? Because what’s the point in providing training if it doesn’t make a difference to the people accessing services. Training can become a standards checklist unless it relates directly to people’s care support and treatment in a meaningful way. The training has to resonate with the participant on some level if it is to have an impact and influence or change practice. The training has to have some value.
In the NHS we are super keen to measure everything, and it’s not that I am against this; it’s just that the measurable bits are often ‘hard’ – concrete and tangible, but it might be that the ‘soft’ bits are where the quality sits. So for example, with Care Programme Approach, one of the standards is that everyone should have a review at least once a year. This is a ‘hard’ standard; it is a distinct event with a time-frame; it is one that is ‘counted’ and reported on. The quality or ‘soft’ aspect in this standard is harder to count but impacts on the persons experience of care support and treatment – the review should include the person’s views, should be held in a way that the person prefers, the review should be held when needed (a year is a long time when you want to be moving forward……) and the review might be a series of discussions and information gathering to inform the care plan rather than a formal, chaired event. It tends to be the ‘hard’ bits that drive practice. My concern here is that practice gets distilled down to the hard bits and the soft bits fall by the wayside. Don’t get me wrong, often it’s the hard bits that get the job done #performance, but is it at the expense of the soft bits #experience? Perhaps a blend of both is best, but have we got the balance right?
So, what are your top 3 ‘makes a difference’ messages you would give to the people planning and providing your care, support and treatment?