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Conversations on and off Patient Opinion. Ben Pathe | Patient Opinion @BenP1972 ben.pathe@patientopinion.org.uk. Francis, keogh , berwick …. Francis Report, 2013.
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Conversations on and off Patient Opinion Ben Pathe | Patient Opinion @BenP1972 ben.pathe@patientopinion.org.uk
Francis Report, 2013 “The NHS should be commended for its willingness to cooperate with Patient Opinion, exchange information with it, and make use of its facilities. As was recognised by Professor Sir Bruce Keogh, it would be helpful if the profile of this sort of feedback facility was raised and kept in the public eye.”
Francis Report, 2013 “I could not help feeling that, in Francis' vision of the future, the patient remains something of a passive onlooker, not an assertive participant. It runs the risk of an undue reliance on the system getting it right for the patient. We know all too well that this is not enough.” Stephen Thornton, chief exec, The Health Foundation
Francis & Transparency “Patients and the public live a life outside the NHS… The knowledge they make available through web sites like Patient Opinion reflect their experience of what is happening inside, but is also created by their lives outside the health service… The more knowledge we have about what is going on inside the system that has been created by people who live outside it the better the NHS will be.” Paul Corrigan, ex-policy advisor to the PM
Keogh Report, July 2013 “Patients, carers and members of the public… should be confident that their feedback is being listened to and see how this is impacting on their own care and the care of others.”
Keogh Report, July 2013 “Realtime patient feedback and comment must become a normal part of provider organisations’ customer service and reach well beyond the Friends and Family Test.”
Keogh Report, July 2013 “The public have now become not just informed participants in the process, but active assessors and regulators of the NHS. This represents a turning point for our health service from which there is no return.”
Berwick Report, August 2013 “Hear the patient voice at every level – even when that voice is a whisper”
Berwick Report, August 2013 “Patient feedback is instrumental to the measurement, maintenance and monitoring of safety. Feedback should be collected as far as possible in real time and be responded to as quickly as possible.”
Berwick Report, August 2013 “All organisations should seek out the patient and carer voice as an essential asset in monitoring the safety and quality of care.”
Using PO/CO… • Service users and carers can give honest feedback safely and easily • Staff know how their care is experienced • Services can make constant improvements based on feedback • Everyonecan see how services are listening and changing in response
Activity to date • Almost 60,000stories online • Read 58 million times • Used by over 500 organisations • Providers, commissioners, CSUs… • Regulators, government, MPs, councillors… • Healthwatch, patient groups, educators, researchers… • Almost 2,000 staff listening
Service User Patient Organisations CQC and Monitor GP Consortia Automatic notification Relevant staff Service improvement Story Response Comment 1 Comment 2 Comment from patient HealthWatch, H&W Boards National government, and MPs Conversations on Patient Opinion
How stories improve integration across health and social care Care Home “The ambulance arrived quickly” Daughter Ambulance Local NHS FT hospital Ambulance “We really liked the step down home but it was awful arriving there at 22.00 after waiting all day for the hospital to discharge her” Daughter Step down facility Ambulance Care Home Social care Health services “We often find residents coming back to us late at night” Care home comment Community physio
Service User CCGs Health services Patient Organisations CQC Automatic notification FT staff Hospital improvement Response Comment covers both responses Story Comment Care home staff Response Care home improvement Comment from patient Local Authorities, HealthWatch Social care National government, and MPs Integrating conversations on Patient Opinion and Care Opinion
John’s story • Early December 2012 John left his story on NHS Choices about the care of his mother: • hygiene standards, basic care, lack of information, poor handovers and attitude of staff though equally highlighted good care and staff. • His opening line recognised the prompt and professional work of the Macmillan nurses. • ULH responded on 18th December. • ULH heard nothing more.
John’s story • December 2012 John left his story on NHS Choices: • In February PO contacted ULH. • John wanted to reply but couldn’t on NHS Choices; his mother had died – on the day ULH left their response. • He had many questions and PO recognised his need to talk to ULH. • ULH met John in April – a very tough, emotional meeting. • Despite complaints and concerns John still recognised what went well; especially Macmillan CNS. • Ended the meeting with a gift……..
Collective value of PO To story-teller themselves To people who read the story To commissioners & regulators To providers of care
