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Professor Susan Llewelyn , Oxford University and Oxford Health NHS Trust

Improving teams How and why clinical psychologists can (and must) support the effectiveness of NHS services. Professor Susan Llewelyn , Oxford University and Oxford Health NHS Trust. O utline. Overview of intervention Rationale for intervention Methods and procedure Outcome

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Professor Susan Llewelyn , Oxford University and Oxford Health NHS Trust

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  1. Improving teamsHow and why clinical psychologists can (and must) support the effectiveness of NHS services Professor Susan Llewelyn, Oxford University and Oxford Health NHS Trust

  2. Outline • Overview of intervention • Rationale for intervention • Methods and procedure • Outcome • Issues raised

  3. Overview of intervention • 6000 staffed NHS Trust, covering community health and mental health across 4 counties • Evidence from staff survey of poor levels of team working and fluctuating morale • Psychologist asked to provide support for effective team working and team leadership • 3 year programme to date, 2 days per week • Result: improved survey results, increased team effectiveness, broad roll out of senior staff training and sign-up to team based working

  4. Rationale • Evidence from studies by West et al (with close involvement from Aston OD) • Documented impact of team based working on team performance and staff wellbeing • Use of clinical psychologist as internal consultant • Progressive build up of change of approach and acceptance throughout Trust • Systemic change using psychological models and personal contact

  5. Methods and processes • Team building days • Provision of master classes, lectures and talks • Individual staff coaching/mentoring • Work with senior and middle management • Use of positive psychology methods (e.g. affirmative enquiry) • Involvement of Aston OD team leader coaching

  6. Outcome • Over 100 Team away days and events facilitated indirectly involving around 2500 staff • 70 senior staff trained (or training planned) • Coaching provided for all Trust Exec team and all senior divisional directors • Improvements in staff survey results • Reported improvements in levels of team engagement

  7. Issues raised • Importance of understanding the local context • Crucial importance of personal relationships and trust • Support needed for the internal consultant (risks for the hero-innovator) • Huge potential role for clinical psychologists • Need for understanding contributions from other areas, e.g., organisational psychology and systemic approaches • Need for effective evaluation procedures

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