A multidisciplinary LiA team at East Sussex NHS Trust has worked together to create a new Ambulatory Respiratory Care Service (ARCS) at Eastbourne General Hospital. This has been a great example of an LiA team working across the usual boundaries, empowering a rich cross-mix of staff...

There is exciting news at Royal Liverpool and Broadgreen University Hospitals NHS Trust this week, where they are buiding on their LiA adoption to radically improve patient care and services through ‘real time’ staff engagement. Under the leadership of Consultant, Simon Constable, the hospitals will be running the 'perfect week' to understand where the blocks are and how they can improve what they do for patients, staff and the Trust.

Following the closure of the Winter Ward at Aintree University Hospital NHS Foundation Trust in Spring 2013, the Medical Division decided to use an LiA approach to plan ahead for winter 2013/14. This effort was led by the Matron and Ward Manager, who were determined to build on the learning and improve the experience for both patients and staff.

Pennine Acute Hospitals NHS Trust are now in their second year of LiA adoption. So far they have had an incredible 79 Staff Conversations involving more than 2000 staff, all with a focus on improving their services and patient care. Their focus as a Year 2 LiA Beacon Trust, is on 'raising the bar' in terms of rapid spread of the LiA way of working, and moving ‘faster to outcomes’

The LiA Lead Coordinator is a very special role for a rising star in the organisation. Working directly to the Chief Executive, they coordinate, coach, cajole and support colleagues at all levels and in all roles to understand and buy into the LiA way of working. The LiA Lead Coordinator typically has a clinical background, and is tenacious, passionate and unwilling to let obstacles (of which there are many!) get in their way.

John Goulston, Chief Executive at Croydon Health Services NHS Trust, has recently hosted two highly successful LiA Conversations with patients at his Trust... "Listening to our patients gives us the insight into how we can make the necessary changes to improve services. In the past couple of weeks I have been very proud to host two listening events"

East Sussex Healthcare NHS Trust has recently moved into their second year of LiA adoption, with a focus on engaging and empowering their staff around specific, priority opportunities to: 1) improve the quality and safety of patient care, 2) enhance the patient experience, and 3) enable and support frontline teams to do their jobs. As part of this work, based on feedback from staff and patients, they have introduced an exciting Patient Experience Champion Programme

In the past 6 years, over 120,000 staff in 120 NHS Trusts have highlighted one of the greatest challenges they face delivering great patient care: delays and challenges in the system to recruit the right staff at the right time. It impacts safe staffing levels, agency/bank costs, staff morale, and ultimately the quality and safety of patient care.  

Barnet, Enfield and Haringey Community Support and Recovery Team (East) made a bigger impression than expected when they set out to enhance the patient experience. The team wanted to improve their referral response rates, reduce waiting times and provide a service more tailored to the individual needs of their users, in order to maximise recovery and discharge.

There is a story about a time when John F Kennedy visited NASA unannounced, and he came across several cleaners. He asked each one what their job role was and received a stock answer from all but one who replied: “I am helping to put a man on the moon”. In every team there are members who perform the ‘hidden’ roles, and without their valuable input the team would not be able to achieve their mission

Michelle Cloney, LiA Lead, reports back from UHL... In April 2012 we did a Trust-wide LiA Pulse Check® to get a snapshot view of ‘how engaged and how valued our staff feel right now’. This is a vital part of the journey for all LiA Trusts and provides a baseline to compare against over time.  

Glenn Young, the LiA Lead at East of England Ambulance Service, recognises the energy and committment required to adopt LiA across a geographically diverse and mobile workforce. He says "We need marathon runners not sprinters".

The network of LiA NHS Trusts grew to 36 this week, with six new Chief Executives and key influencers from across their Trusts starting their Listening into Action (LiA) journey at their first Navigation Day in Birmingham. Their shared mission is to engage and empower frontline and support teams on a widespread basis to deliver better outcomes for patients

Hull and East Yorkshire Hospitals NHS Trust launched its first wave of LiA Pioneer Teams in October 2012, as part of their intensive focus on engaging and empowering staff to innovate, find solutions to problems, and improve the overall care experience for patients.

Staff on the Orthopaedic Gould Ward at Musgrove Park Hospital have worked together using Listening into Action (LiA) to reduce pressure ulcers, reduce patient complaints, stabilise staffing levels, and improve cleanliness on the ward. This has had a positive impact for patients and for the team, and has also resulted in significant cost savings.

Keep Calm and Pass it On

Wed 18th December, 2013
10 Trusts got together yesterday in Birmingham to share the impact LiA has had for patients and staff during their first 10 months as National Pioneers on Staff Engagement and Empowerment.

Adopting LiA as one of Aintree Hospital’s First 10 pioneering teams, Ian Hincks, Clinical Nurse Specialist, and the Haematology team have delivered a remarkable transformation for the benefit of patients, staff and the Trust. “There is no doubting that pre-2013, clinical haematology was in need of effective leadership and the implementation of essential change’’ according to Ian.

A new cohort of six NHS Trusts will start in January as National Pioneers on Staff Engagement and Empowerment, through widespread adoption of Listening into Action (LiA). They will embark on an initial 12 month journey, to get to a point of traction where new ways of working start to embed as ‘the way we do things around here’.

East Cheshire NHS Trust has won the North West Leadership Academy award for Patient Inclusivity, based on a radical improvement in the service provided for patients with Autism. ‘Open 2 Autism’ was led by Lillian Rimmington, Theatre Recovery Team Leader at the Trust, as one of the Trust’s ‘First 10’ Listening into Action (LiA) teams.

Not for the faint-hearted!

Tue 3rd December, 2013
Adopting the LiA way of working is not easy, it is not for the faint-hearted, and it can be difficult to persuade staff at all levels that this is not just ‘another initiative’ which arrives with a bang and then fizzles out.   The Chief Executive is the main sponsor of LiA in any Trust, and it is important that their role is not just as a symbolic figurehead.