Talk Health and Care

Empowering voices starts by giving a platform and then acting on them

A digital platform to hear views by DHSC is a good start, however all healthcare providers need a centralised means to submit suggestions for improvements across a wide array of topics, not merely on the topics they want to hear, including reducing costs and improving efficiency, outcomes, and more.

These submission platforms need a means to indicate what is or is not being done in response, and why or why not. Too often, I've had many suggestions for a Trust, but nowhere to propose them to. Despite asking my own Trust, they still haven't developed even a basic suggestions areas (there's a means to complain, but this only encourages and receives negativity and not positive thoughts on how to constructively solve a problem).

Having worked at a number of Trusts, the inability to submit suggestions as a member of staff (just short of emailing the CEO, which seems wasteful, or asking a manager who might have a negative mindset of 'this is how it'll always be' and won't pass it on) is the rule rather than the exception.

Trusts, healthcare providers should mandatorily include a way to submit suggestions on improvements, ideally with the ability to post entirely anonymously (EG no registration) lest there is backlash over reports regarding such things as corruption or bribes.

edited on Nov 2, 2018 by Isabel DHSC

jackio Sep 16, 2018

Totally agree - as someone who has just moved NHS Trusts I would like to see some of the good practice I experienced in the previous trust adopted in my current job. There is no one to tell who would be able to action it.

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Joseph DHSC Oct 2, 2018

Hi Jackio - I'd be interested to learn more about the good practice you referred to in your previous trust. What did they do that worked best?

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jackio Oct 3, 2018

I work in mental health. The previous Trust had more extensive service user led input and development. This involved service users attending the induction for example, and creating directories of local groups, and having a budget for project development. They also had a representative on the board of the Trust.
As we have so much paperwork to do, any improvement in software and IT can lead to much more time with patients. The other trust had a single sign in for all systems so you didn't have to waste time repeatedly logging in to different systems which all time out regularly. They also had a centralised posting service that you could send letters to be printed out and posted to rather than wasting time on admin. Finally, they had a mental health focused software system with standard letters easily formatted with the patient's details instead of relying on word documents being created, inputted with the patient details and then uploaded. The whole system could also be used remotely quite easily, instead o having to return to base to use desktops, we were provided with laptops that were secure but you could use remotely. If you work in the community this saves a lot of travelling. However I would say that desktops and local printers are still needed as on the negative side these were not always available and a lot of time was wasted compensating for this, plus sometimes we need to print documents out to peruse for assessment write-ups.
The risk assessments were also bespoke, which meant much more fit for purpose in my opinion than systems such as GRIST which are quite time consuming to complete, and not always easy to navigate or upload.

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Joseph DHSC Oct 4, 2018

Thanks, that's really helpful to see!

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Adam DHSC 11 months ago

Hi Joshua,

Thanks for your post - do see the blog by Matt Hancock that mentions your idea -


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