December 2016: EdgeTalks: Empowering people to be heard and helping leaders to listen as part of creating the #AHPsMandate

Releasing the Transformational Potential of
Allied Health Professionals
#AHPsMandate
#EdgeTalks
Dr Joanne Fillingham
NHS Improvement
Dr Pete Thomond
Clever Together
@jkfillingham @petethomond

Overview
8 months
• 2 online workshops:
• 1949 people engaged (AHPs and members of the public)
• 16,128 ideas comments and votes
• Country-wide visits
• Policy analysis
• 53 case studies
• One joined up report

Today’s agenda
We’ll follow the
Clever Together
method
Copyright Clever Together © 2016. All rights reserved

What was our mandate to engage?

The FYFV a big driver
• Published in October 2014
• A shared vision across seven
national bodies
• New care models programme key
to delivery
• Focuses on both NHS and care
services

5 new models of
care with
50 vanguards
selected.
We explored the challenges faced by vanguards

CHAPO 2015-2016 visits

Radical upgrade in preventionHealth and wellbeing gap1
New care modelsCare and quality gap2
Efficiency and investmentFunding gap3
8
We face three common challenges

We need to make clear a collective AHP response

Agreement:
gains can be made for all AHPs and for
health & care by working towards
common goals and challenges together.
• National conversation about
collective impact of AHPs
• What do we need to start, stop, or
differently?
• Examples of how we are doing this
already.
But no need for a shared strategy…
We held a professional bodies workshop

1. We need to assert and demonstrate the transformative
potential of AHPs within the health, social and wider care
system in a powerful and evidence based way.
2. We need a product designed to inform and inspire leaders
and decision makers by offering:
• a clear view regarding the transformative potential of AHPs,
• examples of innovative AHP practice, and
• a framework to help develop local delivery plans.
Our mandate to engage

Crowdsourcing
a process of empowering
lots of people to solve
challenges and generate
collective insight.*
To achieve this… We need to work differently
*www.clevertogether.com

Crowdsourcing
To achieve this… We need to work differently
Triangulation is critical
Policy
analysis
Leadership
engagement

The obvious reasons for using crowd-sourcing
in place of traditional methods are:
• engage more people
• tackle time and geography constraints
• reduce engagement costs
• reduce the innovation cycle time
*www.clevertogether.com
Why crowdsource?
To help great leaders listen and empower great
people to be heard*

How we generated interest

We designed a communications campaign
Online
In print
In person

A call to arms with an invite to an “online workshop”

AHP network
Own organisation
Direct invite by email
Professional body
Social media
Nominated by a colleague
NHS Employers
Word of mouth
NHS England
NHS England website/blog
Other/blank
CAHPR
Clever Together
Health Educaton England
Health Watch
Council of Deans
NHS Commissioners
How?
- Email
- Platform
- Nomination
How, who….

From where….

From almost everywhere….

How we generated insight

A tailor made online destination

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Phase One - Logins
Monitoring and facilitating

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Phase One Ideas and Comments
Ideas Comments

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Phase One - Votes

A tailor made online destination
10,000+ ideas comments and
votes to answer:
• What could the collective
impact of AHPs be?
• What do we need to start,
stop, or differently?
• Where are we doing this
already (examples)?

www.england.nhs.uk
0.00%
5.00%
10.00%
15.00%
20.00%
25.00%
30.00%
England AHP HCPC registrants 2016 Engaged in online workshop
Who took part

www.england.nhs.uk
0.00%
2.00%
4.00%
6.00%
8.00%
10.00%
Speech and
Language
Therapist
Dietitian Orthoptist Art, Music &
Drama
Therapist
Smaller AHP professions keen to have their voice heard

www.england.nhs.uk
0%
5%
10%
15%
20%
Diagnostic & Therapeutic
Radiographer
Paramedic Chiropodists/Podiatrist Prosthetist/Orthotist
Some professions needed encouragement
Data saturation reached by third week.

Thematic analyses to understand the contributions shared
• NHSE AHP Clinical Fellow, with the support of Clever Together,
facilitated the conversation
• All contributions shared in first conversation analysed:
– every contribution read and clustered into themes and subthemes.
– themes analysed to create a narrative for each - using direct contributions
– draft statements to present back for validation and improvement.
• Coding agreed for 94% of content by five regional AHP leads.
• Outstanding 6% of content re-analysed and recoded.

Defining our potential revealed:
4 ways AHPs will impact health & wider care system.
4 areas of commitment to achieve this change.
Realising our potential revealed:
4 themes which AHPs need to focus on with,
16 specific enablers that will help them to deliver the
commitments.
Thematic analysis revealed first stage of insight

Shared first stage of insight at CAHPO conference

Our first stage of insight

“I honestly believe that if all AHPs in England were used
effectively, it would signal the total transformation of health
and social care which we desperately need. We save lives, we
rebuild lives and we do it all at a fraction of the cost of other
colleagues. We understand the medical but crucially, we
understand the social determinants of health -education,
poverty, housing, stigma”.

Phase Two – 4th July 2016
Goal:
Quality Assurance
Validate and challenge findings
A second online workshop

Everyone asked: do you agree or disagree?

0
50
100
150
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Phase Two - Logins

0
20
40
60
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100
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140
160
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Phase Two - Comments

0
200
400
600
800
1000
Phase Two - Votes

0.00%
5.00%
10.00%
15.00%
20.00%
25.00%
30.00%
England AHP HCPC registrants 2016 Engaged in online workshop phase one
Engaged in online workshop phase one and two
Operating Department Practitioner,
Healthcare Scientist, Psychologist,
Assistant/Support worker, Doctor,
Patient/Service User, Dentist, Pharmacist,
Fireman, Carer.
A second online workshop – who?

A second online workshop – patients and the public too

TOTAL
1949
people engaged
16,128
contributions

Thank you
#AHPsMandate
“I’m a qualitative researcher and listening to what you have
done I just think that it sounds like a superb piece of work
to me. It just sounds so valid, it sounds reliable, because
you have got people’s voices and you have gone out to so
many people, it just sounds brilliant. So I am really looking
forward to it being published in October, can’t wait”.

How we’re generating action

How we’re
generating action
#AHPsintoAction

#AHPsintoAction
AHPs into Action sets out clear responsibilities for:
 England's Chief Allied Health Professionals
Office,
 System leaders, and
 AHPs themselves.

#AHPsintoAction
AHPs into Action poses questions to leaders,
within the framework of commitments and
priorities identified by AHPs themselves, to
challenge and guide thinking when developing new
plans and strategies.

#AHPsintoAction
Specifically, Boards, STPs, Higher Education
Institutions and academics are being asked to
review their strategies against this framework and
to use these questions as a tool to identify best
practice and any gaps requiring action.

#AHPsintoAction
And we’ve achieved this by empowering people
from across England…
 to co-create a new view of regarding the
transformative potential of AHPs,
 to shine a spotlight on examples of innovative
AHP practice, and
 to co-create a framework to help develop local
delivery plans.

December 2016: EdgeTalks: Empowering people to be heard and helping leaders to listen as part of creating the #AHPsMandate

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December 2016: EdgeTalks: Empowering people to be heard and helping leaders to listen as part of creating the #AHPsMandate

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