Body and Mind The CNWL Magazine July 2015 – Claire’s View http://www.cnwl.nhs.uk/wp-content/uploads/BodyandMind6_WEB.pdf – page 21

CNWL Trust-wide news

Claire’s View

We’ve all been through a really thorough CQC Inspection – their team of 118 people (which included 22 nurses, two pharmacists, four social workers, 12 doctors and a dentist) collected pallets of information and asked for more and kept asking; they made 137 visits, spoke to 285 patients and collected comment card feedback from 177 more; they spoke directly to 913 staff, and checked 413 patient treatment records. They also visited many groups of patients and carers, including all the Healthwatches and commissioners.

The results (see pages 4 – 6) are out. I’m also getting some thoughtful wider views about how we work and I’d like to encourage this conversation.

One Psychiatrist wrote to ask: “Does the right first time, every time strap line (FTET) place clinicians under undue pressure – setting them up to fail? Good clinical care is about doing, reflecting, learning, improving.”  Thanks for saying this and I’d really like your views too.  FTET is what we aim for, and like any aspiration, it stretches us a little beyond what we’re doing – of course if that stretch is too short there’s no point, but if too far it leads to frustration and disappointment. And I guess this is what is up for discussion.

My own view is that we should always aim to get care right first time, every time and that it is this goal that drives what we’re striving for. It’s also what our patients have a right to expect of us.

Of course I recognise that perfection is unrealistic and I would hate for that goal to be a persecution or for people to feel shame or undue distress if they make a mistake or a team system fails.

It is my expectation that when a mistake is made that what is offered is support and learning. Most often this comes from teams, colleagues, clinical and managerial leads. I want CNWL to be known as the best Trust to work for; a place where your work is valued and supported and where openness is celebrated.  I really like the “doing, reflecting, learning, improving” point, within the tolerances – the minimum and maximums – we must work under.

I don’t want to give the appearance of all’s for the best in the best of all possible worlds and equally suggest it’s doom and gloom, as neither are right – so how do we all get to the right place? What do you think?

 

Is it right that our quality strap line is ‘first time every time’? Does it chime with what we’re aiming to achieve every time we see each of our 240,000 patients? Or does it feel like an unnecessary burden.

I am genuinely interested to hear your views.

Claire

 

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