Workforce Strategy to Improve Staff Engagement

Mark Wilkinson Director of Strategic and Organisational Development

Bolton NHS FT 14 April 16

@nhsmark @boltonnhsft

http://nhsemployers.org/case-studies-and-resources/2016/03/staff-

engagement-bolton

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Connect to ‘business processes’

Trusts with more engaged staff tend to have lower levels of patient mortality, make better use of resources, and have stronger financial performance and higher patient satisfaction, with more patients reporting that they were treated with dignity and respect. http://www.kingsfund.org.uk/publications/staff-

engagement 2

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Our journey – Significance of Context?

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13

25

38

50

✓Addressed governance concerns and

taken out of breach ✓Secured investment of £30m for estates

and IT ✓Investment in nursing ✓Achievement of 18 week and cancer

targets ✓Addressed significant financial deficit

while improving quality ✓Staff engagement ✓Increased reporting of incidents and

risks

Compelling shared direction - Trust

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Integration of hospital

and community

services

Services for women and

children

Major A&E provider

Compelling shared direction - People

Fit for the future – new workforce models,

ageing workforce and working across organisational

boundaries.

Engagement and experience - maximising

effort through open communication, ample recognition, staff health

and wellbeing and evident connection to

our values.

Managing an efficient workforce –flexible staff fully aligned to demand

for our services and deployed in agile ways.

Developing capabilities in management and

leadership - strong and demonstrable

management and leadership at all levels

across the organisation.

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Alignment

Vision / plan

Performance management

Risk management

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Trust

Personal Objectives

Collective and distributed leadership

• Lean structures with devolved decision making

• Tight control over KPIs • Freedom to Speak Up Guardian

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Supportive inclusive leadership styles Bolton Consultant as Chief Executive

Lunches with Jackie / triangulation

Senior Team Visibility

Awards

Local engagement with staff survey action planning

MORE TO DO - Importance of staff receiving feedback from their line manager for the work they do

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Give staff tools to lead

• Engagement flows from: – Control over work and environment – Opportunity to stretch – Good Line Management & Leadership – Staff Wellbeing

• Quality improvement methodologies – ‘Perfect Week’ – MADE Safer

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Culture based on integrity and trust

Values Values Definitions

Practices (Behaviours)

Induction Recruitment Leadership Dev Appraisal

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Towards a Values-Based Organisation…

Bolton’s VOICE

• V Vision • O Openness • I Integrity • C Compassion • E Excellence

• We listen to the voice of patients, staff & stakeholders

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Staff engagement on board agenda

• CEO led Staff Engagement Steering Group – Oversight of strategic & operational issues

• Divisional engagement – Each Division contributes to Strategy but is

empowered to operationalise appropriately

• Staff experience links to patient experience • All our work underpinned by metrics

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Any further questions?