Reflections

Here I will add reflections and which models I use.

Reflection on BAOT Northern and Yorkshire CPD study day – Compassion, Dignity and the implications of the Francis Report for OT’s – using the COT reflective log which can be downloaded here.  http://ilod.cot.org.uk/cpd_tools/tools/ReflectiveLogTool

Me

My experience of the subject prior to the learning experience.    I had heard lots about the Francis report on the News and followed the story with interest, however had not got round to reading it, and was unsure what it meant for my profession.

 Facts

How the knowledge was acquired?    This was a free CPD event jointly organised by the Northern and Yorkshire Regional Committee, Unison and Bridges for Learning.  Day commenced with two presentations with group activity’s throughout

 What was the nature of the experience or event? Explain the subject.    The event gave us a fresh look at compassion and Dignity, asking us to reflect on your experiences.

It then explored the Francis report, in terms of what was found and what it recommended.

 An account of what happened without specifying what was learnt.      Caroline Beetham started the morning off with a presentation about an introduction to compassion and dignity.

We looked at

  • Services user, carers and the general public view/understanding of the role of a health professional.
  • The loss of dignity and poor dignity practise.
  • Explore what is compassionate care and how culture within the work place affects this, focusing on dignity and what is expected from health professionals,

We were asked within groups to discuss how we could ensure service user’s fundamental care needs are met within our practice.

The presenter finished with highlighting that we need to put compassionate care in to practice, and measure it.

In the Afternoon Julie Parks presented the Francis report focussing on why it matters to you.

She began by quoting Florence’s nightingale, and Robert Francis. Stating that service users should expect no harm and be put first.

She then introduced the NHS Constitution highlighting that within the Francis report only 45% of NHS staff were aware of the document.

She explained that Francis had

  • 290 recommendations
  • Included 164 witness statements.
  • There were warning signs and coincided there were system, organisation and individual failures from Mid staff NHS trust.

We then looked at some of the recommendations including –

  • A need for fundamental culture change
  • Engagement of every single service users
  • Collective and individual accountable
  • Putting services users first,
  • Need for effective services from compassionate staff, with a common set of values and behaviours
  • Peers reviews
  • Possible regulation of health care assistants
  • The role of commissioners
  • The need to be open, transparent and show candour.

We also explored the role of leadership and accountability including how we need to define and measure standards of accountability, personal responsibility roles and responsibilities within multi disciplinary teams – we were aske to discus with a group what this meant for AHP practice.

Finishing with what was learnt for this report and others like it.

Looking at what we can do in our areas to identify areas that need attention, by completing a GAP analysis, again we were asked to discuss this with groups.

 Select the part of the event that was significant and/ or important to you.  The whole day was interesting and information, as ever I enjoyed the group work and table discussion, learning from colleagues with other areas.

Feelings

 What aspect of the event went well?     I felt the whole day went well and was a good mixture of presentation and group participation

 What was not so good?    Nothing, just felt quite tired by the end of the session

 What were my feelings about what happened?     Felt positive throughout, and chance to learn and reflect

What were the feelings of others?     Colleagues that I chatted to during breaks and on Twitter after wards felt the same, that the event was useful and throughout provoking

 Learning

What were my desired learning outcomes?  To understand the Francis report more and how it will and should impacted my practise on a daily basis.

Where does it link in or combine with my existing knowledge?   As stated above knew off the Francis report, its overall findings and recommendations for change but this a really chance to focus on it and what it means for AHPs

 What have I learnt from the experience?    The whole day was interesting and information, as ever I enjoyed the group work and table discussion, learning from colleagues within other areas.

During the morning session I took away that compassion and dignity should be something I need to focus my practice on, as a Clinical Lead I am supervise 7 staff  and I need to include these ideas with supervision and daily practice to ensure we are all doing our best.

I also reflected on how compassion is the little things, the hug, (where appropriate) the taking a few min’s to facilitate a phone call for a service users, arranging staffing levels to take make sure service users section 17 leave can be covered.  I need to remember this and always make time.  Also thank staff and highlight when I see they have done this.

Within the afternoon session I learnt more and have now have greater understand of the Francis report and its recommendations.

On reflection I can see, movement within the trust I work for to ensure this happens including

  • Statement of values and behaviours,
  • Staff compact,
  • RPIW
  • Stand processes
  • MDT working
  • Service users involvement
  • Enforces on leadership training
  • A movement towards becoming more recovery focussed.

I again was aware of the NHS constitution, but like many things had not read this in detail, I’m planning on sharing this with my team and looking at it together as well as have a copy of it available in the office.

Talking about Culture with the workplace was also a highlight for me and I feel encouraged to ensure I report bad and poor practice I see, this day has given me time to think about how important and fundamental this is without it, the NHS will not learn and change.

I also reflected on what we do well, like getting good feedback from service users, providing a range of meaningful and purposeful activities, good integration within the MDT.

I also feel as a manager I am approachable and hope my team feels supported and free to express their thoughts and frustrations with me, in a constructive way.  I will in turn fully support them in highlighting’s areas of concern.

I have begun to embrace leadership recently finishing and leadership and management course which I feel had a great impact on my leadership style, becoming more confident, and learning the importance of understanding your team.

There has been some staffing changes over the past year, and we are currently spending some time reviewing our service and updating standards process the one think I learnt for the leadership course is to encourage embracement of change staff need to feel part of it, this had been the biggest change I my leadership style where in the past I would write risk assessment, standard processes and timetable myself it is now a team task.  This means the OT department is closed while we do this, however I feel the good outweighs the bad.

Conclusions

What do I need to do next?     Ensure dignity and compassion is talked about and explored within my team.    Print out a copy of the NHS constitution to have in the office and talk about this with the team.

How can I put my learning into practice in another situation?    Remember the little things are important to our services users, and take the time t show compassion and respect dignity every day.

One thought on “Reflections

  1. Hello,
    After going through your work i continue to feel fascinated,i work as an occupational therapist in a single room psychiatric unit in Kano,Nigeria.Honestly you are wonderful especially in Arts and tackling stigma which is at its peak here in Africa.You have made me to start having a dream to be privileged to acquire months of experience with you,it will create fantastic changes in my skills and in my patients with mental disabilities and it will make OT a fascinating part of their daily lives and enhance their functional performance..
    you are great, please continue,we are proud of you.
    Mahmud.

    .

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