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Health IT and the Francis Report Dr Paul Shannon 30 th April 2014. How IT systems can help address the key findings of the Francis report. What is ‘culture’?. Surface manifestations Artefacts, ceremonies, rituals, heroes, sagas, etc. Values and Beliefs. Basic assumptions

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Health IT and the Francis Report Dr Paul Shannon 30 th April 2014


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health it and the francis report dr paul shannon 30 th april 2014

Health IT and the Francis ReportDr Paul Shannon30th April 2014

How IT systems can help

address the key findings of

the Francis report

schein s 3 layers model

Surface manifestations

Artefacts, ceremonies, rituals, heroes, sagas, etc

Values and Beliefs

Basic assumptions

e.g. nature of reality, truth, relationships

Schein’s 3-layers model
  • Schein, E.H. (1985) Organizational Culture and Leadership, Jossey-Boss, San Francisco, CA.
slide4

Analysis of cultural diversity in a NHS Trust

using Schein’s 3 level scheme

key finding a lack of openness to criticism
Key finding: ‘A lack of openness to criticism’

‘To focus on blame will perpetuate the cycle of defensiveness, concealment, lessons not being identified and further harm.’

(p35, Executive Summary)

key finding misplaced assumptions about the judgements and actions of others
Key finding: ‘Misplaced assumptions about the judgements and actions of others’

There should be ‘...no place for favourable assumptions’. (p1678)

key finding defensiveness
Key finding: ‘Defensiveness’

“We can only be sure to improve what we can actually measure.” (Lord Darzi)

key finding looking inwards not outwards
Key finding: ‘Looking inwards not outwards’

‘[The NHS] is self-referencing. It’s not good at listening’ (Ombudsman, p1363)

key finding a failure to put the patient first in everything
Key finding: ‘A failure to put the patient first in everything’

‘The Trust prioritised its finances and its FT application over its quality of care, and failed to put patients at the centre of its work’. (p45, Executive Summary)

conclusion
Conclusion
  • Patient stories have high impact!

‘a rich and varied source of information on each patient to help patients avoid or manage chronic disease, deliver truly personalised health care and proactively monitor safety and quality of care.’ (CSC, 2012)