Priorities for improvement - involving patients and their family in decisions about care

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1 Priorities for improvement - involving patients and their family in decisions about care Summary 82% of respondents in the annual patient questionnaire considered involvement in decisions about their care to be very important, with only 77% feeling that their health professional had been very good at facilitating this involvement. As a business unit Children and Young People had the highest percentage of respondents that said it was very important to be involved (88%), but the lowest percentage stating that their health professional had been very good at facilitating this (62%). Action plan Share the findings of the original survey with staff members and see if they have any thoughts on possible improvements June 2014 to the services. Carry out survey with questions detailed below, July 2014 Health Visiting - survey to be carried out on ipads in clinics School Nursing - survey to be carried out through postal survey Community Paediatrics - surveys to be carried out on ipads in clinics Share the findings with the management and teams following new survey results. August 2014 Highlight improvements to be made for the different services and develop a further action plan to implement these August improvements. onwards Re-survey to see if results have improved. January 2015

2 Health Visitors How good was your health professional at listening to you and your concerns? 42 responses overall 26 Very good 61.90% 14 Good 33.33% 0 Poor 0.00% 0 Very poor 0.00% % How good was your health professional at listening to you and your concerns? Very good Good Poor Very poor

3 How good was your health professional at involving you in decisions about your or your child's care? 42 responses overall 27 Very good 64.29% 14 Good 33.33% 0 Poor 0.00% 0 Very poor 0.00% % How good was your health professional at involving you in decisions about your or your child's care? Very good Good Poor Very poor Don t Know

4 How important do you think it is to be involved in decisions about your or your child's care? 42 responses overall 35 Very important 83.33% 6 Somewhat important 14.29% 0 Not very important 0.00% 0 Not important at all 0.00% % How important do you think it is to be involved in decisions about your or your child's care? Very important Somewhat important Not verty important Not important at all What could be changed to improve your involvement in decisions about your or your child's care? Some professionals have different opinions which can conflict Been brilliant Not really Brilliant, best one I've come to More appointments with them, only 3 a year No Get in contact more No always been really happy

5 Community Paediatrics How good was your health professional at listening to you and your concerns? 18 responses overall 9 Very good 50.00% 6 Good 33.33% 1 Poor 5.56% 0 Very poor 0.00% % How good was your health professional at listening to you and your concerns? Very good Good Poor Very poor

6 How good was your health professional at involving you in decisions about your or your child's care? 18 responses overall 11 Very good 61.11% 5 Good 27.78% 1 Poor 5.56% 0 Very poor 0.00% % How good was your health professional at involving you in decisions about your or your child's care? Very good Good Poor Very poor

7 How important do you think it is to be involved in decisions about your or your child's care? 18 responses overall 14 Very important 77.78% 3 Somewhat important 16.67% 0 Not very important 0.00% 0 Not important at all 0.00% % How important do you think it is to be involved in decisions about your or your child's care? Very important Somewhat important Not very important Not important at all What could be changed to improve your involvement in decisions about your or your child's care? They don t explain enough about what is going on Listen to our needs a bit more Couldn't do enough for me, I haven't got any negative feedback No - they know best It's important to know what is happening, but they know what is best for my child No nothing

8 School Nursing How good was your health professional at listening to you and your concerns? 10 responses overall 7 Very good 70.00% 1 Good 10.00% 0 Poor 0.00% 1 Very poor 10.00% % How good was your health professional at listening to you and your concerns? Very good Good Poor Very poor

9 How good was your health professional at involving you in decisions about your or your child's care? 10 responses overall 6 Very good 60.00% 2 Good 20.00% 0 Poor 0.00% 2 Very poor 20.00% % How good was your health professional at involving you in decisions about your or your child's care? Very good Good Poor Very poor

10 How important do you think it is to be involved in decisions about your or your child's care? 10 responses overall 8 Very important % 2 Somewhat important 20.00% 0 Not very important 0.00% 0 Not important at all 0.00% % How important do you think it is to be involved in decisions about your or your child's care? Very important Somewhat important Not very important Not important at all What could be changed to improve your involvement in decisions about your or your child's care? We have never been aware of a school nurse being involved with our daughter Her anger because she gets angry easy and sometimes takes it out on people around her. She bottles everything up, putting on some kind of fake smile then when she is alone she constantly cries. Letter or to parents about care For the nurse to back off and to stop thinking she knows better than GP's and specialists! I'm the mother, I know best. I think that they give me right advice about my child and support about what to do. Would like support to learn English. Allow the school nurses more time to spend with individual children.

11 Based on the results collected above, the below action plan has been put in place: Priorities for improvement action plan Children and Young People s Services Health Visiting - comments Action Action Owner Completion Date Some professionals have different opinions which can conflict More appointments with them, only 3 a year Health Visitors to explain to parents how they use evidence based practice and policy drivers to guide their decision making. Health Visitors to ensure that care is standardised across the team based on the operational framework, NICE guidance and policy Clinical manager Clinical Manager & Practice Teacher December 2014 December 2014

12 Community Paediatrics - comments They don t explain enough about what is going on To listen to our needs a bit more Action Ensure that parents and carers have the opportunity to ask questions during the appointment. Record questions and answers as appropriate in order to evidence practice for audit Action Owner Clinical Manager Completion Date December 2014 School Nursing comments Action Action owner Completion Date Letter or to parents about care. We have never been aware of a school nurse being involved with our daughter. Review School Nurse leaflet that is sent to parents in both primary and secondary school to highlight the confidentiality of the service regarding older children Team Leader December 2014 Ensure parents of younger children are informed if the School Nurse has had involvement with their child via letter Team Leader December 2014

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