Crowdsourcing a strategy for #FutureNHS#AHPsMandate

Suzanne RastrickChief Allied Health Professions Officer

Dr Joanne FillinghamClinical Fellow to the Chief Allied Health Professions Officer

NHS Five Year Forward View

• Published in October 2014

• A shared vision across seven national bodies

• New care models programme key to delivery

• Focuses on both NHS and care services

The challenges we face

Radical upgrade in prevention

Health and wellbeing

gap1

New care models

Care and quality gap

2

Efficiency and investmentFunding gap 3

3

2015-16CAHPO visits.

Agreement that gains can be made for all AHPs and the health and care by working towards common goals and challenges together. • National conversation about

collective impact of AHPs• What do we need to start, stop,

or differently?• Examples of how we are doing

this already.

Professional bodies workshopAHP strategy?

A mandate for change.

The obvious reasons for using crowd-sourcing in place of traditional methods are:• engage more people within the process of solving challenges and generating

insight;• engage people that are time constrained and geographically dispersed;• reduce engagement costs – using less resource and time to reach out to staff and

customers to get feedback;• reduce the innovation cycle time – creating collective insight and catalysing

collective action, fast.• We’ve also found a reason that is much more important – half of the best ideas lie

within the 80% of people who normally don’t contribute.*Clever Together http://clevertogether.com/web/

Why crowdsource?“helping great leaders listen and empowering great people to be heard”*

Crowdsourcing is a process of empowering people to solve challenges and generate collective insight. 

#strongertogether

Ultimately…..

Content analysis overviewA thematic analysis approach to understand the contributions shared was used.

• Joanne Fillingham, with the support of Clever Together, facilitated and analysed all of the contributions shared in our first online conversation.

• This thematic analysis approach included– Reading through all of the contributions and clustering them into different

themes and subthemes.– Creating a narrative for each theme directly using contributions from the online

workshop.– Resulting in draft statements to present back for validation and improvement.

• 94% of coding was agreed by five regional AHP leads. The outstanding 6% was re-analysed.

Feb/March • Professional bodies workshop 17 Feb 2016• Review of national documents, polices and publications.

Apr/May• Phase one - online workshop launched 18 April & extended to

6 May.• Thematic analysis.

June • Thematic analysis and draft emerging mandate.• CAHPO Conference 23 June – validation and improvement.

July/Aug• Online workshop open to AHPs and wider stakeholders on 4th

July until 15 July.• Thematic analysis and write mandate for change.

September • Formal processes for sign off.

October • Launch Mandate for Change #AHPsmandate

Towards a mandate for change.

Engagement – How? Who with?AHP networkOwn organisationDirect invite by emailProfessional bodySocial mediaNominated by a colleagueNHS EmployersWord of mouthNHS EnglandNHS England website/blogOther/blankCAHPRClever TogetherHealth Educaton EnglandHealth WatchCouncil of DeansNHS Commissioners

How?- Email- Platform- Nomination

Across England and the UK…

…and wherever they were in the world!

Phase One – 18th April 2016Generating Insight

18.04.16

19.04.16

20.04.16

21.04.16

22.04.16

23.04.16

24.04.16

25.04.16

26.04.16

27.04.16

28.04.16

29.04.16

30.04.16

01.05.16

02.05.16

03.05.16

04.05.16

05.06.16

06.05.160

50

100

150

200

250

300

Phase One - Logins

18.04.16

19.04.16

20.04.16

21.04.16

22.04.16

23.04.16

24.04.16

25.04.16

26.04.16

27.04.16

28.04.16

29.04.16

30.04.16

01.05.16

02.05.16

03.05.16

04.05.16

05.06.16

06.05.160

40

80

120

160

Phase One Ideas and Comments

Ideas Comments

18.04.16

19.04.16

20.04.16

21.04.16

22.04.16

23.04.16

24.04.16

25.04.16

26.04.16

27.04.16

28.04.16

29.04.16

30.04.16

01.05.16

02.05.16

03.05.16

04.05.16

05.06.16

06.05.160

200400600800

1000120014001600

Phase One - Votes

www.england.nhs.uk

Which professions took part?

0.00%

10.00%

20.00%

30.00%

England AHP HCPC registrants 2016 Engaged in online workshop

www.england.nhs.uk

Smaller AHP professions keen to have their voice heard.

0.00%4.00%8.00%

England AHP HCPC registrants 2016Engaged in online workshop

www.england.nhs.uk

AHP professions needing encouragementData saturation reached by third week.

Diagnostic & Therapeutic Radiographer

Paramedic Chiropodists/Podiatrist Prosthetist/Orthotist0%

5%

10%

15%

20%

England AHP HCPC registrants 2016 Engaged in online workshop

High level findings

Defining our potential revealed:4 ways AHPs will impact health & wider care system.4 areas of commitment to achieve this change.

Realising our potential revealed:4 themes which AHPs need to focus on with, 16 specific enablers that will help us to honour the commitments.

“I honestly believe that if all AHPs in England were used effectively, it would signal the total transformation of health and social care which we desperately need. We save lives, we rebuild lives and we do it all at a fraction of the cost of other colleagues. We understand the medical but crucially, we understand the social determinants of health -education, poverty, housing, stigma”.

Phase Two – 4th July 2016Quality Assurance

Do you agree/disagree?

04.07.16

05.07.16

06.07.16

07.07.16

08.07.16

09.07.16

10.07.16

11.07.16

12.07.16

13.07.16

14.07.16

15.07.160

50

100

150

200

250

300

Phase Two - Logins

04.07.16

05.07.16

06.07.16

07.07.16

08.07.16

09.07.16

10.07.16

11.07.16

12.07.16

13.07.16

14.07.16

15.07.160

20406080

100120140160180

Phase Two - Comments

04.07.16

05.07.16

06.07.16

07.07.16

08.07.16

09.07.16

10.07.16

11.07.16

12.07.16

13.07.16

14.07.16

15.07.160

100200300400500600700800900

1000

Phase Two - Votes

www.england.nhs.uk

Physiotherapist

Occupational th

erapist

Diagnosti

c & Thera

peutic Radiogra

pher

Paramedic

Speech

and Languag

e Therapist

Chiropodist

s/Podiat

rist

Dietitian

Orthoptist

Art, M

usic &

Drama Thera

pist

Prosth

etist/Orth

otistNurse

Other healt

h and ca

re staff

Blank/O

ther0.00%5.00%

10.00%15.00%20.00%25.00%30.00%

England AHP HCPC registrants 2016 Engaged in online workshop phase oneEngaged in online workshop phase one and two

Operating Department Practitioner, Healthcare Scientist, Psychologist, Assistant/Support worker, Doctor, Patient/Service User, Dentist, Pharmacist, Fireman, Carer.

Who took part?

“As a patient I am pleased to see the recognition of individual and population/community wellbeing as this is interlinked. There is huge potential for AHP to become strong bridge builders between healthcare and patients/citizens/communities helping to renegotiate the relationship between citizens and health/healthcare, e.g. implementing shared decision and co-production approaches, promoting self-care and education, being the pioneers of using digital as an enabler etc”.

TOTAL1949

people engaged16,128

contributions

Thank you#AHPsmandate launched October 2016

“I’m a qualitative researcher and listening to what you have done I just think that it sounds like a superb piece of work to me. It just sounds so valid, it sounds reliable, because you have got people’s voices and you have gone out to so many people, it just sounds brilliant. So I am really looking forward to it being published in October, can’t wait”.