Cumbria Partnership NHS Foundation Trust North Cumbria University Hospitals NHS Trust NHS North Cumbria Clinical Commissioning Group

Values Organisational values are important because they help shape the culture we work in and guide the decisions that we make. There is a lot of evidence to show that where organisations live their values both staff engagement and patient care improves

Our current values CPFT & CCG NCUH Kindness Ambition Spirit Fairness Patients first Safe and high quality care Responsibility and accountability Everyone’s contribution counts Respect CPFT, North Cumbria CCG and NCUH all have organisational values. Whilst CPFT and North Cumbria CCG share the same values NCUH are different. It is important that as we work ever more closely together that we create a shared culture and ways of working that are based on common values. On the 25th September a group comprising of representatives from each organisation met to develop a shared set of values and behaviours.

The values need to be created and owned by everyone The process… Just over 50 people from across trusts met in September Joined by Board members from each organisation Good mix across the 3 organisations, bands and roles Working in smaller groups, the staff members present reviewed the existing values and described behaviours they would love to see and those they would not want to see The values need to be created and owned by everyone The afternoon was very interactive and everyone worked well together – as a result we were able to develop shared values and behaviours. The afternoon was very interactive and everyone worked well together – as a result we were able to develop shared values and behaviours.

Our proposed shared values Kindness Collaboration Achievement Respect How do the values resonate with you? Some people have suggested Ambition would be more appropriate that Achievement, Partnerships may be an alternative word to collaboration – what do you prefer?

Our proposed shared values Kindness We know that kindness costs nothing, yet accomplishes a great deal Collaboration We are always stronger and better working together Achievement We set ourselves ambitious goals to achieve the best for our patients, our teams, our organisation and our partners Respect We are respectful, open, honest and fair This is what the values mean to us in practice – they have helped to shape the behaviours that we would love and expect to see when we are living our values.

Kindness: We know that kindness costs nothing, yet accomplishes a great deal Love to see Expect to see Don’t want to see Supportive and caring Consistently thoughtful and considerate of the feelings and situation of others. Will always try to help . Very generous with praise and thanks. Always keeps their word Looks out for others Displays empathy and consideration for staff and patients. Provides praise, thanks and recognition to others. Offers help and support Shows a lack of concern or interest in helping others. Looks after number one. Is dismissive of, or uninterested in, people’s needs. Is judgmental or divisive Listens and consults Makes people feel valued and included by listening and consulting widely. Welcomes diverse viewpoints . Demonstrates a keen interest in the ideas of others and uses these to make better decisions. Listens carefully Listens to both sides of the issue Finds time to talk and show interest in people. Welcomes the views and opinions of others and involves people in decisions. Ignores people Takes decisions which affect others without discussing the issues Does not ask for ideas and opinions. Cuts across people when they are speaking. Focuses on the positive Underlines the positive in situations When mistakes happen, takes a lead in understanding what went wrong, why, and how best do we fix things and share the learning. Focuses on the issue not the person. Maintains a positive outlook Supports and listens when things go wrong. Seeks to help find a solution and avoids blaming, shaming and finger pointing. Blames others and points a finger. Breaks confidences Doesn’t own up to mistakes or hides behind excuses . Does not use errors as an opportunity to learn and develop. Champions equality and fairness Actively works to bring about greater equality, diversity and inclusivity Is a champion for vulnerable people. Works to reduce stigma Ensures that quieter voices are heard Speaks out when injustice takes place Does not discriminate or judge people. Acts to defend the needs of the vulnerable and the less advantaged. Exploits people’s good nature to unfairly distribute work Makes unfair generalisations and observations about people. Demonstrates prejudice and intolerance of individuals or groups.

Collaboration: We are always stronger and better working together Ambition: we never stop improving Love to see Expect to see Don’t want to see Demonstrates trust in others Demonstrates trust that people will do a good job Is open, and shares as much information as possible. Explains how decisions have been reached and what this means for individuals. Keeps confidentialities Is always approachable Behaviours are consistent and not overly affected by mood or frame of mind. Is open in sharing information. Micromanages people Has favourites whilst ignoring others. Treats information as power –with-holding it to suit themselves. Is unpredictable in terms of reaction and behaviours are affected by negative moods. Develops self and others Encourages people to try new ideas, recognising that they might not get it right first time. Inspires and enthuses others to achieve high quality, safe care Is constantly looking to improve things Looks to address and resolve problems promptly Supports, encourages and tries-out better, more efficient and effective ways of doing things. Works to achieve high quality, safe care. Is complacent about sub-standard outcomes or performance Doesn’t share good ideas. More focused on talking about the problem than helping work out a solution. Resists change. Enables great teamwork Champions a supportive, team-working environment. Values individual skills and encourages the best people for the job. Keeps focused on mutual gain and shared goals. Seeks out and encourages wider, joined-up team working. Demonstrates clear commitment to the team. Is collaborative & respectful. Remains a source of positivity and determination even when the going is tough. Celebrates success. Behaves in ways that are unsupportive, divisive and unconstructive within the team. Puts own needs first. Lets other take the strain. Creates co-operation and enthusiasm Inspires and enthuses others to follow an agreed course of action. Creates goodwill and co-operation within the team and beyond organisational boundaries. Goes the extra mile as part-and-parcel of the role. Supports a spirit of goodwill and co-operation within the team Works in and maintains silos. Makes the environment difficult and negative to work in. Goes it alone. Prevents effective co-operation.

Achievement: We set ourselves ambitious goals to achieve the best for our patients, our teams, our organisation and our partners  Love to see Expect to see Don’t want to see Promotes learning and personal growth Shows genuine commitment to life-long learning. Shares ideas, best practise and new techniques with colleagues as appropriate. Diffuses and uses new ideas and learning to benefit Trust performance. Takes regular steps to be a better, more effective professional. Demonstrates ongoing commitment to change, learning and self-improvement. Demonstrates no interest in, or commitment to learning, training and self-improvement. Constantly improves performance Demonstrates ambition for our patients, teams and organisation Looks to continuously improve performance and outcomes. Helps others to do the same. Energetically encourages and supports calculated and measured risk-taking. Frequently looks to improve performance and outcomes and encourages others to do the same. Supports calculated and measured risk-taking. Looks to deliver the bare minimum. Expends least possible effort to achieve minimum standards. Makes excuses for poor performance. Encouraging Demonstrates real trust and belief in others to achieve . Will always offer support and encouragement. Knows when to let others lead, regardless of their banding. Is a champion for safe and high quality patient care Instils confidence in the team to believe in themselves, take calculated risks, trust their judgment. Puts people down. Dismisses, and ignores people. Demonstrates they don’t really trust people to get on and do a good job. Courageous and resilient Shows determination and strength of character in pursuing important goals without giving up. Demonstrates self control, courage, commitment and confidence in difficult situations. Takes the right decision, not the easy decision. Sticks at difficult tasks and remains focused and professional. Gives up easily. Blames others for why things didn’t work or goals weren’t met. Moans and focuses on the negatives.

Respect: We are respectful, open, honest and fair Love to see Expect to see Don’t want to see Respectful Treats people as they would prefer to be treated. Is patient and considerate. Builds warm and trusting relationships. Champions diversity, equality and inclusivity Is patient and considerate Smiles and acknowledges people. Gives good eye contact. Is polite and helpful at all times. Adapts language and style to best suit the audience. Displays anger, aggression or hostility Is dis-respectful , talking behind people’s backs. Breaks confidences. Resorts to intimidating behaviour to ‘win’ Takes personal accountability Sets high standards of ethics and integrity Owns problems until they are resolved. Makes and holds others accountable for their commitments at all levels and in all teams. Demonstrates integrity in word and actions Keeps their word. Manages expectations. Flags up potential issues well in advance. Misses deadlines Avoids blame Doesn’t keep commitments. Doesn’t own up to mistakes and tries to discredit others instead. Open and honest A role model for open, honest and transparent communication Demonstrates exemplary Trust values and inspires others to do so as well. Frequently refers to the values to guide decision-making and identify good work. Shares information freely and appropriately wherever possible Is true to their word Demonstrates the Trust values and challenges those who do not. Good eye contact and open posture Does not readily share information Displays ‘don’t want to see’ behaviours that don’t support our Trust values. Fair Always acts with fairness and balance Challenges unacceptable behaviours, poor practice and unsafe practice at all levels Frequently asks for and acts upon feedback - from all levels. Treats people equally Challenges unacceptable behaviours, poor practice and unsafe practice within the team. Asks for and acts upon feedback provided. Uses ‘feedback’ simply to criticise others. Receives feedback poorly and defensively. Challenges others in a way that is demotivating and not useful.

How the values map Proposed shared values Maps to 6 Cs Current CPFT and CCG values Current NCUH values Kindness Care and Compassion Patients first Achievement Commitment and Courage Ambition Safe and high quality care Responsibility and accountability Collaboration Communication Spirit Everyone’s contribution counts Respect Competence Fairness All of the new values are linked to the NHS constitution and also the 6 nursing ‘C’s. All of the new values are linked to the NHS constitution and also the 6 nursing ‘C’s.

What do you think? Thoughts in the room now? You can also contact: OrganisationalDevelopmentTeam@cumbria.nhs.uk The next steps are to share your views – feedback will be taken into consideration before the values are signed off at the Joint Trust Board in December 2018.