Stakeholder Analysis & Engagement Ms Maureen Carroll Stakeholder Analysis & Engagement Respiratory MCN Learning Forum

Workshop Perspective: Respiratory MCN’s Practical approach Logical approach Adaptable Non-academic Facilitation of mutual learning Respiratory MCN Learning Forum

Respiratory MCN Learning Forum I have six honest serving men They taught me all I knew Their names are What and Where and When and Why and How and Who Rudyard Kipling Respiratory MCN Learning Forum

Stakeholders Analysis Respiratory MCN Learning Forum

Stakeholder Analysis: Where? Voluntary Sector Primary Care Acute Associated Agencies Patient & Carers British Lung Foundation PCOD & CHP’s AOPD SAS Patient Representatives Chest Heart & Stroke Scotland General Practice DGH Local Authorities Carer Organisations / Networks Asthma UK Localities Respiratory Teams Leisure Services Better Government for Older People Cystic Fibrosis Pharmacy Tertiary Centres Patient Support Groups

Stakeholder Analysis: Who? Voluntary Sector Primary Care Acute Associated Agencies Patient & Carers Head of BLF CHP CE’s & Clinical Directors AOPD CE & Clinical Directors Paramedic Patient Representatives Respiratory Co-ordinator GP’s & PN’s GPSI’s DGH GM’s, Senior Nurses & Lead AHP’s Social Work Policy Officers Carer Asthma UK Policy Officer Locality Lead GP’s, GM’s, SDM’s, DN’s Specialist Respiratory Staff LS Health Development Officer BGOP Administrator Cystic Fibrosis Policy Officer Community Pharmacy Hospital Pharmacists Surgeon, Sleep Service Consultant Breathe Easy Chair

Stakeholder Analysis: Why? Reason for recruiting individual How? Method of Recruitment Invitation Request for nomination What? Expectation What do they do for the MCN? What will the MCN do for them? When? Timescale – immediately / later stage Membership - substantive / co-opted Respiratory MCN Learning Forum

Stakeholder Analysis: Group Discussion: Where? Who? Why? How? What? When? Respiratory MCN Learning Forum

Stakeholders Engagement Respiratory MCN Learning Forum

Respiratory MCN Learning Forum

MCN Operating Arrangements: MCN Terms of Reference MCN Aim, Role, Definition, Core Principles, Structure Lead Clinician & Network Manager Responsibilities Executive Group Aim, Remit & Membership Steering Group Aim, Remit & Membership Links to NHS Board Subgroup Reporting Arrangements Quorum Voting Frequency, venue & length of Meetings Agenda & Minutes Conduct at meetings Changes to terms of Reference Members Remit SLWG & Subgroup Aim, Remit & Membership Respiratory MCN Learning Forum

Level of Stakeholder Engagement: Stakeholders Forum Steering Group Executive Group MCN Subgroups MCN SLWG’s Workshops Respiratory MCN Learning Forum

Respiratory MCN Learning Forum Stakeholder Remit: To fully engage and participate within the MCN on behalf of their professional group / organisation To communicate MCN business to their professional group / organisation To consult colleagues on MCN business and ensure a consensus view is brought forward Respiratory MCN Learning Forum

Stakeholder Contract: Personal Details Who do you represent? How did you come to represent this group? Who will you canvass opinion from / communicate with? What communication mechanism will you utilise to achieve this? What will you do for the MCN? What do you expect from the MCN? Please intimate interest in MCN SLWG’s & Subgroups Job Description – Roles & Responsibilities Respiratory MCN Learning Forum

Tools & Techniques: Patient Stories / Narratives Service profiling Patient Pathways Open Review of Audit & Activity Data Capacity & Demand Analysis Flow Analysis (Modelling)* Setting the Vision* Identify & Priorities Issues* Clinical & Service Modelling* Group Structure & Membership Identification of Clinical & Service Champions* Involvement in Service (Re)Design Involvement in Service Implementation – Active Delegation Regular Feedback* Self-assessment

Flow Analysis:

STEP 1 WHO IS HERE? 8 STEPS FOR ENGAGING STAKEHOLDERS IN DISCUSSIONS ABOUT STRATEGIC REDESIGN STEP 2 WHERE DO WE WANT TO BE? STEP 5 WHERE DO WE NEED TO BE BY 20XX? STEP 4 WHY DO WE NEED TO CHANGE? STEP 8 WHO ELSE NEEDS TO BE INVOLVED? ENROLMENT STEP 6 WHAT DO WE NEED TO DO BETWEEN NOW AND Xxx 20XX? What is the development gap and the change agenda? Restructuring Reconfiguration Workforce development Training Investment Building capacity Building capability Redesign Modelling Planning Business cases STEP 3 WHERE ARE WE NOW IN 20XX? STEP 7 WHAT ARE OUR FIRST STEPS?

Respiratory MCN Learning Forum Prioritisation: Workgroup Identify Top Issue Briefly Outline Issue Open Debate Vote for Top 3 Next Steps Feedback Sheet Suggestions Identify Importance Identify Other “Next Steps” & Importance Calculate Top “Next Steps” Respiratory MCN Learning Forum

Respiratory MCN Learning Forum Clinical Model: Respiratory MCN Learning Forum

Respiratory MCN Learning Forum Champions: Clinical Champions Topic Champions (SLWG Chairs) Site Specific Audit Champions Patient Champions Service Champions Co-Champions Project Champions Respiratory MCN Learning Forum

Respiratory MCN Learning Forum Regular Feedback: Share & Celebrate Status Reports Activity Data Reports Clinical Outcome Data Performance Outcome Data Patient & User Satisfaction Feedback Trend Analysis Lessons Learned Log Respiratory MCN Learning Forum

Stakeholder Engagement: Group Discussion: Have you used / participated in any of the examples given? Could you adapt these examples within your area? Outline other types of Stakeholder Engagement Tools & Techniques. Respiratory MCN Learning Forum

Respiratory MCN Learning Forum CHANGE!!! RESISTANCE IS FUTILE INEVITABLE Respiratory MCN Learning Forum

Why Do People Resist Change?: When they don’t understand The reason Its nature The possible consequences If change means loss of Power Status Prestige Respect Security Approval If it is personally inconvenient Disturbs relationships Move in location Alters social opportunity Respiratory MCN Learning Forum

Spectrum of Participants: Champions Change Agent Participant Observer Not Involved Silent Doubter Sceptic Cynic Saboteur Respiratory MCN Learning Forum

Rate of Adoption: Everett Rogers Innovators (2.5%) Early Adopters (13.5) Early Majority (34%) Late Majority (34%) Laggards (16%) Respiratory MCN Learning Forum

Respiratory MCN Learning Forum Push & Pull Factors Drivers for Change (Push) 18 Weeks Demand HEAT Targets Quality Restraints against Change (Pull) Current Practice Capacity Skills Time Respiratory MCN Learning Forum

Dissatisfaction with Status Quo Mapping Current Patient Pathways Patient / User Interviews & Satisfaction Questionnaires Patient Stories / Narratives Data / Data / Data Literature / Service Review Site Visits Respiratory MCN Learning Forum

Respiratory MCN Learning Forum Creating the Vision!!! Respiratory MCN Learning Forum

Co-operation & Collaboration Understand the Need for Change Encourage a Desire to Change Create the Vision Identify the Champions & Change Agents Reduce Resistance / Don’t Force Drivers Involvement in Design & Implementation of Change Active Delegation Create Ownership Phased Approach / Quick Wins Develop Pride / Sense of Achievement Celebrate!!!!! Respiratory MCN Learning Forum

Respiratory MCN Learning Forum

Respiratory MCN Learning Forum Questions? Respiratory MCN Learning Forum