VALUES-BASED PRACTICE OXLEAS NHS FOUNDATION TRUST Steve Morgan ~ Practice Based Evidence & Toby Williamson ~ Mental Health Foundation Steve Morgan

Identified Need & Project Proposal Raise awareness in practitioners about values in practice To explore the impact of values-based practice on: -How we identify and work with people’s strengths? -Working with risk, including positive risk-taking -Implementing and documenting person-centred care planning (including more flexible approaches to CPA) Develop a programme of training & practice development that engages and builds on existing good practice Steve Morgan

Raising Awareness of Values Introducing what we mean by values and values-based practice (VBP) The importance of values diversity Awareness of their impact on practice within a wider context of recovery & personalisation Communicating more explicitly through an awareness of values-based language Using VBP to support good process in decision-making Values in policy (including the current impact of the Francis Report in practice) Steve Morgan

Francis Report into Stafford Hospital “People must always come before numbers. Individual patients and their treatment are what really matters. Statistics, benchmarks and action plans are tools not ends in themselves. They should not come before patients and their experiences. This is what must be remembered by all those who design and implement policy for the NHS.” Excerpt from press release statement by Robert Francis QC in Stafford (5/2/13) Steve Morgan

A Focus on Practice Working with a range of pilot teams What does person-centred practice mean to you, and how is it implemented? How do you identify and work with people’s strengths? What informs good risk decision-making? How can we make care planning genuinely more person-centred? What are the barriers to values-based practice? Steve Morgan

Evaluations & Issues Arising Across 6 pilot sites over 90% good & excellent ratings were achieved for the overall programme and specific objectives (from 59 responses) Time and systems requirements are barriers to greater values-based practice A need to radically tackle the bureaucratic demands A more flexible person-centred approach can be achieved through consistent use of specific practice- based checklists (with emphasis in teams to be responsible for monitoring consistency of use) Steve Morgan