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

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

3. 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

4. Stakeholders Analysis
Respiratory MCN Learning Forum

5. 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

6. 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

7. 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

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

9. Stakeholders Engagement
Respiratory MCN Learning Forum

10. Respiratory MCN Learning Forum

11. 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

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

13. 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

14. 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

15. 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

16. Flow Analysis:

17. 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?

18. 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

19. Respiratory MCN Learning Forum
Clinical Model:
Respiratory MCN Learning Forum

20. 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

21. 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

22. 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

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

24. 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

25. Spectrum of Participants:
Champions
Change Agent
Participant
Observer
Not Involved
Silent Doubter
Sceptic
Cynic
Saboteur
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26. Rate of Adoption: Everett Rogers
Innovators (2.5%)
Early Adopters (13.5)
Early Majority (34%)
Late Majority (34%)
Laggards (16%)
Respiratory MCN Learning Forum

27. 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

28. 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

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

30. 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

31. Respiratory MCN Learning Forum

32. Respiratory MCN Learning Forum
Questions?
Respiratory MCN Learning Forum