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Develop Culture and Build Will

Lead person centred practice within a healthful safety culture

Person-centredness is fast becoming a global movement in healthcare keeping people at the centre of all that we do. People want to be treated as individuals where their care and support is coordinated.

A healthful safety culture is one in which people are enabled to speak up,  decision-making is shared, relationships are collaborative, leadership is transformational, and innovative practices are supported. The Person-Centred Practice Framework (McCormick/McCance)  is inclusive of all persons and articulates how key components can be embedded into everyday practices with the ultimate outcome of developing a workforce that enables human flourishing.

Achieving Excellence requires a culture that supports and promotes continuous improvement along with building will at all levels of an organisation. This means we need to harness the talents of our staff to find new ideas to make things better and we need to enable staff to bring their best self to work and to create environments where they can thrive and grow.

We also need to strengthen relationships with people with ‘lived experience’ as they are best placed to advise on what support and services will make a positive difference to their lives.

Build a dynamic professionally competent workforce

Professionalism is characterised by the autonomous evidence-based decision making by members of an occupation who share the same values and education. Maintaining professional competence is the responsibility of all, where growth and professional development are the outcomes of a commitment to reflect and learn. In order for staff to flourish the conditions need to be created that include both skill mix and the environment where care is delivered.

Best Practice Guidance How to evidence this
  • Workforce plans are developed to respond to population needs and the transformation agenda
  • Mechanisms are in place to facilitate safe staffing and appropriate skill mix
  • Mechanisms are in place to support professionalism in practice
  • Career development and succession planning is promoted and supported
  • A Learning Needs Analysis is carried out in all areas of professional practice
  • Practitioners are enabled to operate within the upper limits of scope of practice, ensuring right skills, right place, right time
  • Skills and knowledge development are supported through an educational commissioning plan
  • Fitness to practice policies are in place to support staff
  • Monitoring of regulator referrals takes place and learning actioned
  • Workforce monitoring data is available and used to inform future planning activity
  • All staff are supported through their appraisals and this is measured across all areas
  • There is evidence of a timely process for planning of learning needs across all areas
  • Mandatory training compliance is monitored
  • Continuous data is available to measure workforce indicators at a local level e.g skill mix, absence rates
  • Registration and Revalidation monitoring records and escalation processes with fitness to practice outcomes measured.
  • Staffing and skill mix reviews clearly documented and regularly reviewed
Foster a positive supportive practice environment

A positive supportive practice environment empowers nurses, midwives and AHPs to work collaboratively creating the conditions that support person-centred practice. They have a professional duty to put the interests of the people in their care first and to act to protect them, therefore they are often best placed to recognise things that might create risk or cause harm. Staff should feel confident about raising concerns, and speak up if they see something they feel isn’t right. Effective staff relationships are supported where anyone can ask questions, be respectfully critical or seek feedback without looking incompetent or appearing negative. Processes need to be in place to support innovative ideas and risk taking, without staff being perceived as disruptive.

Best Practice Guidance How to evidence this
  • There is a strong reporting culture within the care setting where staff are supported to raise concerns
  • Civility is promoted and poor attitudes and behaviours challenged
  • Policies, processes and structures are established to challenge poor professional conduct and poor practice
  • Shared decision making is facilitated between staff at all levels
  • The practice environment facilitates effective multidisciplinary team working
  • Workplace survey to include staff psychological safety
  • Upheld complaints regarding attitude and behaviour of staff
  • Frontline practitioners participate in governance committees and meetings
  • There is evidence of active reporting of issues and incidents across all areas
  • Staff experience data
  • IiP staff feedback
  • Student learning environment feedback
Strengthen partnerships between people with lived and learned experience

Partnership working, through valuing the voice and perspective of people with lived experience is central to a healthful culture. Lived experience should guide service design and delivery to make the services relevant and accessible and ensure good quality. Working together increases credibility and trust with the communities and people feel involved in decision making.

Best Practice Guidance How to evidence this
  • Staff work with people who use the service to provide holistic care that reflects people’s beliefs and values
  • There is evidence of shared decision making within care plans
  • Staff demonstrate sympathetic presence in daily practice
  • There are opportunities for people who use our services to feedback on their experience and be informed of outcomes
  • People’s feedback is used to co-produce developments and improvements in services
  • The policies, processes and structures employed facilitate public and personal involvement and partnership working in all areas of practice
  • Patient/Client feedback surveys
  • Care Opinion
  • Examples of improvement projects with evidence of patient/client involvement
  • Patient/client voices are heard

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