The health system in the UK is currently running red-hot. Money is tight, there are significant pressures on the system and morale is low. Against this background, I feel that it is timely that our forthcoming annual leadership conference at Shrewsbury and Telford NHS Hospital Trust is themed around “leading with kindness”.
At first sight, leading with kindness may seem a little trite. It would easy to think about this simply on the level of being nice to people at work. I feel that this rather misses the point and that there is a much deeper level to leading with kindness.
So why is leading with kindness important?
Like many acute providers in the NHS, we struggle to recruit and retain people into some key posts. In order to provide a safe level of staffing we are often forced to use expensive agency and locus staff. Treating people well and developing a reputation for doing so across the region may help some of our recruitment issues. Michael West’s work has shown that there is a very clear relationship between levels of staff engagement in an organisation and clinical outcomes. Conversely, staff burnout is associated with poor patient experience and outcomes. This means that treating people well in the workplace is important for business and patient safety reasons. As Richard Branson said “Train your staff well so they can leave. Treat them well so they don’t want to.”
Creating a culture of kindness.
If we are to become a kind and caring organisation, there can be only one culture. We cannot force people to be kind, this simply wouldn’t work. To me leading with kindness starts with how we look after ourselves. Healthcare has a culture of long hours and presenteeism which is not always healthy and can lead to burnout. We somehow need to stop this by setting reasonable deadlines, not taking on too much in at one time and by committing to self-care. There are political and financial pressures with the health system in the UK at the moment, as leaders we need to try not to pass all the pressure on to others in the work place. We need to be more self-aware and develop skills our skills or emotional intelligence to monitor our impact on others. We need to ensure that we spend quality time away from the workplace to recharge and regroup. We need to keep connected to friends and family away from work.
Caring for others
If we purport to be a kind and caring organisation, there can be only one culture. We need to be kind to our staff so they can be kind to our patients. We cannot order people to be kind. We need to role model kindness. We need to recognise that burnout and compassion fatigue are real problems in the caring professions. We need to take time to truly listen to others in the workplace and at least try to see the situation from their perspective.
Better organisation of work
We need to organise the work so that is possible to be done well in the time available. Some areas in acute hospitals are particularly pressured – A&E and the assessment units in particular. We need to think how we can support staff better in these areas. Do we need to review staffing levels, shift patterns and rotas in these areas? Is it kind to expect everyone to work 12 hours shifts? As Deming said; “A bad system will always beat a good person”. I feel that we have a real opportunity to use our link with the Virginia Mason Institute to create better ways of working. I like it that one of the key principles of Lean is respect for people, which incidentally is one of our values.
Focus on staff and patient experience
If we are going to be the kindest organisation in the NHS, we will need to shift some resources which are currently focussed on measuring and managing activity to refocus on measuring and managing staff and patient experience. Yes, you can measure kindness! Other organisations such as Northumbria Healthcare Foundation Trust and Wrightington, Wigan and Leigh NHS Foundation Trust have shown significant improvement by listening to patients and staff. Where there are problems, we need to correct them. This includes dealing with behaviour in the workplace, it is not kind to other staff or patients to allow them to be subjected to bullying or rudeness. Conversely, where there is good practice we should celebrate this and spread this to other areas of our system. Sometimes we at so focussed on the negatives that we fail to see that right under our eyes, hundreds of people are having great care in our hospitals everyday
Our Leadership Conference is on Friday 11th November 2016 in the Shropshire Education Centre . I will be running a workshop on “Developing Dialogue”. I hope to see some of you there.