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Rich Taunt Profile picture
@RichardTaunt
Feb 27, 2019 • 8 tweets • 5 min read • Read on X
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Mini-thread on bullying & an even bigger problem. I wrote this on bullying in the NHS & #metoo for @NuffieldTrust reflecting on last year's #ntsummit. nuffieldtrust.org.uk/news-item/view… Image
Two parts to the argument: bullying way too high, and not sufficiently part of the mainstream policy conversation. Idea was whether we could learn from #metoo in terms of calling out woefully unacceptable behaviour.
Where are we a year on? Not great. From #NHSStaffSurvey bullying metrics ⬆️ across the board. Not massive, but against a backdrop of everyone thinking they were too high to start with, that's not good. nhsstaffsurveys.com/Caches/Files/S… Image
Are people more prepared to call it? Not particularly, rates staying pretty static. If there is going to be a #metoo for bulling in the NHS, we're yet to see any sign of it. Image
How about bullying being part of the policy conversation? Here's a wordcloud of the 50k words which make up the #NHSLongTermPlan. Spot bullying? Go on, take a peek. longtermplan.nhs.uk/wp-content/upl… Image
No, of course you can't. The 4 mentions of 'Bullying' - half that of 'Manchester', and only 1 more than 'France' - doesn't even make it on to the list.
Let's try another document: 2019-20 Planning guidance. Nice operational document, surely more space for everyday problems such as bullying...
england.nhs.uk/publication/pr… Image
Nope. Only 1 mention this time. We could go on, but I think you get the message.

I'm going to call it: a bigger problem than bullying itself is the neglect, willful or otherwise, from policymakers in making it a priority. Let's hope it's a different story next year. Ends.

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More from @RichardTaunt

Rich Taunt Profile picture
Sep 23, 2020
What are the implications of 6 months more lockdown on engagement & events? Quick thread based on our experience @kscopehealth of doing rather a lot of this. Skip to the end: don't give up or postpone indefinitely, time to get creative.
1. Virtual workshops remain Plan A. We've all been to so many digital events we know what good and bad looks like. But how do you set yourself up for success? @AGreyHealth has 5 tips for planning a great digital event: kscopehealth.org.uk/blog/5-tips-fo…
2. We all should know what to do by now. For any event (and particularly digital) clear expectations of how the event will go and how you can join in are key. Little excuse now for not setting this out at the start of *every* event. Steal our rules if you like!
Read 10 tweets
Rich Taunt Profile picture
Sep 18, 2020
Great to be facilitating a session with @nedwards_1 @ImperialNHS on lessons from history on hospital redevelopment. Spoiler: it's never a piece of cake. Image
We're joined by a galaxy of stars who have led redevelopment across NHS. David Powell @AlderHey : "some of the cool ideas may come at any point, got to use your curiosity as a radar to find them."
Duane Passman @WestHertsNHS: "when we talked about standardisation people would conflate with 'bog standard', so instead talked about what was 'repeatable' to support reductions in clinical error."
Read 5 tweets
Rich Taunt Profile picture
Sep 17, 2020
How change happens, a little story.

When working at @CareQualityComm in 2014 I went to a talk by colleague Alan Swain who had just returned from 3 weeks at the Swedish CQC equivalent. One of Alan's main learnings was about teamwork and 'fika'. 1/4
As well as being the name for coffee shops in Ikea, fika is a common workplace practice in Sweden where everyone stops at a certain time every day for coffee and a chat as a team. Loving the idea, I stole it when I started at @HealthFdn later that year. 2/4
In our team was the awesome @NBerryHealth who later returned to @DHSCgovuk (& I went off to @theukia then @kscopehealth). In 2017 Natalie recruits someone from Health Foundation who introduces fika to their team, and a year later writes a blog about it & other teams copy it. 3/4
Read 4 tweets
Rich Taunt Profile picture
Jul 17, 2020
Mini-thread on UBI... If you asked people which sector they would most like to work in (everything else being equal) and gave the option of not working at all, my hunch would be not-for-profit/public coming top, and way ahead of no work. (Has anyone done this surveying?) (1/6)
My hunch partly brought out by our @kscopehealth furloughing experience, is that people much preferring to work (if able) rather than not, even if doesn't affect pay at all. Love to know if others have had similar experiences. (2/6)
Excitement about universal basic income that it can remedy lots of benefit system ills as well as giving individuals more freedom to do what they want to do. But majority will end up going to people working for private sector firms designed to maximise shareholder profit. (3/6)
Read 6 tweets
Rich Taunt Profile picture
Mar 5, 2020
What is strategy, and where does it go wrong? Was lovely talking to @UCLMS_PGME students this morning about this w/ @shanecarmichael @kerryjboardman. My presentation in 7 tweets...
Problem 1: We're expected to know what strategy is.

'Strategy' is everywhere, healthcare not exempt. However, do we give enough thought to what we *really* mean when we start talking about it? Stopping to say 'sorry, I don't understand' can be seen to be weak.
So thanks to the good people of twitter, we explored how you'd explain it to your Mum (or significant family other). Thanks so much to everyone who replied.
Read 12 tweets
Rich Taunt Profile picture
Feb 15, 2020
Partnership working, a tale told in Lagos wall hangings @HornimanMuseum.

Vision. Image
Reality. Image
Aftermath. Image
Read 5 tweets

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