Olivia Butterworth (She/Her) 💜 Profile picture
Jan 18, 2020 7 tweets 3 min read Read on X
Thread: The attitude of 'just get X to do your engagement for you' is at the heart of why #NHS organisations often don't involve people and communities in meaningful ways that shift power and put people and communities in control. 1/7
Of course partnerships are critical. Often it's the #VCSE sector who have the trustees relationships, especially with people who are marginalised and excluded by society. But outsourcing your engagement also fails to achieve the coproduction and cocreation of services 2/7
And, more importantly, the cocreation of health and wellbeing. We have to support #NHS staff, clinicians and people to find ways of working together rather than perpetuate the patriarchal and paternalist medical model of treating illness. 3/7
To do this we need skilled facilitators who can connect and grow conversations that lead to change. These are essential roles in the #NHS
These are #EngagementPractitioners 4/7
It would be a wonderful world if these skills were taught in medical school, on graduate management programmes and in every leadership programme but sadly they're not. We teach people to do to others not do with. 5/7
We tend to treat 'public involvement' as a task. Something that needs to be done to make the reconfiguration go through smoothly, to meet the legal duty. It's not about that. It's about shifting the culture to one where we work in partnership with people 6/7
Where we really learn from people's experience and build on the skills, assets and expertise in communities to create wellness. We must learn to work in partnership with people not expect others to do it for us. It's everyone's job and we need to support them to do it. 7/7

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More from @LiviButt

Sep 28, 2020
Thread:
This is hard. There's no two ways about it, we're under pressure and we're all feeling it. We need to look after ourselves and make sure our team members have permission to look after themselves.These are my top ten tips (feel free to add) that I've shared with my team:
1.It’s OK to not have your camera on for every meeting. It’s OK to have a phone call rather than a Teams meeting!
2.Walk about, if you can, get out of the house and go for a walk. Put some time in your diary for a break and go for a walk without your phone!
3.Walking meetings – these are a thing! You can go for a walk and join a call.
4.Set time aside in your diary to not have meetings and give yourself some headspace to think.
5.Turn your laptop off when you’ve finished work for the day (your laptop performance will improve)
Read 6 tweets
Aug 23, 2020
@neilgchurchill @Isla_Skinner @ByYrSide @Al_Richards_786 @beth_1day @BeresfordPeter @katemartin_says @pixiegirle @RITB_ @AnnieCoxy @AkikoMHart @HayleyCocker1 @LPTpatientexp @tim_rycroft There's some great discussions on the #EngagementPractitioners network.
Key things:
1. Don't forget phone calls and group phone calls still exist - can be less intimidating.
2. Provision of kit and data - of you've not got any you can't get started
1/?
@neilgchurchill @Isla_Skinner @ByYrSide @Al_Richards_786 @beth_1day @BeresfordPeter @katemartin_says @pixiegirle @RITB_ @AnnieCoxy @AkikoMHart @HayleyCocker1 @LPTpatientexp @tim_rycroft 3. Informal practising - learning and getting it wrong together!
4. Creating a safe space - ok to not use camera etc...
5. All platforms have limitations, pros and cons - there isn't a perfect one!
6. Preparation is everything - make sure you've got contact numbers
2/?
@neilgchurchill @Isla_Skinner @ByYrSide @Al_Richards_786 @beth_1day @BeresfordPeter @katemartin_says @pixiegirle @RITB_ @AnnieCoxy @AkikoMHart @HayleyCocker1 @LPTpatientexp @tim_rycroft 7. Make time for the informal interactions - being human
8. Agree how you're going to work together - just as you would 'normally'
9. Keep it simple - there's loads of shiny tools, don't use them for the sake of it.
10. Keep learning - review how it was and improve together
3/3
Read 4 tweets
Jul 29, 2020
I'm invigorated after today's @NHSCitizen meeting. Be warned this is a long thread!
@NHSCitizen Advisory Group's ambition is to draw together all of the forums and networks that @NHSEngland work with to share experiences, identify areas of shared interest (and frustration), 1/7
to amplify the voice and experience of people with lived experience and to drive change in how we @NHSEngland involve people and communities in meaningful and impactful ways. We have many forums and networks that do brilliant work in their own area and the Advisory Group 2/7
aims to bring that work in to a shared space to learn, connect and amplify peoples experiences across different communities of place, health, geography and identifies. It's a new work in progress that, especially after today's meeting, I know will have enormous benefit 3/7
Read 8 tweets
Feb 23, 2020
Thread warning!
I've observed many welcoming the news that the NHS will be able to deny services to patients who abuse staff.
Whilst on one level I welcome this, no one deserves to be abused whilst working especially when they are providing care. 1/4

independent.co.uk/news/health/nh…
On another level it concerns me that there's been no mention of how abuse is defined. The value based personal judgment about what is abuse is hard. To one person they are being assertive, to another it's aggression. People may be frustrated because they can't get answers 2/4
Some people may be struggling to communicate or be understood e.g. Autistic people are often misunderstood as the level of training staff receive is woeful. Bereaved families seeking answers meet with a wall of silence. 3/4
Read 4 tweets
Jan 17, 2020
Fab opportunity to join my team @NHSEngland
Are you passionate about involving people and communities in health and care? Do you have brilliant facilitation and person / community centred development skills and experience?
jobs.england.nhs.uk/job/v2234260
Just for clarity. We don't accept cv's and any conversation I might have is not part of the recruitment process. Applications are anonymous when considered and we only have the applicants details of they are shortlisted.
I'd recommend potential applicants look at all the information, policies and guidance on the Involvement Hub - england.nhs.uk/participation/
Being familiar with the guidance is pretty important as are practical engagement skills.
My blog england.nhs.uk/blog/creating-… might also help.
Read 4 tweets

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