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Spring 2014 issue
inside EKHUFT
Social media - what’s not to like? We’re unwrapping the issues around social media, healthcare and healthcare staff
Caring for the carers Health help for staff
East Kent Hospitals staff magazine Putting patients first
iE Your new staff magazine! Welcome to the first edition of Inside EKHUFT - your new quarterly staff magazine. Inside EKHUFT is available both in print and digitally, but what makes it different is you can find additional information, any sources quoted and comment yourself on the issues covered on the Inside EKHUFT Yammer site.
connect There are many ways you can catch up on the latest EKHUFT news and join the conversation. Which way works best for you?
Read all about it We produce Inside EKHUFT quarterly in print and online at issuu.com/ eastkenthospitals Every week we distribute Trust News - a weekly round up of the latest news and what’s coming up - this is e-mailed to all EKHUFT staff who are on NHSmail and is also pinned up on noticeboards around the hospitals. An online version is also available.
Online and on the go Check out www.trustnewsonline.org for all Trust News story updates plus the latest training dates, notices, etc - available from any PC, tablet or smartphone with internet access.
Which brings us nicely to the subject of social media - half of the UK’s adult population now uses social networking sites regularly and sites like Twitter and Yammer can be a great way to both network, share and stayup-to-date professionally. But as NHS workers, we need to be super-careful how we use these sites. Our feature pages in this edition look at this issue and we are grateful to Julie Pearce, Chief Nurse and Director of Quality & Operations; Taraneh Azizi, Operating Department Practitioner; and Daniel Marsden, Practice development nurse for people with learning disabilities for sharing their views, research and experiences.
HR Director Peter Murphy is also on Twitter - you can follow him @EKHUFTstaff
We hope you enjoy your new magazine!
Face-to-face
Gemma Shillito, Communications Manager
Chief Executive Stuart Bain holds a staff forum on alternating sites every other month - see Staff Zone for dates, times and venues.
n Inside EKHUFT is produced by the Communications Team. Tel: ext 73843 E-mail: ekh-tr.communications@nhs.net or connect via Yammer: www.yammer.com/ekhuft
Our directors hold regular ‘open door’ sessions where staff can pop in, ask questions and run ideas past them - these are advertised in Trust News each week or you can search on www.trustnewsonline.org
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We’ve added a comment feature to www.trustnewsonline.org so you can comment on and ask questions about the stories - so if you have a query, just ask! We also have a dedicated Staff Zone (staff intranet) for all things work related, the EKHUFT version of eBay and a gateway to clinical systems. You can find it at www.ekhuft.nhs.uk/staff
Social media You can follow us on Twitter @EKHUFT, like us on Facebook at East Kent Hospitals, +1 on Google+ at http://google.com/+EKHUFTNHSUK or connect on our internal social network at www.yammer.com/ekhuft.
Every month each team should have a team brief - a team discussion based on a monthly update provided to managers by the Executive Directors. You can find out more on the team brief page on Staff Zone. n Our communication tools are managed by our Communications Team - you can contact them on ext 73843 or e-mail: ekh-tr.communications@nhs.net
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inside out news and views
an inspector calls... what to expect from the CQC inspection The Care Quality Commission (CQC) is changing the way it inspects and regulates acute hospitals – it is starting a programme of routinely inspecting hospitals at all levels of performance from the lowest performing Trusts to the highest performing Trusts. The Commission will inspect East Kent Hospitals during the first week in March 2014.
and use different methods to gather evidence on whether we are providing services that are safe, effective, caring, responsive to people’s needs and well-led.
Before arriving on site, the CQC will analyse and review data and information it holds about EKHUFT to help it decide who needs to be on the inspection team, which areas it needs to focus on and the concerns it needs to look at.
The CQC team will: • speak with people who use services, as well as their carers and advocates • hold focus groups with staff and people who use services • observe care • interview key members of the senior management team and staff of all levels • visit certain services out of hours and unannounced.
In March, a large team will visit our hospitals for two to three days
The services that the inspection teams always look at are:
Communication examples
A new look for EKHUFT! Posters EKHUFT will turn pink, organge and green this year as we give our new values - caring, safe and making a “I felt difference - a great look! listened
“Nothing is too much trouble for the nurses.”
to.”
“They
discussed the To make using the new look easy, we outcome with me, and talked to me as an will put guidelines and templates for equal.” Powerpoints, etc on Staff Zone soon.
“The cleaner was polite and friendly.”
“The surgeon chatted to me to make me feel comfortable.”
People feel cared for as individuals
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Caring
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People feel Our Communications Team can help safe, reassured if you have any questions about how and when to useinvolved the new designs. and Tel: ext 73843 or e-mail: ekh-tr. communications@nhs.net.
care
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Safe
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• accident and emergency • medical care (including frail elderly) • surgery (including operating theatres) • intensive/critical care • maternity and family planning • paediatrics and child health • end of life care • outpatients. The CQC also runs ‘Listening events’ where anyone who has received care from the Trust can come along and talk about their experiences. n Information taken from the CQC website: www.cqc.org.uk/public/ about-us/our-inspections/our-newacute-hospital-inspection-model
21,000
people have commented on England’s hospitals on social media in the last 30 days “Pain relief was excellent.”
“Now I am fit as a flea.”
You can see what they are feel sayingPeople at www.insights. confident we england.nhs.uk
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are making a difference Sites patients use to comment
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Making a difference
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Combine 3
“My social med to what people were saying and Retweeted what they had to say.
Love it or hate it, social media is here to stay with 48% of adults in the UK using social networking sites such as Facebook and Twitter1. As NHS employees can we use it? Should we use it? How could we use it? Three staff share their views and experiences... 1Office for National Statistics
Julie Pearce Chief Nurse and Director of Quality & Operations @julie_pearce1 My journey into social media started when I took part in a public sector leadership programme and saw how the Police were using social media. On the programme we talked about how organisations can use social media to engage with the public better and how it can help leaders connect better
EKHUFT launches social media guidelines for staff The Trust recognises the benefits social media can offer staff in terms of professional development and accessing new ideas and information but is also keen to offer guidance on avoiding the potenital pitfalls of using social media as a member of NHS staff. You can find the new social media guidelines for staff on Sharepoint.
What is social media? Social media describes any internet-based service which enables people to publish their own comments, text, photos, videos, etc to share with other people. Wellknown examples are Facebook, Twitter, LinkedIn and YouTube. 4
with staff and help staff and leaders understand each others’ worlds. I thought I would give it a go, so I started small and set up my own professional Twitter account, which to my surprise was relatively easy to do! I began posting updates on what I had been doing and connecting with other individuals and organisations I wanted to follow and found it extremely interesting to ‘listen’
I was initially cautious as you hear horror stories and I was worried that by publicly posting I could encourage the public airing of negative issues. But what I have found is that actually people have behaved very professionally and courteously on Twitter and my concerns have not materialised. I think that if you stick to your principles and behave professionally no one can use what you have posted in a negative way. I was surprised by how quickly my Twitter following built up. It has allowed me to connect with people who I would never had any opportunity to know, get a sense of what’s new and important to them and what other people are using as evidence for their decisions. It is a fantastic way of sharing ideas. I am pleased that some staff are following me and I like being able to see what they are doing and thinking in their area of work and being able to thank them directly. I would like more of this networking with staff so I can understand more of what they are excited about. I do a lot of work on the patient feedback website Patient Opinion, and I use Twitter to push forward the positive messages to a wider group of people - I do the same with what @EKHUFT is saying. For me, the potential downside is how much time it can take up - I have to be strict with myself and schedule in specific times to Tweet so it doesn’t take over my home life! But to be honest, I don’t see it as work, it’s a very social thing. n
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dia story” Taraneh Azizi Operating Department Practitioner, K&C It has become apparent, through an increasing number of public and high profile cases in the media, that not all healthcare professionals realise how quickly information can be spread and the risks associated with their actions online or through a social network. Healthcare workers must always consider whether their status, comments and photographs are in line with their duty of confidentiality and their professional code of conduct (Griffith 2012). The issues affect all healthcare staff and trainees, including student practitioners who cannot rely on their student status or inexperience to excuse them from inappropriate social networking. A major problem with sites like Facebook is that there can be a false sense of security, and individuals can assume that their privacy settings are such that others cannot see certain things on their profile or ‘wall’. However, even ensuring maximum protection does not eliminate the possibility of Facebook ‘friends’ feeling compelled to report incidents that they may find inappropriate or offensive (Smith 2012).
Healthcare professionals should be reminded that Facebook is still in the public domain, and as such there is always the risk of public awareness. Therefore nothing in relation to their work, patients or professional experiences should be shared in this way. The implications are not just for the confidential work that they do, but also for the patients they care for. There are serious concerns for patient confidentiality and patient safety if staff disclose information, regardless of whether or not it was deliberate. Most questionable postings and disclosures among nursing staff are typically done unintentionally (Ross 2012). Another problem that healthcare professionals need to consider is the innocent provision of their place of work on their Facebook profiles. As a sole factor, is not necessarily a problem. However, along with a status or comments they might write regarding something in the workplace, or something they write on a colleague’s profile, it can link specific cases to specific people at specific dates and times. Healthcare workers need to be aware of these risks before it is too late and confidentiality has already been breached, and the information is in the public domain. Health professionals can also be tempted to share experiences that may be emotional or upsetting to them, but this risks giving identifiable information. Discussion of specific cases should be avoided, regardless of whether or not names were
mentioned. It may always be possible to relate the information back to a patient and/or the professional, and this is how a seemingly ‘innocent’ posting can actually violate privacy issues. Consequences Nurses have been dismissed from duty because of Facebook related incidents. There are serious implications for staff who breach their duty of care through data confidentiality and healthcare professionals should familiarise themselves with their employment contracts and ensure that they do not engage in conduct that breaches the contractual relationship between the employee and the trust or organisation that they work for. Furthermore, registration from regulatory bodies can be suspended or terminated based on the outcome of these disciplinary processes. Greater awareness can be achieved through better in-house education and learning for healthcare professionals. With so many people now using social network sites, there may even be the need for inclusion of the issues surrounding these sites within hospital e-learning and data confidentiality training, which is mandatory for all staff members within the healthcare setting. n Excerpts from Taraneh Azizi’s article published in the AfPP journal (Journal of Perioperative Practice), October 2013 5
Daniel Marsden Practice development nurse for people with learning disabilities @dmarsden49 During 2012 I was prompted to reflect on my relationship with data through a informatics course I was doing and as someone who already had a Twitter account, I began to appreciate the opportunity for professional and practice development this could have. I linked in with a number of other nurses who were doing similar things and joined a few chats, which I found invigorating and stimulating, but most of all productive. After a few school boy errors, I began to speak with a little more authority on the subject, gathered three interested colleagues together, and with partners we began to schedule some chats for Nurses. @WeLDNurses was created in September 2012, and has gradually
EKHUFT and social media Our main corporate social media accounts are: Twitter: @EKHUFT Facebook: East Kent Hospitals Google+: http://google. com/+EKHUFTNHSUK Yammer: www.yammer.com/ekhuft
gathered a following for our fortnightly Twitter chat for anyone involved in learning disability health care. Twitter chats appealed to this group as Twitter had no respect for organisational boundaries or hierarchies, and as such enabled a truly democratic space for debate and discussion. It was also believed that this would be an ideal forum to consider how the values and recommendations of the recent Modernising Nursing report Strengthening the Commitment was impacting on day to day practice. Topics for these fortnightly discussions are suggested by participants and scheduled by the team. The chat is then announced on the designated Facebook group page and also on WeNurses.com with referenced pre-chat reading material, that has been produced by those who suggested the topic in collaboration with the team. After each discussion the transcript is published on WeNurses.com, this is closely followed by a blog that draws on the themes of chat, offering further analysis and interpretation. The chats are often cross fields of practice encouraging collaboration with professionals involved in other forums, such as mental health, adult and child health trained nurses, psychologists, behavioural analysts, occupational therapists, speech and language therapists, parents/carers and people with learning disabilities. Since inception the chats have gathered over 1300 followers; has held over 24 chats with over 200 people participating, and has contributed to the Chief Nursing Officer’s consultation Compassion in Practice.
Companies are finding that their customers are using social media platforms like Twitter more and more to interact with them - be that a complaint or question about a product or service. The same is true of the NHS patients routinely Tweet about their experience in an A&E waiting room or direct message a hospital via Twitter to say they have had great care - or otherwise. NHS organisation across the country now have Twitter or Facebook accounts and are looking for ways to use these to communicate with the patients and public they serve. For example, Walsall Healthcare NHS Trust successfully used Twitter, Facebook and YouTube for a recruitment drive to find 100 band 5 nurses. Salisbury NHS Foundation Trust is using Twitter and Facebook to market a skin cream it has developed for patients recovering from burns and plastic surgery and Berkshire Healthcare NHS Foundation Trust is using a secure online social networking hub to provide support for people suffering from, or supporting someone with, an eating disorder. NHS organisations such as NHS Employers and Connecting for Health are encouraging NHS staff to use social media for professional development and NHS senior managers to use it as a way of engaging with staff.
Guidance from professional bodies
These are managed by the Communications Team at EKHUFT. Other Twitter accounts used by our services: Recruitment @EKHUFTJobs Research, Development & Innovation @EKHUFT_Research Medical Education Centres @EastKentMedEd Libraries @EKHUFTlibraries Learning & Development @EKHUFTLandD
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How the NHS is using social media
online
Most healthcare professional bodies provide guidance on using social media in a way that upholds the profession and your place of work. Here are some examples: RCN: Legal advice for RCN members using the internet NMC: Applying the code to the use of social networking sites BMA: Using social media: practical and ethical guidance for doctors and medical students NHS England and NHS Employers have also produced great advice for using social media during your career - find it on www.nhsemployers.org You can find all the documents referred to in this feature on Inside EKHUFT’s own social networking site: www.yammer.com/ekhuft
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The thief that steals Left: Mark and Fiona Stanton
Sporty 39-year-old Mark Stanton was out jogging while on holiday when he cricked his neck. On return he had physio, which sorted out his neck but not the tremors he was beginning to experience in his left arm. His physio suggested going to the doctor. Ten months later, he had the diagnosis of Motor Neurone Disease (MND). Two to three people in every 100,000 (that’s roughly the population of Crawley) are diagnosed with MND - a progressive disease that What is MND? MND is a progressive disease that attacks the motor neurones, or nerves, in the brain and spinal cord. It affects each individual in a different way as there is no pattern or predictability to the disease. Although incurable, it can be treated. Interventions may prolong survival but they will not reverse or arrest the disease progression.
attacks the motor neurones, or nerves, in the brain and spinal cord. “It is a roller coaster, but I try to take every day at a time,” says Mark. “Mark has a lot of inner strength,” adds his wife Fiona. “The disease is like a thief that steals from you a bit at a time. So you lose something and have a down period, then you pick yourself up again.”
With the May sunshine streaming through the patio doors of his Folkestone home, Mark describes some of the landmarks in his five-year roller coaster journey with MND - stopping playing football, moving and adapting his house, getting a scooter to help with getting around, then a wheelchair. Mark is now preparing to stop work as a print manager at MAF (Mission Aviation Fellowship). As Mark and Fiona talk MND Specialist Nurse Chrissie Batts is gently encouraging them.
Chrissie works with Dr Karlsson, Consultant Neurologist, to manage and co-ordinate the East Kent MND service. She is the first point of access for all patients and their families. Following initial diagnosis she visits them at home and continues to visit at a mutually agreed frequency - sometimes at home, sometimes in the office - whatever is the right fit for the person she is looking after.
For Mark and Fiona, Chrissie brings specialist knowledge of both the disease and the systems and organisations that they need to know about. She makes reassurance, advice or advocacy just a text or a phone call away. Every month, representatives from all the professions who provide services for MND sufferers in east Kent meet to discuss each patient so that all professionals - from Speech & Language Therapy, Occupational Therapy, Physiotherapy, Dietetics and Adult Communication
Above: Chrissie Batts and Assistive Technology are aware of the changing needs of each individual. Chrissie has also built links with all professionals at the Pilgrims Hospices through collaboration and attending their multi-disciplinary meetings. “This multi-disciplinary approach provides expert knowledge so we can manage patients’ conditions and achieve the best quality of life for every one,” says Chrissie. n Shortly after being interviewed for this article, Mark sadly lost his battle with MND after a courageous five year fight. 7
photo gallery The Medical Education Directorate hosted its first Medical Education Awards this year to recognise the contribution of our transient population of medical students and training doctors to the Trust during their placements and posts. The evening was held at the Gulbenkian Theatre in Canterbury and hosted by Rob Smith of BBC South East. Awards were presented for training doctors and students on placements at all three acute hospital sites for teaching, leadership, professionalism and research and development. There were overall awards for Junior Doctor of the Year and Medical Student of the Year.
Dr Kevin Kelleher, Associate Dean for Secondary Care, HEKSS, presents a professionalism awards to Dr Sucharitha Chadalavada.
Stuart Bain was also delighted to be able to present Dr Anup Patel with the overall Junior Doctor of the Year Award. 8
Chief Executive Stuart Bain presents Dr Anup Patel with the overall leadership award at middle grade level.
Miss Bohaira Geyouishi, Leadership Tutor, presents a foundation doctor leadership award to Dr Maria Reza.
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health & wellbeing
action on the staff survey
Let’s talk about stress Stress was highlighted as a concern for many staff on the annual NHS Staff Survey (2012) with issues related to control, role clarity, harassment and bullying, workload demands, resources and support. As a result the Trust has been engaged in implementing significant changes to the management of stress within the organisation including two revisions of the Stress Management policy and raising the profile of stress management thorough talks and the
use of the risk assessment process.
There are now site based health and safety teams providing dedicated access and support to managers and staff on each of the main Trust sites. The Senior Health and Safety Advisor is now the designated lead for Stress Management Trust-wide and is working with Human Resources, Occupational Health and Wellbeing and the Learning and Development team to develop a stress management training module for
n If you have any queries about the staff health and wellbeing agenda, or would like to request information or discuss your personal or team needs please contact the occupational health and wellbeing service. n To find out more about stress risk assessments contact your site health and safety lead. n For information about Stress Management Training for managers please contact the Learning and Development Team.
all managers and ways to tackle the key causes of work place stress. Out of 27 Health and Safety audits in the new audit year 81% at the Kent and Canterbury site and 53% at the QEQM include stress risk assessments. – Well done! We look forward to providing better and more robust data as this is collected.
Over 90% of EKHUFT staff want a healthier lifestyle1 1 Staff wellbeing survey July 2013
Take 5 Probably most staff are now aware of the Staff Wellbeing Programme ‘Take 5’. This programme takes people through five key areas of their lifestyle including diet, activity, use of stimulants such as coffee and alcohol (smoking, shopping or chocolate!) stress and relaxation and the National Economic Foundation’s well-researched five ways to wellbeing. The evaluations for the Take 5 programme have been very positive, showing between 98-100% improvement in measures such as blood pressure, body mass index (BMI), body fat levels (yes we can measure this!) and waist circumference. Individuals and teams have signed up to the programme and we are currently working with Outpatients, Deal Ward, Sandwich Bay, St. Margarets, ITU, and Cheerful Sparrows. Pain Clinic, renal outpatients and medical Imagery have already signed up for the next round. Chief Executive Stuart Bain presents Alison White, Breast Screening Secretary, with her Take 5 champion award. 10
Some staff have really done well on the programme and to recognise this and encourage more to have a go, we are offering ‘Take 5 Champion’ Prizes of Spa Day Vouchers. Why not sign up to the programme and you may be in with a chance of winning! Contact Occupational Health or our wellbeing advisor Mark on mark.hayes-watkins@nhs.net
iE n w o d g n i y l p e e l s “I couldn’t e r u s s e r p h c u m o o t because it put on my heart” K&C Porter Nevil Masters’ weight loss has saved his life - and shows everyone else just what can be achieved with the right determination and support... Many of us who have tried dieting over the years know it can often end up with us yo-yoing the weight on and off. For others, losing weight can seem an unreachable goal. Nevil Masters, General Porter, found himself severely overweight and his health dangerously deteriorating. “It got to the point where I couldn’t sleep lying down because it put too much pressure on my heart,” said Nevil, who was overweight for 25 years. “I had severe pain in my knees and ankles when I walked, I had no energy and I had been diagnosed with diabetes too.
Nevil four years ago.
“It took 25 years for the penny to drop but I could see how dangerous my health had become. I needed to change my lifestyle otherwise there would be life-threatening consequences for me.” The key to beginning to lose weight for Nevil was deciding to admit he needed help. He joined a local Slimming World, where he immediately received a lot of support from the team there. The main aim was for Nevil to lose the weight gradually so it wouldn’t come back. Just 2-3 pounds a week was the goal and after four years Nevil has lost an incredible 14 stone. “I still want to lose another five stone, but I’m going to take at least two years to see that come off,” he says, casually. “Plus I always give myself a night off the diet once every three weeks. It gives me something to look forward to and doesn’t impact the diet as much as you would think.” Nevil is reaping the benefits of his success: sleeping nomally again, walking around the hospital without getting out of breath, he has better circulation, less pain in his knees, ankles and hips. Also Nevil is now able to have some hidden health issues addressed. “It’s not too dramatic a thing to say this is the best thing I have ever done – it saved my life!”
50% of
EKHUFT staff say stress management is their biggest health concern1
Nevil 14 stone lighter.
Thank you Thank you to everyone who completed our Staff Wellbeing Survey in July. Over 230 of you responded and gave us valuable information about your health and wellbeing concerns and what you would find most useful in tackling these. The Occupational Health and Wellbeing team are now looking at how these and other findings from the survey can be used to plan wellbeing activities for EKHUFT staff.
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Both men and women live an average of ten years longer than they did before the creation of the NHS.
FACTS
Mental health providers, providing services for people with mental health problems Community health providers, providing district nurses, health visitors for new parents and end-of-life care Ambulance providers, operating the ambulance service across England, and making over 50,000 emergency journeys each week
Your local NHS providers
Approximately Approximately 170,000 people people 170,000 capacity of of the the (the capacity Glastonbury music music Glastonbury festival) go go for for festival) eyesight test test an eyesight each week. week. each The NHS deals with over 1 million patients every 36 hours.
2,312 hospitals (in the UK) 10,500 GP practices (in the UK) 10,000 dental practices (in the UK) 12,000 registered optometrists In 2010, 926.7 (in the UK) million prescriptions 10,000 pharmacies, providing were dispensed and a range of advisory services and £3.8 billion was dispensing prescriptions.
The NHS is one of the largest employers in the world, employing more than 1.4 million people
The NHS recruits around 35,000 people to healthcare professional courses each year.
In 1948, 13-year-old Sylvia Diggory was admitted to a Manchester hospital with a liver condition, becoming the first patient to be treated by the NHS.
FACTS
LETBs work together to develop, educate and train the future NHS workforce.
These are forums where key leaders from the health and care system work together to improve the health and wellbeing of their local population and reduce health inequalities.
The National Institute for Health and Care Excellence (NICE) produces guidance, quality standards and other products to support health, public health and social care practitioners provide the best possible quality care and the best value for money.
The NHS Employers organisation is the authoritative voice of workforce leaders, experts in HR, negotiating fairly to get the best deal for patients.
Nurses m ake up the la rgest part of th e NHS workforce , at just under 30 %.
© NHS Employers 2013 Published May 2013 EINF28501
For example, colleges and universities.
Education providers
The NHS Leadership Academy develops outstanding leadership in health, in order to improve people’s health and their experience of the NHS.
NHS Leadership Academy
Provides advice on more than 350 different careers in the NHS.
NHS Careers
NICE
NHS Employers
HEE is responsible for the education, training and personal development of every member of NHS staff, and recruiting for values. They do this through local education and training boards (LETBs), which are statutory committees of HEE.
Health Education England (HEE)
Local education and training boards (LETBs)
spent by the NHS on medicines used in hospitals.
Monitor promotes the provision of healthcare services which are effective, efficient and economic, and maintains or improves the quality of services. It assesses NHS trusts for foundation trust status.
Monitor
Healthwatch England is the independent consumer champion for health and social care in England. Working with a network of 152 Local Healthwatches, it ensures that the voices of patients and those who use services reach the ears of the decision makers.
Healthwatch England
The CQC is the independent regulator of all health and social care services in England. Its job is to make sure that care provided meets national standards of quality and safety.
Care Quality Commission (CQC)
The NHS workforce
www.nhsemployers.org
Health and wellbeing boards
The NHS TDA provides governance and accountability for NHS trusts in England, and helps trusts prepare for foundation trust status.
NHS England is an independent body managing the NHS budget and commissioning services.
NHS England
Most of the NHS commissioning budget is now managed by 211 CCGs.
Clinical commissioning groups (CCGs)
NHS Trust Development Authority (NHS TDA)
The DH supports the Secretary of State for Health, setting national policy and legislation.
Department of Health (DH)
This infographic explains how the new NHS is structured.
Monitoring the NHS
Patients in England now have more choice and control over where to go for treatment, and can use patient power to make services better.
Using the NHS
The changes in the NHS aim to empower patients and local clinicians to make decisions about NHS services in your area.
@nhsemployers
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The new NHS in 2013 What it means for you
finds
We love this infographic from NHS Employers - if you still need to get your head around who all the different NHS organisations are, it’s worth turning the page around!