Big ears and small mouths

Big ears and small mouths

7 Critical Communication Capabilities for Integrated Care System Design

This week NHS England and Improvement published the Integrated Care Systems Design Framework. At it’s heart is the aspiration to improve health outcomes for all of us, to tackle inequality and improve the productivity of the NHS. The strategic role of communication and engagement, as a management capability, will be central to it’s success. We’ve identified 7 critical communication capabilities that can really add value for health and care leaders:

1.??????Insight

ICS leaders are going to need big ears and small mouths. We have two ears and one mouth for a reason. The article image is what we need our ICS leaders to look like! Communications is so much more than broadcasting messages and media relations. Accurate and deep understanding of populations and the workforce at a local level and across organisational boundaries will be essential to design services and to inform the best communication strategies and approaches. Communication professionals can set up the right mechanisms to listen, ?gain insights and provide excellent analysis to inform recommendations and action plans. Working effectively their analysis and data will be a key input into the cross system intelligence cell.

2.??????Purpose and vision

The vision of what integrated care systems are intended to achieve could be easily lost as the NHS system and local government structures navigate their way through the legalities and detail of complex governance structures as they try to explain the triple and quadruple aims (as brilliant as the work of Don Berwick is). The power of storytelling and narrating a vision that truly puts patients and local populations at the heart and that inspires the health and care workforce to transform will be critical.

3.??????Language and tone

There has always been an irony that ‘the duty of candour’ was chosen as the concept to convey openness and transparency in the NHS. We doubt it’s a word that the majority of us use at the dinner table. As the system evolves into something new there is an opportunity to get the language and tone right from the start. We need language that is equitable and accessible to all and stop wasting time (and therefore money) on creating and explaining the endless list of acronyms. The principles and guidance need to be communicated in a simple, compelling and clear way.

4.??????Partnership working

Stakeholder engagement is a core capability for effective partnership working. From stakeholder audits through to engagement activations that develop productive partnerships. When deployed to full effect, an excellent stakeholder engagement plan ensures that all of the tactics in the communication toolbox are used efficiently and targeted on the right job. In a complex system a strategic understanding of your partners and stakeholders and how best to engage them will make the best use of valuable leadership time and effort and support you on a path to consensus and progress. This needs to be powered by effective behaviours that drive objectivity, transparency and build trust.

5.??????Creativity ?

We’re biased but the best communicators are natural creatives. Whether it’s the development of place-based communication campaigns that drive behaviour change or employee engagement programmes that support clinicians in the transformation of services for local people – creative communication is going to be crucial. Whether creativity is used to cut through the noise, innovate content and channels or provide a PR solution that would be a huge marketing cost to any other global brand, comms creativity is a hard asset, above and beyond the icing on the cake (or the polish on the turd)!

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Creative communication is a hard asset, above and beyond the icing on the cake!


6.??????Digital capability

As the pandemic hit everyone hard and as society moved to a virtual way of survival, communication teams up and down the land valiantly put in place digital communication channels at a pace that was incomprehensible 12 months before. Overcoming years of institutional nay saying and scaremongering from people who would have banned the use of twitter a decade earlier. Continuing to innovate and include communication professionals in digital transformation will reap huge rewards in relation to engagement and value for money. In the new world they are uniquely placed to inform the single-coordinated offer of digital channels for citizens across the system working alongside their clinical and tech colleagues.

Collaboration is the new pantone 300 (NHS Blue for non-believers). Collaboration needs to be as synonymous and recognisable to the world as the blue lozenge that is found in every corner of every service that provides care for each and every one of us.

7.??????Collaboration and co-design

Collaboration is the new pantone 300 (NHS Blue for non-believers). Collaboration needs to be as synonymous and recognisable to the world as the blue lozenge that is found in every corner of every service that provides care for each and every one of us. Whilst there is a whole other chapter that needs to be written around patient and public involvement and engagement – co-design and collaboration need to be ‘the way we do things here’.

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What have we missed? We will all be the recipient of the new way that care will be delivered – in what other ways can communication and engagement add value so that the changes reflect our needs and the needs of our loved ones?

If you have any thoughts please DM us, join the conversation on Twitter @TheBlueLozenge or email [email protected]

You can view the strategic communications and engagement services that we offer at Blue Lozenge on our website https://bluelozenge.co.uk/services/ or message Rachel.

#Engagement #Communication #IntegratedCareSystem #Leadership #BlueLozenge #Health #NHS #IntegratedCare

Sarah Roberts Chart.PR, FCIPR

Senior communications leader | strategic communications, campaigns and content

3 年

Great insights here.? The point on collaboration is an important one. A patient’s journey should not be defined by organisational boundaries. More work is definitely needed to develop ways to shift thinking from what works best for one org, to what works best for the system’s population.? Also comes back to the point that patients expect their care to be joined up anyway so careful messaging required.

Your point about the need for population insights is a critical one. If ICS's are going to be able to make decisions on where to focus precious resources to make the biggest difference, they are going to need to hear from the population accessing health and care services about what's working and what isn't - and ensure ALL parts of the population are heard. This is a priority focus for iWGC at the moment as it looks like in most cases this data does not yet exist.

Kirk Ward

Founder and CEO, FRSA

3 年

Listening is a great place to start. We will all need to show our communities that their input makes a difference though - building trust through change is hard but always worth it. Lot's of organisations talk about co-design but very few are comfortable enough to properly involve people in decision making - that's one thing that ICSs could push forward at a system level to be truly transformational. It might mean guiding ICPs or provider collaboratives to take the lead at a Place or hyper-local level and then commissioning in a way that responds to the needs of those communities. Exciting times ahead for NHS communicators in any case!

Duncan Jenner

NHS Corporate Communications & Public Affairs

3 年

All very good points. The listening will be important. Not just about broadcasting (particularly in lots of less well progressed systems where there isn't much to broadcast yet!) Genuine partnership working will be required (which at times will probably be difficult because of different stakeholders around the ICS table with different priorities). Sometimes we (NHS) still fall into the trap of silo thinking and working. Involving people in service design in a meaningful and useful way will be important.. Many systems are probably working more closely now as a result of COVID than before, so it's a great opportunity to build on that, keep using the momentum of engagement which has been built up, and press on...

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