Month: March 2022

The Welsh Nursing Care Record’s journey to success

Fran Beadle is the National Clinical Informatics Lead (Nursing) in Wales and Assistant Head of Clinical Informatics in Wales The Welsh Nursing Care Record was created by Digital Health and Care Wales and nurses and colleagues across the Welsh health system to create a digital process with standardised nursing documentation. The Record went live in […]

PRSB welcome TPP and RIX to the Standards Partnership Scheme

With the ambition to improve clinical access and empower patients, joining the Standards Partnership Scheme was a natural step for TPP. Rix Research and Media also joined the Scheme this month, with the aim of enabling person-centred care for people with learning disabilities. TPP is now entering its landmark 25th year since being founded by […]

Partner event recap: the About Me breakfast briefing

The About Me standard was the focus of March’s partner event and the session focused on why the standard is important, how it can make a tangible impact on health and care and the challenges suppliers might encounter when implementing it. PRSB’s Clinical Director, Dr Nilesh Bharakhada kicked off the session by contextualising the About […]

Non-Executive Director (NED) – Voice for People, Equality and Diversity

The Professional Record Standards Body (PRSB): Non-Executive Director (NED) – Voice for People, Equality and Diversity We are looking for an NED who has regional or national board level experience to be our voice for people who use health and care services across the UK and to support the PRSB in becoming and remaining an […]

The return of Digital Health Rewired proves busy for PRSB

Digital Health Rewired returned to the Business Design Centre in London on 15 and 16 March, featuring keynote speeches from Simon Bolton, Tim Ferris, Helen Thomas and Dan West. The agenda covered many areas of health and social care, including national policy, integrated care, digital transformation and a ‘pitchfest’ competition for digital health start-ups and […]

Standards as yoga practice – reaching for improvement

A guest blog from Taffy Gatawa, CICO at everyLIFE Technologies. Yoga is a practice where improvement is continuous and incremental, and which contributes to a broader goal of wellbeing and betterment. It’s the best way to describe the journey taken by everyLIFE Technologies on the route to PRSB standards conformance. And it’s one upon which […]

PRSB to attend the Digital Healthcare Show

Join us at the Digital Healthcare Show; a UK event for healthcare professionals looking to revolutionise the NHS through the use of data, analytics and technology, returning to the ExCeL London on 18-19 May 2022. Free for healthcare professionals, the CPD certified conference programme will focus on eight key themes across four dedicated theatres: Digital […]

RIX Research and Media joins the PRSB Standards Partnership Scheme

Rix

The PRSB is delighted to welcome RIX Research and Media, a technology firm specialising in helping people with intellectual disabilities, as the latest organisation to become a PRSB Standards Partner and join in our mission to accelerate the adoption and meaningful use of standards. RIX Research and Media carries out research and develops digital tools […]

The benefits of the Standards Partnership Scheme

everyLIFE Technologies’ Chief Information and Compliance Officer, Taffy Gatawa, spoke at PRSB’s February partner event on the company’s conformance assessment journey and the many benefits and lessons learned along the way. Listen below to Taffy’s talk on how undertaking the scheme’s conformance process for PRSB’s About Me and Digital Care and Support Plan has improved […]

CHAT theory also explicitly addresses five areas which if addressed systematically will help overcome stakeholder differences in pursuit of the common goal:

1. Understanding the artefacts that characterise the group and its activity.
• The artefacts might be clinical settings or the forms and templates used to capture and share information. During the pilot we heard about hard copy Dialog response forms; locally generated templates for collating information from different systems; letters and emails to GPs; images, poems or other non-text artefacts that service users might want to include in their ‘about me’ or care plan.

2. Understanding the multi-views of the group. Such groups are always a community of multiple points of view, traditions and interests. 
• Different participants in the group will have different roles and will bring to the group and their roles their own histories, language, and ‘rules’. During our Stocktake preparations and workshops we worked with psychiatrists, mental health nurses, occupational therapists, social workers, transformation leads and voluntary sector representatives, all professions and interests with their own language, approaches professional ‘rules’ but united in their interest in care plans, care planning.

3. Activity systems (like the ICSs) take shape and get transformed over periods of time. ‘Historicity’ is a term coined to express how the group’s problems and potentials can only be understood against their own history. 

 

• ‘We’ve always done it this way’, ‘that didn’t work before’, ‘it’s always like this’, ‘it wasn’t always like this’, ‘they are changing things again’, are all typical statements that often frustrate those charged with overseeing change initiatives. Without addressing the experiences that lie behind such comments you risk repeating mistakes of the past, alienating your stakeholders or just not understanding the real starting point for your transformation project. This is particularly the case for the implementation of the PCSP standard, the success of which will be largely reliant on point-of-care practices and information protocols as well as having systems which are user friendly and appropriately configured.

4. The central role of contradictions as sources of change and development. Contradictions are not the same as problems or conflicts. Contradictions are historically accumulating structural tensions within and between activity systems. Collectively addressing contradictions in how policy, practice, culture and technology interact will empower teams to find genuinely novel solutions for apparently intractable challenges, like interoperability and shared care plan/planning. 

This links to the fifth principle that:

5. the possibility of expansive transformations in activity systems. As the contradictions of an activity system are aggravated, some individual participants begin to question and deviate from its established norms. In some cases, this escalates into collaborative envisioning and a deliberate collective change effort. “An expansive transformation is accomplished when the object and motive of the activity are re-conceptualised to embrace a radically wider horizon of possibilities than in the previous mode of the activity.”

“If someone’s been working for a period of time, in a form of therapy, for instance, where there’s an agreed plan for the locality when they may present in an emergency situation … then it’s really important for us to be able to see that that information and be able to act appropriately according to that because, you know, there isn’t and there shouldn’t be a stock response to that. These plans are designed to be individualised and personalised.  All services should be giving that personalised approach to care wherever possible. And a standard such as [PCSP standard] definitely moves us closer towards being able to do that. [Not acting on agreed plans] is a key finding in terms of emergency responses over the years where responses have been inappropriate.” – Mental Health Nurse

“Following a particular plan that’s been put into place will result in much better outcomes and prevent the sort of poor outcome which would otherwise be leading to an unplanned hospital admission.” – General Practitioner