Staff involvement

staff in a meeting

04 / 8 / 2014 3.29pm

The pledge on staff engagement refers to promoting the involvement of staff in decisions, which affect their working lives. This involvement can take place both individually and collectively through partnership working.

All NHS organisations have some form of staff involvement as part of their approach to staff engagement.

The staff involvement methods in the NHS range from:

  • meetings with staff either in small or large groups known as big or little conversations
  • in depth focus groups or problem solving techniques such as Appreciative Inquiry
  • regular local surveys in addition to the staff survey
  • staff representation on boards
  • partnership working and formal consultation.
There has been a particular focus in recent initiatives on finding ways to help staff put forward suggestions to improve services. These range from suggestion schemes to more formalised approaches such as internal ‘dragons den’ style models, where staff are supported to develop ideas, which are then assessed to see if they can be implemented. All staff will now have the opportunity to put forward ideas through the Staff Friends and Family Test, which has open text box to allow staff to share ideas. 

Raising concerns

The staff survey shows that there are procedures for raising concerns at work in all NHS organisations. However, there is variable confidence in such procedures. A number of trusts have sought to change their culture to one where speaking up is seen as normal. For example, the East London Foundation Trust

More examples can be found on the NHS Employers speaking up web page

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