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HR Connect

NHS Greater Glasgow and Clyde has a range of ways that we listen to staff and use their feedback to improve our services to patients and to make NHSGGC a better place to work. Key mechanisms include iMatter, Investors in People, via Area and Local Partnership Forums and through team meetings, one-to-ones and other engagement activities with leaders and managers locally.

You can read below examples of how staff feedback from our annual iMatter staff satisfaction survey has been used to inform improvements across teams, services, Directorates and Health and Social Care Partnerships (HSCPs), within NHS Greater Glasgow and Clyde.

Advance Nurse Practitioner Team – East Dunbartonshire HSCP

The Advance Nurse Practitioner (ANP) team in East Dunbartonshire HSCP, is a small of team of 6, supporting GP clinics as well as carrying out home visits, all across the Partnership. During our most recent iMatter action planning discussion, we reflected on the agile nature of our roles, and the need for lots of equipment to be transported when out and about at home visits.

We didn’t have a space to call our own for storing equipment, or dedicated desk space, as we’re fully agile. This means that equipment is often stored in our cars as we go back and forth to homes and clinics, which is not ideal for staff as we’re already taking other things, such as our laptops, out and about, so it’s a lot to consider for each trip.

So, we had a discussion with the Facilities Manager at Kirkintilloch Health & Care Centre to see what we could do to improve our experience.

Amazingly, we’ve secured a large double cupboard at the Centre, which is solely for our team, and we can easily access it to pick up just the bits and pieces we need, and store the rest. This is only a small thing but has gone a long way to making the team feel that they are valued, visible and that their needs are being met by the HSCP.

We’re now working with colleagues to look at ways we can use the space at Milngavie Health Clinic too, ensuring that our team can continue to have the same successful, positive experience, across all our sites.

Clyde Sector

Across the Clyde sector, we have seen real benefits of using feedback from iMatter to improve our staff’s experience. The big improvements in iMatter outcomes throughout 2022 demonstrate this, with an increased response to the questionnaire, an improved Employee Engagement score and a 7% increase in action planning.

We achieved this in a range of different ways. We took action before and during the questionnaire stage, to discuss iMatter at key management and partnership meetings, embedding it in business as usual. IMatter is always a key part of our thinking around how we engage with our workforce and use their experiences to improve services and make Clyde Sector a better workplace.

Alongside this, we shared ‘top tips’ during the team confirmation stage to ensure managers felt supported with each step, and staff were aware of the range of ways they could respond, to maximise participation. Maintaining a good working relationship with the iMatter team in HR meant we could quickly identify and resolve any action needed to support teams.

Once we received our results, we quickly shared the information with staff, managers and partnership colleagues, and ensured two-way communication was at the heart of improvement.

We now hold weekly partnership calls in Clyde sector to discuss emerging and live issues to identify solutions together. We’ve also introduced HR ‘Walk rounds’ across all three sites, meaning there are regular opportunities to meet with staff, be visible and discuss any concerns. Similarly, the Senior Charge Nurse (SCN) engagement sessions with senior management give staff the opportunity to discuss ways of improving services, staff morale, health and wellbeing. These allow us to hear directly from staff about how we shape support and drive improvement on an ongoing basis.

In addition to this, Partnership colleagues and HR now have access to daily safety briefings for all sites to keep everyone informed on hospital pressures and staffing. This means that appropriate action and support is given efficiently and based on feedback.

Taking this approach has achieved some really positive outcomes this year, leading to positive action, and we look to replicate and build on this into 2023, to realise continuous improvement for our staff.

Counselling Team (Human Resources and Organisational Development)

Our team always finds the feedback from iMatter a really useful tool to create discussions about how we do more for our staff and also for our clients. This year, the report has allowed us to identify service improvements that we think will deliver excellent performance.

Initially during COVID we were keen to explore the experience of clients using the counselling service, particularly as we moved from face to face to telephone appointments. We did this through a short survey, which we circulated to clients. The feedback was positive, and gave us reassurance that we were still providing a supportive and person-centre service during COVID.

As we moved into 2022 and back to more face to face consultations, our team suggested we expand the survey to allow us to explore ways in which we could celebrate great work, review the service we provide and identify any opportunities for improvement.

This has been going really well, and at our team meetings we always allocate time to look at the feedback together. The comments from the responses we get helps us to build a picture of progress and improvement themes. The information we gather also supports our accreditation with Safe Effective Quality Occupational Health Service (SEQOHS) standards, the benchmark for occupational health services.

One particular benefit of this approach has been helping us to celebrate the successes of the team through the positive experiences of our clients. When we see really great comments in relation to the service provided by an individual staff member, this is highlighted at the team meetings, as well as at TURAS review discussions.

In the team, we’ve used the iMatter process to help keep us on track when it comes to our commitment to positive staff engagement, celebrating success and working as a team. We know that doing this has really helped us to continue to deliver a great service for the people using our service.

COVID Safety and Wellbeing Engagement in Estates and Facilities

Like all services across NHS, the COVID pandemic raised a number of significant challenge for us in Estates and Facilities. One of those challenges was that guidance, including changes to Standard Operating Procedures (SOPs) and Safety instructions, was changing on a regular basis. For us, there was no reliable way to ensure that this information was appropriately circulated across all of our staff because of limited IT access for many staff in our service and the limitations on in-person meetings.

This meant that we were struggling to ensure that the staff on the floor were getting key information timeously, including COVID safety information and resources to support and improve staff wellbeing.

As a consequence, the Senior Management Team and partnership colleagues worked together to identify the best ways to get this essential information to staff reliably. This took the form of a Team Brief, which was initially issued on a weekly basis, and which we now issue on a monthly basis. We developed this based on the positive feedback and the recognition of an ongoing need for supportive engagement and communication with staff.

The detailed Brief is shared verbally with all staff, along with being circulated electronically and displayed on staff noticeboards. This very simple approach has been welcomed by staff, and has been adopted by others throughout the organisation too.

William Hunter, Deputy Director (Facilities & Corporate), says “there has been a positive response to this brief. In very difficult circumstances, we have been able to increase direct communication with our staff, including the provision of key work, wellbeing and safety related information, which I know that staff have found very reassuring and supportive.”

We can see from our 2022 iMatter results that one of the areas which saw the biggest improvement from 2021, was in relation to well-being support from line managers. In addition, improvements were seen around the themes of role clarity, effective team working and seeing the value and contribution made by the roles that staff hold.

This improved engagement and communication with staff, really focussing on well-being and experiences at work, has made a positive impact amongst teams, which we’ll continue to build on and celebrate.

East Renfrewshire HSCP

We were delighted with the iMatter results in East Renfrewshire HSCP, where we saw an increase in response rates and action planning engagement, whilst also maintaining a really positive engagement score.

We were particularly pleased to see that we’d had good feedback from staff against the iMatter wellbeing questions. This was due to the big effort we’ve made in the HSCP in ensuring staff are aware of the wide range of options available to them to support good mental health and overall wellbeing at work.

One way we’ve been showcasing our wellbeing activity is through our regular Staff Wellbeing newsletter with targeted articles on key issues e.g. alcohol awareness, stress at work, financial advice. These kept staff updated on any upcoming classes and sessions, as well as providing access to information and resources which covered a wide range of topics.

During the summer months, we rolled out a programme under our “Summer of Wellness” brand. Creating this brand allowed us to bring together a whole range of opportunities for staff in one place, including yoga, fitness classes, 121 wellbeing conversations etc. The uptake for these was fantastic and feedback from staff was extremely positive. We’re now building on that success and are rolling out a new “Winter of Wellness” programme during November and December.

Something that really helped us maintain the focus on wellbeing over this period has been our newly appointed Wellbeing Officer, Gerry Mitchell, who has led on promoting and improving the mental health and physical wellbeing of our workforce.

Gerry says:

“My role as Health and Wellbeing Lead Officer has been to build a proactive and preventative wellbeing offer across the HSCP for all our staff.

“It’s important for staff to have access to resources that supports holistic wellbeing, with a particular focus on mitigating the effects of work-related stress.

“Recent years have been particularly challenging for health and social care staff and volunteers. During this time, it has been more important than ever that we continue to offer an effective and sustainable approach to staff/volunteer wellbeing so that they feel valued and supported at work.”

Gerry Mitchell, Health and Wellbeing Lead Officer East Renfrewshire HSCP

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Accordion item 1

Hybrid Working in the Clinical Governance Support Unit

Our 2022 iMatter report showed some really encouraging results, and we were particularly delighted to see positive outcomes relating to engagement, well-being support and leadership. We always aim to apply a person-centred, continuous improvement approach, which focuses on our staff’s experience, as we know this has a positive impact on the work we do.

That person centred approach could clearly be seen through our recent implementation of hybrid working. NHS Greater Glasgow and Clyde (NHSGGC) introduced a Blended Working Guide early in 2022, to support staff to work flexibly and to provide a healthy work and life balance.

The Clinical Governance Support Unit (CGSU) implemented this approach across all teams during Spring/Summer 2022. To do this, working together with staff, we developed a project plan with six key steps for implementation:

Planning – Engagement – Assessment – Pre-implementation – Implementation – Evaluation

A key part of our plan was working with staff to develop an Etiquette Guide. This provided some key principles and supporting guidance and aimed to give consistency to staff in terms of how hybrid working would actually work in our team.

Almost as soon as we had implemented the approach, we held a short workshop at the CGSU Team Session, to gather feedback from staff on their initial experience of hybrid working. Feedback showed us that staff liked the flexibility to choose when it’s appropriate to work from home and when to be working on site. The staff told us they continue to see the benefit of meeting together in person where it’s appropriate. We were really pleased to hear that they found the room booking system really clear and easy to access, allowing them to arrange all the practical requirements when coming into the office.

To keep the focus on staff having a positive experience, we also sought improvement themes from staff, and have taken these forward quickly. An ongoing evaluation is planned on a quarterly basis to continue engagement with staff and determine if the actions are resulting in real improvements, and to consider if there are any new actions we need to take forward.

Pharmacy Services

Hear from Gail Caldwell, Director of Pharmacy for NHS Greater Glasgow and Clyde, talking about the Pharmacy Strategy, which focusses on a culture of empowerment and enablement for all their staff.

Click below to hear more:

Pharmacy Services Celebrates Staff Successes and the Employee Voice

Pharmacy Services celebrated their staff awards on Wednesday 20th of March at the Teaching and Learning Centre, QEUH. While the event was themed around the many successes of our staff, the event also recognised the challenges along the way, a theme reflected by our keynote speaker, Cor Hutton.

“As a pharmacy team, what makes us strong are our people, and our people know how things can change and improve, we are always looking for ways to obtain feedback and empower our teams to make local changes that makes it better for them and our patients.” Andrea Healey, Business Performance & Review Manager, Pharmacy Services

One way Pharmacy Services do this is through the annual iMatter survey. The team has always had a high engagement rate and one they are keen to continue. They took the opportunity to promote iMatter at their staff awards, including highlighting the improvements made locally based on the annual staff feedback. To support the event, the NHSGGC Staff Experience team were on hand to share good practice and give out a pen or two!!

“We were thrilled to be invited along to be able to promote the upcoming iMatter questionnaire at the Pharmacy Services staff awards, and engage with staff at this exciting event. Moreover, it allowed us to encourage colleagues to consider staff experience more widely, and understand how iMatter can be an important enabler for person-centred discussions that explore and improve the experience of everyone at work” Diana Hudson, Staff Experience Adviser and Sabine Bunte, Staff Experience Assistant

Alongside iMatter, the event also showcased the Peer Support service:

“Delighted to have attended the awards ceremony representing Peer support and as part of the Pharmacy Culture Collaborative Group. Peer support simply put is to look after oneself and others and this was very much to the fore in our pharmacy ‘family’ awards ceremony. Our speakers at the event spoke with compassion, empathy and a steadfast commitment to our health service and the patients we serve. It was a privilege to be part of the day and hear the amazing testimony of Dr Corrine Hutton” Donald MacPhail, Controlled Drug Inspection Officer and Peer Supporter NHSGGC

The 2024 iMatter Survey starts from 13 May 2024 and you can find out more information about how to get the best of this for your team on our iMatter page or by contacting the iMatter team on iMatter@ggc.scot.nhs.uk

If you have a positive Staff Experience or Engagement story you would like to share, please get in touch with the team at iMatter@ggc.scot.nhs.uk

If you want to know more about the range of ways NHSGGC has in place to engage and communicate with staff, you can read our Internal Communications and Employee Engagement Strategy on HR Connect.

Action Planning Stories

During the Action Planning phase of iMatter, we want to share some of the ways in which teams have approached this discussion and how they have used iMatter to support key activity over the next 12 months. Below you’ll see details of stories shared via StaffNet.

Complex Trauma Pathway team

We hear from Lesley Hunter – Nurse Team Lead within the Complex Trauma Pathway team (Specialist Children’s Services), who talks about their approach to iMatter action planning:

“As a team we utilise our business meeting and team away days to discuss and review our iMatter report each year. These take place in June and November so work well in relation to the timing of the reports and allow for a six-monthly review. Following the completed reports, I review the comments and we discuss as a team the outcome and consider what our focus is for the year.  

The focus is often on service development i.e. what we do well and need to focus on for our patients in the next year, as well as team cohesion and wellbeing/staff retention. From this, I write it up and we agree it finally as a team.  

The pathway is a small team where the ongoing clinical task of working with young people, families with traumatic histories and experiences can be emotionally taxing, therefore team wellbeing, supervision and peer support needs to be central to what we do. The iMatter process allows us to look at this more specifically as a service.”

The most important bit of iMatter is the discussion you now have in your team based on the feedback. This is your chance to discuss and agree as a team how you want to work together to make things better. Please visit HR Connect for more information.

Primary Care Dental Services

This week, we hear from Karen Gallacher, Clinical Services Manager within Primary Care Dental Services:

“Looking at the action planning process with a new team has made me reflect on a number of matters, most significantly that I was, in recent years, part of this team and now, due to promotion, I am in a leadership position with the team and would look to maximise the benefits of the iMatter process.

In the past, in the team I previously led, we would have added iMatter to the agenda of group meetings and had a round table discussion to review our report, looking at what areas we should celebrate and those areas we should seek to develop further.

My previous team were predominantly involved in the management of clinical dental care, therefore would focus their efforts on analysing how to improve patient care while supporting the needs of staff. My new team involves health improvement managers, clinical managers and support services to the wider dental community.

As a consequence of being an original member of the above named group it was easy to identify the commitment of my colleagues to examine our report at our monthly operational meeting and to develop an action plan that would support learning, communication and, as an area for further discussion, review of equality and diversity issues to ensure that we are inclusive as we have a multi-disciplinary roles and responsibilities.

As a result, we will now have iMatter as a standing item on our agenda (an approach I used in my previous position) and ensure that all members have an opportunity to review and reflect on our action plan to support success as we move forward this year.”

The most important part of iMatter is the discussion you now have in your team based on the feedback. This is your chance to discuss and agree as a team how you want to work together to make things better. Please visit HR Connect for more information.

North AHP Team Leads

This week, we hear from Alison Leiper, Interim Chief AHP:

“The North AHP Team Lead group discussed the iMatter report and action plan at one of our monthly team meetings. We set aside approximately 1 hour to discuss the report and to decide on our action plan going forward.

As a group we have started to meet again in person rather than via Teams and we all agreed that this face to face approach led to better engagement, interaction and discussion. We started the process by reviewing this year’s iMatter report as well as looking at the previous year. This gave us some indication of where we have made changes that have had a positive impact and the areas we need to focus on going forward.

We recognised that we hadn’t achieved everything we had hoped to do last year and this led to a very open, honest and meaningful conversation about the reasons why and more importantly what we need to do differently this year. With this in mind our action plan focused on what are our priorities and what we can realistically achieve.

One of our actions concentrated on improving engagement between AHP Team Leads and North senior leader’s team, therefore to support this, we’ve planned a lunch, hosted by Team leads, inviting along members of the North SLT. This will allow an opportunity to provide more information on the key role of the AHP within each clinical area, and help promote the AHP role more generally.”

The most important part of iMatter is the discussion you now have in your team based on the feedback. This is your chance to discuss and agree as a team how you want to work together to make things better. Please visit HR Connect for more information.

On this page

Adverse Weather

Please find attached Interim National Arrangements for Adverse Weather. This has been designed to ensure that in periods of adverse weather NHS Scotland adopts an approach that is consistent at a national level, ensuring that fair and equitable treatment is prioritised and that we remain able to effectively deliver essential services. The guidance has been developed in partnership with NHS Scotland through consultation between Scottish Government Officials, NHS Scotland employers and Trade Unions.

Interim National Arrangements Covering Disruption to Work as a Result of Adverse Weather

The Adverse Weather Policy applies to all employees of NHS Greater Glasgow and Clyde including Bank staff.

Business Travel

NHSGGC is committed to reducing the financial and environmental impact arising from its business travel.  Where possible, the aim of this policy is to encourage employees to reduce unnecessary travel and encourage the use of more sustainable forms of transport. However, the Board recognises that sometimes there is no alternative to using a car for business travel and this policy is not intended to impede business travel where it is required nor to restrict car use where it is the most appropriate mode of transport for business purposes. Neither is this policy intended to be applied to the detriment of those employees with restricted mobility. This policy applies to all staff employed by NHSGGC.

Top Tips on using the Business Travel Policy…….

  • Before undertaking any journey, staff should consider the Business Travel Hierarchy.
  • Reflect on the need to travel for business purposes.
  • Walking and cycling are healthy, sustainable and very low cost travel options. Staff should be encouraged to consider alternative travel options if their role can facilitate this approach.
  • Bus, train and SPT subway travel provide an alternative to car-based business travel for short, medium and long distances.
  • Many car trips could be avoided if staff coordinated travel plans and shared cars, for example, when attending the same meeting. An additional mileage rate for each passenger is paid.

Policy

Car Parking

Car Parking on Hospital Sites

This policy outlines the arrangements for car parking on hospital sites. These arrangements are designed to balance the needs of staff, patients and visitors and ensure car parks continue to be fairly and effectively managed.

The policy details arrangements for visitor and patient parking, staff with parking permits and other staff parking.

Policy

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​iMatter is the NHS Scotland Staff Experience continuous improvement tool, developed nationally, and used within all NHSScotland Boards. 

iMatter is designed to help individuals, teams, Directorates, Health and Social Care Partnerships (HSCPs) and Boards, understand and improve staff experience. This is a term used to describe the extent to which employees feel motivated, supported and cared for at work. It is reflected in levels of engagement, motivation and productivity.

The process is based on a staff engagement questionnaire which all staff are asked to respond to, which generates a Team Report. The team discusses the report and agrees the team strength along with up to 3 improvement actions. This improvement plan is captured on a team ‘Storyboard’ which the team then uses to monitor progress. The process is then completed annually.

Useful Information and Reports

National Staff Experience Reports

Contact

For any questions, support or guidance regarding iMatter, or if you would like to share any iMatter success stories, please contact the iMatter mailbox at imatter@ggc.scot.nhs.uk

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Rota Monitoring for Templates

NHSGGC is committed to providing New Deal compliant and educationally sound working pattern for all resident doctors on training rotas. Therefore, a robust monitoring arrangement was put in place to ensure that rota templates are compliant, and to highlight issues that may lead to non-compliance. The purpose of monitoring is to ensure that the rota working pattern that has been approved by the department, compliance teams, NHS Education for Scotland and the Scottish Government is fit for purpose; that the rota is suitable for the work you are doing.

Resident doctor rota monitoring will take place every 6 months, over a 2 week period. All training grade staff are expected to record hours of work and rest accurately by completing a set of electronic monitoring forms, and the opening page of the electronic system for monitoring has a validation statement you will electronically sign to this effect. All completed documentation is returned to your Monitoring Officer for analysis in accordance with New Deal and WTR regulations. Once rota monitoring for your template is complete, you will receive a copy of the results within the time limits laid out.

Guidance on completing the DRS online diary can be found here

Under no circumstances during resident doctor rota monitoring, should staff falsely inflate or decrease the record of hours or rest or be requested to do so. If you are put under any pressure to amend your monitoring information, please contact Medical Staffing.

Resident Doctor Rota Monitoring Officers

Lynne Sutherland – Senior Monitoring Officer

Areas of responsibility

  • Emergency Care North, South & Clyde
  • Medical Services North & South
  • Geriatric Medicine North & South
  • Obstetrics & Gynaecology
  • Sandyford
  • South Stroke
  • North & South Adult Cardiology

Andy Trench – Monitoring Officer

Areas of responsibility

  • General Surgery North and South inc Surgical Specialities
  • Anaesthetics North, South & Clyde
  • Neonatology
  • RHC & RAH Paediatric Medicine
  • LTFT Applications Administrator
  • WordPress Editor – HR Connect Web Content

Albert Chilambwe – Monitoring Officer

Areas of responsibility

  • Clyde palliative medicine
  • Diagnostics
  • Regional inc INS
  • Oral Health
  • Paediatric Services for; Emergency Medicine, Surgery, Orthopaedics, Cardiology, PICU,
  • Haematology Oncology and Anaesthetics

Claire Mortimer – Monitoring Officer

Areas of responsibility

  • Clyde General Surgery
  • Clyde General/Geriatric Medicine
  • Clyde Orthopaedics & Urology
  • Mental Health North & South
  • Public Health
  • Occupational Health
  • General Practice FY2s

Rota Templates

Our rota templates must comply with two sets of regulations

  1. New Deal: is a package of measures designed to improve the conditions under which doctors in training worked. It provides guidance on hours of work, living and working conditions for all doctors in training
  2. Working Time Regulations (WTR): is a directive from the Council of Europe enshrined in UK law in 1998, to protect the Health and Safety of workers by setting minimum requirements for working hours, rest periods and leave

NHSGGC are responsible for ensuring that resident medical staff can work in compliance with New Deal and WTR requirements. Non-compliance could result in financial penalty to the NHS board in which you are working, and a possible loss of training posts for that department

The 3 main types of working templates are detailed below:

Full Shift Rota (most resident doctors work on this pattern)

  • Work carried out is intensive and continuous throughout the 24-hour period.
  • Shifts do not exceed 14hours.
  • A minimum of 8 hours of rest between shifts is required.
  • Natural breaks are required (at least 30 minutes of continuous rest after 4 hours of continuous working).

On Call Rota

  • Work is considered to be low intensity, particularly during OOH.
  • Normal working pattern exists Monday-Friday for all trainees on the rota, and then an on-call person takes over to cover the remainder of each 24hour period.
  • Frequency of on call cover depends on the number of trainees on the rota.
  • Duty periods cannot exceed 32 hours on weekdays, or 56 hours at the weekend.
  • At least 12 hours of rest between duty periods is required.
  • Doctors are expected to spend half of their on call duty period undisturbed, of which a minimum of 5 hours is continuous rest between 10pm and 8am.

Partial Shift & 24hr Partial Shift Rota

  • Work is considered to be higher intensity than on call, but less so than shift working.
  • Duty periods do not exceed 16hours or 24hours depending.
  • Natural breaks are required during normal working hours, and at least ¼ of the out-of-hours duty period should be spent undisturbed.

There are no strict rules about the total hours worked in any week, but average weekly hours must be under 48 over a 26-week reference period (for full time working).

Doctors in training must follow a rota template which has been approved. The rota is agreed, prior to being put in place, by the department in which it will be implemented, the compliance team at the NHS board (for New Deal and WTR) and is reviewed by the Scottish Government. Changes in your working pattern (e.g. swapping a shift) could result in non-compliance (for example, insufficient rest period after a run of nightshifts). Therefore, any changes must be discussed in advance with the rota master to ensure that they will not lead to problems.