Sunday, 26 July 2020

A Message in a Bottle to the NHS: Let’s get going!


Strange, but it’s true. In all my 65 years I have neither sent nor found one of those messages in a bottle that occasionally get washed up on the seashore. The closest I’ve come to this is in the old days when milk was delivered to the house. We would write the milk order on a piece of paper, roll it up, put it in the empty milk bottle and leave on the door step for the milkman – it was a simple way to communicate – ‘2 pints today please’. Given the concerns over sea pollution, I guess it’s very unlikely these days that I will ever find a message in a bottle that had been cast into the sea somewhere. I wonder what it might say if I did find one on the beach. I also wondered how I might respond if it was a cry for help or a request to contact the sender to let them know how far their bottle had travelled.

The importance of sending messages to others came up in several ways over the past few days. Last week we remembered the passing of Dr Kate Granger. She died on the 23rd July 2016 after a five year battle against cancer. She was an inspirational woman, who founded the very successful ‘my name is’ campaign. Her campaign encouraged health care staff to introduce themselves to their patients. Kate had the news of her incurable cancer communicated to her by someone she didn’t know and who didn’t introduce himself, and who without any warning told her ‘her cancer had spread’. Kate didn’t use bottles to get her message across, but the modern equivalent, Twitter. It was a simple message, #mynameis - but it was hugely effective, and the impact it had for patients and staff is her legacy.

When he was Secretary of State for Health and Social Care, Jeremy Hunt was a strong supporter of Kates work. Last Tuesday he chaired the Parliamentary Health Select Committee. You can watch the work of these committees as they are broadcast live. Last weeks session is well worth watching, you can do so here. The committee, through some very eminent ‘witnesses’, explored how the Covid-19 pandemic had been managed. You can judge for yourself, although many readers of this blog probably could guess at my thoughts.

One of the strong themes to come from the various witness accounts was the need for more effective communications. Many cited the mixed messages from government as being unhelpful in the way the pandemic had been managed. For example, think of the dithering there was over whether wearing face coverings was beneficial, and if so to whom, and where should we be wearing them. Indeed, the way in which the introduction of compulsory face coverings was communicated has left many folk confused about where and when they should be wearing a face covering. I have had several social media chats with folk who honestly believed the wearing of face coverings is advisory and not compulsory. Some people are simply defiant and are protesting (by not wearing a face covering), mainly on the basis of not wanting to be told what to do by the Government. Unbelievable, but probably partly due to poor messaging as to what and why wearing a face covering is a good thing. The message is quite simple: wear a mask and protect others, and stop the spread of the virus.  

Living with someone who is a communications expert, my attention is constantly drawn to examples of ineffective communication and messaging. Just last week it appears B&Q had put an apostrophe in the wrong place, and Salford City Council had got it completely wrong with their use of an apostrophe and shortening of words. And I won’t tell you how many times I get shouted at because of my poor use of the apostrophe. No, it has to be said, effective messaging is a skill. When I was a Dean of a School, I would steadfastly avoid blaming anyone for failing to achieve what I might have asked them to do. Their failure was ultimately my failure to communicate effectively. It was a simple approach and one that kept me alive to the fact that not everyone saw the world as I might have done.

The importance of keeping this thought in mind has been brilliantly set out in the recent NHS Leadership Academy’s guide: Compassionate Leadership in Crisis (that is their title, which perhaps suffers in meaning from a missing ‘a’). Don’t be put off by the simple messaging, it’s a guide for folk to use in reflecting on their own practice and approach.  It is worth a look. Also worth a read, although it’s a much longer document, is the Radix report Localise, Equalise, and Untick: The future of health care post Covid. It is my new ‘go-to’ reading for inspiration and reflection. Reading it last week, one of the things that struck a chord was the notion of why organisations like the NHS prefer numbers rather than words when conveying messages or seeking to give reassurance. Targets and key performance indicators feel objective when numbers are used. But as we saw in the daily Covid -19 briefings, using numbers to provide assurance and reassurance can often be even more unreliable than words.

And for many of us understanding what numbers might be telling us can be a difficult. Like many people I suspect, hearing that the founder and owner of Amazon, Jeff Bezos, already the worlds richest man, saw a £13 billion rise in his fortune last week probably didn't mean too much. Yes it’s a lot of money, but its difficult to comprehend just how much it is and what difference it makes. However, if you use both words and numbers and change the context slightly, a glimpse of understanding becomes possible. Think about how long a million seconds is. Its just over 11 days. I billion seconds is just over 31 years!

Now I think it will take more than 11 days (and I hope less than 34 years) to get the NHS back on track. The Radix report sets out some powerful messages as to how we might do this and think very differently about tackling the root causes of ill health across society in so doing. I might put a copy of the report into a bottle and send it to Matt Hancock to read and consider!

Ps: and don’t even get me started on the recent Brexit messaging of ‘Let's Get Going’ – I’m thinking New Zealand looks good, book me a ticket and let’s get going!


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