Happy Birthday My Old Friend

This week saw the 70th Birthday of the NHS.

The NHS provided the Midwives and GP that brought me into the world. It trained the surgeon, anaesthetist, nurses, ODPs, play specialist, porters, caterers and cleaners that looked after me when I had grommets inserted into my ears, to get rid of my glue ear.

When I was 16 the Nurses, Doctors and Physiotherapists at City Hospital in Chester inspired me to be a Nurse.

When I was 18 I moved to Hull and trained as a Nurse, at the Hull District School of Nursing.

When I was 21 the NHS gave me a job as a Staff Nurse on a Children’s Ward.

When I was 23 the NHS trained me to be a Children’s Nurse.

The NHS took me on as a nervous homesick boy and turned me into a compassionate, competent, professional Clinical Nurse Educator and Coach.

The NHS has been by my side, helping me become all I am today for the past 29 years.

The NHS has and always will provide outstanding health care to all and for free at the point of access. This is an incredible achievement. In fact is is miraculous, when you think of the scale, and the incredible progress that has been made over 70 years.

There are people who have experienced major trauma or sepsis in recent years who are alive, that would not have survived even a decade ago. Some of the routine work carried out in the NHS today would have been unthinkable when I started my career at the end of the 80s. All of this is done with challenging finances, and under the glare of constant political and media scrutiny.

NHS is not just a health service, it is at the heart of who we are in the UK. Let’s not take it for granted, and let’s never lose it.

Thank you NHS for being there for me all my life.

On Thursday I attended The Hull and East Yorkshire Health Expo. This is an annual event showcasing healthcare in Hull and East Yorkshire. This is our chance to show the breadth of services the NHS provides locally and the diverse career opportunities available in the NHS. This year’s event was incredible with it being the anniversary of the NHS. I had a great time, getting people to make smoothies on our smoothie bike, meeting and greeting and talk about careers in Nursing.

I know this has not had much coaching content, but I wouldn’t be a coach if it wasn’t for the wonderful NHS. So I needed to celebrate this incredible national treasure.

An Exciting Week of Coaching

Last weekend I wrote about the prospect of mixing my 2 roles this week.

Well so far so good. It has been a challenging but exciting week. Monday and Tuesday I suppose were standard kind of days. Monday was a nurse educator day, with a mixture of time in my office and an afternoon of auditing on a ward and then a lovely discussion with a teenage patient her Mum and their nurse. We spent about an hour in total talking about the teenagers experience on the ward and her treatment. It was a really informative chat getting a 3 way perspective of inpatient treatment on a Children’s Ward. To keep track of the impact our care has on the young person, their parents and the nurses delivering the care is so important, but manage to do that in one go with all three parties there is a first for me and quite brilliant, I hope the parent, young person and nurse found it useful too.

Tuesday was a coaching lead day. A large part of this day was spent preparing for the launch of the coaching network, the rest of the day was taken up with a team meeting and preparing for the next day’s Human Resources time-out.

So Wednesday was the HR time-out day. I was there to introduce so coaching skills and techniques to the HR Advisors. I had developed a bespoke training session (well I took an existing training day for managers and adapted it for HR Advisors). This was the first time I had trained anyone in coaching techniques singlehanded. To say I was nervous was an understatement. I was a complete needy wreck all morning. Once we were into the second half of the session and into the practice coaching session I started to relax and enjoy it. I can honestly say for large parts of the morning I was out of my comfort zone, and only in hindsight can I appreciate the session as a success. It was certainly a training day where we all learned.

Today I was back in my comfort zone with fellow nurse educators, holding the second day of the new starters catch up day, hosted by our Practice Development Matron. I facilitated the feedback session after the nurses had worked in small groups to analyse their first few months in our Trust. This is so important that both the Nurses themselves and the organisation take responsibility to learn from what worked and what didn’t work to improve our induction programs and to help us all to respond to the changing demands of delivering healthcare in 21st Century UK. Despite the challenges that are definitely evident it is heartening how positive the morning was with the emphasis being on solutions rather than problems. There are truly some talented future health leaders amongst these nurses. I certainly feel positive about our future healthcare.

Following the feedback I gave them a chance to form their own personal goals using blind coaching. I asked them a series of high quality questions designed to formulate a smart goal, examine how they are going to achieve it, what difficulties they may encounter and create a commitment to achieve it. Time will tell if any of them turn that goal into a reality.

One day left and another coaching conversation due tomorrow. A good week in all. I feel I am starting to make a difference, and influencing people’s relationship with coaching.

Blurring of roles and blind coaching

Multi-Cultural Office Staff Sitting Having Meeting Together

As you will remember from Being The New Boy Again blog that I am now doing two jobs in the hospital. Now some days it can be difficult to distinguish between the two. Monday was one of those days. It was a day designated to my role as Nurse Educator, but not exclusively for my home department (Children and Young People).

Now to explain to you what I was doing I will give you a little bit of background. Back in October the Hospital I work for recruited over a 100 nurses in one go, and the vast majority of them had just graduated from University. As a result all of us Nurse Educators came together to provide an extensive month long induction programme devised by the surgical nurse educator team and their inspirational manager. They came up with the programme as the team had done a similar smaller scale induction the previous year. This year required a mass mobilisation of nurse educators and specialists. It was a daunting and often frustrating undertaking but we achieved it. To be fair it was more they achieved it, as I was more on the periphery, having to plan a parallel bespoke programme for the children’s nurses. I did however contribute to the adult nurse programme by holding teaching sessions on error management and human factors.¬† So that was back in October, and at the time we committed to providing follow days to track the new nurses progress, provide clinical supervision and receive feedback about the induction and the subsequent preceptorship on the wards. And that was what I was doing on Monday.

The first part of the morning was spent with the nurses undertaking a personal SWOT analysis and then small group SWOT analysis. The idea was to generate personal and collective actions. This is where the 2 roles for me start to blur, as the facilitator of the feedback session for the group SWOT and for the individual SWOT coaching came to the fore. This is not unusual as a nurse educator is a coach and mentor and teacher at any point during the day. However as the feedback from the group analysis was being discussed, I was starting to see opportunities for the coaching network to address some of the issues that were being discussed. How a wider network of coaches and leaders taking a coaching approach would enable new nurses to better manage their transition from student to registered nurse, and how experienced teams integrate large numbers of new nurses in to their teams. This is all the more important at the moment where the NHS as a whole is finding it challenging to reduce the current turnover of nurses. The answer has to be to enable the nurses and other healthcare workers to manage positively how they approach working in a challenging environment. But that is the subject of another blog so I will not dwell on that.

I took a mental note of all these potential opportunities, with a personal goal of discussing them when back in my coaching role. Then I rushed headlong into another coaching role. To help the nurses think about the results of their personal SWOT analysis as a real tangible thing, rather than just an academic exercise, I held a blind coaching exercise. I asked them to identify what they wanted to achieve and then write it down in a sentence. Next I asked them to think when they wanted to achieve that by and asked them to write down the exact date, not just 6 months but what date is 6 months from today. I then asked a series of questions that explored how they would achieve, what they could use, who could help, what might stop the progress, how will they know they achieved it and many more. This blind coaching approach helps a group of people clearly identify their role, tests how committed they are to achieving it, and creates a personal accountability. Now not everyone in the room will be committed to changing something about themselves, but it exposes them to coaching and for those that commit to it will see the value of coaching when they achieve their goal.

My two roles will always bleed into each other , but they more often than not compliment each other as the aim of both roles is to increase knowledge and self-awareness for all the staff working in the hospital. On top of that both roles provide so much job satisfaction. I have felt a little overwhelmed at times doing both jobs, but at the same time I am having so much fun and their are more exciting times to come.