The Values Based Standard™ of Macmillan Cancer Support: A quality framework for improving both patient and staff experience through co-production

Outcomes

Improvement work has been described as a marathon rather than a sprint.  It takes time to change the culture or an organisation.  The outcomes to date from the test sites include:

• Real time monitoring results of patient experience – there has been a pronounced shift from red to green  on four wards implementing the Values Based Standard™ in one hospital
• Bespoke cancer survey results – quarterly monitoring is showing that in the areas covered by the Values Based Standard™, improvement is being made in two of the three hospital sites (data is not available for the third site).
• Organic spread – other parts of the organisation are asking for the standard and for the tools we are using for implementation.
• Staff have demonstrated enthusiasm for innovation and improvement and are adopting small tests of change
• There has been a willingness by patients and volunteers to participate in co-design, examples include volunteers taking part in observation exercises and patients interviewing other patients, patients participating on the steering group for this work
• Leadership support has been demonstrated with staff being given headroom to participate in this work, for example a ward manager being given one day a week to lead this work in the first three months.