Outcomes
There is a wealth of powerful, compelling evidence for working 'the LiA way'.
There are many examples of outcomes that LiA has helped Trusts to deliver across just about all acute services including: stroke care, elderly care, paediatrics, hospital at night, cardiology, maternity, ophthalmology, orthopaedics, diabetes, imaging, pharmacy… and many more. It has also been used to engage all the right people - across the usual boundaries - around: vision and values, the financial challenge, quality of referrals, demand management, discharge planning, quality priorities, and other critical challenges.
Outcomes include: improved clinical outcomes, transition to a 24/7 service, reduction in waiting times for patients, improvements to the environment, reduction in mortality rates, impact on staff morale and sickness, shift in leadership style and culture … and many more.
There is also typically a positive impact on National Staff Survey results. Here is an example of the shift at one Trust over four years:
| 2007 | 2008 | 2009 | 2010 | |
|---|---|---|---|---|
| Senior Managers encourage staff to suggest new ideas for improving services | 25% | 39% | 45% | 45% |
| Communication between senior management and staff is effective | 21% | 27% | 32% | 34% |
| Senior Managers here try to involve staff on important decisions | 21% | 29% | 34% | 36% |
| Care of Patients is my Trust's top priority | 45% | 55% | 63% | 62% |
| I would recommend my Trust as a place to work | - | 52% | 58% | 58% |
| I know how my role contributes to what the Trust is trying to achieve | - | 54% | 65% | - |
| My Trust communicates clearly with staff about what it is trying to achieve | - | 56% | 64% | - |
Use the links below to see a powerful story, short films made about local LiA work, a cross-system newsletter announcing clinically-led actions, news of an national award, press articles and reference materials. You can also see more about specific LiA results on our Optimise website at www.optimiselimited.co.uk
Local stories
- Case story from Sandwell and West Birmingham Hospitals
- Clinical Engagement Newsletter about clinically-led, big impact actions catalysed through a round of high profile, whole system clinical engagement events
- National award for LiA
- Video: feedback from CEOs in NHS South West following their involvement as LiA pilot sites
Articles and reference materials
- How to Drive Change from Within: HSJ article by John Adler, Chief Executive, SWBH and Hannah Forbes, Director, Optimise Limited
- Midlands Trust Explores John Lewis Partnership Model: HSJ article about taking LiA to the next level
- The Boorman Report: NHS Health and Wellbeing References LiA on page 18/19
-
Engaging for Success: Enhancing Performance Through Employee Engagement:
A report to government by David Macleod and Nita Clarke -
NHS Mutual: Engaging Staff and Aligning Incentive to Achieve Higher Levels of Performance:
A report from the Nuffield Trust references LiA on page 22/23 - Staff Engagement in the NHS: A paper by NHS Employers

