Wirral Community Health and Care NHS Foundation Trust Board Case Study

Wirral Community Health and Care NHS Foundation Trust (WCHC) provides community health care services across the Wirral in the North West of England. The Trust has around 1,850 staff members and operates from over 60 sites across its geographies, including St Catherine’s Health Centre and Victoria Central Health Centre in the Wirral. It also delivers integrated 0-19 services in Cheshire East, St Helens and Knowsley.

WCHC’s board is made up of 14 members.

The Trust is one of 39 members of the NHS North West Leadership Academy, who offer regional development for leaders at all levels including board development. As part of the NWLA membership offer, Dawn Nisbet, Senior System Lead for Cheshire and Merseyside, worked with the Trust to discuss the Academy’s support for Board and Executive and design a tailored Board development offer.

Despite the Trust performing well against CQC guidance with a good rating, WCHC’s board was and is committed to challenging themselves on their journey towards excellence.

Initial discussions between the Trust’s Chief People Officer, Director of Corporate Affairs, Chair and Chief Executive, centred around previous successful examples of board development and the need for an intervention that was creative and experimental and tailored to the needs of the Trust, rather than an ‘off the shelf’ solution. It was also acknowledged that the Trust’s board already had very strong relationships between members and had the traditional frameworks for good practice already in place. One area of interest for the board was developing their communications approach with key stakeholders; focusing on how to ensure their key messages resonated and appealed to target audiences.

Equity, diversity and inclusion (EDI) at the board level were also a focus for development. The board felt comfortable with the theory underpinning EDI and already have great capacity amongst Non-Executive Directors on Health Inequalities and Public Health, so they wanted to work on how they could convert theory into action, utilising examples of what has worked well in other places.

Claus Madsen, Chief People Officer

Initial discussions took place between the Trust’s board and the NHS North West Leadership Academy to produce a development plan for the board which would include improving communications through a storytelling approach and further improving the Trust’s Board level approach to equity, diversity and inclusion.

Alison Hughes, Director of Corporate Affairs and Senior Information Risk Owner

Over the course of six months, the NHS North West Leadership Academy team met with the Chief People Officer and Director of Corporate Affairs, and later with the Board Chair and Chief Executive, to help shape the requirements of this Board development project.

More traditional offers of board development were quickly dismissed and it was agreed that the scope of the project needed to be more innovative, as the Board were open to testing their comfort levels by taking a more stretching and brave approach which would include being comfortable with being uncomfortable. A simple example of this was that for the first component, that of storytelling, the members of the Board had to attend with no preparatory work and no knowledge of the agenda (other than a title), to allow for a more authentic facilitation and challenging intervention.

The NHS North West Leadership Academy is connected to a large network of highly experienced Senior and Executive level providers who specialise in developing aspects of leadership ranging from system change to equity, diversity and inclusion. The commissioning of expert knowledge was integral to the design and successful delivery of this project.

Two providers were identified for this phase of development:

“Creating good gossip” revolves around equipping a group to tell their own stories and by extension good stories and link these to the values, vision and aspirations of the organisation. These stories ideally combine organisational and personal values and are used to influence organisational culture.

Ben and Dave also challenged the Board to think about the practical applications of storytelling in communications.

The expertise of these two providers was combined to create two half-day board workshops that explored what the board wanted to achieve, and how they could communicate their actions and aspirations across the organisation.

Senior leadership development naturally involves the exploration of complex challenges that an organisation is facing. Significant efforts were made to ensure the two workshops were safe and comfortable space for all participants.

Feedback from the WCHC board has been overwhelmingly positive:

Quote / Testimonial:
Day one was very much about ‘self’ – understanding our own stories, our self-worth and our successes. Ben, who is an actor by background, had us framing these stories as if we were actors in a stage production. This was very freeing for us, and I think it allowed us to get to know one another in a new dimension.I think the success of day one is owed in some part to the strong relationships we have in our board; that psychological safety was key to the session’s success.

On day two we explored corporate and organisational storytelling, and taking the learning from day one, we used this really interesting concept of ‘good gossip’ and the idea of bringing a personal or people-focused element to stories to amplify their impact.
Alison Hughes, Director of Corporate Affairs and Senior Information Risk Owner
Quote / Testimonial:
The work we have done on the power of telling stories is very useful to us. We are already telling stories as an organisation and as individuals all the time and this session gave us a helpful framework to reshape what and how we share messages in the future to bring across more of the human aspects to the work we do. This approach helps make our messages much more authentic stand out from the rest and be meaningful. In a world where we are all bombarded with messages all of the time making them relevant, meaningful and authentic is very important. The feedback from the rest of the board is that this was very worthwhile for us.
Claus Madsen, Chief People Officer

In addition to the qualitative feedback given by the WCHC board about their personal experience in the board development and their perception of its value, they have also explained how it fits into their wider ongoing organisational development work and future ambitions.

Quote / Testimonial:
We saw the impact of storytelling this last week in one of our Leadership Forums.

Claus and his People team have created these innovative leadership forums as part of our staff engagement plans, which are twice-yearly touch points for our senior leaders (Senior Leadership Forum) and for all line managers at all bands up to band 7 (Leadership Forum)l, both of which are tools for evolving and embedding culture change and continuous improvement.

So, when you have a fantastic tool like those and combine them with all the great learning from our board development you get some great potential for organisational development.

Claus and I were floating around the various workshops at the last leadership forums and compassionate leadership, high-performing teams and being your authentic self were a real focus for our leaders and we heard so many people were talking about the value of communication in leadership.”
Alison Hughes, Director of Corporate Affairs and Senior Information Risk Owner
Quote / Testimonial:
This board development has very much been the icing on the cake for what has been a great journey in improving our organisation. We are hoping to see further improved results on our next staff survey, and that this will add to other great developments and position us as an Outstanding organisation in our next CQC inspection.
Claus Madsen, Chief People Officer

WCHC’s board will continue their development into a 2nd phase focusing on tackling the board’s equity diversity and inclusion aims.

This board development component will be led by BRAP, a charity that specialises in working with public sector organisations to challenge and refresh their understanding of human rights, equity/equality, diversity and inclusion. BRAP will build upon the learning generated in the first board development component of storytelling and apply it to the Trust’s board-level equity, diversity and inclusion plans and activity.

A significant contribution of the NHS North West Leadership Academy in this project was its expertise in leadership development and commissioning to work alongside the board development providers and work closely with WCHC to take this work forward and tailor this board development. This strategic approach to commissioning and tailoring showcases the Academy’s excellence in bridging an in-depth understanding of organisations’ needs with the matching of value-adding provider expertise. It is via membership of the NHS North West Leadership Academy this pilot approach could be taken and supported.

After these 2 phases are completed, the NHS North West Leadership Academy and Wirral Community Health and Care NHS Foundation Trust will regroup to review the next phase for development, continuing the theme of stretching and challenging towards excellence.