Manchester care trust staff feel unable to innovate without permission

A report to the board said that many excellent suggestions for change were made by staff – but this raised the question of why they were not just making the changes.

“In some cases professionals felt they needed permission even to make small changes to improve services,” it said.

Staff also were sometimes over-defensive in practice out of fear of getting something wrong and were reluctant to raise concerns.

It was also suggested that banning the phrase “not my patient” would help implement Compassion in Practice.

The trust is now developing a Compassion in Practice strategy which is likely to cover enabling staff to improve practice.