skills and confidence to influence health care decisions"
IMPACT is a training tool for
multi-disciplinary groups, which imparts the skills to
participate effectively in healthcare decision-making.
The Learning & Development team at the Public Health Resource Unit in Oxford
developed the tool with Elisabeth Buggins. It was based
upon previous work by the National Childbirth Trust 'Voices
Do you want to........
find out how
the NHS is structured?
decisions are made in the NHS?
find out about
the different sorts of evidence?
make sense of
the jargon used within the NHS?
make the most
of working in a team?
confident working with people from
to put your case for change?
take home a
free binder packed with useful
IMPACT is aimed at
multi-disciplinary groups of lay and professional
participants. Healthcare workers are trained alongside
service users in order to argument an understanding of,
and respect for, the knowledge, skills and experience
each brings to discussions about service design and
delivery. Intended outcomes include increased
understanding of influences on healthcare decision-making,
improved presentation skills, enhanced team-working
skills and an insight into the role of evidence in health
The training is for
- Healthcare professionals
- PCT Board members
- PALS Managers
- Patient Forums
- Anyone who is, or would like to be, involved in
decisions made about health.
Each IMPACT workshop takes
participants through a range of activities supported by a
resource pack, which is full of useful information. All
sessions are interactive with many practical elements.
The programme includes:
- looking at the structure of the new NHS with a
local and national perspective
- confidence building and how status can impact on
- decision making in the NHS and the value of
different sorts of evidence
- putting together a case for change during which
participants develop an awareness of how it feels
to be involved from a perspective that is not
familiar to them
- taking participants through an appraisal of a
- ways to overcome blocks to change
- principles of effective communication
- networking and making effective engagement.
|An IMPACT workshop takes
place over 2 days. Participants engage in a
number of interactive sessions, which examine how
we think and act as individuals and also in
A 'status' exercise allows people to role-play
how it feels to be in a high or low status
position. They also experience what it feels like
to be an 'equal'.
Communications issues are addressed in several
different exercises. In one, participants sit
back-to-back with a partner and one of the pair
describes a shape or form to be reproduced. The
importance of clear, concise talking and active
listening are highlighted.
A different communications exercise focuses on
seeing the world through another's eyes. Each
participant has to think what might be good, bad
or neutral about their role as a health manager,
clinician or a user of services. The exercise
allows people to explore similarities and
disparities in world-view, and to broaden one's
The culmination of the two days is a mock
decision-making meeting about a chosen issue
where the participants role-play in three groups
one as service users, others as managers and
At the end of the workshop,
- have improved their communication
- understand how to develop
constructive team relationships
- understand what influences
- understand the value of different
sorts of evidence
- have had an introduction to a
published research article
- have developed critical appraisal
- be more confident in making
IMPACT is a very
flexible training tool and can be adapted to variable
training needs (click here for
For further information or to
discuss commissioning a workshop please contact:
Public Health Resource Unit,
Institute of Health Sciences, Old Road, Headington,
Oxford OX3 7LF
Tel: ; Fax: