Measuring quality not quantity

An interesting article in PR Week has a senior council communicator ‘fuming at government plans’ to count the number of press releases sent out as a way to assess local council communications.

Now, before I jump on the bandwagon to declare that we’re all going to hell in a handcart, I ought to point out that I’ve scoured the web and can’t find out what or where this government plan is.  But this story does highlight the recurring problem for PR people of demonstrating our effectiveness and the return on investment that good communications can deliver.

It all comes down to the difference between outputs and outcomes. For example, we can measure how many press notices we issue, how many consultation events we hold, how many publications we distribute, and so on.  These outputs might show how very busy we’ve been, but they don’t show how effective we are.

To find that out, we need to know how many people have understood and acted upon our messages; how our target audience’s opinions or behaviours have altered as a result.  This can be much more difficult to find out, and can be down to all sorts of other factors.  It requires us to have a coherent strategy underpinning our communications, with measurable objectives and good insight into our audiences.  But it is essential to demonstrate our effectiveness.

The new system for assessing primary care trusts (PCTs), while far from perfect, offers a good model that could be applied to councils.  Called, rather grandly, World Class Commissioning, the system was introduced last year and the communications and engagement elements were developed with a lot of input from NHS comms leads.

A range of communications and engagement measures are looked at in combination to assess how well the PCT is fulfilling its role as the local leader of the NHS.  These include an evaluation of the volume and tone of media coverage and the results of surveys among the public and stakeholders to measure the PCT’s reputation and their levels of satisfaction and confidence.

Knowing that these are the measures on which they will be judged, PCT communicators know that simply ‘sending out stuff’ isn’t going to get them anywhere.  It brings a sharp focus on effective, meaningful communications and engagement with local people.  It is far better than counting press releases.

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What would Max do?

The author of an opinion piece in the Health Service Journal last week ponders how public organisations should handle the media onslaught when things go wrong.  “My first question”, she writes, “is ‘What would Max Clifford do?’”.

Of course.  And when I’m faced with a tricky HR issue, my first thought is always “Well, I’ve never met the man, but he seems to do a lot of hiring and firing; what would Alan Sugar do?” 

Actually, I’m being a bit unfair to the column’s author, Jenny Rodgers, an organisational development consultant and coach.  She does go on to make the point that NHS organisations need professional PR support when things go wrong.  And that professional means just that, not someone whose corporate governance portfolio has sprawled to include comms along with facilities and HR.

She’s absolutely right about that.  But still misses the point, along with too many NHS boards, that you need senior-level professional comms support before things go wrong.  It is crucial to build and manage the reputation, to look out for risks, and to build the trust of the chief executive so that effective action can be taken to head problems off, not to just manage the mess, when the proverbial hits the fan.

Over the years working in NHS communications I’ve seen some of the best and the worst of crisis management.  The worst tend to be where there is no professional communications or it is at such a junior level it is excluded from the important decisions and discussions, unable to have its professional advice heard at the right levels.   And the very best, even where the chief executive is a natural communicator, tend to have solid, professional communications support with direct access to the board.

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Trafigura: Has twitter come of age?

This week’s big news was Trafigura dropping its gagging order blocking UK media covering its alleged environmental crimes in Africa.

The Twitterati claim ‘it was Twitter wot won it’.  It certainly played its part as lawyers and journalists from the Guardian, MPs, Stephen Fry and thousands of internet users across the globe joined forces and made the oil giant back down.

Trafigura had employed legal heavies Carter Ruck to dissuade media outlets around the world from reporting on their alleged dumping of toxic waste on the Ivory Coast.  They persuaded a judge to suppress a confidential but embarrassing document which has fallen into journalists’ hands.  Even the existence of court proceedings and the court orders themselves were kept secret by the ‘super injunction’.

At that point it appeared they had it all sewn up, with no-one legally able to report on the matter.

However, it began to unravel when an MP, Paul Farrelly, tabled a question about the injunction in Parliament on Monday.   The press have a 300 year old right to report whatever MPs say or do, but Trafigura insisted that any media reporting on the question would be in contempt of court.

The power of Twitter

And this is where Twitter comes in. 

Guardian editor Alan Rusbridger tweeted “Now Guardian prevented from reporting parliament for unreportable reasons” just before leaving the office on Monday evening. 

Within a few hours, people who had read his post on twitter, helped along by re-tweets by Stephen Fry and his 830,000-odd followers, had sleuthed down Farrelly’s question and published the relevant links.  Others had unearthed more damaging details and papers on parliamentary protocol from the four corners of the web.

The following morning Trafigura threw in the towel and Carter Ruck wrote to the Guardian saying it should consider itself ‘released forthwith’ from any reporting restrictions.

Was it twitter wot won it?

So, was it twitter wot won it?

The position Cater Ruck and Trafigura had got into was untenable.  Trying to prevent the reporting of Parliament as contempt of court is itself, it would appear, contempt of Parliament.  So sooner or later, it would have had to back down, Twitter or no Twitter.

What Twitter did succeed in doing was creating a massive surge of interest and support in a very short space of time.  The ability to use ‘#hashtags’ to categorise individual tweets and create a stream of information on the subject accelerated the process.  That’s not so say the same wouldn’t have happened if Alan Rusbridger had posted his comment as a blog, or even in the paper itself.  But the fact that the tweets are all ‘out there’ building and multiplying and creating their own momentum, rather than all being funnelled through one place,  meant that it could all happen incredibly quickly.

Undoubtedly Twitter is showing its power as a campaigning tool, as demonstrated by the ‘We love NHS’ movement in response to the Tory MEP Daniel Hannan’s criticisms of the NHS is the US healthcare debate, and this weekend’s outcry about Jan Moir’s nasty little Daily Mail article on Stephen Gately’s death.

Recent research

But recent figures I’ve seen show that twitter is still not as important as its champions might like to think.

Research commissioned by PRmoment showed that over half of those interviewed claim to have a Facebook account, while just 13 per cent have a presence on Twitter. Facebook is also proving more popular with its users, as just over half of Facebook users log in once a day compared with under a fifth of Twitter users.

The big problem with Twitter, according to the research, is that 40 per cent of those who have tried it have only used it once or twice before getting bored. This is four times higher than the percentage of people who became similarly disenchanted with Facebook.

And recent research from the European Association of Communications Directors shows that senior communicators from across Europe expect Twitter to become more important during the coming year, they still expect it to be the least important of a list of interactive tools that includes social networking sites, online videos, blogs, RSS feeds and podcasts.

Twitter will truly have come of age when Twitter is just part of the media mix that tells the story, and stops being the story itself.

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What’s in a name?

If that which we call a rose, by any other name would smell as sweet, then ‘2gether foundation trust’ is a stinker of a name.

I noticed it this week when the Care Quality Commission announced the results of its annual ratings for healthcare organisations.  It was one of the mental health trusts awarded a double excellent.  But what used to be Gloucestershire Partnership NHS Trust surely gets a double poor for its bizarre naming strategy. 

2gether NHS foundation trust logo

2gether NHS foundation trust logo

I’m all for NHS organisations becoming more responsive and accessible to their communities and the people they serve, and I’m sure that was what was in the minds of this mental health trust’s leaders.  But accessibility is about the way services are shaped and where and how they are delivered.  It’s not about sounding like a cheap high street mobile phone shop, or pretending to be down with the kids.

When I headed the NHS brand team at the Department of Health we knew that when trusts became foundation trusts (FTs) and were freed from direct accountability to the centre, one or two might try to assert their independence and demonstrate their aspirations to broaden their reach by throwing off their old name. Traditional trusts names are almost all geographical-based mixed with a few historical links to royals or other popular figures.

I met with Monitor (the body that approves foundation trust applications) several times and we agreed that if an organisation wanted to change its name as part of the move to become a FT, it would need to be subject to public feedback, as part of the consultation on becoming a FT, and adhere to the NHS branding guidelines, as stipulated in the contracts with the PCTs that commission services from the trust.  These state that FT names must:

  • be clear and descriptive – not conceptual or abstract;
  • be written out in full – without the use of acronyms or abbreviations;
  • contain a geographical reference where possible; and
  • include the words ‘NHS Foundation Trust’ in the name.

All the evidence my team had showed that the NHS is one of the country’s most recognised, trusted and valuable brands.  In fact we put a lot of time and effort into taking legal action against private companies who tried to leverage some of the value of the NHS brand by implying – falsely – that their service or product was somehow affiliated to the NHS.  Almost as much time and effort as we put into trying to persuade short-sighted  NHS organisations that the NHS brand was one of our most valuable assets and needed protection, not neglect.

In cases I was aware of where trusts had considered non-geographical names as part of their bid for FT status, the proposed name changes were reconsidered following public consultation.  So what with that, and the legal requirement in the contracts for FTs to abide by the NHS brand guidelines, I thought it unlikely we’d see a ‘2gether foundation trust’.

Hw rong wz I?

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Pots and kettles

An article on PRmoment website recently caught my eye. It was all about what journalists hate about press officers. 

Pot and kettle

Pot and kettle

Although the article offers a handy refresher on some of the dos and don’ts of media relations, I couldn’t help getting a little wound up at the cheek of some of the journalists interviewed.

Their main gripes about press officers seem to be poor research and laziness. 

Hello?  Isn’t that a bit pot and kettle?

Anyhow, it’s worth a quick look if you’re involved in handling he media and want to iron out any bad habits that might be hindering your relationships with journos – from calling to check they got your press notice to putting kisses at the end of e-mails!

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The wisdom of crowds

Politicians are queuing up at the party conferences to proudly pledge which bits of the public sector they’ll axe in the race to cut government spending.

Norman Lamb, Lib Dem health spokesman, told his conference last week that he’d scrap strategic health authorities (SHAs), saying they have no place in a decentralised NHS.    The Tories have already made this a policy, so they’re going to have to come up with some fresh ideas to trump the Lib Dems when they meet in Manchester next week. Abolish SHAs and bring in public flogging for NHS managers, perhaps?

Even Labour are getting in on the act, with health minister Mike O’Brien this week calling on SHAs to ‘justify their existence’ at his party’s conference in Brighton.

The wisdom of crowds

The wisdom of crowds

Some recent focus group work I’ve been involved in suggests that SHAs – the ten regional NHS headquarters across the country – are a good target for politicians seeking vote-winning cuts.   Some respondents were vaguely aware of SHAs, but virtually none knew of their regional SHA or what it did.

When respondents were given the official description of the SHA’s role (to provide strategic leadership, support and develop local NHS organisations, and hold the local NHS to account for delivering on its promises to local people) some were reassured to know of its existence, but many were highly suspicious of the ‘management speak’ of the description.  Many associated it with over-paid, box-ticking, bean-counting, brainstorming managers. None, understandably, said they would be interested to find out more about it.

On the evidence of our focus groups, no-one is going to mind SHAs being scrapped, and to many it would sound like a good idea.  But does that mean it is the right thing to do?  The NHS is one of the world’s largest, most complex organisations.  It needs exceptional management, a strong infrastructure, detailed co-ordination to make it work, and make it work efficiently.  SHAs should be at the heart of leading the cultural change that is needed to release the massive efficiency savings that everyone wants to see.  And does anyone seriously think that patient care would improve if nurses and doctors had to carry out more essential management functions themselves?

That efficiency savings are there to be made is not in doubt.  In any organisation there is duplication and waste.  When the organisation is as big as the NHS, the potential savings are huge.  But there’s no reason to think that removing these influential but relatively small bits of the management structure is going to make savings on anywhere near the scale required.  

However, as the focus groups showed, it’s a very easy sell to the public. Management is a dirty word in the NHS. The claim, from a few years back, that the NHS had more managers than beds was wrong on many levels.  By counting porters, receptionists, and anyone else who didn’t provide hands on patient care as managers, it was a very misleading claim.  It was also grounded in the false assumption that more beds equals a better health service when, in fact, fewer sick people, needing fewer beds, is a much better indicator.  But regardless, it stuck.  Many more people still believe that false claim than accept the fact that the NHS spends a smaller percentage of its funding on management costs than the US healthcare system.

Many public bodies need to get much better at telling a clear and compelling story to the people they serve and the stakeholders who they work with. Not just about what they are doing, but why they are doing it and the value it brings.

In the case of SHAs it may be too late to stop David Cameron lighting the blue touch paper of his ‘bonfire of the quangos’.  But, popular, as it might be, he may well end up with his fingers burned.

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A retort to the annual report

‘Tis the season for AGMs.  Across the country public and private sector organisations are holding their annual general meetings and publishing their annual reports.  Communications teams have been busy editing and proofing, agencies designing, and printers a-printing.  But will recipients be a-reading? 

Enough annual reports to reach the moon

Did you know that if you stacked a copy every annual report produced in one year by the private, public and charity sectors in the UK on top of each other, you would have enough paper to build a staircase to the moon? 

Actually, I made that up.  But it’s almost believable isn’t it?  

Working in the NHS, as I am at the moment, I have started receiving a steady flow of annual reports from organisations across the region.  Piling up next to my desk,  I’ll never read them.  If I want to read up on any local trusts I’ll find them on line.  It’ll be quicker than working my way through the stash of recycling I’m collecting. 

Don’t get me wrong – I recognise the importance of annual reporting.  It provides accountability and transparency for publically funded organisations and businesses alike, offering valuable information to shareholders and stakeholders, and setting out financial health and strategic direction.  

But do annual reports warrant the amount of time and effort that goes into their production and distribution?

So often they appear like pieces of vanity publishing, with the chief executive and chair looking commanding and sagacious from inside the front cover, and each department or director given their page to boast of their achievements over the last year. 

But who really wants to read that?  It doesn’t tell me what I, as customer, investor, or partner want to know.

I’m sure some annual reports are very strategic documents, with clear audiences and aims in mind, and beautifully executed to meet those objectives.  But I defy anyone to tell me that most aren’t.  The main objective for most is “will the board like it?” 

So I’m pleased that this year the organisation I’m currently working for produced its annual report internally.  With great care and attention, and beautiful presentation, but in Microsoft Word.  We still sent it far and wide, but electronically at next to no cost.  And, knowing that no-one would read it, put our key messages in the cover e-mail.

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Reports of the grid’s demise greatly exaggerated

I’ve seen several reports recently asserting that Labour will be scrapping its news management ‘grid’ in the coming election.

The grid seeks to control the news agenda by mapping out a sequence of proactive stories for each daily news cycle.  It played a crucial role in Labour’s 1997 election victory, alongside the immediate rebuttal of opponents’ claims, and has been used by Labour in government ever since.

Alex Hilton, writing in PR Week, argues that Labour would be wrong to scrap the grid. He is right. It is easy to see a link between the relaxation of the grid approach (with each main government department expected to provide a ‘story a day’, and No10 selecting one of these to be the main government item for the day) when Gordon Brown took over and pledged an ‘end to spin’, and the government’s woeful public relations ever since.  Every day the government looks to be responding to the news agenda rather than setting it as it used to.

But I think reports of the grid’s demise are greatly exaggerated.  If you look at what Douglas Alexander, Labour’s election co-ordinator, actually said in the Guardian last week, he was simply noting that the grid approach of 1997 – where the morning papers set the battelground for the day and the evening broadcasts reflected on who had won  – is not enough anymore.

Fewer people read the daily papers and watch the evening broadcasts.  With established 24 hour news outlets and online media increasingly breaking stories, plans to set the news agenda need to be more flexible and imaginative.  So tactics need to change.  But the concept of mapping out a sequence of stories to tell a broader narrative is here to stay.  The question this year is not “who will have a grid?” but “whose grid will win the battle to control the news agenda”?

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Don’t believe the headlines

I’ve been organising some focus groups recently which looked, in part, at people’s perceptions of health services and what drives those perceptions.

One of the things we wanted to explore was whether people believe the headlines about the NHS.  We showed the groups a selection of recent headlines about health and health services.  They ranged from the fairly straight ‘NHS faces public spending cuts’  type to the ‘Bungling docs nearly killed me’ headlines, with a few good news stories about award winning nurses and new services opening to balance it out.

Almost all the groups we’ve seen so far have been fairly adamant that they don’t believe the headlines.  They recognise that headlines are, by nature, sensationalist.  They understand that stories about things going well aren’t, by definition, news.

So does this mean that we should not worry about the media so much?  There’s an often quoted statistic that around a third of the public the get their information about the NHS from people who work in it, and trust the people who work in it far more than they trust the media.  So if NHS organisations are seeking to influence public opinion and build confidence, should they focus more on communications with their own staff than they do on the media?

 If only it was that simple.

 Because while our focus group respondents claimed they aren’t influenced by the media, they clearly are.  In one group I observed, one respondent started every other point with ‘I heard on the radio this morning…’  Many also say they think they’re lucky because their experience of local services is much better that what other people get – their perception of what other people get being created by the media.  And many mimic the language of the tabloids with ‘more managers than beds’, services ‘swamped by immigrants’, and so on.  (Although the question of whether the public mimic the media, or the media reflect the language of the public, is probably best saved for another day!)

Regardless of whether the people in the research genuinely don’t realise they are being influenced by the media, or know they are but don’t feel able or willing to admit it in the group situation, the media clearly plays a significant role in driving their perceptions.

But this doesn’t mean that staff engagement might not be as important as managing the media .  Because while the sheer volume of media coverage means it is a pervasive influence on perceptions, the focus groups suggest that what staff say can have a far deeper impact. 

For example, a young pregnant woman in one group I observed had recently visited her local maternity unit.  She frequently made points starting with ‘When I visited the maternity unit, they said…’ This personal experience had filled her with trust and confidence and insulated her from recent stories of maternity bed shortages.  That single experience, where staff had taken time to talk to her, listen to her, and answer her questions, had had a far greater impact that any number of headlines ever could.  That is the kind of communication that really shapes perceptions.

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