In the previous post I outlined my experience of seeking transparency in the Health Board in which I was employed.
I was asked by senior managers to reflect on my “behaviour” for seeking transparency. From the senior managers perspective I had not followed the social media policy issued by my Health Board. I was thus invited to meet with senior managers about this. It was eventually concluded that I had not breached any of my employers’ policies.
More than a year on I still feel the angst that this meeting caused me. A meeting where I had been summoned, was told I could “bring” a union representative, and where I ended up having to defend my professional character. This meeting was designated by my employers as an “informal meeting” (I assume in terms of employment law). The result is that any such “informal” meetings do not need to be recorded by the Health Board. My concern over such an arrangement is that it risks facilitating an imbalance of power that favours the employer. I am aware of health professionals who have resigned from health boards following such “informal meetings”.
In my particular case, the senior managers focussed on one policy in particular. This was the Social Media policy of the Health Board. Actually to be factually correct, the NHS Board in which I was employed had two social media policies: one for “personal use” and another for “business use”. To me it felt like these policies were being used to stop me seeking transparency. Furthermore it was very much as if the Health Board’s priority was not the same as mine. I was trying to put patients first.
I have no expertise in developing policies for Health Boards. However, it is clear that there are significant differences between different Scottish Health Boards in terms of their approach to employees use of social media.
For example, employees of Healthcare Improvement Scotland are encouraged to use social media at work. Many staff, including senior staff have what would appear to be professional social media accounts. It is most surprising then that Healthcare Improvement Scotland have no social media policy for their staff. [FOI request: reply from Healthcare Improvement Scotland, dated 18 June 2014 “We do not hold a formal policy on employee use of social media”]. It has recently been clarified that Healthcare Improvement Scotland staff are guided by” a “code of conduct policy” and a “Social Media Guidance” document.
NHS Ayrshire and Arran has a social media policy (now 4 months beyond review date) that is publicly accessible. It is a clearly written 6 page policy that is strikingly different in approach to that of NHS Forth Valley
NHS Highland takes a similar approach to NHS Ayrshire and Arran and both would appear to be of the view that social media can bring benefits to continuing education of healthcare staff when used with careful guidance but not exhaustive restrictions.
Views on use of social media will naturally vary. Social media have the potential for both good and harm. Rev Eli Jenkins in “Under Milkwood” would likely agree.
“We are not wholly bad or good
Who live our lives under Milk Wood,
And Thou, I know, wilt be the first
To see our best side, not our worst.”
My view is that having no policy, such as Healthcare Improvement Scotland, risks loss of reasonable professional boundaries. The other problem is that if Healthcare Improvement Scotland wishes to use social media to support improvement work and education across Scotland, social media policies in some areas will prevent this.
I would like to see greater consistency across NHS Scotland in terms of extant policies in the use of social media.
Personally I would support the approach taken by NHS Ayrshire and Arran where there is a clear policy in place which allows the use of social media as long as this is consistent with good professional practice for all healthcare workers.