DCHS Quality Conversations


The time we spend with our patients, clients, and each other is an important resource for improving clinical outcomes and health and wellbeing outcomes.

The Quality Conversations programme aims to support us to get the most from that time by providing us with a set of tools and resources for use in day to day practice.

The importance of wellbeing

What does Quality Conversations mean for DCHS?

Quality Conversations - a person centred approach

A Quality Conversation is a considered, person-centred approach to an interaction which takes in to account the underpinning goals for both sides, including an understanding of the factors underpinning and contributing to a patient’s health and wellbeing.

Wider determinants of health & inequalities

What should frontline staff listen for as a sign that a patient is not coping?

What should frontline staff look for as a sign that a patient is not coping? (face to face observations)

What should frontline staff look for as a sign that a patient is not coping? (observations in the home 1)

What should frontline staff look for as a sign that a patient is not coping? (observations in the home 2)

Thinking about Inclusion & Diversity


Looking after youself is just as important as caring for your patients.

Our DCHS staff wellbeing team has planned a different focus or reflection for each month of 2019.  We thought we would share this with you.

Download poster here

February is: Friendly February & looking after Mental Health

February can be a difficult month for our mental health which is why we’ve chosen this time to launch our brand new Wellness Action Plan (WAP - coming soon).

This is primarily a tool for employee and line manager to start a conversation about mental health and capture anything that may affect their mental health within the workplace.
The main aim is to provide resources, skills and advice to prevent people from going off sick long term. Developing a Wellness Action Plan can help employees to actively support their own mental health by reflecting on the causes of stress and poor mental health, and by taking ownership of practical steps to help address these triggers.  You may also find some useful ideas for dealing with patients, family members and friends.

This month we are also exploring the idea of Gratitude.
Gratitude, put simply, is the act of appreciating something or being in a state of being grateful to someone or to something. Carrying a gratitude journal will allow you to document your thoughts at any given moment and will also enable you to appreciate the small achievements and goals that you achieve.

A simple activity to practice gratitude would be to think of one thing that you’re grateful for when your wake up in the morning. The small things can become forgotten when we all have busy schedules but having that chance to appreciate the things you already have whilst working towards what you want is essential for good mental health.

Health coaching in action - a patient's view

We have produced a video - Ann's story - to help us to think about the impact of Quality Conversations

Quality Conversations - Toolkit

Quality Conversations draws on practitioners clinical, listening and coaching skills . 

DCHS uses the GROW coaching model. (You can find out more about this model on the Quality Conversations training sessions.)

DCHS has also developed additional resources to support staff to reflect and consider their response to issues raised by their clients. Quality Conversations tools:

How to begin ....

How to ....


Quality Conversations training

Please click on the image to view the Quality Conversations training slides.


Quality Conversations - information for Leaders

Quality Conversations is a change programme with behaviour change methodology at it’s heart.

  • Developing Quality Conversations in DCHS (QC Toolkit)
  • Quality Conversations and Appreciative Enquiry (more to follow)
  • Implementing  Quality Conversations in your team
    We have developed a unique development opportunity for clinicians and frontline staff.  Please encourage as many staff as possible to sign up for our Quality Conversations training programme.  It is a time limited offer - find out more here

Key messages & signposting to other services (onward referral)

Onward referral  - here are some useful links to services and support that you can refer on to

Key messages

Training opportunities

Other Resources - NHS Apps Library

NHS Digital has produced/tested or approved a number of useful apps.  Here are some examples of the free apps that are available.

Active 10 walking tracker

Couch to 5K

 Baby buddy (pregnancy support)

Catch it (mental health)

Change4life food scanner


Link to NHS Apps Library