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Bevan Fellow

Daryl is a Consultant Clinical Psychologist currently working in neurorehabilitation in Aneurin Bevan University Health Board.

Daryl is passionate about the ideals and values of the NHS and committed to using his skills and experience as a psychologist to support the transformational change required to realise the full potential of prudent health care.

His professional interests include the role of person-centred decision making in prudent healthcare, assurance through systematic learning as an alternative to top-down governance, integration of physical and psychological care, and using psychological principles to catalyse capable communities and communities of practice.

Reviewing the why, how, and who for neuro-rehabilitation in Wales      

Adolygu y pam, sut a’r pwy ar gyfer adferiad niwroleg yng Nghymru

Daryl’s proposal builds on work he undertook as part of a Bevan Exemplar project evaluating the impact of a novel approach to neurorehabilitation. This approach is based on the application of recovery college principles in physical health. The project also explored the potential for increasing scope and scale of the college.

One focus for his Bevan Fellowship will be to explore further with key actors the shared outcomes that might be achieved by broadening the geographical and clinical reach of the recovery college. Then to work with stakeholders and key actors to co-create strategies and plans for testing the impact of increased scope and scale on what matters. The emphasis on what matters links with the second focus for his Bevan Fellowship.

The evaluation of the recovery college employed the Most Significant Change approach. This approach involves gathering stories that capture the change outcomes that were most valued by participants in the Recovery College. These stories were then reviewed by stakeholders and people of influence who were tasked with establishing consensus about which story represented the most significant change. The discussions that this generated elicited additional information about the outcomes at the heart of effective neurorehabilitation.

The other focus of his Bevan Fellowship is to create places and spaces for further collective enquiry into what matters in health and care, with a particular focus on long term neurological conditions.

The common thread running through both strands of his Bevan Fellowship proposal is the importance in effective decision making (clinical and strategic), starting by making sense of who are the key actors and what matters to them, before considering decisions about what strategies and actions to adopt. One way of expressing this is the importance of starting with why, before moving on to how and what.

“My hope is that being a Bevan Fellow will allow me to tap into the Bevan Commission’s network, support, and influence to establish a community of enquiry and learning across service silos and hierarchies, and across the traditional boundary of professional and patient. A community that is focussed on exploring and acting on the outcomes that really matter to people.”