Listening into Action


What is Listening into Action (LiA)?

LiA is about engaging staff, patients, carers and our care partners to make changes at RDASH that improve the services we offer to patients and improve the experience our staff have of working in our organisation.

LiA is an evidenced based approach which has been trialed and successful in a large number of NHS organisations over the past seven years. It is a fundamental shift in the way we work and lead. The aim of LiA is to engage with, and empower, all staff to make the changes and feel proud of what they can achieve.

Please watch the video here in which our Chief Executive, LiA Lead and LiA Sponsors speak about LIA:



We launched LiA at our Trust in April 2016, and it complements the other important changes taking place at the Trust, including the place based transformation plans and the unity programme which is aimed at developing our electronic records system.

Over the past 8 months over 400 of our staff and 200 of our patients have attended our LiA ‘Big Conversations’, exploring what works well, what we can improve upon and identifying what changes we can make to make RDASH the best service for our patients and our staff. The ideas gained from staff and patients have shaped many of the changes that we have started to make in our LiA Journey.


Pictured is one of our Big Conversations taking place – where we listened to our patients, carers and staff.

Using the LiA approach, 10 clinical teams launched their 20 week journey in May 2016 which is now completed. These teams have had amazing outcomes working with service users, patients, carers and staff from many disciplines. Here is one example from our Rotherham inpatient services:

The LiA approach focuses staff upon changing processes and ways of working using a seven step approach to change. Alongside of our clinical teams and enabler teams we have over 120 LiA Champions in RDASH, many of them have made their own changes in their practice.

Repository of Positive Practice

We’re really proud of the huge changes we’ve made over the last 2 years and are pleased to share our latest LiA video with you, where you’ll hear from a variety of different people within RDaSH talk about their LiA experience. You can watch our video by accessing the following link:

We have made 164 changes using LiA, the stories of which can be found here: LiA 164 stories

Monthly LiA updates are provided to the Board of Directors via the CEO Report, which can be found here at

If you have an idea that you would like to submit, or if you would like to become involved as an LiA champion please contact:

Judith Graham, LiA Lead – or call  01302 796399