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Health and care radicals for large scale improvement
Health and care radicals for large scale improvement
Health and care radicals for large scale improvement
Health and care radicals for large scale improvement
Health and care radicals for large scale improvement
Health and care radicals for large scale improvement
Health and care radicals for large scale improvement
Health and care radicals for large scale improvement
Health and care radicals for large scale improvement
Health and care radicals for large scale improvement
Health and care radicals for large scale improvement
Health and care radicals for large scale improvement
Health and care radicals for large scale improvement
Health and care radicals for large scale improvement
Health and care radicals for large scale improvement
Health and care radicals for large scale improvement
Health and care radicals for large scale improvement
Health and care radicals for large scale improvement
Health and care radicals for large scale improvement
Health and care radicals for large scale improvement
Health and care radicals for large scale improvement
Health and care radicals for large scale improvement
Health and care radicals for large scale improvement
Health and care radicals for large scale improvement
Health and care radicals for large scale improvement
Health and care radicals for large scale improvement
Health and care radicals for large scale improvement
Health and care radicals for large scale improvement
Health and care radicals for large scale improvement
Health and care radicals for large scale improvement
Health and care radicals for large scale improvement
Health and care radicals for large scale improvement
Health and care radicals for large scale improvement
Health and care radicals for large scale improvement
Health and care radicals for large scale improvement
Health and care radicals for large scale improvement
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Health and care radicals for large scale improvement

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This is the presentation on “health and care radicals for large scale improvement” that Helen Bevan made at the University of Jönköping on 17th January 2014. The occasion was a mini-symposium on …

This is the presentation on “health and care radicals for large scale improvement” that Helen Bevan made at the University of Jönköping on 17th January 2014. The occasion was a mini-symposium on improvement science to celebrate Jönköping Academy’s first 5 years.

Helen Bevan is Chief of Service Transformation, working in the Horizons Group at NHS Improving Quality, the national improvement body that supports the NHS in England. Follow her on Twitter @HelenBevan

Published in: Health & Medicine, Business
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  • 1. Health and care radicals for large scale improvement Presentation at the mini-symposium on improvement science to celebrate Jönköping Academy’s first 5 years Helen Bevan @HelenBevan @HelenBevan
  • 2. Theothersidestory.co.uk @GrangerKate @HelenBevan
  • 3. Emerging themes in large scale change Dominant Organisation approach Power through hierarchy Mission and vision Emerging direction Community Power through connection Shared purpose Making sense through rational argument Making sense through emotional connection Leadership-driven (top down) innovation Viral (grass-roots driven) creativity Tried and tested, based on experience Transactions @HelenBevan “ Open” approaches , sharing ideas & data, co-creating change Relationships Source: @HelenBevan
  • 4. The implications for leaders and change agents (of moving from left to right) are profound! Dominant approach Organisation Power through hierarchy Mission and vision Emerging direction Community Power through connection Shared purpose Making sense through rational argument Making sense through emotional connection Leadership-driven (top down) innovation Viral (grass-roots driven) creativity Tried and tested, based on experience Transactions @HelenBevan “ Open” approaches , sharing ideas & data, co-creating change Relationships
  • 5. John Kotter: “Accelerate!” • We won’t create big change through hierarchy on its own • We need hierarchy AND network • Many change agents, not just the usual few • Changing our mindset • From “have to” to “want to” • Head and heart, not just head and @HelenBevan
  • 6. The Network Secrets of Great Change Agents Julie Battilana &Tiziana Casciaro 1. As a change agent, my centrality in the informal network is more important than my position in the formal hierarchy 2. If you want to create small scale change, work through a cohesive network If you want to create big change, create bridge networks between disconnected groups @HelenBevan
  • 7. “If people give to a cause, they expect a relationship, not a transaction” Nilofer Merchant @HelenBevan
  • 8. “A cynic, after all, is a passionate person who does not want to be disappointed again” Zander R and Zander B (2000) The art of possibility. Harvard Business School Press. As quoted by Steve Onyett @HelenBevan
  • 9. is the new normal! “By questioning existing ideas, by opening new fields for action, change agents actually help organisations survive and adapt to the 21st Century.” Céline Schillinger @HelenBevan Image by neilperkin.typepad.com
  • 10. Across the world, the change agent movement is exploding! @chagww Changeagentsworldwide.com @rebelsatwork rebelsatwork.com @corprebels Corporaterebelsunited.com @HelenBevan
  • 11. The largest simultaneous improvement initiative in the history of the NHS @HelenBevan
  • 12. Its started with a tweet! Young clinical leaders & improvement leaders started to talk about how they could improve care Damian Roland Stuart Sutton Helen Bevan @HelenBevan
  • 13. NHS Change Day - A call to action @HelenBevan
  • 14. 14 @HelenBevan
  • 15. A 189,000 pledge mountain! 15 @HelenBevan
  • 16. People took action all over the country 5% 7% 10% 42% 10% 26% @HelenBevan #NHSChangeDay @PowerNHS Bet t er Pat ient Care Spreading I nnovat ion Per sonal D evelopm ent U sing ser vices effect ively Celebr at ing Ser vices I m plem ent ing I nt egr at ion
  • 17. Probably the only winner of a global challenge to develop leaders in the corporate world that names Saul Alinsky and Marshall Ganz as major influencers @HelenBevan
  • 18. Change Day 2013 was an extraordinary moment in the history of the NHS. It taught us that large-scale improvement is possible in the NHS & that the best way to do it is through collective commitment, action & by keeping it simple. @HelenBevan
  • 19. The largest simultaneous improvement initiative in the history of the NHS @HelenBevan
  • 20. Source: @NHSChangeDay @HelenBevan
  • 21. @helenbevan #1000LivesPlus
  • 22. What happens to heretics/radicals/rebels/mavericks in organisations? @helenbevan @HelenBevan
  • 23. @helenbevan @HelenBevan
  • 24. “There is nothing more difficult to carry out, nor more doubtful of success, nor more dangerous to handle, than to initiate a new order of things. For the reformer has enemies in all those who profit by the old order, and only lukewarm defenders in all those who profit by the new” Niccolo Machiavelli 15th century @helenbevan @HelenBevan
  • 25. We need to be boatrockers! • Walk the fine line between difference and fit, inside and outside, rock the boat but manage to stay in it • Able to challenge the status quo when we see that there could be a better way • Conform AND rebel • Capable of working with others to create success NOT a destructive troublemaker Source: Debra Meyerson @helenbevan @HelenBevan
  • 26. Sometimes organisational leaders see radicals as troublemakers @helenbevan @HelenBevan Source : Lois Kelly www.foghound.com
  • 27. Task • Talk to others around you about your experiences regarding “radicals” and “troublemakers” • Which have you been and why? • What moves people from being “radical” to “troublemaker”? • How do we protect against this? @helenbevan @HelenBevan
  • 28. First they ignore you, then they laugh at you, then they fight you, then you win Gandhi @helenbevan @HelenBevan
  • 29. Valuing radicals • “New truths begin as heresies” (Huxley, defending Darwin’s theory of natural selection) • big things only happen in organisations because of heretics and radicals @helenbevan @HelenBevan
  • 30. @helenbevan @HelenBevan Source: Foghound
  • 31. "There’s only one corner of the universe you can be certain of improving, and that’s your own self." Aldous Huxley @helenbevan @HelenBevan @RobertVarnam #IHI25Forum #ChangeAgents
  • 32. @helenbevan @HelenBevan
  • 33. What do we know about successful boat rockers? 1. convictions and values-driven 2. strong sense of “self-efficacy”   belief that I am personally able to create change belief in others 3. action orientated   ignite collective action mobilising others, inspiring change 4. able to join forces with others  work as a collective body for commonly valued changes 5. able to achieve small wins which create a sense of hope, selfefficacy and confidence 6. optimistic in the face of challenge   see opportunities take account of obstacles @helenbevan @HelenBevan Source: adapted from Debra E Meyerson
  • 34. Being a great change agent is about knowing, doing, living and being improvement @helenbevan @HelenBevan
  • 35. Five modules: • 31st January: Starting from a position of strength: change starts with me • 7th February: Forming communities: building alliances for change • 14th February: Rolling with resistance • 21st February: Making change happen • 28th February: Moving beyond the edge www.changeday.nhs.uk/healthcareradicals @helenbevan @HelenBevan
  • 36. Outwitted He drew a circle that shut me out Heretic, rebel, a thing to flout. But Love and I had the wit to win: We drew a circle that took him in. Edward Markham @helenbevan @HelenBevan

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