Some things that integrated care pioneers can teach the rest of the world
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The slides that Helen Bevan presented in her closing remarks at the Pioneer Assembly for leaders of the Integrated Care Pioneer localities, Stoke-on-Trent, 29th September 2015
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Some things that integrated care pioneers can teach the rest of the world
- 1. @HelenBevan #aquatransform Source of image: Buildingchangetrust.org Helen Bevan @HelenBevan Concluding remarks: Some things that integrated care pioneers can teach the rest of the world
- 2. @HelenBevan #aquatransform@HelenBevan #aquatransform Starts on the fringe (at the edge) Starts with the activists Gary Hamel always
- 3. @HelenBevan #aquatransform@HelenBevan #aquatransform Moving to the edge 3 Leading from the edge brings us into contact with a far wider range of relationships, and in turn, this increases our potential for diversity in terms of thought, experience and background. Diversity leads to more disruptive thinking, faster change and better outcomes. Aylet Baron Having the space to connect, seek ideas and experiment here Pulling the things that work into the system Diagram adapted from Policy Lab, UK Cabinet Office “ ”
- 4. @HelenBevan #aquatransform “In a connected world, power no longer emanates from the top of the heap, but the centre of the network.” Greg Satell, 2015 Greg Satell: http://www.digitaltonto.com/2015/how-power-is-shifting-from- corporations-to-platforms/
- 5. @HelenBevan #aquatransform@HelenBevan #aquatransform Jeremy Heimens TED talk “What new power looks like” https://www.youtube.com/watch?v=j-S03JfgHEA old power new power Currency Held by a few Pushed down Commanded Closed Transaction Current Made by many Pulled in Shared Open Relationship
- 6. @HelenBevan #aquatransform Is your change process a cathedral or a bazaar? http://www.unterstein.net/su/docs/CathBaz.pdf
- 7. @HelenBevan #aquatransform@HelenBevan #aquatransform We have a lot of cathedrals Source: Sewell (2015) : Stop training our project managers to be process junkies
- 8. @HelenBevan #aquatransform • systematic “change management” • too often, leaders prescribe outcome and method of change in a top-down way • change is experienced by people at the front line as “have to” (imposed) rather than “want to” (embraced) Change Programmes • everyone can help tackle the most challenging issues • value diversity of thought • connect people, ideas and learning • Role of formal leaders is to create the conditions and get out of the way Change Platforms “Tear down the walls”
- 9. @HelenBevan #aquatransform@HelenBevan #aquatransform “Change comes naturally when individuals have a platform that allows them to identify shared interests and to brainstorm solutions.” Gary Hamel & Michele Zanini, 2014 Build a change platform not a change program
- 10. @HelenBevan #aquatransform@HelenBevan #aquatransform “Even the smallest creature can change the world” Galadriel to Frodo Lord of the Rings
Editor's Notes
- Title Times is changing
- Cathedral and Bazaar is an essay, then book, by Eric S. Raymond on software engineering methods Illustrates the struggle between top-down and bottom-up design The Cathedral model: restricted access to code, code only available with each software release – controlled / limited / restricted / closed The Bazaar model, in which the code is developed over the Internet in view of the public Raymond's proposition that "given enough eyeballs, all bugs are shallow" - the more openly and widely available the source code is for public testing, scrutiny, and experimentation, the more rapidly all forms of bugs will be discovered. Raymond claims that an inordinate amount of time and energy must be spent hunting for bugs in the Cathedral model, since the working version of the code is available only to a few developers.