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Creating shared purpose Slide 1 Creating shared purpose Slide 2 Creating shared purpose Slide 3 Creating shared purpose Slide 4 Creating shared purpose Slide 5 Creating shared purpose Slide 6 Creating shared purpose Slide 7 Creating shared purpose Slide 8 Creating shared purpose Slide 9 Creating shared purpose Slide 10 Creating shared purpose Slide 11 Creating shared purpose Slide 12 Creating shared purpose Slide 13 Creating shared purpose Slide 14 Creating shared purpose Slide 15 Creating shared purpose Slide 16 Creating shared purpose Slide 17 Creating shared purpose Slide 18 Creating shared purpose Slide 19 Creating shared purpose Slide 20 Creating shared purpose Slide 21 Creating shared purpose Slide 22 Creating shared purpose Slide 23 Creating shared purpose Slide 24 Creating shared purpose Slide 25 Creating shared purpose Slide 26 Creating shared purpose Slide 27 Creating shared purpose Slide 28 Creating shared purpose Slide 29 Creating shared purpose Slide 30 Creating shared purpose Slide 31 Creating shared purpose Slide 32 Creating shared purpose Slide 33 Creating shared purpose Slide 34 Creating shared purpose Slide 35 Creating shared purpose Slide 36 Creating shared purpose Slide 37 Creating shared purpose Slide 38 Creating shared purpose Slide 39 Creating shared purpose Slide 40 Creating shared purpose Slide 41 Creating shared purpose Slide 42 Creating shared purpose Slide 43 Creating shared purpose Slide 44 Creating shared purpose Slide 45 Creating shared purpose Slide 46 Creating shared purpose Slide 47 Creating shared purpose Slide 48 Creating shared purpose Slide 49 Creating shared purpose Slide 50 Creating shared purpose Slide 51 Creating shared purpose Slide 52
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The slides that Helen Bevan and Jen Rodgers presented at #GiantSteps19 on 22 November 2019

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Creating shared purpose

  1. 1. Creating shared purpose Helen Bevan @HelenBevan Jen Rodgers @jenfrodgers #GiantSteps19 View or download the slides from SlideShare: tiny.cc/HelenandJen
  2. 2. 2 | Our agenda • An exponentially changing word and what it means for us • The importance of shared purpose • Why purpose is different to aim (and why we need both) • Case study • Creating our shared purpose • Starting from a place of love @helenbevan @jenfrodgers #GiantSteps19
  3. 3. 3 | Source: @NHSChangeDay 3
  4. 4. 4 | Jeremy Heimens, Henry Timms New Power: How it’s changing the 21st Century and why you need to know (2018) new power Current Made by many Pulled in Shared Open Relationship old power Currency Held by a few Pushed down Commanded Closed Transaction
  5. 5. 5 | Many of the ways we go about improving health and care were designed in a different mindset for a different set of circumstances We are often operating with 20th century change practice in a 21st century world Source of images : http://www.slideshare.net/dachisgroup/dave- gray-the-connected-company
  6. 6. Shared purpose becomes even more important in an increasingly complex world Shared purpose
  7. 7. Why shared purpose? [Shared] purpose goes way deeper than vision and mission; it goes right into your gut and taps some part of your primal self. I believe that if you can bring people with similar primal-purposes together and get them all marching in the same direction, amazing things can be achieved. Seth Carguilo @Sch4Change #S4CA
  8. 8. Improvement is anchored in purpose @helenbevan @jenfrodgers #GiantSteps19
  9. 9. We have to reconnect our health and care actions back to the shared purpose at the founding of the NHS, back to principles of social justice Prerana Issar Chief People Officer, NHS Definition adapted by Helen Bevan from Janet Finn and Maxine Jacobson
  10. 10. What NOT to do (but what we usually do) We don’t need buyers (who “buy-in” to change) We need investors What TO do Engage people here Engage people here Mark Jaben on the neuroscience of resistance to change
  11. 11. Where do we start? • In improvement methodology, our first question is “What is our aim”? • In social movement practice and community organising, our first question is “who are our people?” Who are our people? What unites us (our shared purpose)? What is our aim? @helenbevan @jenfrodgers #GiantSteps19
  12. 12. The model for improvement Who are our people? What unites us (our shared purpose?)
  13. 13. Don’t confuse PURPOSE with AIM • An aim is setting a determined course in order to achieve a set goal within a specific timescale • Purpose seeks to make explicit the reason behind something that is being done. Purpose defines WHY we are doing what we are doing, and WHAT we hope to achieve from it @helenbevan @jenfrodgers #GiantSteps19
  14. 14. The Change Model https://www.englan d.nhs.uk/sustainable improvement/chang e-model/
  15. 15. We have a particular challenge in creating shared purpose in a health and care setting…… Source: Philip Hadridge Idenk.com @helenbevan @jenfrodgers #GiantSteps19
  16. 16. Why is it that the more compelling the mission, the more tricky it can be to get the best collaborative behaviours and the necessary focused action? And how can some places that are trying to achieve the most crucial and needed changes to the world we live in be riven with petty politics and driven by individuals sometimes ruthlessly pursing their own agendas?” Source: Philip Hadridge Idenk.com A pattern that not only bewilders and frustrates long serving leaders but also comes as a shock to new recruits.
  17. 17. The noble purpose paradox: how it manifests itself • We question the motivations and actions of co-workers or other leaders and amplify differences in point of view • Personal interpretations of right and wrong come to the fore • We find it hard to present alternative points of view without arguments or undercurrents of resistance • We find that raising some of the issues at work about power or ambition is almost impossible Source: Philip Hadridge Idenk.com @helenbevan @jenfrodgers #GiantSteps19
  18. 18. The noble purpose paradox: Things to keep checking and working on • An Aligned purpose: agreement about direction and priorities. Between strategy and operations; between divisions; between organisational and personal priorities • Attitudes: that the desired behaviours are clearly spelt out, embodied by senior leaders and reinforced in who is hired (a rewarded and promoted • Accountable Autonomy: encouraging initiative, within the frameworks of Aligned purpose and suitable Attitudes. • Building Awareness of what is expected, and how that fits with personal motivations and goals, Source: Philip Hadridge Idenk.com
  19. 19. Leaders are “signal generators” As a leader, think of yourself as a “signal generator” whose words and actions are constantly being scrutinised and interpreted, especially by those below you [in the organisational system]. Charles O’Reilly What an organisation’s leaders pay close attention to and shower with time — not what they say — will provide the best clues about its culture. Edgar Schein Source of image: vintage-radio.com @helenbevan @jenfrodgers #GiantSteps19
  20. 20. Avoiding “de facto” purpose Source: Delivering Public Services That Work: The Vanguard Method in the Public Sector • Shared purpose can easily be displaced by a “de facto” purpose:  reducing costs  reducing length of stay  complying with regulators  hitting targets, standards or key performance indicators  completing activities within a timescale and budget • If purpose isn’t explicit and shared, then it is very easy for something else to become a de facto purpose in the minds of the workforce • De facto purpose is toxic, leads to burn out and blocks engagement “de facto” means that something exists in reality even if it isn’t intended
  21. 21. “I have some key performance indicators for the next 12 months” or “I have a dream” Source: @RobertVarnam
  22. 22. @hugrhc
  23. 23. @hugrhc
  24. 24. “…..it would be great to be doing everything we can, not just watch” “the rules were different on different days” “It really affects your emotions…..when I can get him out and hold him is a really good day” @hugrhc
  25. 25. Subjects: 42 primary caregivers and their infants, < 35weeks gestation Intervention: • Caregivers attended > 8 hours per day • Daily parent education sessions • Mentoring by bedside nurses Outcomes: • Significant increase in rate of change of weight gain • Increased breast-feeding rates • Decreased Parental Stress Survey score @hugrhc
  26. 26. The challenge…. @hugrhc
  27. 27. 3.Common purpose OUR PURPOSE: “Everyone will work together to ensure that parents are empowered to be primary caregivers with the confidence to care for their baby during their stay in the neonatal unit, through their transition to home and beyond.” @hugrhc
  28. 28. Starting small and simple @hugrhc
  29. 29. @hugrhc
  30. 30. FAMILY AWARENESS SESSIONS NICU Level 1 Seminar Room FEBRUARY 2018 Next to Waiting Area 2-3pm ALL PARENTS & FAMILY MEMBERS WELCOME – We would love to see you all! MONDAY TUESDAY WEDNESDAY THURSDAY FRIDAY SATURDAY SUNDAY 5 TH OUR FAMILY’S TEA AND COFFEE AFTERNOON 6 th “Bathing, Sterilising and Making up Feeds” 7 th “How Will My Baby Grow” 8 th “Transition to Breastfeeding” 9 th 10 th 11 th 12 th OUR FAMILY’S TEA AND COFFEE AFTERNOON 13 th 14 th “Tube Feeding” 15 th “Getting Ready for Home” 16 th 17 th “Level 2 Tour – Meet on Level 1 reception” 18 th 19 th OUR FAMILY’S TEA AND COFFEE AFTERNOON 20 th “Expressing Milk” 21 st “Knit and Natter” 22 nd “Comforting your baby” 23 rd 24 th 25 th 26 th OUR FAMILY’S TEA AND COFFEE AFTERNOON 27 th “Bookbug” 28 th “Helping Your Baby to Develop while in NICU” 1 st “Memory Making” 2 nd 3 rd “Level 2 Tour – Meet on Level 1 reception” 4 th @hugrhc
  31. 31. @hugrhc
  32. 32. @hugrhc
  33. 33. 5. Sharing @hugrhc
  34. 34. @hugrhc
  35. 35. How do we create shared purpose? Create a safe space Look for commonalities and understand differences Create a statement of purpose @helenbevan @jenfrodgers #GiantSteps19
  36. 36. @Sch4Change #S4CA
  37. 37. Shared: what unites us? Look for commonalities – and understand differences • Start with each individual talking about their own stories (“what matters to me”) • Talk about the parts of the stories that unite the group • Discuss differences in perspective and how differences will be addressed @helenbevan @jenfrodgers #GiantSteps19
  38. 38. Create a statement of purpose • Consider how the sense of “us” (shared values and ambitions) can be translated into a statement of shared purpose that we can all unite around • Watch your language and perspective • Create a purpose, not an aim • Does it pass the “purpose” test? @helenbevan @jenfrodgers #GiantSteps19
  39. 39. Purpose is the deepest dimension within us – our central core or essence – where we have a profound sense of who we are, where we came from and where we’re going. Purpose is the quality we choose to shape our lives around. Purpose is a source of energy and direction. Leider The “purpose” test: Does your proposed purpose fit with this? @helenbevan @jenfrodgers #GiantSteps19
  40. 40. 40
  41. 41. Our shared purpose: #EndPJParalysis
  42. 42. If we want people to take action, we have to connect with their emotions through values action values emotion Source: Marshall Ganz @helenbevan @jenfrodgers #GiantSteps19
  43. 43. Change starts with me
  44. 44. After years of intensive analysis, Google discovered that the key to high performing teams that deliver change is being nice Project Aristotle: https://www.youtube.com/watch?v=UfGiCnhdU78&feature=youtu.be&list=PLHEw3ja- xoaZybvz9f0b1_6bJyG7zZO6L
  45. 45. …..Ultimately, the secret of quality is love. ……If you have love, you can then work backward to monitor and improve the system. Avedis Donabedian @helenbevan @jenfrodgers #GiantSteps19
  46. 46. It is catching on
  47. 47. Leading from a place of love At the most profound level, love is about our deep affiliation with the moral purpose of the health and care system and our goal of improving health for every individual and for whole populations. We translate this into action by leading with love; committing to, connecting with, affirming and making things meaningful for those we serve. We are able to make our greatest contributions, individually and collectively, when we work in a loving environment, enabling everyone to do their best, fulfilling our higher purpose. Love is a unifying force and it builds collective power for change. Helen Bevan and Goran Henriks
  48. 48. Tactics for leaders of shared purpose: Out-love everyone else Source of image: Bradley Burgess@helenbevan @jenfrodgers #GiantSteps19
  49. 49. Source: @NHSChangeDay 51 @helenbevan @jenfrodgers #GiantSteps19
  50. 50. Confronting people with their freedom may be the ultimate act of love Peter Block Source of quote: Celine Schillinger @helenbevan @jenfrodgers #GiantSteps19
  • PatriciaRetzlaff

    Dec. 4, 2021
  • JLindo1

    Feb. 11, 2020
  • PatMorden

    Nov. 27, 2019
  • scottpickman

    Nov. 26, 2019

The slides that Helen Bevan and Jen Rodgers presented at #GiantSteps19 on 22 November 2019

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