Greater Manchester Future Leaders

1. @HelenBevan #LeadingGM How to be a GREAT change agent Dr Helen Bevan, OBE Chief Transformation Officer NHS England @HelenBevan ANDSTAYINGINIT:

2. @HelenBevan #LeadingGM “New truths begin as heresies” (Huxley, defending Darwin’s theory of natural selection) Source of image: installation by the artist Adam Katz www.thisiscolossal.com Via @NeilPerkin

3. @HelenBevan #LeadingGM WHO makes change happen? Source: adapted by Helen Bevan from Leandro Herrera List A • The Transformation Programme Board • The programme sponsor • The Programme Management Office • The leads of the [insert number] transformation work streams • The Clinical Director • The Team Leader /Unit Manager • The Change Facilitator

4. @HelenBevan #LeadingGM WHO makes change happen? List A • The Transformation Programme Board • The programme sponsor • The Programme Management Office • The leads of the [insert number] transformation work streams • The Clinical Director • The Team Leader /Unit Manager • The Change Facilitator List B • The mavericks and rebels • The deviants (positive). Who do things differently and succeed • The contrarians, because they can • The nonconformists who see things through glasses no one else has • The hyper-connected. Good or bad, they spread behaviours, role model at a scale, set mountains on fire and multiply anything they get their hands on • The hyper-trusted. Multiple reasons, doesn’t matter which ones Source: adapted by Helen Bevan from Leandro Herrera

5. @HelenBevan #LeadingGM WHO makes change happen? List A • The Transformation Programme Board • The programme sponsor • The Programme Management Office • The leads of the [insert number] transformation work streams • The Project Manager • The Team Leader /Unit Manager • The Change Facilitator List B • The mavericks and rebels • The deviants (positive). Who do things differently and succeed • The contrarians, because they can • The nonconformists who see things through glasses no one else has • The hyper-connected. Good or bad, they spread behaviours, role model at a scale, set mountains on fire and multiply anything they get their hands on • The hyper-trusted. Multiple reasons, doesn’t matter which ones Source: adapted by Helen Bevan from Leandro Herrera

6. @HelenBevan #LeadingGM Change is changing

7. @HelenBevan #LeadingGM Kinthi Sturtevant, IBM 13th annual Change Management Conference June 2015 We rarely see two, three or four year change projects anymore. Now it’s 30-60-90 day change projects

8. @HelenBevan #LeadingGM Source: Bromford P (2015), ”What’s the difference between a test and a pilot?” Pilots are being replaced by rapid tests and prototypes

10. @HelenBevan #LeadingGM

16. @HelenBevan #LeadingGM Change is changing Change from the edge

17. @HelenBevan #LeadingGM An example from the Cabinet Office http://www.slideshare.net/Openpolicymaking/060715-change-cardscollated?next_slideshow=1

18. @HelenBevan #LeadingGM#FabChangeDay Why go to the edge? “ 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

19. @HelenBevan #LeadingGM 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

20. @HelenBevan #LeadingGM The Network Secrets of Great Change Agents Julie Battilana &Tiziana Casciaro As a change agent, my centrality in the informal network is more important than my position in the formal hierarchy

21. @HelenBevan #LeadingGM People who are highly connected have twice as much power to influence change as people with hierarchical power Leandro Herrero http://t.co/Du6zCbrDBC

22. @HelenBevan #LeadingGM “I have some Key Performance Indicators for you” or “I have a dream” Source: @RobertVarnam

23. @HelenBevan #LeadingGM “Tomorrow’s management systems will need to value diversity, dissent and divergence as highly as conformance, consensus and cohesion.” Gary Hamel Image by neilperkin.typepad.com is the new normal!

24. @HelenBevan #LeadingGM “Tomorrow’s management systems will need to value diversity, dissent and divergence as highly as conformance, consensus and cohesion.” Gary Hamel Image by neilperkin.typepad.com “The single biggest mistake to avoid? Creating disruption at work. Focus on developing relationships, not disrupting and alienating people. Peter Vander Awera on learning from setbacks and failures is the new normal! ##FabChangeDay

26. #SHCR @HelenBevan#@HelenBevan #LeadingGM What happens to heretics/radicals/rebels/mavericks in organisations?

27. #SHCR @HelenBevan#@HelenBevan #LeadingGM

28. #SHCR @HelenBevan#IQTGOLD#SCHR @HelenBevanSource: Lois Kelly http://www.slideshare.net/Foghound/rocking-the-boat-without-falling-out

29. #SHCR @HelenBevan#@HelenBevan #LeadingGM We need rebels! •The principal champion of a change initiative, cause or action •Rebels don’t wait for permission to lead, innovate, strategise •They are responsible; they do what is right •They name things that others don’t see yet •They point to new horizons •Without rebels, the storyline never changes Source : @PeterVan http://t.co/6CQtA4wUv1

30. #SHCR @HelenBevan#@HelenBevan #LeadingGM If you put fences around people, you get sheep. Give people the room they need William L McKnight

31. #SHCR @HelenBevan#@HelenBevan #LeadingGM We need to create more boat rockers! • Rock the boat but manage to stay in it • Walk the fine line between difference and fit, inside and outside • Conform AND rebel • Capable of working with others to create success NOT a destructive troublemaker Source: Debra Meyerson

32. #SHCR @HelenBevan Source : Lois Kelly www.foghound.com There’s a big difference between a rebel and a troublemaker Rebel

33. #SHCR @HelenBevan#@HelenBevan #LeadingGM Reflection • What are your insights around “rebels” and “troublemakers”? • What moves people from being “rebel” to “troublemaker”? • How do we protect against this?

34. #SHCR @HelenBevan Source : Lois Kelly www.rebelsatwork.com There’s a big difference between a rebel and a troublemaker Rebel

35. #SHCR @HelenBevan#@HelenBevan #LeadingGM Change starts with me Source of image: jasonkeath.com

36. #SHCR @HelenBevan#@HelenBevan #LeadingGM ‘I do not think you can really deal with change without a person asking real questions about who they are and how they belong in the world’ David Whyte, The Heart Aroused 1994 Source of image: fistfuloftalent.com

37. #SHCR @HelenBevan#@HelenBevan #LeadingGM 1. able to join forces with others to create action 2. able to achieve small wins which create a sense of hope, possibility and confidence 3. More likely to view obstacles as challenges to overcome 4. strong sense of “self-efficacy”  belief that I am personally able to create the change Four things we know about successful boat rockers Source: adapted from Debra E Meyerson CHANGE me BEGINS WITH

38. #SHCR @HelenBevan#@HelenBevan #LeadingGM Self-efficacy There is a positive, significant relationship between the self-efficacy beliefs of a change agent and her/his ability to facilitate change and get good outcomes Source of image:www.h3daily.com

39. #SHCR @HelenBevan#@HelenBevan #LeadingGM Source: @NHSChangeDay

40. #SHCR @HelenBevan#@HelenBevan #LeadingGM Source: @NHSChangeDay What is the issue here? “permission” ? (externally generated) or Self efficacy ? (internally generated)

41. #SHCR @HelenBevan#@HelenBevan #LeadingGM Building self-efficacy: some tactics 1. Create change one small step at a time 2. Reframe your thinking: • failed attempts are learning opportunities • uncertainty becomes curiousity 3. Make change routine rather than an exceptional activity 4. Get social support 5. Learn from the best

42. #SHCR @HelenBevanImage copyright: http://13c4.wordpress.com/2007/02/24/50-reasons-not-to-change/

43. #SHCR @HelenBevan#@HelenBevan #LeadingGM

44. #SHCR @HelenBevan#@HelenBevan #LeadingGMSource: http://www.slideshare.net/AndreaWaltz/gfn-slidesharegfnhandling-rejectionpositively

48. #SHCR @HelenBevan#@HelenBevan #LeadingGMSource: http://www.slideshare.net/AndreaWaltz/gfn-slidesharegfnhandling-rejectionpositively Make it a personal PERFORMANCE target.

50. #SHCR @HelenBevan#@HelenBevan #LeadingGM Research from the sales industry: How many NOs should we be seeking to get? • 2% of sales are made on the first contact • 3% of sales are made on the second contact • 5% of sales are made on the third contact • 10% of sales are made on the fourth contact • 80% of sales are made on the fifth to twelfth contact Source: http://www.slideshare.net/bryandaly/go-for-no

51. #SHCR @HelenBevan#@HelenBevan #LeadingGM “Papers that are more likely to contend against the status quo are more likely to find an opponent in the review system—and thus be rejected —but those papers are also more likely to have an impact on people across the system, earning them more citations when finally published” V. Calcagno et al., “Flows of research manuscripts among scientific journals reveal hidden submission patterns,” Science, doi:10.1126/science.1227833, 2012. —

52. #SHCR @HelenBevan#@HelenBevan #LeadingGM Being a great change agent is about knowing, doing, living and being improvement

53. #SHCR @HelenBevan#@HelenBevan #LeadingGM Avedis Donabedian “Ultimately, the secret of quality is love. …… If you have love, you can then work backward to monitor and improve the system”.

54. #SHCR @HelenBevan#@HelenBevan #LeadingGM Project Aristotle: http://qz.com/625870/after-years-of-intensive- analysis-google-discovers-the-key-to-good-teamwork-is-being-nice/ After years of intensive analysis, Google discovers that the key to high performing, innovative teams is being nice

55. #SHCR @HelenBevan#@HelenBevan #LeadingGM Key tactic : Out-love everyone else Source of image: Bradley Burgess

56. #SHCR @HelenBevan#@HelenBevan #LeadingGM Four ways to connect! 1. Follow us on Twitter @HelenBevan @School4Radicals 2. Subscribe to theedge.nhsiq.nhs.uk 3. Get materials from theedge.nhsiq.nhs.uk/school …and sign up for our monthly #EdgeTalks theedge.nhsiq.nhs.uk/edgetalks

57. #SHCR @HelenBevan#IQTGOLD#SCHR @HelenBevan

58. #SHCR @HelenBevan For our break, we will have a RCT

59. #SHCR @HelenBevan#@HelenBevan #LeadingGM • Randomised Coffee Trial! • Randomised Coffee Trial! Randomised Coffee Trial!

60. #SHCR @HelenBevan fabnhsstuff.net/fabchangeday/rct/ or google “Fab stuff RCT”

61. #SHCR @HelenBevan#@HelenBevan #LeadingGM utcomes of Randomised Coffee Trials

62. #SHCR @HelenBevan Join in one of our national Randomised Coffee Trials fabnhsstuff.net/fabchangeday/rct/ or google “Fab stuff RCT” Mental health – for anyone interested in mental health issues Dementia – for anyone interested in dementia issues Staff wellbeing – for anyone interested in how staff are cared for Patient Safety – for anyone with an interest in ensuring patient safety across the health and social care system Home First – looking at the issues around how people who have long-term health conditions receive care outside of hospital Learning and Leading Together – for anyone interested in how patients and healthcare staff can work together in genuine partnership MatExp – for anyone interested in improving maternity experience – women and families as well as professionals

Greater Manchester Future Leaders

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