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"Where is change going?" Slides from Helen Bevan's first talk at the NHS Transformathon
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The NHS Transformathon was a 24 hour virtual event to connect people from all over the world who are leading the way in transforming the health and care system. It took place on 27/28 January 2016. The aim of this first talk "Where is chaneg going?" was to set the scene for the following 24 hours and to identify the principles that underpinned many of the talk to come during the Transformathon. The entire event was a live broadcast on Google hangout. You can watch all of the sessions. Go to http://theedge.nhsiq.nhs.uk/transformathon/ and click on the title of the session you would like to view. The content is free and available to all. If you tweet about the content of the Transformathon, please use the hashtag #NHSTform
Helen BevanFollow
Chief Transformation Officer | Innovation | Improvement | Mobilising | Large Scale ChangeAdvertisement
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"Where is change going?" Slides from Helen Bevan's first talk at the NHS Transformathon
- @HelenBevan #NHSelect15 Source of image: Buildingchangetrust.org Helen Bevan @HelenBevan #NHSTform Where is change going? (and how you will see many examples of the new direction in the next 24 hours)
- @HelenBevan #NHSelect15@HelenBevan #NHSTform The Five Year Forward View Mentions “radical” 12 times “transformation/transformational” 13 times “change” 42 times
- @HelenBevan #NHSelect15
- @HelenBevan #NHSelect15@HelenBevan #NHSTform What is happening with change?
- @HelenBevan #NHSelect15 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
- @HelenBevan #NHSelect15 Source: Bromford P (2015), ”What’s the difference between a test and a pilot?”
- @HelenBevan #NHSelect15@HelenBevan #NHSTform What is happening with change?
- @HelenBevan #NHSelect15@HelenBevan #NHSTform Empower your staff to be the voice of the organisation. They’ve got audience & credibility
- @HelenBevan #NHSelect15@HelenBevan #NHSTform What is happening with change?
- @HelenBevan #NHSelect15@HelenBevan #NHSTform What is happening with change?
- @HelenBevan #NHSelect15@HelenBevan #NHSTform 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
- @HelenBevan #NHSelect15@HelenBevan #NHSTform Change from the edge What is happening with change?
- @HelenBevan #NHSelect15@HelenBevan #NHSTform http://www.slideshare.net/Openpolicymaking/policy-lab-slide- share-introduction-final
- @HelenBevan #NHSelect15 Is your change process a cathedral or a bazaar? http://www.unterstein.net/su/docs/CathBaz.pdf
- @HelenBevan #NHSelect15@HelenBevan #NHSTform We have a lot of cathedrals Source: Sewell (2015) : Stop training our project managers to be process junkies
- @HelenBevan #NHSelect15@HelenBevan #NHSTform “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
- @HelenBevan #NHSelect15 • 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 (including service users and families) 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”
- @HelenBevan #NHSelect15@HelenBevan #NHSTform Evolving kinds of change platforms: They overlap! 1. Connecting platforms 2. Mobilising platforms 3. Learning platforms 4. Knowledge platforms 5. Crowdsourcing platforms
- @HelenBevan #NHSelect15@HelenBevan #NHSTform Source: http://www.slideshare.net/alwynlau/learning-theories-learner-needs
- @HelenBevan #NHSelect15@HelenBevan #NHSTform
- @HelenBevan #NHSelect15@HelenBevan #NHSTform The NHS Transformathon is brought to you by the Horizons team
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.
- Social platforms Social platforms include more tightly defined communities of interest that come together around specific shared interests like certain genres of music, types of sports or academic disciplines like history or economics. They tend to foster mesh networks of relationships rather than hub and spoke interactions E.g. Facebook, Twitter, 2. Mobilisation platforms Mobilization platforms ultimately focus on mobilising participants to engage in some kind of collaborative effort that will take considerable time to accomplish Because of the need for collaborative action over time, these platforms tend to foster longer-term relationships rather than focusing on isolated and short-term transactions or tasks 3. Learning platforms Explicit goal to create environments where participants can learn faster and individually achieve higher and higher levels of performance as more and more participants join the platform E.g. School for Health and Care Radicals, World of Warcraft 4. Aggregation platforms The basic focus of these platforms is to bring together a broad array of relevant resources and help users of the platform to connect with the most appropriate resources. E.g. EBay Transactional & task focussed (Need > response > deal > move on) Hub & spoke model – all transactions are brokered by platform owner/organiser
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