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Module 3 chat box contents - School for Change Agents

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Chat box contents from Module 3 held on Thursday 2 March 2017.

It is natural to resist change. Rather than seeing resistance as something negative, here we shift our perspective so that we see dissent, diversity and disruption as essential components of effective change. However, we need to build resilience in order to work effectively with resistance. This module offers some tools and techniques to ensure that we remain strong, adaptable and able to continue our work as change agents.

To find out more about the School, please visit the website http://theedge.nhsiq.nhs.uk/school

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Module 3 chat box contents - School for Change Agents

  1. 1. 1 Module 3 chat box contents – Thursday 2 March 2017 from Helen Bevan to All Participants: Hi everyone. Welcome to module 3. Where are you, how are you and how is the weather? from Adrian Woodfield to All Participants: Hello (at last) from a slightly wet Orkney! from Sally Davies to All Participants: Hello from a cloudy Oswestry - looking forward to this session :) from Naomi Brook to All Participants: Hello from sunny Coventry! :) from Oliver Benson to All Participants: Hello from sunny Warwickshire! from pramod kumar to All Participants: Good afternoon , this is Pramod , consultant liaison psychiatrist from Julie mackie to All Participants: hello all, Im Julie Mackie from Gloucestershire, England and this is my first live session. from Oliver Benson to All Participants: Hello everyone! from Emma Kelly to All Participants: Hi everyone - I am Emma and I'm dialing in from sunny Canterbury (East Kent Hospitals) from Mandy Townsend to All Participants: hello Everyoe. I am Mandy Townsend from Wirral, England. I work in Wales from Oliver Benson to All Participants: Hi Mandy! from Pip Hardy to All Participants: Hello Everyone - greetings from Cambridge where it's chilly and a little bit cloudy. from Mandy Townsend to All Participants:
  2. 2. 2 it's dull and overcast here today too from Aidan Murphy to All Participants: Hi. Aidan here from sunny Chorley. UK @aidanfcho from Helen Bevan to All Participants: It's great to see so many people in the chat box who I know through Twitter. It's so easy to feel close to this community from Charlotte Smith to All Participants: Good afternoon everyone! from Beccy Macnamara to All Panelists: Hi everyone from Tom de Salis to All Participants: good afternoon from Paula Ward to All Participants: Afternoon everyone from Victoria Hewitt to All Participants: Hi Everyone. Looking forward to this module. It's my favourite from Julie Smith to All Participants: Hello everyone, esp colleagues from JPUH from Matilda McCrimmon to All Participants: Hi everyone .I am very polite today I was Tilda last week :) from Rebecca Crossley to All Participants: hellomynameis Rebecca from sunny gorleston #getthenationsigning from Syeda Akhtar to All Participants: Afternoon all from Matilda McCrimmon to All Participants: I did not make module 1 live.Is it possible to join a breakout room today?
  3. 3. 3 from Chris Witham to All Participants: Afternoon everyone. Sorry I couldn't join last week. from Diana Stewart to All Participants: Afternoon Sally Drake, Diana Stewart and Lucy Seymour have joined the session today from Linda D'Arpino to All Participants: hello! from Louis Warner to All Participants: WebEx Assistance: http://theedge.nhsiq.nhs.uk/school/webex-assistance/ from Claire Maggs to All Participants: Good afternoon, should we be able to hear Oliver speak yet? from angela gulay to All Participants: Good morning from Alberta, Canada. from Maria McGill to All Participants: Hi Folks REally looking forward to todats session................ from Oliver Benson to All Participants: @angela - you should be able to hear some music from angela gulay to All Participants: i do from Claire Maggs to All Participants: thank you from angela gulay to All Participants: :) from Kathryn Perera to All Participants: Good afternoon everyone! And hello from sunny London! from Helen Bevan to All Participants:
  4. 4. 4 Fantastic to see so many people taking part. If you haven't done so already, we'd love you to put your name, where you are, how you are, the weather etc in the chat box from Rachel Volland to All Participants: Good afternoon from Salford, Manchester from angela gulay to All Participants: Cold, going to snow like crazy this weekend from Jo Palmer to All Participants: Hello everyone; looking forward to module 3 in sunny Dorset from Leigh Morgan-Jones to All Participants: Leigh Morgan-Jones - Sunny Staffordshire. Loving life! from Wendy Johnson to All Participants: Beautifully sunny day here, near Edinburgh - Wendy :) from Maria McGill to All Participants: Aha in Edinburgh, its glorious, sunny and cold. spring has sprung. from Helen Bevan to All Participants: Hi Matilda. We would love you to join a breakout room. Olly will give instructions on how to do it at 4pm from Tom de Salis to All Participants: Birmingham UK, weather is lovely but I'm stuck inside! from Kate Emery to All Participants: Hello from Gorleston from Kate! from Kate Pound to All Participants: Hi Kate from John Kolodny to All Participants: John Kolodny- United States- Coalition of Kaiser Unions- Ohio from Keira Azzopardi to All Participants:
  5. 5. 5 Good morning from Canada! I'm an student occupational therapist and very excited for the module! Currently snowy and -10! from Emma Hill to All Participants: Hello from Bournemouth from Elizabeth Beech to All Participants: Elizabeth Beech Fabulous sun outside - I wish I was in it! from Maria McGill to All Participants: Proper waeather in Alberts #jealous from Claire Tomkinson to All Participants: I'm here from Manchester. Missed last week courtesy of Storm Doris! Looking forward to joining in. Felt very lonely catching up on my own from Rob Cockburn to All Participants: Hi from London from chris malvern to All Participants: Hello from Birmingham from Fiona McKenzie to All Participants: Hi from almost Spring-like Battersea in London! Fiona here. from Tom de Salis to All Participants: Hey Chris from Paula Ward to All Participants: Resistance and Resilience - bring it on please from Caroline Carswell to All Participants: Hello from Dublin, Ireland = hearing + speech services activist @soundadvice_pro! from Cheryl Mudge to All Participants: Good morning from Calgary, Canada. from Alison Wilson-Shaw to All Participants: Hi Alison from Keele, Staffordshire
  6. 6. 6 from Tracy Clifford to All Participants: hello from Caledon, Ontario, Canada from Elizabeth Beech to All Participants: Got my technology working as well - clearly improving from Susan Yungblut to All Participants: Good morning from Ottawa, Canada from Katy McNeil to All Participants: Hi I'm Katy from Scottish Government leading improvement team in Edinburgh - my first school for change agents (same team as Fiona, above) from Judith Thomson to All Participants: Hi from Judith at Practice Nurse Development Team in Glasgow from Laura Wilkes to All Participants: Hello Everyone, it's Laura from the Library in sunny Suffolk UK from Maria McGill to All Participants: Hi Fiona and Katy - maria from VCCHAS from madelyn griffiths to All Participants: Hello from Madelyn at North Bristol Trust from Kate Pound to All Participants: Hi all from Maria McGill to All Participants: from CHAS! from Alice Gormley to All Participants: Hello from Alice Gormley ,O.T Manager ,Ireland .Sorry I was not here last week from Kathryn Perera to All Participants: Fantastic to have so many people joining from across the world. from John Kolodny to All Participants:
  7. 7. 7 John from United States supporting Work of The Futurw and Work Force palnning and Development in Health Care Industry at Kaiser Permanenete from Martin Sharp to All Participants: Public Health England ready to go from Nardia Lloyd-Ashton to All Participants: Hi Nardia here from Manchester - Skills for Care from Shelley Cornick to All Participants: Shelley from Newfoundland, Canada. Hi! from Angela Rowe to All Participants: Hi Katy - Angela Rowe here at University Hospital Ayr from Ashley Burton to All Participants: test from Agnes Hardy-Boyer to All Participants: Hi everyone! from naomi ledwith to All Participants: Hi Naomi from manchester from Karen Perkins to All Participants: phew finally got my audio sorted! from Dominic Cushnan to All Participants: hi everyone :) from Becky Haines to All Participants: Hi All: American College of Radiology here in Pacific Conference room in Reston, VA from Julie mackie to All Participants: I can't hear anything but I can see you? from Jenny Jones to All Participants: Hi - Jenny Jones here, too, from the American College of Radiology in Reston, VA.
  8. 8. 8 from Tanya Burchell to All Participants: Hi from Gloucester from Jenny Jones to All Participants: Hi guys! from Elizabeth Beech to All Participants: Lots of folk from America - amazing from Ann Quinn to All Participants: Hi Ann here from Dublin, Ireland from Richard Bessell to All Participants: hi.....Richard Bessell - Dorset CCG...Anyone around health or social care in dorset on this webinar? from Ruth Do to All Participants: Ruth Nottingham here - nice to see everyone from rianne edinborough to All Participants: hello from Liverpool from Oliver Benson to All Participants: If you can't hear anything, make sure your audio dialog is closed from Russell Beattie to All Participants: Hi from University Hospital Crosshouse in Scotland from helen maitland to All Participants: hello from Helen in Scotland from Matilda McCrimmon to All Participants: Hi I am in very cold and changeable Alexandria (in Scotland) from Catherine Fleetwood to All Participants: Hi all, great to be back for week 3 from Laura Wilkes to All Participants: Hello Richard! See you in the breakout later
  9. 9. 9 from Maria McGill to All Participants: Brilliant - lots from scotland too. maybe we should connect?? from Richard Bessell to All Participants: thanks laura...i'm in vh rm11 if you're around...got on the big screen from Naomi Brook to All Participants: how about CPD for social workers? from Trevor Fossey to All Participants: Hi from Birmingham UK - Trevor from Elizabeth Beech to All Participants: Clearly its a snow thing from Aoife Gallagher to All Participants: Hi from rainy southwest ireland (it really does rain all the time here) from Kate Pound to All Participants: http://revalidation.nmc.org.uk/download-resources/forms-and-templates links for forms for nursing reval from Kate Pound to All Participants: Love RCTs from Laura Wilkes to All Participants: Already sorted a chat with my RCT partner in a few weeks :-) from angela gulay to All Participants: Love Rain! better than snow all the time for sure. :) from Sally Morgan to All Participants: looking forward to my RCT - must reply to the email to book a chat! from Mandy Townsend to All Participants: is the CPD credit for HealthcareScientists too? from Andrew Marsh to All Participants:
  10. 10. 10 Hi Andrew Marsh here University of Warwick, Coventry - managed to register properly this week!! #covmindthegap and getting people active. from Catherine Fleetwood to All Participants: need to get on my RCT! from Becky Haines to All Participants: I've got a match! Looking forward to chatting with a change agent in Ireland from Maria McGill to All Participants: Looking forward to my coffee trial - completely new thing for me! from Julie mackie to All Participants: hmmm. still not hearing anything.... from teresa spilsbury to All Participants: looking foward to coffee trial next weeek - Leicester and Bristol - really exciting to talk to someone in a trust I know nothing about from Martin Sharp to All Participants: Gema and I planning to meet next week from Naomi Brook to All Participants: Waiting for my RCT to reply but looking forward to it! from Muhammad Ali Abid to All Participants: What was the email again for the RCT? from Kate Pound to All Participants: https://www.slideshare.net/HorizonsCIC/how-to-set-up-a-randomised-coffee-trial some information on running a local RCT from Dominic Cushnan to All Participants: thanks Kate from Catherine Fleetwood to All Participants: I'll be honest :) I always think I am right... a huge learning curve for me to get of my high horse and realise I usally am not from Muhammad Ali Abid to All Participants:
  11. 11. 11 Helen can you elaborate Campaigner? from Becky Haines to All Participants: Can totally relate Catherine Fleeetwood :-) from Naomi Brook to All Participants: good to admit it Catherine! from Sally Morgan to All Participants: I've heard all of those! from Muhammad Ali Abid to All Participants: lol from Becky Haines to All Participants: LOL! from Catherine Fleetwood to All Participants: love that quote - heard it so many times ha ha ha from Ashley Burton to All Participants: rofl from Kate Emery to All Participants: Have come across the opposite many times - we've done that before and it didn't work so why should we do it again.' from Emma Hill to All Participants: very true and apt poem from Leigh Morgan-Jones to All Participants: I am currently being too innovative. My Vision seems impossible to achieve to others. But I am not giving up. These modules will help me deliver the vision... I am sure! from Naomi Brook to All Participants: leigh, sounds like you need to gather a group of people... from Hazel Murgatroyd to All Participants:
  12. 12. 12 Love that . Perspective is key. Challenging self to take different perspectives is essential to mobilise others from Naomi Brook to All Participants: 'my people' are not in my (council) organisation from Nigel Millar to All Participants: Dr Who never makes any progress until the Daleks say "Resistance is futile" from Wendy Johnson to All Participants: "This is really innovative. Unfortunately we can't consider it as it has never been done before." REALLY resonates with me from Lisa Bradley to All Participants: Yes, I'm in. Better late than never! - Will read the transcript later to catch up :-) from Leigh Morgan-Jones to All Participants: My RCT partner just made contact! England linking with Canada.. Hey Erin! from Sally Morgan to All Participants: definitely been cast as 'in denial / blocker' before - wasn't true but they didn't bother to find out from Tom de Salis to All Participants: Isn't "Resistance is futile" the Borg? from Matilda McCrimmon to All Participants: Yep it's the Borg from Nigel Millar to All Participants: Love the Dr Who addicts from Isabella Davis-Fernandez to All Participants: I must say I still think change should be planned and managed - otherwise you can lose sight of what you originally set out to achieve from Maggie Herbert to All Participants: Resitance is futile - thought it was the Vogons (HitchHikers) from Richard Bessell to All Participants:
  13. 13. 13 would this be impossible for the NHS http://www.holacracy.org/ from Sally Morgan to All Participants: that's star trek! from Nigel Millar to All Participants: It was all of them - Just dont be a Marvin from Julie Smith to All Participants: Great slide Helen! Dont tell the PRINCE2 gurus.. from Hazel Murgatroyd to All Participants: Change agents as truth tellers - building trust to tell the truth about resistance where and how it's shows up. from Linda Machakaire to All Participants: Management consultants don't speak same language as clinicians! from Luis Maldonado to All Participants: excellent slide from Nigel Millar to All Participants: Prince2 - that must be an Italian Prince - Machiavelli from BARDY Nicolas to All Participants: Hi Luis. Nice to see you on line from Rachel Volland to All Participants: Concerned that there is a suggestion that PMO/Project Managers and the systems they use could be blockers from Nigel Millar to All Participants: Or Clinicians do not speak a language anyone can understand from Adrian Woodfield to All Panelists: Management has to have the courage to ask the experts - that is hard to do for some - like giving away some of their power from Catherine Fleetwood to All Participants:
  14. 14. 14 it's about finding the similarities in our difference - whatever role, language etc. from Nigel Millar to All Participants: My world is Bizzarre indeed from Rob Cockburn to All Participants: The old power concept is still embedded in "Stakeholder Management" and moving people from opposition to neutral from Naomi Brook to All Participants: it's just that classic project management isn't really up to the task of mega change making from Mandy Rudczenko to All Participants: Love the chaos of a bizarre from Nigel Millar to All Participants: If people are being resistant - they are interested from Emma Kelly to All Participants: I'm a programme manager and a real challenge and tension between process/governance and assurance (and external regulation) and organic change. from Linda Machakaire to All Participants: Both true from Naomi Brook to All Participants: project managers can be change agents too! :) from Sorrel Talbot to All Participants: I don;t think so Rachel Volland- depends how its rolled out. from Wendy Johnson to All Participants: Resistance is an indicator of whether the change is relevant to that person - I love this perspective! from Nigel Millar to All Participants: Resistance is not futile it is essential - if you get none it means no one is interested from Martin Sharp to All Participants: MINDFULLNESS - the new way of lsitening
  15. 15. 15 from Paula Ward to All Participants: I like the bazaar idea. Sometimes though I look and think this is just bizarre so this new word is helpful from Nigel Millar to All Participants: Resistance indicates likelyhood of success - it happens because people beleive the change may actually happen from Catherine Fleetwood to All Participants: agree Nigel - rather resistance than total apathy (speaking from experience :( ) from Muhammad Ali Abid to All Participants: But is there a threshold to diversity where the returns become marginal? from Sorrel Talbot to All Participants: Yese resistance is good from Kate Emery to All Participants: Project Manager here - recognise all the old ways but excited to be driving #red2green and #endpjparalysis in the new way :) from Nigel Millar to All Participants: When you are nearly there you get the most intense resistance - it is a good sign from Emma Kelly to All Participants: Yes Catherine! from Adrian Woodfield to All Panelists: Agree with Helen - EVERYONE should have a voice - as the people who know - don't be so arrogant as to think that you everything. from Caroline Carswell to All Participants: Resistance is not good when it's control-based from Adrian Woodfield to All Panelists: *know everything from Ashley Burton to All Participants: Resistance is futile
  16. 16. 16 from Nigel Millar to All Participants: People change when they connect to peoples stories - patients tell the best ones from Becky Haines to All Participants: This is an awesome article! from Chris Chambers to All Participants: Change Process slide had service users in the centre- now there's a radical thought! from Rachel Volland to All Participants: Can we have the link for the article in the chat box or with follow up info please from Sorrel Talbot to All Participants: perhaps its the control thats not good not the resistacne? from Valentina Karas to All Participants: people don't resist change they resist control....well said Peter Fuda from Nigel Millar to All Participants: Process users design the best changes from Sally Morgan to All Participants: facts change my mind but I've worked out I'm a bit odd in that respect from Nardia Lloyd-Ashton to All Participants: interested in reference to better outcomes from collaboration rather than professionals on their own from Isabella Davis-Fernandez to All Participants: I do think clinicians respond well to data and facts.. evidence based change from Catherine Fleetwood to All Participants: data/facts theory applies to so much! reinforcing contrary views, opposite of its intent from Nigel Millar to All Participants: Sally - just dont think everyone is like you from madelyn griffiths to All Participants:
  17. 17. 17 and yet data is the currency that clinicans always want ! from Wendy Johnson to All Participants: oooo I am guilty of trying to change resistance with facts and data - I need to read this research from Naomi Brook to All Participants: love this. from Julie Smith to All Participants: oh thats interesting. Th number of influential male leaders who tell me I should back up .everything with facts from Nigel Millar to All Participants: People do not change their mind in a meeting or presentation - they do it later - possibly at 3am from Agnes Hardy-Boyer to All Participants: Data and facts don't change people's mind? from Nigel Millar to All Participants: so have more than one meeting from Naomi Brook to All Participants: buy-in vs 'investors. this is great from Caroline Carswell to All Participants: Robust evidence can underpin change :-) from Mike Jones to All Participants: Setting out that story is a powerful way of getting people on board with the change from Maria McGill to All Participants: love the concept of 'investors' from Ann Quinn to All Participants: Investors, not buyers - love it! from Karen Perkins to All Participants: What not to do....totally NHS!!!!
  18. 18. 18 from Nigel Millar to All Participants: Do nto consult - engage people at the beginning from Sorrel Talbot to All Participants: yes - we are often told what we need to choice and end up feeling manipulated rather than engaged from Si Chun Lam to All Participants: I think often as change agents, we know this, but (echoing an earlier slide) the organisational structure in place doesn't support this? e.g. STPs. from Nazia Ahmad to All Participants: what to do: is co-production wrapped up differently from Valentina Karas to All Participants: not just NHS... it's in human nature and therefore spread across all sectors! from Linda Machakaire to All Participants: We all talk of getting "buy-in" when need people to be invested in something. Wha't the diference?! from Maria McGill to All Participants: developing a shared understanding - best way. from Naomi Brook to All Participants: yes buy in is very council-like! from Karen Perkins to All Participants: Yes, I was thinking precisely of STPs from Nigel Millar to All Participants: Avoid resisting the change your patients or service users design from Naomi Brook to All Participants: hmm... from Becky Haines to All Participants: Bringing in investors mean that you have to give up some of the "pie." Many owners of the change process. Not just your good idea... from Emily Latourell to All Participants:
  19. 19. 19 I love using process maps to bring diverse groups to identify issues, look at desired outcomes from Andrew Marsh to All Participants: I prefer the cocreation phrase Helen Bevan! from Sally Morgan to All Participants: reminds me of involving parents in organisational change - worked much better the earlier they were involved, much to everyone's suprise from Adrian Woodfield to All Panelists: People need to OWN the change - do it themselves and not have it done to them from Andrew Marsh to All Participants: I don't like the buy-in or investor model from Matilda McCrimmon to All Participants: Nursing evidence sometimes come from "controlled" developement sites with additional support mechanisms which are not reflecteded in everyday practice. Causes "it won't" work here" from Linda Machakaire to All Participants: Oh, co-creating; difference between buying in and investing from Maria McGill to All Participants: Exactly - mu good idea becomes our great idea. from Andrew Marsh to All Participants: Suggests that you can passively take part by spending 'money' from Emily Latourell to All Participants: Nothing wrong with being a process junkie if it's used as a tool to break down silos, look at a system level, and get teams to identify issues from Andrew Marsh to All Participants: not the same as emotinal investoemnt and co-creation from Sorrel Talbot to All Participants: this is happing to me at the moment at work! from Marie Parish to All Participants:
  20. 20. 20 This is huge! intent vs impact :) from Rachel Volland to All Participants: I ask a lot of questions but am often badged as a 'laggard' whereas actually I just want to better understand. Anyone else experience this? from Emily Latourell to All Participants: @rachel same here. I have read that it means you are processing information on a deeper level. from Andrew Marsh to All Participants: Yea yeah co-creation is not the same as buy-in *or* investing from Becky Haines to All Participants: So patience it key asset from Becky Haines to All Participants: is from Nardia Lloyd-Ashton to All Participants: @rachel i am the same too! from Adrian Woodfield to All Panelists: Rachel - perhaps they are unable to answer your questions and find them threatening or as a challenge from Emma Kelly to All Participants: Wonder how you can use the 'buy-in' model when the 'change' is externally imposed....value still to be had with finding solutions together but tough from Fiona McKenzie to All Participants: This is a great question - is my intent impeding my impact. Really helpful! Are there good ways to reflect on intent -> impact? from Naomi Brook to All Participants: 'start talking *with* me' surely??? from Martin Sharp to All Participants: Talking WITH me is better from Rachel Volland to All Participants:
  21. 21. 21 @Emily Latoutell and @Nardia - thanks so much good to not be alone from Bonny Johnson to All Participants: very true- need to take the time to reflect on ones impact from Sorrel Talbot to All Participants: With me = yes' from Wendy Johnson to All Participants: 'Stop talking at me and start talking WITH me' might be even better from Karen Perkins to All Participants: We should practice this with our children so the next generation do not behave like this! from Andrew Marsh to All Participants: definitely shoudl be start talking with me!!! from Jo Palmer to All Participants: great refelction Helen; I often relay intent and think the impact will be a good one! from Catherine Fleetwood to All Participants: agreed Wendy from Matilda McCrimmon to All Participants: Agree Becky haines patience with yourself as well if change not happening a s quick as you would like from Caroline Carswell to All Participants: and ensuring everyone understands your desired impact: do they 'get' it? from Emma Hill to All Participants: intent and impact, never really gien it much thought in terms of awareness. good stuff from Linda Machakaire to All Participants: Talking to me reflects a rapport, relationship from Laura Wilkes to All Participants: I like the stuff on intent and impact, not thought in these terms before
  22. 22. 22 from Adrian Woodfield to All Panelists: How do you get round management who actively hinder change? from tom houston to All Participants: quite a challenge Karen...to talk to teenagers rather than at them from Stuart Clough to All Participants: Coproduction requires honesty, not always an easy place to go to, but very worthwhile. from Elizabeth Beech to All Participants: I have to work hard to remember not to be too enthusiatic! Joining Q community allowed me to experience what a lot of enthusiasm feels like all day long! from Catherine Fleetwood to All Participants: listening is as important as talking from Nigel Millar to All Participants: Can you get me some statistics to prove that data does not change peoples mind from Aoife Gallagher to All Participants: people are totally disengaged (broadly) with "facts" from Sally Morgan to All Participants: i do know that facts dont change minds - but i come from a natural sciences background so that was hard for me to understand (and still not quite sure what does change minds!) from Isabella Davis-Fernandez to All Participants: I think we need to use data more in the NHS to inform our plans for change. Compared other industries I don't think we do this robustly and then maybe wonder why we can't see or measure impact?# from Shelley Huffman to All Participants: buy in vs investor - still need to be sure people have tools and information to feel they want to invest - AGREE that need sustainable involvement of many and not just a one time sales pitch to buy in from Aoife Gallagher to All Participants: investor is a powerful concept in achieving sustainable change- will use this from Julie Smith to All Participants:
  23. 23. 23 Helen, at some point it would be great to cover what you do once youve achieved the change - ie knowing when you have gone as far as you can. from Nardia Lloyd-Ashton to All Participants: i woudl like some stats/evidence about better outcomes acheivable in groups that are just not professionals from Matilda McCrimmon to All Participants: Think"fake news" make finding facts and trusting them becoming difficult for some from naomi ledwith to All Panelists: You need to be a pmo rebel from Leigh Morgan-Jones to All Participants: Yes Isabella, Measure to track impact is so important. How else do you know what difference you have made? from Martin Sharp to All Participants: Agile proejct management needed from Shelley Huffman to All Participants: Data helps - and put with the patient and or provider stories - brings the data alive to help make change from Emma Hill to All Participants: data, and statistics, facts, for some people they are very important as they can see change, or the potential prospect of change, through them, so yes, shouldn't be discounted, but included in a wider conversation. from Erin Brown to All Participants: Hi to my RCT partner Leigh in England from Canada! from naomi ledwith to All Panelists: I am saying that as head of both pmo and service transformation from Adrian Woodfield to All Panelists: How do you get an RCT partner? from Ruth Do to All Participants:
  24. 24. 24 Poor communication causes a lot of resistance. from naomi ledwith to All Panelists: Follow all the rules but rock the boat to engage from Karen Perkins to All Participants: NO data needed.....that's my scientific career over ;-) from Ruth Do to All Participants: People have respect for poor information but good communication from Laura Wilkes to All Participants: Agree re data, I spoend my life presenting evidence but it doesn't impact in the way I want it to, stories do better from Chris Chambers to All Participants: I have just ordered Prince2 training for my entire management team in order to empower their abilities to make change using process, not to constrict but to give credibility to their intentions and actions from paul bolton to All Participants: data/facts alone won't change minds - aristotle's three modes of persuasion is all about balance between ethos/pathos/logic from Elizabeth Beech to All Participants: Karen P - always need data surely?? from Rachel Raw to All Participants: Simon simeck talks about the limbic brain and the why people do the things they do .really good TED Talks about from Muhammad Ali Abid to All Participants: @paulBolton I like that! from Emma Hill to All Participants: ethos,, pathos, logic, very true from Julie mackie to All Participants:
  25. 25. 25 I agree I think data and open forums for discussion are needed. Some people don't work well with what seems like chaos in the process of debate and sharing points of view. It is a skill to manage forums so that outcomes and benefits can be identified. from Emma Kelly to All Participants: Process doesn't always need to be a dirty word. I think it can bring consistency and measure - but agree that we need to be agile - and not constrained by it from Karen Perkins to All Participants: Thanks Elizabeth...I'll keep working! from Adrian Woodfield to All Panelists: Process is a useful tool - but it's only an extension of common sense from Chris Chambers to All Participants: thanks Emma, completely agree from Richard Bessell to All Participants: PRINCE2 in an agile environment i have found works extremely well.. from Laura Wilkes to All Participants: Lone Wolf - that's me, that is! Embarrassing how apt this description is! from Nardia Lloyd-Ashton to All Participants: i couldnt agree with this perspective more - i hear this all the time from Maria McGill to All Participants: Love the reference to Aristotle - the philosophical thinking on #S4CA is refreshing and stimulating from Mandy Rudczenko to All Participants: so true quote!!!! from Adrian Woodfield to All Panelists: Tick box - very apt! from Elizabeth Beech to All Participants: Karen P I find I get great change from using data esp variation in clinical practice from Nigel Millar to All Participants:
  26. 26. 26 Change the balance - we should be the token participants from Becky Haines to All Participants: Lone wolfism feeds our egos from Elizabeth Beech to All Participants: Think I am a mobiliser from Caroline Carswell to All Participants: Sometimes lone wolves become mobilisers as their messaging entrenches from Cheryl Mudge to All Participants: If you have a strong opinion and someone presents you with facts that contradict your opinion, you will begin to construct an counter argument to defend your belief system - you strengthen the position you hold. from Laura Wilkes to All Participants: Agreed! And it keeps you stuck in one place, time for change from tom houston to All Participants: provokers and connectors? from Karen Perkins to All Participants: Absolutely Elizabeth! We are using data every day to help influence people's behaviour. But also creatign a good story to relay the evidence by works very well. from Naomi Brook to All Participants: being an organiser is not simple or easy. but definitely what lots of people should aspire to! from Nardia Lloyd-Ashton to All Participants: @cheryl - cognitive dissonance has got a fascinating evidence base on this point from Sally Morgan to All Participants: i think im a moblisier too - I just call it being lazy - get a good idea and get people to do all the work! from Nigel Millar to All Participants: Dont be a loan wolf - Be Wolfie Smith - "Power to the people" from Angela Catley to All Participants:
  27. 27. 27 Think we have some of all of those! from Catherine Fleetwood to All Participants: thats where i've been going wrong - too wolfish from Laura Wilkes to All Participants: And it's very tiring, being a wolf. Seeing that very clearly lately from Si Chun Lam to All Participants: They may be the least effective kind of change agents, but they are still needed in a system? from Elizabeth Beech to All Participants: How to mobilise the lone wolves? from Rob Cockburn to All Participants: Its taken me a long time to realise that I needed to move from being a lone wolf - who of course was right - to being someone who can mobilise and organise and bring others on board from Mandy Rudczenko to All Participants: power balance between patient reps and NHSE staff is never equal so can be exhausting - like pushing boulder up a hill from Si Chun Lam to All Participants: Like, I can think of a few in my system who we might not necessarily agree with because they ask us very difficult and challenging questions, but they're essential? from Julie Smith to All Participants: ah but, it is possible to migrate between these types of change agent without noticing it from Hazel Murgatroyd to All Participants: Zoom out and zoom in to avoid sticking with 'the frame' for change. Eyes and ears to discover perspectives to build investment now and for the future... from Caroline Carswell to All Participants: @ julie smith correct from Adrian Woodfield to All Panelists: i think there is a time and a place to be all types of change agent. It's just a matter of timing.... from Andrew Marsh to All Participants:
  28. 28. 28 I like the leaders of health and care not being in the trad 'system' from Masood Darr to All Participants: Can you explain what a licensed patient is? from Masood Darr to All Participants: from a healthcare prespective this is really interesting to me from martha murtagh to All Participants: Sweden are ahead of the game always! from Muhammad Ali Abid to All Participants: Helen can you reflect about the Occupy movement? Why did it fail? from Richard Bessell to All Participants: http://www.holacracy.org/ from ben crane to All Participants: Should we become better at harnessing lone wolves. We need to bring them in from Nigel Millar to All Participants: A licensed patient is one who has becomes skiled in their own health care - most patients i the South Island of NZ on dialysis do it at home themselves from Elizabeth Beech to All Participants: Rob what made you move from lone wolf to mobiliser? from Matilda McCrimmon to All Participants: 1 leader makes an easy target for resistance.Multiple leaders gain protection and strength from each other from Caroline Carswell to All Participants: thanks @nigel from Mandy Rudczenko to All Participants: like the idea of a 'licensed patient' from Naomi Brook to All Participants: oh wow, this takes me back to undergrad!
  29. 29. 29 from Nardia Lloyd-Ashton to All Participants: @nigel - is that common throughout NZ or just in the south island? from Mandy Rudczenko to All Participants: wish we could do more of my son's care at home from Masood Darr to All Participants: how does this change model compare to ADKAR? from Nigel Millar to All Participants: Models for change are for reference to help us understand what is happening - they are not magic Airfix kits from Andrew Marsh to All Participants: takes me back to Katherine Brown's semianr yesterday at CTEHR from Nigel Millar to All Participants: Masood - you will need to lead change in your sons (and other peoples )care from Naomi Brook to All Participants: true nigel. It's tough but you're right! from Sally Morgan to All Participants: also used in drug and alcohol projects - should we think of change resisters as recovering addicts? from Andrew Marsh to All Participants: Like that Sally from Rob Cockburn to All Participants: @Sally :) from Caroline Carswell to All Participants: @masood, you may need to be a lone wolf to start with, until mobilisers show up around you from Toby Stead to All Participants: Not sure how this model applies to an organisation rather than an individual from ben crane to All Participants:
  30. 30. 30 I like the idea of lone wolves. But, if you put a group of lone wolves together what do you get? from Adrian Woodfield to All Panelists: @Toby - it's like sowing the seed.... from Vicki James to All Participants: pharmacies are great places to go for this support! from Shawn Volk to All Participants: @Toby - I think it's more relatable to a collective mindset or organizational values from Elizabeth Beech to All Participants: love the pharmacy plug Vicki from tom houston to All Participants: i always fely that model of change misses out a lot.....such as a crisis from Becky Haines to All Participants: Can imagine this in organization...ACR will be at maintenance when budget process matches strategic plan instead of departmental organization. Does this help? from Richard Bessell to All Participants: 3 from Shelley Huffman to All Participants: behaviour model makes sense as system change is based on many small individual commitments to do something differently -- the system level needs to support individuals and team to move along the model from Victoria Hewitt to All Participants: 4 - Action from Karl Fredrik Westermann to All Participants: 4 from Nigel Millar to All Participants: 4 from Karen Perkins to All Participants:
  31. 31. 31 4 from Bonny Johnson to All Participants: 3 from Naomi Brook to All Participants: 2/3 from pramod kumar to All Participants: 4 from Jen Quinlan to All Participants: 3 from Nazia Ahmad to All Participants: 3 from Jo Palmer to All Participants: 2/3 from Adrian Sieff to All Participants: 4 from Luke-David Whitmore to All Participants: 4 from Nardia Lloyd-Ashton to All Participants: 3 preperation from Aoife Gallagher to All Participants: 4 from Liz Rump to All Participants: 3 from Lisa Bradley to All Participants: 3 from Martin Sharp to All Participants:
  32. 32. 32 3 from Marie Parish to All Participants: 4 from Brian Markey to All Participants: 4 from Claire Tomkinson to All Participants: 4 from Maggie Herbert to All Participants: 3 from Linda D'Arpino to All Participants: 5 from martha murtagh to All Participants: the biggest challenge for me with this model is trying to get my organisation from precomtemplation to contemplation from Tracy Clifford to All Participants: 3 from Jocelyn Bennett to All Participants: 3-4 from Ruth Do to All Participants: 4 from Lucy Butler to All Participants: 2 from Judith Thomson to All Participants: 4 from Beccy Macnamara to All Participants: 3&4
  33. 33. 33 from Rob Cockburn to All Participants: @Toby. Does it indicate that someone needs to recognise need for change and become the change agent who uses narrative and distributed leadership development to go forward from Shelley Cornick to All Participants: 4 from Paula Ward to All Participants: 4 from Mandy Rudczenko to All Participants: 2 from Kim Vereijken to All Participants: 2 from Becky Haines to All Participants: 4 from amanda newnhama to All Participants: 3 from Ann Quinn to All Participants: 4 from Laura Wilkes to All Participants: 4 from Maya Pajevic to All Participants: 2 from Jonathan Williams to All Participants: 2 from Sally Davies to All Participants: 3 from Katie Fielding to All Participants:
  34. 34. 34 1 from Amy Anslow to All Participants: 4 from Shawn Volk to All Participants: 4 from Diana Stewart to All Participants: 2 3 from ben crane to All Participants: 4 from tom houston to All Participants: 4 from Matilda McCrimmon to All Participants: 2 from Emma Hill to All Participants: 4 from Tim Joss to All Participants: 4 from anne brittain to All Participants: 4 from Keira Azzopardi to All Participants: 3 from Emma Kelly to All Participants: 4 from Muhammad Ali Abid to All Participants: 4 from Leigh Morgan-Jones to All Participants:
  35. 35. 35 2 from Fiona McKenzie to All Participants: 4 from chris malvern to All Participants: 1 - focus on why from Jill Iser to All Participants: 1 from Wendy Johnson to All Participants: 3 from Elizabeth Beech to All Participants: 4 from Julie mackie to All Participants: 3 preparation from Emma Pownall to All Participants: 4 from Tanya Burchell to All Participants: 2 from Adrian Woodfield to All Panelists: 3 from Emily Latourell to All Participants: 3 from Kate Silvester to All Participants: 3 from Mubashir Arain to All Participants: 4 from eileen sharp to All Participants:
  36. 36. 36 2 from Si Chun Lam to All Participants: 2 from Shelley Huffman to All Participants: skip right to 4 from Maya Pajevic to All Participants: 3 from Sally Morgan to All Participants: 4 from Alice Gormley to All Participants: 4 from Aidan Murphy to All Participants: 4 from Agnes Hardy-Boyer to All Participants: 3-4 from Mandy Townsend to All Participants: 4, with some 3 from Rob Cockburn to All Participants: 2 from Philippa Casares to All Participants: 3 from madelyn griffiths to All Participants: 1 from Catherine Fleetwood to All Participants: 2 from Patricia Burns to All Participants:
  37. 37. 37 2 from Sorrel Talbot to All Participants: 4 should be earlier? from Vicki Nash to All Participants: 3 from Linda Machakaire to All Participants: 4 from Alan Gately to All Participants: 2 from Trevor Fossey to All Participants: 2 from Nigel Millar to All Participants: 4 from Alison Wilson-Shaw to All Participants: 1,4 from BARDY Nicolas to All Participants: 1 from Christine Clarke to All Participants: 3 from Lisa Bradley to All Participants: 4 from Masood Darr to All Participants: 1 from martha murtagh to All Participants: 1 from Matilda McCrimmon to All Participants:
  38. 38. 38 2 from Cheryl Mudge to All Participants: 2 from pramod kumar to All Participants: 4 from Karl Fredrik Westermann to All Participants: almost never 1 precontemplation from Hazel Runyararo Murwisi to All Participants: 1 from Mandy Rudczenko to All Participants: from point of view of carer - 2 from Maureen Raine to All Participants: 3-4 from Cathy Caple to All Participants: 2-3 from Kate Emery to All Participants: 4 - purely reactive from Mike Jones to All Participants: 4 from Andrew Marsh to All Participants: 2 from Mubashir Arain to All Participants: 4 from Steven Amrhein to All Participants: 2 from Shelley Huffman to All Participants:
  39. 39. 39 should be 1 but is 4 from Susan Yungblut to All Participants: 3 from angela gulay to All Participants: 1 from naomi ledwith to All Participants: 1 from Catherine Fleetwood to All Participants: most people are at 1 ? from martin hurst to All Participants: 4 from Sajjad Mushtaq to All Participants: 4 from Monisha Gokhale to All Participants: 3 from Louise Utteridge to All Participants: 2 from jacqueline vernooij to All Participants: 4 from Lisa Saminaden to All Participants: 2 from Margaux Brown to All Participants: 2 from Joanne Reay to All Participants: 4 from Michelle Lewis to All Participants:
  40. 40. 40 4 from Milne Weir to All Participants: 4 action from Lisa Stewart to All Participants: 4 from siobhan bonham to All Participants: 3 from Melissa Sullivan to All Participants: 3 from sue hogg to All Participants: 4 from Monisha Gokhale to All Participants: 4 from Elizabeth Beech to All Participants: feels like 3 sometimes from Shawn Volk to All Participants: 1 from Emma Hill to All Participants: 1 from Karl Fredrik Westermann to All Participants: 1 from Liz Oddy to All Participants: 2 from anne brittain to All Participants: 1 from Adrian Woodfield to All Panelists:
  41. 41. 41 1 from Monisha Gokhale to All Participants: 2 from Martin Sharp to All Participants: 1 from Bonny Johnson to All Participants: 1 from Becky Haines to All Participants: pre-1 from chris malvern to All Participants: 1 from Alice Gormley to All Participants: 2 from Luke-David Whitmore to All Participants: 1-2 from Catherine Fleetwood to All Participants: 1 from Meredith Waters to All Participants: 4 from eileen sharp to All Participants: 1 from Joanne Reay to All Participants: 2 from Kate Silvester to All Participants: 1 from Jen Quinlan to All Participants:
  42. 42. 42 1 from Nardia Lloyd-Ashton to All Participants: 1 from tom houston to All Participants: 0 from Maggie Herbert to All Participants: 1 from Claire Tomkinson to All Participants: 1 from Karen Perkins to All Participants: 1 from Marie Parish to All Participants: 1-2 from Sally Morgan to All Participants: 1 from John Wallace to All Participants: 2 from Ruth Do to All Participants: 2 from Catherine Fleetwood to All Participants: 1 from Wendy Johnson to All Participants: 1 from Linda Machakaire to All Participants: 1 is where people are at from Emma Hill to All Participants:
  43. 43. 43 1-2 from Victoria Hewitt to All Participants: 1 or 2 from Melissa Sullivan to All Participants: 3 from pramod kumar to All Participants: 1 from Tom de Salis to All Participants: 2 from Richard Bessell to All Participants: 1 from Ann Quinn to All Participants: 1-2 from Lisa Stewart to All Participants: -1! from Paula Ward to All Participants: 1 from Adrian Sieff to All Participants: 1 from ben crane to All Participants: 2 from Mandy Townsend to All Participants: 2 from jacqueline vernooij to All Participants: 1 from Fiona Mac to All Participants:
  44. 44. 44 1 from Aidan Murphy to All Participants: 1 or 2 reality from Tom O'Sullivan to All Participants: 3 from amanda newnhama to All Participants: 1-2 from BARDY Nicolas to All Participants: 2 from Nazia Ahmad to All Participants: 1 from Trevor Fossey to All Participants: 2 from Muhammad Ali Abid to All Participants: 2 from Emily Latourell to All Participants: 1 from Masood Darr to All Participants: 2 from Shelley Huffman to All Participants: 1 o 2 from Mandy Rudczenko to All Participants: 1-2 from Mubashir Arain to All Participants: 1 from Clare Ibbeson to All Participants:
  45. 45. 45 1 from Sorrel Talbot to All Participants: 1 or 2 from sue hogg to All Participants: 1 from Julie mackie to All Participants: 1 or 2 from Dawn Plimmer to All Participants: 1 from Fiona McKenzie to All Participants: 2 from Shelley Cornick to All Participants: 1-2 from Lisa Bradley to All Participants: 1 or 2 from Melissa Sullivan to All Participants: 3 from rianne edinborough to All Participants: 3 from Keira Azzopardi to All Participants: 1 from martha murtagh to All Participants: 1 from angela gulay to All Participants: option 2 from Jonathan Williams to All Participants:
  46. 46. 46 1 or 2 from Matilda McCrimmon to All Participants: 2 from Liz Rump to All Participants: 1 from Kim Vereijken to All Participants: 2 from Mike Jones to All Participants: 2 from Louise Utteridge to All Participants: 1 from Si Chun Lam to All Participants: 2 from Amy Anslow to All Participants: 2 from Rachel Volland to All Participants: 1-2 from Lisa Saminaden to All Participants: 1 from Vicki Nash to All Participants: 2 from Tracy Clifford to All Participants: 1 from Meredith Waters to All Participants: 1 or 2 from Liz Oddy to All Participants:
  47. 47. 47 1 from Judith Thomson to All Participants: 1-2 from Naomi Brook to All Participants: 1 from Jane Wilson to All Participants: 2 from Emma Kelly to All Participants: 2 from Tim Joss to All Participants: 2 from Andrew Marsh to All Participants: 2 from Rob Cockburn to All Participants: 1-2 from Cheryl Mudge to All Participants: 1 from Melissa Sullivan to All Participants: 3 from Tom O'Sullivan to All Participants: 3 from Maria McGill to All Participants: 3 from Rachel Raw to All Participants: 4 from Leigh Morgan-Jones to All Participants:
  48. 48. 48 2 from Philippa Casares to All Participants: 1 from Christine Clarke to All Participants: 2 from Alan Gately to All Participants: 1 from Patricia Burns to All Participants: 2 from Nardia Lloyd-Ashton to All Participants: 1-2 from Nigel Millar to All Participants: 2 from madelyn griffiths to All Participants: 1-2 from Aoife Gallagher to All Participants: 1 from Elizabeth Beech to All Participants: 3 to 5 from Nigel Millar to All Participants: 2 from Katie Fielding to All Participants: 1 from Steven Amrhein to All Participants: 1 or 2 from Jennifer Pollock to All Participants:
  49. 49. 49 1-2 from Sarah Lesperance to All Participants: 2 from Jocelyn Bennett to All Participants: 1 from Kate Emery to All Participants: 1 from Laura Wilkes to All Participants: 1-2 from Cathy Caple to All Participants: 2-3 from Michelle Lewis to All Participants: 2 from Jill Iser to All Participants: 2 from Isabella Davis-Fernandez to All Participants: This is so important - we work in such a complex environment in the NHS where half of the time we aren't all on the same page (as organisations e.g. CCGs, NHS England, Providers)! It can take a long time to get to number 4 - action from Chris Butler to All Participants: 2-3 from Victoria Hewitt to All Participants: You should set up a poll for this activity from Adrian Woodfield to All Panelists: Good point Helen from rianne edinborough to All Participants: hello to fellow pharmacy friends
  50. 50. 50 from Muhammad Ali Abid to All Participants: ITs because in healthcare we have a reactive culture where we are primed to act, rather than think from Catherine Fleetwood to All Participants: spot on Muhammad from Vicki James to All Participants: I'm a pharmacy friend from Catherine Fleetwood to All Participants: where i work we are constantly already on the back foot from amanda newnhama to All Participants: the problem is that people like the "doing" part -stage 4 from Rob Cockburn to All Participants: Dont just do something, sit there! from Aoife Gallagher to All Participants: some people in health services are at -1 = change fatigue! from Bonny Johnson to All Participants: reactive absolutely in Canada too from Becky Haines to All Participants: exactly Muhammad and we're incented to get them to check a box taht they've made change from Chris Chambers to All Participants: this model makse so much sense! from Victoria Hewitt to All Participants: 5 from Shelley Cornick to All Participants: 5 from Beccy Macnamara to All Participants: 5
  51. 51. 51 from Emma Hill to All Participants: 5 from Ruth Do to All Participants: 5 from Luke-David Whitmore to All Participants: 5 from Nardia Lloyd-Ashton to All Participants: 5 from Jill Iser to All Participants: 5 from Karen Perkins to All Participants: 5 from Valentina Karas to All Participants: 5 from anne brittain to All Participants: 5 from Monisha Gokhale to All Participants: 5 from Brian Markey to All Participants: 5 from Emma Hill to All Participants: 5 from Joanne Reay to All Participants: 3 from Karl Fredrik Westermann to All Participants: 3
  52. 52. 52 from Matilda McCrimmon to All Participants: 5 from Louise Utteridge to All Participants: 5 from ben crane to All Participants: 5 from eileen sharp to All Participants: 5 from Nazia Ahmad to All Participants: 2/5 from Fiona Mac to All Participants: 5 from Wendy Johnson to All Participants: 5 from Jennifer Pollock to All Participants: 5 from Jocelyn Bennett to All Participants: 5 from Lisa Stewart to All Participants: 2 from Kim Vereijken to All Participants: 4 from Sally Morgan to All Participants: 5 from Judith Thomson to All Participants: 5
  53. 53. 53 from Margaux Brown to All Participants: 5 from Sorrel Talbot to All Participants: 5? from Nigel Millar to All Participants: 5 from pramod kumar to All Participants: 2 from Ann Quinn to All Participants: 5 from Fiona McKenzie to All Participants: 5 from Dawn Plimmer to All Participants: 5 from Jo Palmer to All Participants: 3/4 from Tanya Burchell to All Participants: 5 from Si Chun Lam to All Participants: 5 from rianne edinborough to All Participants: 5 from jacqueline vernooij to All Participants: 5 from amanda newnhama to All Participants: 5
  54. 54. 54 from Tracy Clifford to All Participants: 5 from Shawn Volk to All Participants: 5 from Adrian Sieff to All Participants: 5 from Rachel Volland to All Participants: 5 from Emily Latourell to All Participants: 2 from Valentina Karas to All Participants: 3 from Lisa Bradley to All Participants: 5 from Trevor Fossey to All Participants: 5 from Rob Cockburn to All Participants: 5 from Kate Silvester to All Participants: 5 from Chris Chambers to All Participants: 3 from Mandy Rudczenko to All Participants: 3 from chris malvern to All Participants: 2
  55. 55. 55 from Richard Bessell to All Participants: 5 from Catherine Fleetwood to All Participants: 5 from Alice Gormley to All Participants: 1 from Cheryl Mudge to All Participants: 5 from John Wallace to All Participants: 5 from martin hurst to All Participants: 5 from Tim Joss to All Participants: 3 from Emma Kelly to All Participants: 5 from Sajjad Mushtaq to All Participants: 5 from BARDY Nicolas to All Participants: 2-5 from Shelley Huffman to All Participants: 5 from Jonathan Williams to All Participants: 3 or 5 from Steven Amrhein to All Participants: 5
  56. 56. 56 from Paula Ward to All Participants: 2 from siobhan bonham to All Participants: 5 from sue hogg to All Participants: 5 from Meredith Waters to All Participants: 5 from Maria McGill to All Participants: 4/5 from Linda D'Arpino to All Participants: 5 from Liz Oddy to All Participants: 4 from Maya Pajevic to All Participants: 2 from Amy Anslow to All Participants: 5 from Adrian Woodfield to All Panelists: 5 from Alison Wilson-Shaw to All Participants: 5 from Hazel Runyararo Murwisi to All Participants: 5 from Keira Azzopardi to All Participants: 5
  57. 57. 57 from Christine Clarke to All Participants: 5 from Nardia Lloyd-Ashton to All Participants: 5 from Martin Sharp to All Participants: 4 5 from Leigh Morgan-Jones to All Participants: 5 from Liz Rump to All Participants: 5 from Andrew Marsh to All Participants: 4 from Melissa Sullivan to All Participants: 5 from Aoife Gallagher to All Participants: 2 from Hazel Runyararo Murwisi to All Participants: 4 from Ruth Do to All Participants: 5 from Becky Haines to All Participants: 4 from Jen Quinlan to All Participants: 4 from Jane Wilson to All Participants: 5
  58. 58. 58 from Elizabeth Beech to All Participants: 5 from Nardia Lloyd-Ashton to All Participants: 5 from Ruth Do to All Participants: 5 from Philippa Casares to All Participants: 5 from Mandy Townsend to All Participants: 5 from Rachel Raw to All Participants: 5 from Claire Tomkinson to All Participants: 3 from Victoria Hill to All Participants: 5 from Masood Darr to All Participants: 5 from Syeda Akhtar to All Participants: 5 from Lisa Saminaden to All Participants: 4 from Michelle Lewis to All Participants: 1 from Becky Haines to All Participants: 3-4
  59. 59. 59 from Sau Fun Wong to All Participants: 5 from Bonny Johnson to All Participants: 4-5 from Patricia Burns to All Participants: 5 from Cathy Caple to All Participants: 3 5 from Michelle Lewis to All Participants: 1 an 5 from angela gulay to All Participants: 3 from Martin Sharp to All Participants: BUT we are all differnet from Mandy Rudczenko to All Participants: but as a carer I don't see any change from Si Chun Lam to All Participants: Exactly the same in social care. from Catherine Fleetwood to All Participants: how many initiatives fail after starting so well from Sally Davies to All Participants: We are always fighting fires and not planning the prevention from tom houston to All Participants: i still thnk that crisis is an important trigger for change from Jo Palmer to All Participants: isn't 1 and 2 the 'intent' discussed earlier and 4/5 the impact we dont always consider?
  60. 60. 60 from Martin Sharp to All Participants: We need to think about each individual person from Adrian Woodfield to All Panelists: It's because this type of work is a short term project - not par of the bigger picture... from Karen Perkins to All Participants: Atul Gwande is my hero! from Emily Latourell to All Participants: I'm reading checklist manifesto right now :) from Nardia Lloyd-Ashton to All Participants: so does data help with getting beyond stage 1 or not? from Alison Wilson-Shaw to All Participants: The cathederal is the Health and care system and change agents are small bizzar stalls within the cathedral from Karen Perkins to All Participants: Everyone in the NHS shoul dbe given his book list at their oreintation day from Sorrel Talbot to All Participants: yes people do the taks and miss the point - love it from chris malvern to All Participants: Nardia - for some it might but for most I guess it is about heart and minds from Matilda McCrimmon to All Participants: Think a lot of tools fail at the missing the point from Mike Jones to All Participants: It's like our STP / Gigital Roadmap - best kept secrets, and wonder why they are not taking off! from Adrian Woodfield to All Panelists: tick boxes again.... from Nardia Lloyd-Ashton to All Participants:
  61. 61. 61 @chris - so very right from Rachel Volland to All Participants: Don Berwick - Escape Fire is well worth a read/view from Elizabeth Beech to All Participants: I find organisations and clinicians are very bad at sustaining change through on goping committment and this is what I am changing in the organisations I work with from Nardia Lloyd-Ashton to All Participants: escape fire? from Shelley Huffman to All Participants: and you get a better "chekclist" or process if developed at stage 1 or 2 with the people who are going to take action - vs silo people with data who can "fix it" from Aidan Murphy to All Participants: prochaska's 5 stages - it's a great new take on stakeholder management. how to enrouge movement from one stage to another. interesting. from Karen Perkins to All Participants: The key finding from teh check list introduction was that surgical teams started talking to each other! Amazing!! from Aoife Gallagher to All Participants: unintended consequeces a real problem in healthcare from Nigel Millar to All Participants: Introducing the safe surg checklist needs cultural change first from Bonny Johnson to All Participants: found this with Falls algorythm from Aoife Gallagher to All Participants: intent and impact again! from Sally Morgan to All Participants: worked with a fab assistant pyschologist who managed to get a hugely reluctant team from stage 1to stage 5 - a future great leader
  62. 62. 62 from Nigel Millar to All Participants: In all our electronic devices resistors are essential components from Nardia Lloyd-Ashton to All Participants: i really like this model - it is really resonating with me from Jenny Jones to All Participants: Love that! from Maria McGill to All Participants: Atul Gawande - Being Mortal - also worth a read! a surgeon talking about change to improve care at the end of life.also talks about the surgical checklist. from Margaux Brown to All Participants: Stages of change applied to unemployed persons with MDD seeking employment - see Hergenrather K, Rhodes S, Haase E. Consumers with Major Depressive Disorder and Employment Outcomes: Application of the Theory of Planned Behavior. Journal Of Rehabilitation. January 2013;79(1):19-29 from Adrian Woodfield to All Panelists: aligning core beliefs.... from Nardia Lloyd-Ashton to All Participants: totally agree about being mortal fabulous book from Nigel Millar to All Participants: ENjoy the conversation - enjoy the disagreements - jsut make sure they are respectful - listen first, send and third from Mandy Townsend to All Participants: model is very helpful, and works for the pulic health brief interventions from Shelley Huffman to All Participants: need to be realistic about how long it takes to make change -- investment in time up front in listening and understanding will give better long term and sustainable results from Becky Haines to All Participants: Productive conflict and discourse = progress from Si Chun Lam to All Participants:
  63. 63. 63 Using facts/data on their own doesn't work but they can be used as part of helping shape meaning/stories for people to understand from Nigel Millar to All Participants: People who resist are not wrong - they jsut see things form a different place from Wendy Johnson to All Participants: I'm loving some of the suggested reading in these chats - thank you! from Nardia Lloyd-Ashton to All Participants: @wendy me too! from Joanne Reay to All Participants: there is a need to check that what we have heard and our interpetation is correct - it's not just listening! from Catherine Fleetwood to All Participants: love this "model" - move from stage to stage from Catherine Fleetwood to All Participants: too often we want to jump to action from Nigel Millar to All Participants: Listen and hear and respond from Isabella Davis-Fernandez to All Participants: Slight risk we could be waiting around for everyone to be at the action stage! I think sometimes you have to get going even if not all are on board from Adrian Woodfield to All Panelists: @Shelley Huffman - very good point from angela gulay to All Participants: agreed from Nigel Millar to All Participants: Changing your behaviours is essential - behaviour is the only tool of the effective leader from Emma Kelly to All Participants:
  64. 64. 64 Thanks Helen - that feels so true. from Muhammad Ali Abid to All Participants: sometimes those people are on the top and its a tough journey from Adrian Woodfield to All Panelists: @Nigel - agreed from Wendy Johnson to All Participants: 80:20 rule - don't put all your effort into the 20% of cynics. Galvanise the 80% from Sally Morgan to All Participants: lol! from Catherine Fleetwood to All Participants: we're all in it together from Emma Kelly to All Participants: Yes! from Matilda McCrimmon to All Participants: Some people need to see the fruits of others labour before trying it themselves from Naomi Brook to All Participants: true wendy from martha murtagh to All Participants: hahahahahahhahahhahaha....fw of those horses :))) from Adrian Woodfield to All Panelists: What if the horse happens to be your boss? from Elizabeth Beech to All Participants: If your horse dies - thats so hard when yopu keep trying to resuss it from Kathryn Perera to All Participants: Adrian - lol! from Muhammad Ali Abid to All Participants:
  65. 65. 65 Get a donkey! lol from Bonny Johnson to All Participants: I think being a role model really helps people to invest in change from Karl Fredrik Westermann to All Participants: very helpful module! from Matilda McCrimmon to All Participants: Horse DNACPR needed from Nazia Ahmad to All Participants: lol from Julie Smith to All Participants: only if the horse agrees.. from angela gulay to All Participants: Thank you, best session yet. from Rob Cockburn to All Participants: @Matilda HAHA from Paula Ward to All Participants: poor horse from Shelley Huffman to All Participants: sometimes hard to know when the "horse is dead" - from Charlotte Smith to All Participants: @Matilda:D from Angela Catley to All Participants: I have really enjoyed this session but found it much more health (service) focussed than previous ones - could benefit from a a few care/wellbeing examples. Not a critism though - all transferrable :) from martin hurst to All Participants: Best session yet
  66. 66. 66 from rianne edinborough to All Participants: great session thank you from Bonny Johnson to All Participants: excellent session! from Michelle Lewis to All Participants: Again invaluable information. Thanks Helen :) from Paula Ward to All Participants: thanks Helen from Catherine Fleetwood to All Participants: loved today even more than last week - thanks everyone for your engagement, openness, and passion for change from Adrian Woodfield to All Panelists: Really enjoyed this - extremely useful - and great to know that others are in the same place! from martha murtagh to All Participants: thank you - very valuable from Lisa Saminaden to All Participants: I'm afraid I cannot stay for the breakout sessions. A thought provoking session, that has got me thiniking at a much deeper level about my actions. Thanks Helen from Shelley Huffman to All Participants: very relatable session -- and reinforces the need to just keep going and really try to build "investors" and "leaders" from Adrian Woodfield to All Panelists: Where do we go to keep in touch?? from Luis Maldonado to All Participants: Very good session. pick up some tips. from Vicki James to All Participants: Lots to reflect on, tghanks for a great session
  67. 67. 67 from Matilda McCrimmon to All Participants: Loved that slide . Difficult sometimes to look through others lens from Shawn Volk to All Participants: Thanks so much! Always a pleasure to learn/collaborate! from Ashley Burton to All Participants: Thank you from Sally Davies to All Participants: Excellent session thank you from Shelley Huffman to All Participants: Always a pleasure to listen in. Gives a boost to being a change agent. from Elizabeth Beech to All Participants: Please collect the horse comments from Linda D'Arpino to All Participants: Great session. Thanks Helen! from Aoife Gallagher to All Participants: excellent - thank you from Catherine Fleetwood to All Participants: the challenges we have offered and shared today have been v constructive from Nardia Lloyd-Ashton to All Participants: thank you - great session! from ben crane to All Participants: Great session. Thanks. from Julie mackie to All Participants: I'm afraid I need to miss the break out sexxions. Great session though and I enjoyed the chat. from Jonathan Williams to All Participants: Thank you
  68. 68. 68 from Isabella Davis-Fernandez to All Participants: Thanks very much! This a great programme and really inspiring. I can't stay for the breakout unfortunately. Thanks all! from Wendy Johnson to All Participants: Great sesh - thanks from Agnes Hardy-Boyer to All Participants: Great challenging session :-) thanks!! from Chris Chambers to All Participants: thanks Helen, lots of food for thought from Emily Latourell to All Participants: Thanks so much! from Adrian Woodfield to All Panelists: Thanks folks from Laura Wilkes to All Participants: Thank you, very thought-provoking this week from Jo Palmer to All Participants: brilliant - thanks all but must dash; changes needed! from madelyn griffiths to All Participants: excellent session thank you from Chris Butler to All Participants: thank you from Mike Jones to All Participants: sorry - have to leave now - thanks for this session from pramod kumar to All Participants: excellent session , thank you. from Aidan Murphy to All Participants:
  69. 69. 69 great stuff. wish i had time to join a breakout but gotta go. from Syeda Akhtar to All Participants: Thankyou for a great session from Mandy Townsend to All Participants: I pre-registered but dont know me room number? from Emma Kelly to All Participants: Great session - many thanks from Kate Pound to All Participants: just give me a min and I will be there from Alice Gormley to All Participants: Thank you for a great session from Catherine Fleetwood to All Participants: anyone joining the phone chat? from rianne edinborough to All Participants: i cannot attend the breakout session. dispensary calls sorry from Helen Bevan to All Participants: I am away from the office this week so I had to "borrow" an office to lead the session. It has standing up desks so i stood up for the whole lecture. Actually, it has been great. So that is new learning for me from jacqueline vernooij to All Participants: thanks from the netherlands, really enjoyed the session from Caroline Carswell to All Participants: Thanks Helen, have you thought of storifying the tweets from each session? (storify.com) END OF CHAT BOX

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