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Copyright©2018LancasterUniversity.
From Evaluation to InvoiceS’
Copyright © 2018 Lancaster University. All rights reserved. Not to be reproduced in whole or in part without the permission of the copyright owner. Please contact heit@lancaster.ac.uk for more information.
Copyright©2018LancasterUniversity.
Agenda
• 6:00Networking
• 6:30 Intro and The 9 Top Tips for Scale up (Richard Harding)
• 7:00Sundown Solutions: Humanising technologies (Heath Groves)
• 7:20Cube Thinking: Stop playing opportunity “whack a mole”. From
£4 million to £12 million in 2 years (Jason Kingston)
• 7:40Damibu: 5 CCGs in 5 Months (Dave Burrows)
• 8:00Wrap up and Networking
Copyright©2018LancasterUniversity.
Copyright©2018LancasterUniversity.
Copyright©2018LancasterUniversity.
Steve’s Trees vs Richard’s Trees
Copyright©2018LancasterUniversity.
Copyright©2018LancasterUniversity.
Copyright©2018LancasterUniversity.
Copyright©2018LancasterUniversity.
Copyright©2018LancasterUniversity.
Copyright©2018LancasterUniversity.
Copyright©2018LancasterUniversity.
Copyright©2018LancasterUniversity.
Copyright©2018LancasterUniversity.
9 Tips for going from Evaluation to Invoice’s
Copyright©2018LancasterUniversity.
1) Is your product likely to scale?
• Does it align to system priorities?
• Is there evidence it can deliver change?
Is it reproducible?
• Cost Benefit?
• Feasibility of implementation
Copyright©2018LancasterUniversity.
2) Organisational Maturity
• Is your company mature enough to cope with
100 orders?
• Does your company vision, strategy,
organisational structure, capacity and talent
alignment?
• How organisationally mature are you?
• Have you thought about the 80% of your staff value that isn’t
reflected in the balance sheet?
Copyright©2018LancasterUniversity.
3) Cash release and Capacity Building
Copyright©2018LancasterUniversity.
4) £ for
Copyright©2018LancasterUniversity.
5) Give you BDM the tasks you cant do
yourself
Copyright©2018LancasterUniversity.
Stakeholder Map
NHS
Organisation
NHS
Organisation
NHS
Organisation
NHS
Organisation
Local
Authority
University
Copyright©2018LancasterUniversity.
6)Stakeholder Map (RAG Rate)
NHS
Organisation
NHS
Organisation
NHS
Organisation
NHS
Organisation
Local
Authority
University
Copyright©2018LancasterUniversity.
Categorising Troublesome Stakeholders
Copyright©2018LancasterUniversity.
Stakeholder Map (RAG Rate and Categorise)
NHS
Organisation
Engaged
NHS
Organisation
Passive
Aggressive
NHS
Organisation
Indecisive
NHS
Organisation
Engaged
Local
Authority
Passive
Aggressive
University
Indecisive
Copyright©2018LancasterUniversity.
Stakeholder Map (RAG Rate/Categorise/Structure)
NHS
Organisation
NHS
Organisation
NHS
Organisation
Indecisive
NHS
Organisation
Engaged
Local
Authority
University
National
Local
Integrated
Care System
AHSN
Copyright©2018LancasterUniversity.
7) Attend to history
Copyright©2018LancasterUniversity.
John Kotter: “Accelerate!”
• We won’t create big change through hierarchy on its own
•We need hierarchy AND network
•Many change agents, not just a few, with many acts of leadership
•At least 50% buy-in required
•Changing our mindset
•From “have to” to “want to”
HOW?
Copyright©2018LancasterUniversity.
Copyright©2018LancasterUniversity.
Models of Adoption
• Reasoned Action and Planned Behavior
• Normalisation Process Theory
• Stakeholder Engagement and Adoption Model
• ARCHIE Frameworks
• Agile
• Change Management Theory
• Poke Yoke
• Failure Mode and Effect Analysis
• Lean
• Co-Creation
• Inclusive Design
• Patient Activation Models
• Consumer eHealth
Copyright©2018LancasterUniversity.
The Disruption:
This technology can radically change how we work therefore,
system change is needed to accommodate
Technology &
Infrastructure
Organisation
Quality
Partnership
Working
Patients
and Public
8) Involving
Pesky Humans
Copyright©2018LancasterUniversity.
9) The 7 Critical Success Factors
Copyright©2018LancasterUniversity.
Copyright©2018LancasterUniversity.
Credible Leadership
Copyright©2018LancasterUniversity.
Beware the Organisational Wilderbeast
Copyright©2018LancasterUniversity.
Beware of Dementors
Copyright©2018LancasterUniversity.
Emotionally Invested in the Team?
Copyright©2018LancasterUniversity.
Look out for…
Copyright©2018LancasterUniversity.
Resources Identified
Copyright©2018LancasterUniversity.
National, Regional and Local Politics
Copyright©2018LancasterUniversity.
Conflicting Priorities
Copyright©2018LancasterUniversity.
Steering Groups/Operational Groups
Copyright©2018LancasterUniversity.
Copyright©2018LancasterUniversity.
Copyright©2018LancasterUniversity.
9 Top Tips for going from Evaluation to Invoice’s
• Is it likely to scale
• Organisational Maturity
• Cash release and Capacity Building
• Service re-design
• Who can do the tasks you cant?
• Stakeholder Management
• Attend to history
• Involving Humans in the process
• 7 Critical Success factors
Copyright©2018LancasterUniversity.
References
• @helenbevan
• @AHSNNetwork
• @EM_AHSN
• @innovationnwc
• @nesta_uk
• @KotterInc
• @UoC_CaCHeT
• @liquidthinking
Copyright©2018LancasterUniversity.
Capt Heath Groves: Founder and MD
www.sundownsolutions.co.uk
“Humanising Technology”
Copyright©2018LancasterUniversity.
Jason Kingston: Founding Partner
www.cubethinking.co.uk
Copyright©2018LancasterUniversity.
Stop playing opportunity ‘whack a mole’
Copyright©2018LancasterUniversity.
A story of planned growth
Copyright©2018LancasterUniversity.
Tripling turnover
• Understanding the business – CUBE Audit
• Financial
• Lean-ness of processes
• Digital maturity
• Culture
• Continuous improvement
• Innovation
• On site interviews, observations & interactions
• Mapping the business & systems architecture
Copyright©2018LancasterUniversity.
Tripling turnover
• Understanding the business – CUBE Orbit
• Vision
• Strategy
• Attitude to risk
• KBOs
• KPIs
• 3 year plan
• Growth
• Revenue & increasing recurring revenue
• Sectors, products & services (old & new)
• Process improvement
Copyright©2018LancasterUniversity.
Stopping energy waste
Copyright©2018LancasterUniversity.
8 wastes in particular
Copyright©2018LancasterUniversity.
Value Stream Mapping
Copyright©2018LancasterUniversity.
Innovation
• Intrepreneurship
• Entrepreneurship
• Aligned to corporate attitude to risk
• Art of the possible
• Budget for failure
• Measure experiments
• Skunkworks
• Hide the Mood Hoovers
Copyright©2018LancasterUniversity.
Ingredients
• 21st century leadership
• Passion
• Grit
• Digital literacy
• Financial literacy
• Culture – low PDI
• Right dashboard based on ‘1 version of the truth’
• Continuous improvement
Copyright©2018LancasterUniversity.
Measuring growth, continuously
Copyright©2018LancasterUniversity.
Aggregate of marginal gains
• Communicate
• Celebrate
• Collaborate
Copyright©2018LancasterUniversity.
Achieve the growth
• Tripled turnover £4m to £12m
• Net profit 10% to 20%
• Recurring revenue 40% to 80%
• Cycle of continuous improvement
• Business continuity planning
• Geographic from NW to UK
• Ready for acquisition
Copyright©2018LancasterUniversity.
Copyright©2018LancasterUniversity.
Copyright©2018LancasterUniversity.
Copyright©2018LancasterUniversity.
Copyright©2018LancasterUniversity.
Copyright©2018LancasterUniversity.
Copyright©2018LancasterUniversity.
Copyright©2018LancasterUniversity.
Copyright©2018LancasterUniversity.
Copyright©2018LancasterUniversity.
Copyright©2018LancasterUniversity.
Copyright©2018LancasterUniversity.
Copyright©2018LancasterUniversity.
Copyright©2018LancasterUniversity.
Copyright©2018LancasterUniversity.
Copyright©2018LancasterUniversity.
Thankyou’s to
Dave Burrows: CEO Damibu
www.damibu.com
Jason Kingston: Founding Partner
www.cubethinking.co.uk
Capt Heath Groves: Founder and MD
www.sundownsolutions.co.uk
Copyright©2018LancasterUniversity.
Call to Action-Next Event- PROCUREMENT
As we promised after our HBCL NHS Roundtable Event in February,
we’re pleased to invite you to our May SME Workshop, focused on the
NHS Procurement Towers. Meet the team from the Lancashire
Procurement Cluster as guest speakers.
https://www.eventbrite.co.uk/e/lancashire-sme-workshop-nhs-
procurement-towers-tickets-60456889183
David.nutter@innovationagencynwc.nhs.uk

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Lancashire SME workshop - evaluation to invoice