This document summarizes the key points from a presentation on building a community of nursing ambassadors. It discusses establishing nursing ambassadors to act as local representatives, facilitate networking, and promote nursing in a positive light. The goals of the Nursing Now England campaign by 2020 are outlined, which include greater investment in nursing education and standards, dissemination of best practices, and more nurses in leadership roles. Requirements for ambassadors include things like receiving training, sharing knowledge, and participating in events. The presentation encourages everyone from students to experienced nurses to sign up as ambassadors.

1. Kathryn Perera
Deputy Director, NHS Horizons, NHS England
http://horizonsnhs.com/
Bev Matthews
Transformation Associate, NHS Horizons, NHS England
Nursing Now England and Transforming Perceptions of Midwifery
https://www.nursingnow.org/england/
Leading and spreading change

2. We still organise health and care like the
Tabulating Machine Co. of 1917
Source of image: @corp_rebels

3. Jeremy Heimens, Henry Timms New Power: How it’s changing the 21st Century and
why you need to know (2018)

4. Mark Jaben on the science behind resistance
What NOT to do
(but what we usually do)
We don’t need buyers (who “buy-in” to change)
We need investors
What TO do
Engage
people here
Engage
people here

5. The dominant approach in recent years has been STRUCTURE but
globally there is a big shift towards AGENCY
The design dilemma at the heart of change
Operational standards
Performance goals
Compliance
Assurance
Regulation
Programme
Management
Incentive systems
Activation
Ability to make choices
Co-production
Capability
Leaders everywhere
Social action
Solidarity
Social movements

6. The power, individually
and collectively, to
make a positive
difference

7. Source: @NHSChangeDay
Problematic:
changing a
“permission
culture” can take
years
The good news:
we can usually
build agency
much more
quickly
7

8. #Futurenursing nhs70.crowdicity.com

9. Google image
search using the
word ‘nurse’
Google image
search using the
word ‘doctor’
Google image
search using the
word ‘nurse’
Google image
search using
the word
‘doctor’

11. Develop
resources
Identify
early wins
and build
activity
Facilitation
of network
Manage
community
Nursing Ambassadors
 Act as a local ambassador
 Create a bridge
 Speak for local organisations
 Customise, remix and reshape in
the local context
 Lead the local version of Nursing
Now England

12. Nursing Now: By the end of 2020, Nursing Now England
wants to see the following goals achieved
1. Greater
investment in
improving
education,
professional
development,
standards,
regulation and
employment
conditions for
nurses.
2. Increased and
improved
dissemination of
effective and
innovative practice
in nursing.
3. Greater influence
for nurses and
midwives on global
and national health
policy, as part of
broader efforts to
ensure health
workforces are more
involved in decision-
making.
4. More nurses in
leadership positions
and more
opportunities for
development at all
levels.
5. More evidence for
policy and decision
makers about:
where nursing can
have the greatest
impact, what is
stopping nurses
from reaching their
full potential and
how to address
these obstacles.

13. Current Workforce
Joanne Mohammed RN
Speaking Out Against Exclusion and
Marginalisation
Headsets for zoom
Inclusion Festival
Schools volunteers
Ambassador coordinator
Network for nurses with
hearing impairment
Trust website for nurses
stories

14. Develop
resources
Identify
early wins
and build
activity
Facilitation
of network
Manage
community
What is the role of the Ambassador:
 Act as a local ambassador for nursing and midwifery,
representing our professions in a positive light and by doing
so, building awareness and positive perceptions
 Create a bridge between activities to promote nursing and
midwifery locally and the nationwide campaign
 Speak for local organisations and the nurses and
midwives in them within the national campaign
 Bring back the ideas and calls to action
from the national campaign and customise,
remix and reshape then so they will work in a
local context
 Lead the local version of the campaign
and get people engaged and taking action
#NursingNowEngland #FutureMidwifery

15. An ambassador will …
• receive coaching and mentoring support
• have an opportunity to build your own and collective
agency for change
• join a growing national network
• share what works and develop your knowledge and
learning
• take part in an exciting programme of events and
challenges including a regular newsletter and opportunity
to participate in virtual and face to face meetings like today
• Be able to demonstrate your passion and pride for the
professions
#NursingNowEngland #FutureMidwifery

16. Who can be an ambassador…
• Everyone from first year students to all
registrants on NMC and supporters
• newly qualified midwives
• practitioners from all stages in their career
across all disciplines and sectors
• Those in full and part time employment
• People working across health and care
sectors, including voluntary organisations We are igniting a social movement
across the system and our ambition is
that the network grows to over 500
registered midwifery ambassadors
by March 2019 and 5,000 nursing
ambassadors.
The ambassadors are all championing
the wonderful profession and
opportunities in midwifery.
#NursingNowEngland #FutureMidwifery

17. We have learnt a lot about building a
community of ambassadors from our work with
Nursing Now England (which is ACE)
CNO Summit March 2018
Satellite Hackathon March 2018
Virtual Hackathon
May 2018
Health and Care Expo 2018
Virtual networking
Unconferencing
#NursingNowEngland #FutureMidwifery

18. The 30 Day Challenges …
#NursingNowEngland #FutureMidwifery

19. Sign up to be an ambassador
today!
Nursing
Ambassadors
Midwifery
Ambassadors
#NursingNowEngland #FutureMidwifery

20. 20 |
Thursday 15 March

22. @HelenBevan #hamadquality
Bottom up action
Tried and tested approaches
Scale up (spread)
Storytelling
Old Power
Reduce Cost
Examples of dilemmas in our work
Top down strategy
Innovate and experiment
Scale down (personalise)
Data
New Power
Improve Quality
and
and
and
and
and
and

23. How do we make change spread?
Pilot project Rolling out
“If we opened our eyes we would see the wonderful irony. Trying to
manage human change through pilot and roll-out has actually grown
something. A proliferation of project managers”
John Atkinson

24. Everret Roger’s diffusion of innovation
curve
Innovators
Adopters

25. 25 |
What we know now…
• Spread is a developmental, contextualised, adaptive,
learning and social process
• Increased focus on adopter’s perspective
• Early involvement of future adopters
• It’s about choreography not mandate
• Motivate others to interpret for their context!
Source: Diane Ketley, NHS Horizons

26. 26 |
Programme manager and cheoreographers
• Designs a plan
• Accountability within a
governance system
• Ensures that delivery
milestones are met
• Deals with risk and ensures
that barriers are overcome
• Works with emergence
• Builds commitment to a
collective goal
• Builds relationships
• Seeks win/wins
• Makes sense of things for
adopters: the why?
• Enables spread across a whole
system
Dependent/
independent Interdependent
PROGRAMME
MANAGER
CONVENOR

27. Source: Lois Kelly http://www.slideshare.net/Foghound/rocking-the-boat-without-falling-out

29. COMPLIANT POWERFUL!
CHANGE AGENTS
WANT TO ROCK THE BOAT BUT NOT FALL
OUT?
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• Every Thursday 20.00-21.00 EST
• Live webinar
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• Completely free and open to all
• Handbooks and study guides
• Meet fellow change agents from
• across the globe
http://horizonsnhs.com/school/
#S4Change
@SCH4Change
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