Expo is the most significant annual health and social care event in the calendar, uniting more NHS and care leaders, commissioners, clinicians, voluntary sector partners, innovators and media than any other health and care event. Expo 15 returned to Manchester and was hosted once again by NHS England. Around 5000 people a day from health and care, the voluntary sector, local government, and industry joined together at Manchester Central Convention Centre for two packed days of speakers, workshops, exhibitions and professional development. This year, Expo was more relevant and engaging than ever before, happening within the first 100 days of the new Government, and almost 12 months after the publication of the NHS Five Year Forward View. It was also a great opportunity to check on and learn from the progress of Greater Manchester as the area prepares to take over a £6 billion devolved health and social care budget, pledging to integrate hospital, community, primary and social care and vastly improve health and well-being. More information is available online: www.expo.nhs.uk

1. Change as an Intrinsic part of Care
@JennyTheM

2. We want you to leave us feeling …
….inspired and ready to embrace change

3. Putting evidence into practice
Barriers
• Fear of change
• The ‘Cant’ approach –
risk
• Being introverted
• Disbelief
• Culture
• Time
Drivers
• Patient Experience
• Daring greatly-Brene Brown
• Social media
• Individualised care
• Compassion
• Belief
• Time

4. What one change can you make to improve
quality and patient experience?

5. Go Global and stay local
Presenting
Blogging
Twitter
Poetry
Journal Publications
Creating valuable connections

6. My ROAR was guided by
• Evidence
• Humanity
• Compassion
“Roar Behind The Silence” Sheena Byrom Soo Downe

7. Adam Bojelian @Adsthepoet

8. NHS Change Day 2015
https://www.youtube.com/watch?v=TmVfVB
N0gnQ
Thanks to @NatSkelt

10. Some who challenge others to grow
http://www.wecommunities.org
http://matexp.org.uk
#GlobalVillageMidwives
NHS Change Day
NHSiQ.nhs.uk- School for Health & Care
Radicals
worldhealthinnovationsummit.com

11. Over to Kate Pound

12. Time to reframe ‘leading’
change
Kate Pound & Jenny Clarke
Twitter
@KateSlater02 @JennytheM

14. What does leading change mean to you?
‘Pushed’ to change
or carrot and stick
approach, change
happens because….

15. Leading change in a new era
Dominant approach Emerging direction
@HelenBevan

16. Does this work?
• More than 70% of all major transformation efforts fail.
Why?
Because organizations do not take a consistent, holistic approach to
changing themselves, nor do they engage their workforces effectively.
John Kotter

17. “Change doesn’t rain down on us from on high. Rather, its stories
are co-created and co-owned by the community.Or, at least they
are if you want the change to stick”
Julian Stodd

18. 14,000 contributors recently identified 10 barriers to change:
Confusing strategies
Over controlling
leadership
Perverse incentivesStifling innovation
Poor workforce
planning
One way
communication
Inhibiting
environment
Undervaluing staff
Poor project
management
Playing it safe
Source: Health Service Journal, Nursing Times,NHS ImprovingQuality, “Change Challenge”March 2015
What does the NHS workforce think?

19. • Front line teams get too many high priority messages from leaders each
day, making it difficult for them to know what to focus on
Increasing number of messages as
information cascade through the organisation
Source: adapted from
http://businessjournal.gallup.com/content/162707/change-initiatives-fail-
don.aspx @Helenbevan
Confusing strategies

20. One way communication
• The biggest mistake people make is that communicationis
involvement/ engagement
• One way communicationskills co-creation and does not
harness the flow of energy
• It can kill relationships
• Keeps people feeling controlled and ‘done to’
https://www.youtube.com/watch?v=-4EDhdAHrOg

21. Stifling innovation
• Be suspicious of new ideas
• Invoke history – ‘we tried that before and it didn’t work’
• Keep people really people – if people have time to thing about
changing stuff they clearly aren’t that business
• In the name of excellence – cut throat competition
• Confine discussions of strategies and plans to a small circle –
• Act as punishing failure motivates success
• Blame problems on the incompetent people below – weak skills poor
ethics
Rosabeth Moss Kanter (2013)

22. 14,000 contributors recently identified 11 building blocks for change:
Inspiring & supportive
leadership
Collaborative working
Thought diversityAutonomy & trust
Smart use of resources
Flexibility & adaptability
Long term thinking
Nurturing our people
Fostering an open culture
A call to action
Source: Health Service Journal,Nursing Times, NHS Improving
Quality, “Change Challenge”March 2015
Challenging the status quo
What does the NHS workforce think?

23. “I have some Key
Performance
Indicators
for you”
or
“I have a
dream”
Source: @HelenBevan@RobertVarnam
A call to action – what’s yours?

24. Collaborative working -
we need to widen our teams
Where are your team on the projectmarmite zone?
Love It! Hateit!

25. What barriers to change would you
put in room 101?

26. Four ways to connect!
1. Follow us on Twitter
@JennytheM @KateSlater2
@TheEdgeNHS @School4Radicals
2. Subscribe to
theedge.nhsiq.nhs.uk
3. Get materials from
theedge.nhsiq.nhs.uk/school
…and sign up for our monthly #EdgeTalks
theedge.nhsiq.nhs.uk/edgetalks
4. Save the date for
theedge.nhsiq.nhs.uk/transformathon

27. 4pm - 4pm, 27-28th January 2016