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Module 1 change starts with me upload

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These are the slides for Module 1 of the 2015 School for Health and Care Radicals: Change starts with me.

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Module 1 change starts with me upload

  1. 1. #SHCR @School4Radicals http://www.theedge.nhsiq.nhs.uk/school/ Module 1: Being a health and care radical: Change starts with me Supported by
  2. 2. #SHCR @School4Radicals Welcome to the School for Health and Care Radicals – a global community of change agents • 1,643 registrants for The School for Health and Care Radicals (as of 29th January) • From 36 countries, including: Argentina, Australia, Austria, Belgium, Brazil, Canada, Denmark, England, France, Georgia, Germany, Greece, India, Ireland (Republic), Italy, Netherlands, New Zealand, Nigeria, Norway, Northern Ireland, Pakistan, Qatar, Russian Federation, Saudi Arabia, Scotland, Singapore, Slovenia, South Africa, Spain, Sweden, Switzerland, Thailand, Tunisia, Ukraine, USA, Wales
  3. 3. #SHCR @School4Radicals Make your mark!
  4. 4. #SHCR @School4Radicals Where on earth are you?
  5. 5. #SHCR @School4Radicals Where in the UK are you?
  6. 6. #SHCR @School4Radicals How are you feeling today? (choose one) I’m ready to be radical I’m cautiously optimistic I remain unconvinced or sceptical I’m feeling positive, let’s see how I can make this work
  7. 7. #SHCR @School4Radicals Joining in today and beyond • Please use the chat box to contribute continuously during the web seminar • Please tweet using hashtag #SHCR and the handle @School4Radicals • Join our Facebook group School for Health and Care Radicals • We will produce summaries of the discussions on each module using Storify and Pinterest and put on the website • Join in the Tweetchat each Wednesday at 4-5pm (GMT) using the hashtag #SHCR
  8. 8. #SHCR @School4Radicals Study guides Programme Study Guide: http://www.slideshare.net/NHSIQ/shc r-ii-study-guide-20150120-final-2 Module 1 Study Guide: http://www.slideshare.net/NHSI Q/shcr-module-1-study-guide
  9. 9. #SHCR @School4Radicals The team today Session lead: Helen Bevan @HelenBevan Learning lead: Pip Hardy @PilgrimPip Case study alumnus: Daniel Walsh @dwalsh811 Chat monitor: Dominic Cushman @domcushnan Twitter monitor: and alumna: Jodi Brown @jodimolden Case study alumna: Kate Pound @kateslater2
  10. 10. #SHCR @School4Radicals 30th January: Being a health and care radical: change starts with me 6th February: Building alliances for change 13th February: Rolling with resistance 20th February: Making change happen 27th February: Moving beyond the edge Modules
  11. 11. #SHCR @School4Radicals • Background to The School for Health and Care Radicals • Learning processes • Context: emerging directions in transformation and change • Some challenges for health and care radicals • The difference between a radical and a troublemaker • How to rock the boat AND stay in it • How to thrive and survive as a radical • Questions and call to action Source of image: www.freshnessmag.com for today
  12. 12. #SHCR @School4Radicals The genesis of the School 2002 2014 2013 2010 2012 2003 NHS Change Day 2013 “A school for healthcare radicals” Applying social movement thinking to healthcare improvement “The School for Health and Care Radicals” “A one day school for organisational radicals” Applying community organising principles to healthcare improvement 2015
  13. 13. #SHCR @School4Radicals Source: @NHSChangeDay
  14. 14. #SHCR @School4Radicals The school is based on two kinds of learning Transactional learning Transformational learning A “toolkit” of ideas & approaches Learning through motivation, practice & feedback Seeks to transfer useful knowledge Seeks to transform beliefs & underlying assumptions Learning events, presentations & materials Experiential, interactive & action-based Generates understanding of “what to do” Generates increased capacity in “how to do it” Source: John Wenger https://medium.com/corporate-learning/3deb1bb2e865
  15. 15. #SHCR @School4Radicals “New truths begin as heresies.” (Huxley, defending Darwin’s theory of natural selection) Source of image: installation by the artist Adam Katz www.thisiscolossal.com Via @NeilPerkin
  16. 16. #SHCR @School4Radicals Starts on the fringe (at the edge) Starts with the activists Gary Hamel always
  17. 17. #SHCR @School4Radicals So why do we keep reinventing the past and calling it the future? Image used under Creative Commons licence: Kicki
  18. 18. #SHCR @School4Radicals ‘Tomorrow belongs to those who can hear it coming.’ David Bowie
  19. 19. #SHCR @School4Radicals SEISMIC SHIFTS
  20. 20. #SHCR @School4Radicals SEISMIC SHIFTS
  21. 21. #SHCR @School4Radicals SEISMIC SHIFTS
  22. 22. #SHCR @School4Radicals SEISMIC SHIFTS
  23. 23. #SHCR @School4Radicals SEISMIC SHIFTS Change from the edge
  24. 24. #SHCR @School4Radicals Leading change in a new era Dominant approach Emerging direction
  25. 25. #SHCR @School4Radicals Leading change in a new era Dominant approach Emerging direction Most healthcare transformation efforts are driven from this side
  26. 26. #SHCR @School4Radicals
  27. 27. #SHCR @School4Radicals Source: Gary Hamel
  28. 28. #SHCR @School4Radicals Source:@Alfacarlo
  29. 29. #SHCR @School4Radicals John Kotter, the most influential thought leader globally, recognises new approaches are needed FROM
  30. 30. #SHCR @School4Radicals 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’ TO
  31. 31. #SHCR @School4Radicals From ‘have to’ to ‘want to’ Source of image s:www.slideshare.net/mexicanwave/champions-trolls-10-years- of-the-cipd-online-community
  32. 32. #SHCR @School4Radicals Managers know how to command obedience and diligence, but most are clueless when it comes to galvanizing the sort of volunteerism that animates life on the social web. Initiative, imagination and passion can’t be commanded—they’re gifts. Gary Hamel http://www.mixmashup.org/blog/reinventing- management-mashup-architecture-ideology ‘ ‘
  33. 33. #SHCR @School4Radicals The Network Secrets of Great Change Agents Julie Battilana &Tiziana Casciaro 1. As a change agent, my centrality in the informal network is more important than my position in the formal hierarchy 2. If you want to create small scale change, work through a cohesive network If you want to create big change, create bridge networks between disconnected groups
  34. 34. #SHCR @School4Radicals People who are highly connected have twice as much power to influence change as people with hierarchical power. Leandro Herrero http://t.co/Du6zCbrDBC
  35. 35. #SHCR @School4Radicals Discussion What are the implications of the “emerging direction” for the way change agents work?
  36. 36. #SHCR @School4Radicals is the new normal! ‘By questioning existing ideas, by opening new fields for action, change agents actually help organisations survive and adapt to the 21st Century.’ Céline Schillinger Image by neilperkin.typepad.com
  37. 37. #SHCR @School4Radicals
  38. 38. #SHCR @School4Radicals We need rebels! • The principal champion of a change initiative, cause or action • Rebels don’t wait for permission to lead, innovate, strategise • They are responsible; they do what is right • They name things that others don’t see yet • They point to new horizons • Without rebels, the storyline never changes Source : @PeterVan http://t.co/6CQtA4wUv1
  39. 39. @helenbevan What happens to heretics/radicals/rebels/mavericks in organisations?
  40. 40. @helenbevan
  41. 41. @helenbevan #IQTGOLD#NHSChangeDaySource: Lois Kelly http://www.slideshare.net/Foghound/rocking-the-boat-without-falling-out
  42. 42. @HelenBevan Ostracism is experienced in the brain as deeply as physical pain
  43. 43. @helenbevan We need to be boat rockers! • Walk the fine line between difference and fit, inside and outside, rock the boat but manage to stay in it • Able to challenge the status quo when we see that there could be a better way • Conform AND rebel • Capable of working with others to create success NOT a destructive troublemaker Source: Debra Meyerson
  44. 44. @helenbevan What are the risks for a boat rocker? 1. Our experiences of “being different” can be fundamentally disempowering. This can lead us to conform because we see no other choice Source: adapted from Debra E Meyerson
  45. 45. @helenbevan What are the risks for a boat rocker? 1. Our experiences of “being different” can be fundamentally disempowering. This can lead us to conform because we see no other choice  we surrender a part of ourselves, and silence our commitment, in order to survive Source: adapted from Debra E Meyerson
  46. 46. @helenbevan
  47. 47. @helenbevan
  48. 48. @helenbevan What are the risks for a boat rocker? 1. Our experiences of ‘being different’ can be fundamentally disempowering. This can lead us to conform because we see no other choice  we surrender a part of ourselves, and silence our commitment, in order to survive 2. leave the organisation Source: adapted from Debra E Meyerson
  49. 49. @helenbevan What are the risks for a boat rocker? 1. Our experiences of ‘being different’ can be fundamentally disempowering. This can lead us to conform because we see no other choice  we surrender a part of ourselves, and silence our commitment, in order to survive 2. leave the organisation  we cannot find a way to be true to our values and commitments and still survive Source: adapted from Debra E Meyerson
  50. 50. @helenbevan What are the risks for a boat rocker? 1. Our experiences of ‘being different’ can be fundamentally disempowering. This can lead us to conform because we see no other choice  we surrender a part of ourselves, and silence our commitment, in order to survive 2. leave the organisation  we cannot find a way to be true to our values and commitments and still survive 3. stridently challenge the status quo in a manner which is increasingly radical and self-defeating Source: adapted from Debra E Meyerson
  51. 51. @helenbevan What are the risks for a boat rocker? 1. Our experiences of ‘being different’ can be fundamentally disempowering. This can lead us to conform because we see no other choice  we surrender a part of ourselves, and silence our commitment, in order to survive 2. leave the organisation  we cannot find a way to be true to our values and commitments and still survive 3. stridently challenge the status quo in a manner which is increasingly radical and self-defeating  this just confirms what we already know – that we don’t belong Source: adapted from Debra E Meyerson
  52. 52. @helenbevan#NHSChangeDay #SHCRchat Source : Lois Kelly www.foghound.com There’s a big difference between a rebel and a troublemaker Rebel
  53. 53. @helenbevan Reflection • What are your insights around ‘rebels’ and ‘troublemakers’? • What moves people from being ‘rebel’ to ‘troublemaker’? • How do we protect against this?
  54. 54. @helenbevan Case study 1: troublemaker, rebel or radical? Introducing Daniel Walsh
  55. 55. @helenbevan#NHSChangeDay #SHCRchat Source : Lois Kelly www.rebelsatwork.com There’s a big difference between a rebel and a troublemaker Rebel
  56. 56. @helenbevan Change starts with me Source of image: jasonkeath.com
  57. 57. @helenbevan#SHCR @School4Radicals ‘There’s only one corner of the universe you can be certain of improving, and that’s your own self.’ Aldous Huxley Source of image: timcoffeyart.wordpress.com
  58. 58. @helenbevan ‘I do not think you can really deal with change without a person asking real questions about who they are and how they belong in the world.’ David Whyte, The Heart Aroused 1994 Source of image: fistfuloftalent.com
  59. 59. @helenbevan History tells us that personal transformation comes before organisational or system transformation If we want to play our role, we have to focus deeply on our own perspective and the ways http://blogs.bmj.com/quality/2013/08/19/a-call-to-action-helen-bevans-blog-2/ we interact with and influence others. The more that we can unleash that powerful reservoir of energy for change, the more our influence and impact will grow. Image from novamagazine.com
  60. 60. @helenbevan 1. able to join forces with others to create action 2. able to achieve small wins which create a sense of hope, possibility and confidence 3. More likely to view obstacles as challenges to overcome 4. strong sense of “self-efficacy”  belief that I am personally able to create the change Four things we know about successful boat rockers Source: adapted from Debra E Meyerson CHANGE me BEGINS WITH
  61. 61. @helenbevan Self-efficacy There is a positive, significant relationship between the self-efficacy beliefs of a change agent and her/his ability to facilitate change and get good outcomes Source of image:www.h3daily.com
  62. 62. @helenbevan What’s the difference between self efficacy and self esteem, self belief, self-confidence?
  63. 63. @helenbevan Source: @NHSChangeDay
  64. 64. @helenbevan Source: @NHSChangeDay What is the issue here? “permission” ? (externally generated) or Self efficacy ? (internally generated)
  65. 65. @HelenBevan Building self-efficacy: some tactics 1. Create change one small step at a time 2. Reframe your thinking: • failed attempts are learning opportunities • uncertainty becomes curiousity 3. Make change routine rather than an exceptional activity 4. Get social support 5. Learn from the best
  66. 66. @HelenBevan Case study 2: building self-efficacy Introducing Jodi Brown
  67. 67. @HelenBevan Case study 3: building self-efficacy Introducing Kate Pound
  68. 68. @helenbevan The most effective change agents: • don’t waste their time and energy blaming and complaining • take calculated risks to achieve the outcomes they sought Now is the time to plan steps to keep moving myself forward, with positive momentum, as a health and care radical
  69. 69. @helenbevan Being a great change agent is about knowing, doing, living and being improvement
  70. 70. @helenbevan Avedis Donabedian ‘Ultimately, the secret of quality is love. …… If you have love, you can then work backward to monitor and improve the system.’ The secret of quality
  71. 71. @helenbevan Tactic for radicals: Out-love everyone else Source of image: Bradley Burgess
  72. 72. @helenbevan Calls to action from this module • Take part in a RCT (Randomised Coffee Trial). • Reflect on your own role / knowledge / skills as a health and care radical and create an action plan to “start with me”. • Discuss tactics for “rocking the boat and staying in it” with other radicals. • Identify and support others who are at risk of crossing the line from “radical” to “troublemaker”.
  73. 73. @helenbevan What is a RCT?
  74. 74. @helenbevan Randomised Coffee Trial!
  75. 75. @helenbevan Outcomes of randomised coffee trials
  76. 76. @helenbevan Randomized Coffee Trial! • Instructions in News from Jo later today • Send an email to say you want to take part in the RCT to radicals@nhsiq.nhs.uk • We will randomly match you with another participant in the School for Health and Care Radicals from anywhere in the world • At some time in the next four weeks, arrange to have a conversation over Skype (or other communication system) with a cup of coffee!
  77. 77. @helenbevan Next opportunities for learning • Next Wednesday 4th February 16:00-17:00 GMT: Tweet chat #SHCR • Next Friday morning 6th February 9.30-11;00 GMT: Module 2: Building alliances for change
  78. 78. @helenbevan#SHCR @School4Radicals Next issue due out on Tuesday, 3rd February!
  79. 79. @helenbevan Celebration, certification and CPD! Become a certificated change agent. Put your learning into action. Gain CPD points.
  80. 80. @helenbevan Questions for reflection 1. What are the opportunities for me to build my perspectives and skills as an agent of change? 2. How can I build self efficacy as a change agent? 3. How do I move beyond skills and knowledge of change to live and be change? 4. Who can help and support me as a change agent? 5. What are the implications for the way I work?
  81. 81. @helenbevan Goodbye and good luck! ‘Be the change you want to see in the world.’

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