The document summarizes Michelle Timoney's journey leading a transformational change project to reduce acute kidney injury (AKI) morbidity and mortality. Her team included medical and nursing professionals and aimed to scale improvements across the healthcare system. Through the NHSIQ programme, the team gained evidence-based approaches, relationships, and time for reflection. They applied formal techniques like stakeholder mapping and informal approaches like nurturing leadership. Timoney learned about effective team dynamics and encouraging others in transformational change work. The team's work continues through initiatives like thinkkidneys.nhs.uk.

1. My leading transformational
change journey
Michelle Timoney

2. My journey
• Our change
• Our team
• What we took from the programme
• What next?

3. Acute Kidney Injury (AKI)
Cheshire, Warrington & Wirral Area Team
(NHS England)
Michelle Timoney (Advanced Practitioner)
Quality Improvement Lead, Cheshire & Merseyside Strategic
Clinical Networks
Our team:
Dr Khaled Abdulnabi (Consultant)
Natalie Erickson (AKI Nurse)
Richard Freeman (Head of QIPP & public health)
Nesta Hawker (Specialised commissioner, service specialist)
Sue Renwick (CCG Long Term Conditions Commissioner)
Our NHSIQ trainer: Ushma Bhatt, Organisation Development &
Continuous Improvement Manager, North of England
Commissioning Support

4. Our transformational change
To reduce morbidity and mortality from
acute kidney injury (AKI)
Did you know…..
• Up to 100,000 UK hospital deaths p.a.
are associated with AKI
• Up to 30% of AKI could be prevented
with the right care and treatment
• 1 in 5 people admitted to hospital as an
emergency has AKI
• 65% of AKI starts in the community

5. Was it really transformational…?
Future look
Scale of the problem
Lots of small improvements required
Nurture leaders and champions
System change

6. What we got from the programme
• Evidence based, new approaches - increase
our chance of success
• Access to NHSIQ
• Ideas and challenge
• Common language
• Relationships
• Time - reflect and rethink
• Deconstructing language

7. What did we do differently as a team?
Formally
• Stakeholder mapping
• PACE of our work (30;60;90)
• Deming’s lens
• Analysis of our system
Informally
• Using networks
• Nurturing leadership
• Specific new ideas to tackle problems emerged

8. What did I learn
• Definitions of teams
• Performance management expectations vs
transformational change
• Encouraging others

9. Think kidneys……
https://www.thinkkidneys.nhs.uk/