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and staying in it:
The School for Health and Care
Radicals
www.changeday.nhs.uk/healthcareradicals
@HelenBevan #NHSExpo14
...
for
today
• Background to The School for Health and Care
Radicals
• Context: emerging directions in transformation and
cha...
The School for Health and Care
Radicals
• Part of NHS Change Day 2014

@HelenBevan #NHSExpo14
Source: @NHSChangeDay

@HelenBevan #NHSExpo14
The School for Health and Care
Radicals
 Part of NHS Change Day 2014

 Five weekly learning modules, live on Friday morn...
The School for Health and Care
Radicals

Modules
31st January:

Being a health and care radical:
change starts with me
7th...
The School for Health and Care
Radicals
 Part of NHS Change Day 2014

 Five weekly learning modules, live on Friday morn...
The School for Health and Care
Radicals
Promoted through social media
More than 1,300 enrollees from 26 countries
90 vo...
Feedback

@HelenBevan #NHSExpo14
The genesis of the School
NHS Change Day
2013

2013
Applying
community organising
principles to
healthcare
2010
improvemen...
Change agents “fit for purpose” for the new era
Dominant
approach
Organisation
Power through hierarchy
Mission and vision
...
John Kotter: “Accelerate!”
• We won’t create big change through hierarchy
on its own
• We need hierarchy AND network
• Man...
The Network Secrets of Great Change Agents
Julie Battilana &Tiziana Casciaro

1. As a change agent, my centrality in the i...
@HelenBevan #NHSExpo14
is the new normal!

“By questioning existing ideas, by
opening new fields for action, change
agents actually help organisa...
Across the world, the change agent
movement is exploding!
@chagww
Changeagentsworldwide.com

@rebelsatwork rebelsatwork.co...
Image copyright: http://13c4.wordpress.com/2007/02/24/50-reasons-not-to-change/
@helenbevan #1000LivesPlus
What happens to
heretics/radicals/rebels/mavericks
in organisations?

@helenbevan
@HelenBevan #qmicro
@helenbevan
@HelenBevan #qmicro
The 90/30 conundrum

of senior leaders say
that to create more
innovation, they need to
activate the
radicals/rebels in th...
We need to be boatrockers!
• Rock the boat but manage to
stay in it
• Walk the fine line between
difference and fit, insid...
Sometimes people see us radicals as
troublemakers
Rebel

@helenbevan
#NHSChangeDay #SHCRchat

Source : Lois Kelly www.fogh...
Reflection
• What are your insights around “radicals” and
“troublemakers”?
• What moves people from being “radical” to
“tr...
Valuing radicals
• “New truths begin as heresies” (Huxley, defending
Darwin’s theory of natural selection)
• Big things on...
Peter Fuda’s Transformational Change Agent
framework
Skills and methods for creating
change

Ability to make sense of, and...
Peter Fuda’s Transformational Change Agent
framework: our perspective
“Doing”
• Where most change agents
in health and car...
Peter Fuda’s Transformational Change Agent
framework: our perspective
“Seeing ” and “Being”
• We can only do effective
“do...
"There’s only one
corner of the
universe you can
be certain of
improving, and
that’s your own
self."
Aldous Huxley
Source ...
‘I do not think you can really deal with
change without a person asking real
questions about who they are and how they
bel...
Five things we know about successful
boat rockers

CHANGE

BEGINS WITH
1. Driven by conviction and values
me
2. strong sen...
Self-efficacy

There is a positive, significant
relationship between the
self-efficacy beliefs of a
change agent and her/h...
What’s the difference between

self efficacy
and

self esteem,
self belief,
self-confidence?

@helenbevan
@HelenBevan #qmi...
Source: @NHSChangeDay

@helenbevan
@HelenBevan #qmicro
Source: @NHSChangeDay

What is the issue here?

“permission” ?
(externally generated)
or

Self efficacy ?
@helenbevan
@Hel...
Reflection
What are some ways that health and care
radicals can build self-efficacy?

@helenbevan
@HelenBevan #qmicro
Building self-efficacy: some tactics
1. Invest in your own change agent development (modules 2-5)
• create the conditions ...
Five things we know about successful
boat rockers

CHANGE

BEGINS WITH
1. Driven by conviction and values
me
2. strong sen...
or

“I have some Key
Performance
Indicators
for you”
@helenbevan
#NHSChangeDay#IQTGOLD

“I have a
dream”
Source: @RobertVa...
Three assumptions for health and care
radicals
1. Assume that everyone has a noble intention.
2. When people “resist” chan...
www.changeday.nhs.uk/healthcareradicals
@helenbevan
@HelenBevan #qmicro
Outwitted
He drew a circle that shut me out Heretic, rebel, a thing to flout.
But Love and I had the wit to win:
We drew a...
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School for Health and Care Radicals at Expo

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These are the presentation slides from Helen Bevan at the Health and Care Innovation Expo 2014, Manchester #Expo14NHS
Learn how to be a health and care radical who can challenge the status quo when you see there could be a better way. We want to change existing thinking and practice and improve care for patients, families and people who use care services

Published in: Health & Medicine

School for Health and Care Radicals at Expo

  1. 1. and staying in it: The School for Health and Care Radicals www.changeday.nhs.uk/healthcareradicals @HelenBevan #NHSExpo14 Helen Bevan Source of image: showstudio.com
  2. 2. for today • Background to The School for Health and Care Radicals • Context: emerging directions in transformation and change • Being, seeing and doing change • The difference between a radical and a troublemaker • How to thrive and survive as a radical • Next steps with The School for Health and Care Radicals @HelenBevan #NHSExpo14 Source of image: www.freshnessmag.com
  3. 3. The School for Health and Care Radicals • Part of NHS Change Day 2014 @HelenBevan #NHSExpo14
  4. 4. Source: @NHSChangeDay @HelenBevan #NHSExpo14
  5. 5. The School for Health and Care Radicals  Part of NHS Change Day 2014  Five weekly learning modules, live on Friday mornings and available 24/7 @HelenBevan #NHSExpo14
  6. 6. The School for Health and Care Radicals Modules 31st January: Being a health and care radical: change starts with me 7th February: Forming communities: building alliances for change 14th February: Rolling with resistance 21st February: Making change happen 28th February: Moving beyond the edge @HelenBevan #NHSExpo14
  7. 7. The School for Health and Care Radicals  Part of NHS Change Day 2014  Five weekly learning modules, live on Friday mornings and available 24/7  Materials, inc a weekly study guide to back up the modules changeday.nhs.uk/healthcareradicals  Weekly Storify and Pinterest summary  A weekly tweetchat, 4-5pm on Wednesdays #SCHRchat  A chat forum www.changeday.nhs.uk/healthcareradicalsforum  A mentor if requested  Organised by NHS Improving Quality @HelenBevan #NHSExpo14
  8. 8. The School for Health and Care Radicals Promoted through social media More than 1,300 enrollees from 26 countries 90 volunteer mentors Average weekly twitter reach 2.6 million Over 10,000 shares of the slides on SlideShare Over 1,800 shares of the study guides on SlideShare More than 5,000 tweets using #SCHRchat Storify has been viewed nearly 1,000 times @HelenBevan #NHSExpo14
  9. 9. Feedback @HelenBevan #NHSExpo14
  10. 10. The genesis of the School NHS Change Day 2013 2013 Applying community organising principles to healthcare 2010 improvement “A one day school for organisational radicals” @HelenBevan #NHSExpo14 2014 “The School for Health and Care Radicals” 2012 “A school for healthcare radicals” 2003 2002 Applying social movement thinking to healthcare improvement
  11. 11. Change agents “fit for purpose” for the new era Dominant approach Organisation Power through hierarchy Mission and vision Making sense through rational argument Leadership-driven (top down) innovation Tried and tested, based on experience Transactions @HelenBevan #NHSExpo14 Emerging direction Community Power through connection Shared purpose Making sense through emotional connection Viral (grass-roots driven) creativity “ Open” approaches , sharing ideas & data, co-creating change Relationships Source: @HelenBevan
  12. 12. John Kotter: “Accelerate!” • We won’t create big change through hierarchy on its own • We need hierarchy AND network • Many change agents, not just the usual few • Changing our mindset Source of • From “have to” to “want to” • Head and heart, not just head @HelenBevan #NHSExpo14 image:www.slideshare.net/m exicanwave/champions-trolls10-years-of-the-cipd-onlinecommunity
  13. 13. 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 @HelenBevan #NHSExpo14
  14. 14. @HelenBevan #NHSExpo14
  15. 15. 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 @HelenBevan #NHSExpo14 Image by neilperkin.typepad.com
  16. 16. Across the world, the change agent movement is exploding! @chagww Changeagentsworldwide.com @rebelsatwork rebelsatwork.com @corprebels Corporaterebelsunited.com @HelenBevan #NHSExpo14
  17. 17. Image copyright: http://13c4.wordpress.com/2007/02/24/50-reasons-not-to-change/ @helenbevan #1000LivesPlus
  18. 18. What happens to heretics/radicals/rebels/mavericks in organisations? @helenbevan @HelenBevan #qmicro
  19. 19. @helenbevan @HelenBevan #qmicro
  20. 20. The 90/30 conundrum of senior leaders say that to create more innovation, they need to activate the radicals/rebels in their organisations @HelenBevan #NHSExpo14 of senior leaders are very satisfied that radicals/rebels can provide this value in their organisations Source: rebelsatwork.com
  21. 21. We need to be boatrockers! • Rock the boat but manage to stay in it • Walk the fine line between difference and fit, inside and outside, 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 @helenbevan @HelenBevan #qmicro
  22. 22. Sometimes people see us radicals as troublemakers Rebel @helenbevan #NHSChangeDay #SHCRchat Source : Lois Kelly www.foghound.com
  23. 23. Reflection • What are your insights around “radicals” and “troublemakers”? • What moves people from being “radical” to “troublemaker”? • How do we protect against this? @helenbevan @HelenBevan #qmicro
  24. 24. Valuing radicals • “New truths begin as heresies” (Huxley, defending Darwin’s theory of natural selection) • Big things only happen in organisations because of heretics and radicals. GALILEO DESCRIBES HIS DISCOVERIES TO THE CHURCH ESTABLISHMENT @helenbevan @HelenBevan #qmicro
  25. 25. Peter Fuda’s Transformational Change Agent framework Skills and methods for creating change Ability to make sense of, and reshape perceptions of ‘reality’ Personal characteristics and qualities @helenbevan @HelenBevan #qmicro
  26. 26. Peter Fuda’s Transformational Change Agent framework: our perspective “Doing” • Where most change agents in health and care put most of their effort and emphasis • What others typically judge us on • What we often perceive we need to do to add value • What most change and improvement courses focus on @helenbevan @HelenBevan #qmicro
  27. 27. Peter Fuda’s Transformational Change Agent framework: our perspective “Seeing ” and “Being” • We can only do effective “doing” if we build on strong foundations of “seeing and being” • Change begins with me • Hopeful futures, creative opportunities and potential • Multiple lenses for change • See myself in the context of my higher purpose @helenbevan @HelenBevan #qmicro
  28. 28. "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 @helenbevan @HelenBevan @RobertVarnam #IHI25Forum #ChangeAgents
  29. 29. ‘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 @helenbevan @HelenBevan #qmicro Source of image: fistfuloftalent.com
  30. 30. Five things we know about successful boat rockers CHANGE BEGINS WITH 1. Driven by conviction and values me 2. strong sense of “self-efficacy”  belief that I am personally able to create the change 3. able to join forces with others to create action 4. able to achieve small wins which create a sense of hope, self-efficacy and confidence 5. More likely to view obstacles as challenges to overcome @helenbevan @HelenBevan #qmicro Source: adapted from Debra E Meyerson
  31. 31. 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 @helenbevan @HelenBevan #qmicro Source of image:www.h3daily.com
  32. 32. What’s the difference between self efficacy and self esteem, self belief, self-confidence? @helenbevan @HelenBevan #qmicro
  33. 33. Source: @NHSChangeDay @helenbevan @HelenBevan #qmicro
  34. 34. Source: @NHSChangeDay What is the issue here? “permission” ? (externally generated) or Self efficacy ? @helenbevan @HelenBevan #qmicro (internally generated)
  35. 35. Reflection What are some ways that health and care radicals can build self-efficacy? @helenbevan @HelenBevan #qmicro
  36. 36. Building self-efficacy: some tactics 1. Invest in your own change agent development (modules 2-5) • create the conditions where success is more likely to happen 2. Create change one small step at a time 3. Reframe your thinking: • failed attempts are learning opportunities • uncertainty becomes curiousity 4. Make change (and learning cycles from change) routine rather than an exceptional activity 5. Get social support 6. Learn from the best 7. Get people whose opinions you value to encourage you (mentor?) @helenbevan @HelenBevan #qmicro
  37. 37. Five things we know about successful boat rockers CHANGE BEGINS WITH 1. Driven by conviction and values me 2. strong sense of “self-efficacy”  belief that I am personally able to create the change 3. able to join forces with others to create action 4. able to achieve small wins which create a sense of hope, self-efficacy and confidence 5. More likely to view obstacles as challenges to overcome @helenbevan @HelenBevan #qmicro Source: adapted from Debra E Meyerson
  38. 38. or “I have some Key Performance Indicators for you” @helenbevan #NHSChangeDay#IQTGOLD “I have a dream” Source: @RobertVarnam
  39. 39. Three assumptions for health and care radicals 1. Assume that everyone has a noble intention. 2. When people “resist” change is it more likely to be a result of their interpersonal interaction with the change process than their innate character traits (“a bad change process not a difficult person”). 3. My role as a change agent is about alignment, not judgement. @helenbevan @HelenBevan #qmicro Source of image:help.adobe.com
  40. 40. www.changeday.nhs.uk/healthcareradicals @helenbevan @HelenBevan #qmicro
  41. 41. Outwitted He drew a circle that shut me out Heretic, rebel, a thing to flout. But Love and I had the wit to win: We drew a circle that took him in. Edward Markham @helenbevan @HelenBevan #qmicro

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