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#SHCR @school4radicals
http://www.theedge.nhsiq.nhs.uk/school/
Module 5:
Moving beyond the edge
Supported by
#SHCR @school4radicals#SHCR @School4Radicals
Joining in today and beyond
• Please use the chat box to contribute continuou...
#SHCR @school4radicals#SHCR @School4Radicals
• Review of what we have learnt so far
• characteristics of a transformationa...
#SHCR @school4radicals#SHCR @School4Radicals
The team today
Session lead:
Helen Bevan
@HelenBevan
Learning lead:
Pip Hardy...
#SHCR @school4radicals#SHCR @School4Radicals
Icebreaker 1: What do edges mean to you?
#SHCR @school4radicals#SHCR @School4Radicals
Icebreaker 2: How do you feel as you approach
the edge?
I’m ready to be
radic...
#SHCR @school4radicals
The School for Health and Care Radicals
Get certificated!
#SHCR @school4radicals
Pulling it all together:
the characteristics of a radical
change agent
#SHCR @school4radicals#SHCR @School4Radicals
“Some learning reinforcement after a
short space of time helps to retain
lear...
#SHCR @school4radicals#SHCR @School4Radicals
Peter Fuda’s Transformational Change Agent
framework
Skills and methods for c...
#SHCR @school4radicals#SHCR @School4Radicals
Peter Fuda’s Transformational Change Agent
framework: my commentary
“Doing”
•...
#SHCR @school4radicals#SHCR @School4Radicals
Peter Fuda’s Transformational Change Agent
framework: my commentary
“Seeing ”...
#SHCR @school4radicals#SHCR @School4Radicals
“Being” as a health and care radical
Personal characteristics and
qualities
#SHCR @school4radicals
“Being an effective Change Agent involves
demonstrating what you teach as much
as pontificating fro...
#SHCR @school4radicals#SHCR @School4Radicals
“Being” as a health and care radical
CHANGE
me
BEGINS WITH
• Living my convic...
#SHCR @school4radicals#SHCR @School4Radicals
#SHCR @school4radicals#SHCR @School4Radicals
“Being” as a health and care radical
CHANGE
me
BEGINS WITH
• Living my convic...
#SHCR @school4radicals#SHCR @School4Radicals
‘I do not think you can really deal with
change without a person asking real
...
#SHCR @school4radicals#NHSChangeDay #SHCRchat#SHCR @School4Radicals
Source : Lois Kelly www.foghound.com
Rebel
#SHCR @school4radicals#SHCR @School4Radicals
“Being” as a health and care radical
CHANGE
me
BEGINS WITH
• Living my convic...
Jim Rawson, MD, FACR
P.L., J. Luther and Ada
Warren Professor
Chair, Radiology and
Imaging
Medical College of Georgia
@Jim...
• 40 participants (Radiologists and other physicians,
residents, students, consultants, business school
faculty, administr...
#SHCR @school4radicals#SHCR @School4Radicals
“Seeing” as a health and care radical
Ability to make sense of,
and reshape p...
#SHCR @school4radicals#SHCR @School4Radicals
Seeing
“Seeing, looking, monitoring, listening,
perceiving and especially the...
#SHCR @school4radicals#SHCR @School4Radicals
“Seeing” as a health and care radical
• The big picture
• Multiple perspectiv...
#SHCR @school4radicals
“Creative ideas reside in people’s minds
but are trapped by fear of rejection.
Create a judgement-f...
#SHCR @school4radicals#SHCR @school4radicalsSource: http://www.slideshare.net/AndreaWaltz/gfn-slidesharegfnhandling-reject...
#SHCR @school4radicals#SHCR @School4Radicals
“Doing” as a health and care radical
Skills and methods for
creating change
#SHCR @school4radicals#SHCR @School4Radicals
“Doing” as a health and care radical
• Create the conditions where everyone
c...
#SHCR @school4radicals#SHCR @School4Radicals
Use models, theories and frameworks
effectively
#SHCR @school4radicals#SHCR @School4Radicals
Case study alumna:
CJ Graham
#SHCR @school4radicals#SHCR @School4Radicals
Conclusions for health and care
radicals?
#SHCR @school4radicals#SHCR @School4Radicals
The mindset of the past has a tendency to hijack
the transformational potenti...
#SHCR @school4radicals#SHCR @School4Radicals
“History, even if properly construed, can blind us
to important possibilities...
#SHCR @school4radicals
“From
the edge”
Source of image:hoodlinghole.blogspot.com
#SHCR @school4radicals
#SHCR @school4radicals#SHCR @school4radicals
What do we mean by “the edge”?
• Working at the edge of
organisations so we c...
#SHCR @school4radicals#SHCR @school4radicals
Why do we go to the edge?
The edge is where those who want
to challenge are a...
#SHCR @school4radicals#SHCR @School4Radicals
Case study:
Alison Cameron
#SHCR @school4radicals#SHCR @School4Radicals
The Patient Revolution!
#SHCR @school4radicals
From module one
#SHCR @school4radicals#SHCR @School4Radicals
What are the biggest opportunities for change
agents in our system?
• As brid...
#SHCR @school4radicals#SHCR @School4Radicals
Improvement teams will
move from “bench
scientists” (programme
managers) to k...
#SHCR @school4radicals#NHSChangeDay #SHCRchat#SHCR @School4Radicals
Less change programmes
More change platforms
Change Pr...
#SHCR @school4radicals#NHSChangeDay #SHCRchat#SHCR @School4Radicals
Curate rather than create knowledge for
improvement
Source of image: John Curran designedforlearning.co.uk
Because there’s a problem….
Source of quote: Harold Jarche
Source of image:http://gotcll.com/about-2/
“Getting
information...
How do we know what to learn and
absorb?
Source of image: Frits Ahlefeldt
A big challenge for improvers
Tacit knowledge is where the action is….
• It’s the people with tacit knowledge who deliver ...
“
Source: http://paul4innovating.com/2014/04/06/learning-favours-the-brave/
It is easy to copy but we often fail to recogn...
#SHCR @school4radicals
How the world of work is changing
From : http://jarche.com/2015/02/adapting-to-perpetual-beta/
#SHCR @school4radicals
“Tacit knowledge is best
developed through conversations
and social relationships.”
Harold Jarche
S...
What is the best way to spread new
knowledge?
Source of data: Nick Milton
www.nickmilton.com/2/2tOjE
Social connection/dis...
“Curating” knowledge in a social era
Finding things out and keeping up to date
• “pulling” information, but also having it...
The School is brought to you by the
Horizons Group within NHS IQ
Aim of the group: to stimulate new and ‘disruptive’ appro...
#SHCR @school4radicals#SHCR @school4radicals
6 things I have learnt from this experience of
The School for Health and Care...
#SHCR @school4radicals#SHCR @school4radicals
Discussion:
what are your reflections?
#SHCR @school4radicals#SHCR @school4radicals
“Employee social activism is not just not a
threat any more.....
It is the fu...
#SHCR @school4radicals#SHCR @School4Radicals
#SHCR @school4radicals#SHCR @School4Radicals
Call to action
1. Consider why it would be beneficial for you
to be a certifi...
#SHCR @school4radicals#SHCR @School4Radicals
A call to arms: Recipes for Radicals
Stories and recipes to feed your soul
A ...
#SHCR @school4radicals#SHCR @school4radicals
Gain a certificate as a health and care change
agent AND claim your continuin...
#SHCR @school4radicals 66
NHS IQ presents….
A Changeathon
We are running a 12 hour event on NHS Change Day that will featu...
#SHCR @school4radicals
Improvement FUNdamentals
Your route to improve health and care
Are you…..
• A radical who wants to ...
#SHCR @school4radicals#SHCR @School4Radicals
Questions for reflection
1. How can I move in the direction of change in
ways...
SHCR II Module 5 Moving beyond the edge
SHCR II Module 5 Moving beyond the edge
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SHCR II Module 5 Moving beyond the edge

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Module 5 Moving beyond the edge
These are the slides for Module 5 of The School for Health and Care Radicals, a five week virtual programme, designed to equip people across the health and care system with the core skills to improve their skills as change agents.
Change always starts at the edge and always starts with the activists. This module looks at ways we can move towards the edge and towards sustainable change.
Agenda:
• Review of what we have learnt so far; characteristics of a transformational change agent
– Peter Fuda’s Transformation Change Agent framework
– ‘Being’ a health and care radical – going back to ‘change starts with me’
– ‘Seeing’ as a health and care radical
– ‘Doing’ as a health and care radical
– Quick review of some models and theories
• 'From’ the edge – views about emerging directions for change and change agents
– What do we mean when we say 'from the edge?'
– What is happening with change?
– What is the difference between tacit and explicit knowledge?
– Opportunities for health and care radicals – being bridge-builders and curators
• Reflections and key messages about The School
– Some things we have learned from delivering The School
• What next for The School?
– Gaining a certificate as a health and care change agent and claiming continuing professional development (CPD) points
• Questions and call to action
Questions for reflection:
• How can I move in the direction of change in ways that will help me bring about the changes I want to see?
• How will I build on my experiences of the School for Health and Care Radicals?
• How will I build networks and communities in support of the changes I want to see?
Call to action:
• Consider why it would be beneficial for you to be a certified change agent.
• Identify people who might help you with this process.
• Take action and, if your change action is something that could be shared for Change Day, please add it on www.changeday.nhs.uk
• Complete the follow-up work for certification.

Published in: Healthcare
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SHCR II Module 5 Moving beyond the edge

  1. 1. #SHCR @school4radicals http://www.theedge.nhsiq.nhs.uk/school/ Module 5: Moving beyond the edge Supported by
  2. 2. #SHCR @school4radicals#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 next Wednesday at 4-5pm (GMT) using the hashtag #SHCR
  3. 3. #SHCR @school4radicals#SHCR @School4Radicals • Review of what we have learnt so far • characteristics of a transformational change agent • “From” the edge – views about the emerging directions for change and change agents • Opportunities for health and care radicals • Reflections and key messages about The School • What next for The School? • Questions and call to action Source of image: www.freshnessmag.com for today
  4. 4. #SHCR @school4radicals#SHCR @School4Radicals The team today Session lead: Helen Bevan @HelenBevan Learning lead: Pip Hardy @PilgrimPip Chat monitor: Dominic Cushman @domcushnan Case study: Alison Cameron @allyc375 Twitter monitor: Kate Pound @kateslater2 Case study alumnus: Dr Jim Rawson @Jim_Rawson_MD Case study alumna: CJ Graham @CJGrahamNHS
  5. 5. #SHCR @school4radicals#SHCR @School4Radicals Icebreaker 1: What do edges mean to you?
  6. 6. #SHCR @school4radicals#SHCR @School4Radicals Icebreaker 2: How do you feel as you approach the edge? I’m ready to be radical! I’m still sceptical. I’m cautiously optimistic… I’m feeling positive, let’s see how I can make this work!
  7. 7. #SHCR @school4radicals The School for Health and Care Radicals Get certificated!
  8. 8. #SHCR @school4radicals Pulling it all together: the characteristics of a radical change agent
  9. 9. #SHCR @school4radicals#SHCR @School4Radicals “Some learning reinforcement after a short space of time helps to retain learning.” Casebourne I (2015) Spaced Learning: An Approach to Minimize the Forgetting Curve https://www.td.org/Publications/Blogs/Science-of-Learning- Blog/2015/01/Spaced-Learning-an-Approach-to-Minimize-the-Forgetting-Curve
  10. 10. #SHCR @school4radicals#SHCR @School4Radicals 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
  11. 11. #SHCR @school4radicals#SHCR @School4Radicals Peter Fuda’s Transformational Change Agent framework: my commentary “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 • The “de facto” purpose of a health and care radical
  12. 12. #SHCR @school4radicals#SHCR @School4Radicals Peter Fuda’s Transformational Change Agent framework: my commentary “Seeing ” and “Being” • We can only do effective “doing” if we build on strong foundations of “seeing and being” • Give us the potential for: • better outcomes • more engagement • self-fufillment and connection with our bigger purpose as an agent of change
  13. 13. #SHCR @school4radicals#SHCR @School4Radicals “Being” as a health and care radical Personal characteristics and qualities
  14. 14. #SHCR @school4radicals “Being an effective Change Agent involves demonstrating what you teach as much as pontificating from the mountaintops. Any behaviour we ask others to adopt, we must consistently represent in our own work, and share the positive outcomes.” Bryce Williams Working Out Loud
  15. 15. #SHCR @school4radicals#SHCR @School4Radicals “Being” as a health and care radical CHANGE me BEGINS WITH • Living my conviction and values • Strong sense of “self-efficacy”  belief that I am personally able to create the change • Shared purpose, not de facto purpose • A role model and signal generator • Stepping outside my comfort zone • A “rebel” rather than a “troublemaker” • Learning not judging
  16. 16. #SHCR @school4radicals#SHCR @School4Radicals
  17. 17. #SHCR @school4radicals#SHCR @School4Radicals “Being” as a health and care radical CHANGE me BEGINS WITH • Living my conviction and values • Strong sense of “self-efficacy”  belief that I am personally able to create the change • Shared purpose, not de facto purpose • A role model and signal generator • Stepping outside my comfort zone • A “rebel” rather than a “troublemaker” • Learning not judging
  18. 18. #SHCR @school4radicals#SHCR @School4Radicals ‘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
  19. 19. #SHCR @school4radicals#NHSChangeDay #SHCRchat#SHCR @School4Radicals Source : Lois Kelly www.foghound.com Rebel
  20. 20. #SHCR @school4radicals#SHCR @School4Radicals “Being” as a health and care radical CHANGE me BEGINS WITH • Living my conviction and values • Strong sense of “self-efficacy”  belief that I am personally able to create the change • Shared purpose, not de facto purpose • A role model and signal generator • Stepping outside my comfort zone • A “rebel” rather than a “troublemaker” • Learning not judging
  21. 21. Jim Rawson, MD, FACR P.L., J. Luther and Ada Warren Professor Chair, Radiology and Imaging Medical College of Georgia @Jim_Rawson_MD Case study alumnus
  22. 22. • 40 participants (Radiologists and other physicians, residents, students, consultants, business school faculty, administrators, public health…) • Weekly email updates • Weekly Chat Thursday 12 noon EST • Weekly Conference call/discussion 5:30 pm EST #SHCRUSA Learning Group
  23. 23. #SHCR @school4radicals#SHCR @School4Radicals “Seeing” as a health and care radical Ability to make sense of, and reshape perceptions of ‘reality’
  24. 24. #SHCR @school4radicals#SHCR @School4Radicals Seeing “Seeing, looking, monitoring, listening, perceiving and especially the indefinite concept of intuitive feeling. ” Aubrey Jango
  25. 25. #SHCR @school4radicals#SHCR @School4Radicals “Seeing” as a health and care radical • The big picture • Multiple perspectives • Reframing situations: • failed attempts are learning opportunities • uncertainty becomes curiosity • The positive intentions of others • Possibility of bad change processes rather than resistors, blockers and laggards • Hopeful futures, creative opportunities and potential • See myself in the context of my higher purpose
  26. 26. #SHCR @school4radicals “Creative ideas reside in people’s minds but are trapped by fear of rejection. Create a judgement-free environment and you’ll unleash a torrent of creativity.” Alex Osborn Source of image: elementsvillage.com
  27. 27. #SHCR @school4radicals#SHCR @school4radicalsSource: http://www.slideshare.net/AndreaWaltz/gfn-slidesharegfnhandling-rejectionpositively
  28. 28. #SHCR @school4radicals#SHCR @School4Radicals “Doing” as a health and care radical Skills and methods for creating change
  29. 29. #SHCR @school4radicals#SHCR @School4Radicals “Doing” as a health and care radical • Create the conditions where everyone can contribute and do their best • Join forces with others to create action • Achieve small wins which create a sense of hope, self-efficacy and confidence • Appeal to both the head (logic/planning/data) and the heart (shared values/purpose, framing, relationships) • Make change (and learning cycles from change) routine rather than an exceptional activity • Use models, theories and frameworks effectively
  30. 30. #SHCR @school4radicals#SHCR @School4Radicals Use models, theories and frameworks effectively
  31. 31. #SHCR @school4radicals#SHCR @School4Radicals Case study alumna: CJ Graham
  32. 32. #SHCR @school4radicals#SHCR @School4Radicals Conclusions for health and care radicals?
  33. 33. #SHCR @school4radicals#SHCR @School4Radicals The mindset of the past has a tendency to hijack the transformational potential of the future “ The greatest danger in times of turbulence is not the turbulence……. it is to act with yesterday’s logic.” Peter Drucker
  34. 34. #SHCR @school4radicals#SHCR @School4Radicals “History, even if properly construed, can blind us to important possibilities. After all, it is not the rhythms of the past that define us, but our dreams for the future.” Greg Satell http://www.digitaltonto.com/2014/are-you-using-data-to-analyze-the-past- or-to-create-a-new-future/
  35. 35. #SHCR @school4radicals “From the edge” Source of image:hoodlinghole.blogspot.com
  36. 36. #SHCR @school4radicals
  37. 37. #SHCR @school4radicals#SHCR @school4radicals What do we mean by “the edge”? • Working at the edge of organisations so we can see the potential and make connections that we couldn’t do if we were at the centre • At the edge of current practice and knowledge about change • Taking risks and demonstrating courage to think and do things in new ways • On the edge of ?
  38. 38. #SHCR @school4radicals#SHCR @school4radicals Why do we go to the edge? The edge is where those who want to challenge are able to unite, share, support and grow together as change activist. Leading from the edge brings you into contact with a far wider range of relationships, and in turn, this increases our potential for diversity in terms of thought, experience and background. Diversity leads to more disruptive thinking, faster change and better outcomes.” “
  39. 39. #SHCR @school4radicals#SHCR @School4Radicals Case study: Alison Cameron
  40. 40. #SHCR @school4radicals#SHCR @School4Radicals The Patient Revolution!
  41. 41. #SHCR @school4radicals From module one
  42. 42. #SHCR @school4radicals#SHCR @School4Radicals What are the biggest opportunities for change agents in our system? • As bridge builders between disconnected groups • As curators and sharers of knowledge
  43. 43. #SHCR @school4radicals#SHCR @School4Radicals Improvement teams will move from “bench scientists” (programme managers) to knowledge leaders and connectors http://connect.forwardmetrics.c om/business-management/the- strength-within.html
  44. 44. #SHCR @school4radicals#NHSChangeDay #SHCRchat#SHCR @School4Radicals Less change programmes More change platforms Change Programmes: • utilise systematic “change management” approaches • Too often, leaders prescribe the outcome and the method of change in a top- down way • change is experienced by people at the front line as “have to” (imposed) rather than “want to” (embraced) Change Platforms • enable everyone in the organisation/system (including service users) to help tackle the most challenging issues • value diversity of thought • leadership attention on creating an environment receptive to transformational change http://www.hsj.co.uk/resource-centre/scrap-the-programme-successful-change-starts-with- a-change-platform/5078014.article?blocktitle=Blogs-and-videos&contentID=16031
  45. 45. #SHCR @school4radicals#NHSChangeDay #SHCRchat#SHCR @School4Radicals
  46. 46. Curate rather than create knowledge for improvement Source of image: John Curran designedforlearning.co.uk
  47. 47. Because there’s a problem…. Source of quote: Harold Jarche Source of image:http://gotcll.com/about-2/ “Getting information off the internet is like taking a drink from a fire hydrant.” Mitchell Kapor @@HelenBevan #Quality2014@@HelenBevan
  48. 48. How do we know what to learn and absorb? Source of image: Frits Ahlefeldt
  49. 49. A big challenge for improvers Tacit knowledge is where the action is…. • It’s the people with tacit knowledge who deliver the results • Tacit knowledge is critical for large scale change ...but The only way tacit knowledge can be broadly shared… …is to turn it into explicit knowledge VERY difficult Few organisations succeed Gray D (2012) The Connected Company Source: Harold Jarche
  50. 50. “ Source: http://paul4innovating.com/2014/04/06/learning-favours-the-brave/ It is easy to copy but we often fail to recognize all the contextual factors that went into making it that one specific organizations good practice, and I guarantee these are not yours! Organizations need to move well beyond their lazy reliance on best practice comparison and they need to find better ways to explore emerging practices. But that takes many into the realm of increasing uncertainties, and most people and organizations are not trained for this exploration and experimentation.” Knowledge exchange is the way forward but there aren’t really any easy paths
  51. 51. #SHCR @school4radicals How the world of work is changing From : http://jarche.com/2015/02/adapting-to-perpetual-beta/
  52. 52. #SHCR @school4radicals “Tacit knowledge is best developed through conversations and social relationships.” Harold Jarche Source of image: northcentralcollege.edu
  53. 53. What is the best way to spread new knowledge? Source of data: Nick Milton www.nickmilton.com/2/2tOjE Social connection/discussion is 14 times more effective than written word/ best practice databases/toolkits etc Source of image: happiness-one-quote-time.blogspot.com
  54. 54. “Curating” knowledge in a social era Finding things out and keeping up to date • “pulling” information, but also having it “pushed” to us by trusted sources Making sense and meaning of information • Reflecting and putting into practice what we have learned • Plugging information into our own mental models and turning it into knowledge Connecting and collaborating • Sharing complex knowledge with our own work teams • Testing new ideas with our own networks • Increasing connections through social networks Source: Harold Jarche
  55. 55. The School is brought to you by the Horizons Group within NHS IQ Aim of the group: to stimulate new and ‘disruptive’ approaches in support of health and care transformation, operating at the edge of current thinking and practice: • skipping a generation of thinking about how to create radical, system- wide change • skipping a generation in a wider level of connection: working with emerging leaders, clinical trainees, students • skipping a generation of methods for change: open innovation, open source, digital connection, social media, change platforms, hacking “You can’t cross a chasm in small steps” David Lloyd George
  56. 56. #SHCR @school4radicals#SHCR @school4radicals 6 things I have learnt from this experience of The School for Health and Care Radicals 1. The most important need is for connection and community 2. How to build the relationship between tacit and explicit knowledge 3. The best experience seems to be synchronous in time, asynchronous in location 4. We benefit greatly from our global connections 5. All teach, all learn 6. There is a massive untapped reservoir of energy, talent and willingness to lead change out there and the potential is outstanding
  57. 57. #SHCR @school4radicals#SHCR @school4radicals Discussion: what are your reflections?
  58. 58. #SHCR @school4radicals#SHCR @school4radicals “Employee social activism is not just not a threat any more..... It is the future.” Celine Schillinger (NB: also applies to patient activism) Source of image: webershandwick.co.uk
  59. 59. #SHCR @school4radicals#SHCR @School4Radicals
  60. 60. #SHCR @school4radicals#SHCR @School4Radicals Call to action 1. Consider why it would be beneficial for you to be a certified change agent 2. Identify people who might help you with this process 3. Think about the action(s) you will take to prepare for certification 4. Plan to complete the follow-up work for certification
  61. 61. #SHCR @school4radicals#SHCR @School4Radicals A call to arms: Recipes for Radicals Stories and recipes to feed your soul A resource to help us recharge, reconnect and keep the SHCR momentum going.
  62. 62. #SHCR @school4radicals#SHCR @school4radicals Gain a certificate as a health and care change agent AND claim your continuing professional development points Take some actions to demonstrate your learning from the school and become a “certificated change agent”. If you complete the learning process you will: • Be recognised as a “certified change agent” by the school and NHS Improving Quality • Be awarded a virtual badge that you can used on your email signature, personal website, etc. • Be invited to take part in one of our virtual graduation ceremonies • Take part in a virtual clinic – see News from Jo • Receive a certificate More details in News from Jo and here: http://www.theedge.nhsiq.nhs.uk/school/resources/
  63. 63. #SHCR @school4radicals 66 NHS IQ presents…. A Changeathon We are running a 12 hour event on NHS Change Day that will feature inspirational change stories and broadcasts from change events across the country. The Changeathon will be live from 7am – 7pm Find out more here: http://changeday.nhs.uk/changeathon/
  64. 64. #SHCR @school4radicals Improvement FUNdamentals Your route to improve health and care Are you….. • A radical who wants to learn more? • Aiming to improve health and care? • Wanting to study at a time and place to suit you? • Keen to connect with a global improvement community? If so then you are not alone - this course is for you Join us on our innovative, online course, free to all Starting April 2015 http:www.nhsiq.nhs.uk/GoHiking #QIHikers We will send you details of
  65. 65. #SHCR @school4radicals#SHCR @School4Radicals Questions for reflection 1. How can I move in the direction of change in ways that will help me bring about the changes I want to see? 2. How will I build on my experiences of the School for Health and Care Radicals? 3. How will I build networks and communities in support of the changes I want to see?

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