Transforming healthcare cultures - Helen Bevan Presented by Helen Bevan at the Delivering the Francis Report Conference, 18 June 2013, Central London Includes: • Ascertaining the true extent of toxic cultures within the NHS • Setting a common positive NHS culture – the role of the NHS Constitution in defining NHS values • Analysing what works in delivering cultural transformation • Building the improvement capacity and skills to deliver large scale transformation

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Transforming healthcare
cultures
Helen Bevan
Delivery team
NHS Improving Quality
@helenbevan
@NHSIQ

2. @helenbevan
Needs
(met or unmet)
Mindsets
and beliefs
Hamel and Prahalad’s thought experiment about monkeys’
learned behaviour illustrates their point that past
experiences can create mindsets that limit current
performance
Values
Behaviours
&
artefacts
What we readily see,
hear and “feel” about
the organisation
The underlying values
& beliefs at the core
of organisational
culture that
we don’t
see and don’t
typically acknowledge
or address “Undiscussables”

3. @helenbevan
Five actions
1. Build shared purpose: create understanding
and conviction for change
2. Join up existing activities and create
coherence
3. Align extrinsic and intrinsic motivators for
culture change
4. Develop capability for leadership of culture
change: generate positive signals
5. Build a movement: connect at scale