What does the new world of change mean for us and our children? What does emergent change have to do with it? How do we redress the balance between planned and emergent approaches to making change happen in the NHS?

1. The new world of change
Departmentalised
Hierarchy
Transaction
One leader at a
time
Repetition
Boundary spanning
Grassroots
Interaction
Everyone leads
Hybrid
Adapted from an article produced in Forbes.com by Henry Desio

2. Two skills for our children
Boundary spanning
Grassroots
Interaction
Everyone leads
Hybrid
“self” and “other” energy
awareness
the ability to bring people
together and tear down walls
Adapted from an article produced in Forbes.com by Henry Desio

3. The change practitioner’s role in
the new world of change
• centrality in the informal network is more
important than position in the formal hierarchy
• to create small scale change work through a
cohesive network
• to create big change create bridge networks
between disconnected groups
Source: Chris Pietroni & Skills for Systems Leadership Network secrets of great
change agents, Tiziano & Casciaro, HBR July/August 2013

4. Planned vs. emergent change
• Diagnosis
• Vertical governance
• Project start and end point
• Linear
• Control uncertainty
• Hierachical leadership
• Learning through data • Dialogue
• Horizontal governance
• No beginning and no end
• Non-linear
• Embrace uncertainty
• Distributed leadership
• Learning through stories

5. Peggy Holman’s theory of emergent change
A 3-step process
Disruption
• Looking for areas of disruption that matter to people is the first stage of the model.
• Initiate a process of discovery, where “possibility oriented” questions are asked
• Invite diverse perspectives
Differentiation
• Encourage diverse perspectives to emerge
• Find out what matters to individuals
• Through this process commonalities in our mutual needs and longings will emerge
• Facilitating this kid of change conversation may require specific skills such as training
in public narrative & storytelling (this enables people to communicate their personal
purpose in an effective way)
Coherence
• Enable self-organised communities to emerge
• If they do emerge, then new levels of coherence have been achieved