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School for Health and Care Radicals - Module 2 slides 2016

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Module 2 of the School for Health and Care Radicals ran on Thursday 11th February from 14:30-16:00 GMT and was led by Helen Bevan, Chief Transformation Officer, Horizons Group, NHS England. A recording of this module can be found at: http://theedge.nhsiq.nhs.uk/school/module-2/#resources

The golden rule for change activists is: ‘You can’t be a radical on your own’. This module gives us an understanding of the power of working together by exploring communities of practice and social movements. We identify techniques for connecting with our own and others’ values and emotions to create a call for action.

To find out more about the School for Health and Care Radicals, click and paste this link into your address bar: http://theedge.nhsiq.nhs.uk/school

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School for Health and Care Radicals - Module 2 slides 2016

  1. 1. #SHCR @School4Radicals Module 2 From me to we: Creating connections and building communities Supported by: theedge.nhsiq.nhs.uk/school Module
  2. 2. #SHCR @School4Radicals • Please use the chat box to contribute continuously during the web seminar • Please tweet using hashtag #SHCR and the handle @School4Radicals • Request to join our Facebook group School for Health and Care Radicals • We will produce summaries of each module discussion using Steller and put it on the website • Join in the #SHCR Tweetchat each Tuesday at 1900 (GMT) Joining in today…and beyond
  3. 3. #SHCR @School4Radicals Get certificated! • Complete a change • Reflect on it • Complete the change agent application form and submit School for Health and Radical Change Agents
  4. 4. #SHCR @School4Radicals The first 30 day change challenge guide This is our first 30 Day Change Challenge we would like you to:- • form a team • agree a change to undertake as a team • complete the change • review and learn • and celebrate.
  5. 5. #SHCR @School4Radicals What is your attitude to the change that you are currently involved in? Bring it on. It makes me nervous. It’s my job!
  6. 6. #SHCR @School4Radicals #My3Words reflections from last week
  7. 7. #SHCR @School4Radicals Programme Study Guide: www.slideshare.net/TheEdgeNHS/school- for-health-and-care-radicals-iii-study- guide-2016?related=2 Module 2 Study Guide: www.slideshare.net/secret/2xYuwk e1PQaPpn Study guides
  8. 8. #SHCR @School4Radicals Session lead: Helen Bevan @HelenBevan Learning lead: Pip Hardy @PilgrimPip Session chair: Kate Pound @kateslater2 Twitter monitor: Zoe Lord @zoelord1 Chat monitor: Dominic Cushnan @domcushnan Storyteller: Mark Davis @markdavis275 Storyteller: Graham Mackenzie @gmacscotland The team today
  9. 9. #SHCR @School4Radicals 11th February: From me to we: Creating connections and building communities 18th February: Rolling with resistance 25th February: Making change happen 3rd March: Moving beyond the edge Modules
  10. 10. #SHCR @School4Radicals • Connecting back to Module 1 • Why we can’t be radicals on our own: building communities for change • What we can learn from leaders of social movements • Effective framing: telling our stories • How we build a sense of “us and us” • Questions and call to action Sourceofimage:www.freshnessmag.com Today
  11. 11. #SHCR @School4Radicals YOU can make a difference AND You can’t do it ALONE Source: TED talk by Barry Posner http://workplacepsychology.net/2014/02/ 01/the-truth-about-leadership-you-make- a-difference-and-you-cant-do-it-alone/ Source of image: jamessamy.com Learning from module 1
  12. 12. #SHCR @School4Radicals Jeremy Heimens TED talk “What new power looks like” https://www.youtube.com/watch?v=j-S03JfgHEA old power new power Currency Held by a few Pushed down Commanded Closed Transaction Current Made by many Pulled in Shared Open Relationship From
  13. 13. #SHCR @School4Radicals Source : Lois Kelly www.rebelsatwork.com Rebel From There’s a big difference between a rebel and a troublemaker
  14. 14. #SHCR @School4RadicalsSource: Lois Kelly http://www.slideshare.net/Foghound/rocking-the-boat-without-falling-out Often as radicals, we feel different to other people From
  15. 15. #SHCR @School4Radicals Often as radicals, we feel different to other people
  16. 16. #SHCR @School4Radicals 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
  17. 17. #SHCR @School4Radicals "Communities are characterized by three things: common interests, frequent interaction, and identification.“ Wally Block “There is no power for change greater than a community discovering what it cares about.” Margaret Wheatley Source of image: rootedincommunity.org What is community?
  18. 18. #SHCR @School4Radicals “Power used to come largely through and from big institutions. Today power can and does come from connected individuals in community. When community invests in an idea, it co-owns its success. Source of image: orton.org Instead of trying to achieve scale all by ourselves, we have a new way to have scale. Scale can be in, with and through community.” Nilofer Merchant Power in community
  19. 19. #SHCR @School4Radicals
  20. 20. #SHCR @School4Radicals Example school communities since module 1 • Mental Health Group #SHCRmh • Person Centred Care #SHCRPCC • 6Cs #SHCR6Cs • Value Makers • Nottingham University and Hospitals • Adam Mileusnic @Chasquicomms (comms group) • North West • Papworth, Cambridge • USA – Jim Rawson • Western Australia • Melbourne, Caulfield team • Police group • @BCPFT • NHS England Have we missed you off? Tell us in the chat box or on #SHCR
  21. 21. #SHCR @School4Radicals @CCNetworkCom @CaremakersUK @TheEdgeNHS @WeNurses (& all WeCommunities) @FabNHSStuff #MatExp @HSCVoices @NHSChangeDay #FOAMed Free Open Access Meducation Expanding our communities
  22. 22. #SHCR @School4Radicals “When we talk of social change, we talk of movements, a word that suggest vast groups of people walking together, leaving behind one way and travelling towards another” Rebecca Solnit
  23. 23. #SHCR @School4Radicals Source: Hahrie Han (2014) How organisations develop activists Lone wolves Mobilisers Organisers What’s different about activist organisations/ communities with high participation rates?
  24. 24. #SHCR @School4Radicals “Great social movements get their energy by growing a distributed leadership” Joe Simpson Focus on the “We”
  25. 25. #SHCR @School4Radicals
  26. 26. #SHCR @School4Radicals http://www.slideshare.net/NHSIQ/the-power-of-one-the-power-of- many?qid=97bb3464-07c2-4883-9531-c3d436a66aa1&v=qf1&b=&from_search=2 Learning from social movement leaders
  27. 27. #SHCR @School4Radicals Calls to Action
  28. 28. #SHCR @School4Radicals Framing … is the process by which leaders construct, articulate and put across their message in a powerful and compelling way in order to win people to their cause and call them to action. Snow D A and Benford R D (1992)
  29. 29. #SHCR @School4Radicals What’s the financial incentive? Who is performance managing? What’s the project plan? Source: @RobertVarnam
  30. 30. #SHCR @School4Radicals “What the leader cares about (and typically bases at least 80% of his or her message to others on) does not tap into roughly 80% of the workforce’s primary motivators for putting extra energy into the change programme” Scott Keller and Carolyn Aiken (2009) The Inconvenient Truth about Change Management Source of image: swedenbourg-openlearning.org.uk The reality
  31. 31. #SHCR @School4Radicals 1. People speak intellectually but engage emotionally 2. Facts are hard to remember and easy to challenge 3. If we only talk about our success people won’t believe us 4. People don’t want more communication; they want meaningful communication http://www.peterfuda.com/2014/10/30/traditional-comms-fail-engage/ Four gaps between how we communicate change how people engage with that communication
  32. 32. #SHCR @School4Radicals Leaders ask their staff to be ready for change, but do not engage enough in sensemaking........ Sensemaking is not done via marketing...or slogans but by emotional connection with employees Ron Weil
  33. 33. #SHCR @School4Radicals “I have some Key Performance Indicators for you” or “I have a dream” Source: @RobertVarnam
  34. 34. #SHCR @School4Radicals If we want people to take action, we have to connect with their emotions through values action values emotion Source: Marshall Ganz
  35. 35. #SHCR @School4Radicals
  36. 36. #SHCR @School4Radicals
  37. 37. #SHCR @School4Radicals But not all emotions are equal......... inertiaurgency anger apathy solidarity isolation you can make a difference Self-doubt hope fear Overcomes Action motivators Action inhibitors Source: Marshall Ganz
  38. 38. #SHCR @School4Radicals Posts on social media with a higher emotional content get more shares Source: Advanced marketing Institute: http://coschedule.com/blog/emotional-headlines/
  39. 39. #SHCR @School4Radicals ‘‘Leaders must wake people out of inertia. They must get people excited about something they’ve never seen before, something that does not yet exist” Rosa Beth Moss Kanter Source of image: www.linkedin.com/company/activate-brand-agency
  40. 40. #SHCR @School4Radicals 1. Tell a story Source of image: woccdoc.org Effective framing: what do we need to do?
  41. 41. #SHCR @School4Radicals http://www.slideshare.net/amitkaps/fifth-elephant-2014-talk- crafting-visual-stories-with-data?sf3881865=1
  42. 42. #SHCR @School4Radicals 1. Tell a story 2. Make it personal Source of image: woccdoc.org Effective framing: what do we need to do?
  43. 43. #SHCR @School4Radicals 1. Tell a story 2. Make it personal 3. Be authentic Source of image: woccdoc.org Effective framing: what do we need to do?
  44. 44. #SHCR @School4Radicals 1. Tell a story 2. Make it personal 3. Be authentic 4. Create a sense of “us” (and be clear who the “us” is) Source of image: woccdoc.org Effective framing: what do we need to do?
  45. 45. #SHCR @School4Radicals Effective framing: what do we need to do? 1. Tell a story 2. Make it personal 3. Be authentic 4. Create a sense of “us” (and be clear who the “us” is) 5. Build in a call for urgent action Source of image: woccdoc.org
  46. 46. #SHCR @School4Radicals How do we create a sense of “us” to build momentum for change? Source of image: www.tannerfriedman.com
  47. 47. #SHCR @School4Radicals Mark Davis @markdavis275 Telling his story
  48. 48. #SHCR @School4Radicals strong ties vs. weak ties Source of image: http://www.forbes.com/fdc/welcome_mjx.shtml
  49. 49. #SHCR @School4Radicals When we spread change through strong ties: • we interact with “people like us”, with the same life experiences, beliefs and values • Change is “peer to peer”; GP to GP, social worker to social worker, nurse to nurse, community leader to community leader • Influence is spread through people who are strongly connected to each other, like and trust each other
  50. 50. #SHCR @School4Radicals When we spread change through strong ties: • we interact with “people like us”, with the same life experiences, beliefs and values • Change is “peer to peer”; GP to GP, social worker to social worker, nurse to nurse, community leader to community leader • Influence is spread through people who are strongly connected to each other, like and trust each other IT WORKS BECAUSE: people are far more likely to be influenced to adopt new behaviours or ways of working from those with whom they are most strongly tied
  51. 51. #SHCR @School4Radicals The pros and cons of strong ties Pros Cons
  52. 52. #SHCR @School4Radicals • we build bridges between groups and individuals who were previously different and separate • we create relationships based not on pre-existing similarities but on common purpose and commitments that people make to each other to take action • We can mobilise all the assets in our organisation, system or community to help achieve our goals When we seek to spread change through weak ties
  53. 53. #SHCR @School4Radicals Why we need to build weak ties AS WELL AS strong ties • Weak ties are more likely to lead to change at scale because they enable us to access more people with fewer barriers More on weak ties: https://www.youtube.com/watch?v=w7AzRVxhEXA#t=45
  54. 54. #SHCR @School4Radicals Why we need to build weak ties AS WELL AS strong ties • Weak ties are more likely to lead to change at scale because they enable us to access more people with fewer barriers • In situations of uncertainty, we have a tendency to revert to our strong tie relationships  yet the evidence tells us that weak ties are much more important than strong ties when it comes to searching out resources in times of scarcity
  55. 55. #SHCR @School4Radicals Why we need to build weak ties AS WELL AS strong ties • Weak ties are more likely to lead to change at scale because they enable us to access more people with fewer barriers • In situations of uncertainty, we have a tendency to revert to our strong tie relationships  yet the evidence tells us that weak ties are much more important than strong ties when it comes to searching out resources in times of scarcity • The most breakthrough innovations and most radical change will come when we tap into our weak ties
  56. 56. #SHCR @School4Radicals Sources of weak ties
  57. 57. #SHCR @School4Radicals Three components of a great narrative • Diagnostic – what is the problem that we are addressing? What is the extent of the problem? What is the specific source or sources? • Prognostic – what could the future look like? What is our “plan of attack” and our strategy for carrying out the plan? • Motivational – why is this urgent? What is our call for action that connects with the motivational and emotional drivers of our audience? Source: Benford and Snow Source of image: www.ecommercedefense.com
  58. 58. #SHCR @School4Radicals Four keys to collaboration • Lean into your discomfort • Listen as an ally • State your intent • Share your “street corner” Source: Judith Katz and Fred Miller
  59. 59. #SHCR @School4Radicals
  60. 60. #SHCR @School4Radicals 60 http://weneeds ocial.com/blog/ 2013/8/25/disr upted- disruptors-unite
  61. 61. #SHCR @School4Radicals …the art of mobilising others to want to struggle for shared aspirations Jim Kouzes Source of image: environmentvictoria.org.au Leadership is….
  62. 62. #SHCR @School4Radicals “You don’t need an engine when you have wind in your sails” Source of image: emmyck.wordpress.com
  63. 63. #SHCR @School4Radicals Graham Mackenzie @gmacscotland Telling his story
  64. 64. Healthy Start & welfare rights advice Leith Early Years Collaborative Pioneer site Graham Mackenzie Consultant in Public Health 0131 465 5438 Twitter: @gmacscotland graham.mackenzie@nhslothian.scot.nhs.uk Today’s materials at www.scotpublichealth.com/healthystart Also see www.Facebook.com/gethealthystart
  65. 65. Healthy Start • Food and vitamin vouchers • Low income families • Pregnant women (from 10 weeks gestation) and children under 4 • £3.10 per week food vouchers Twitter: @gmacscotland
  66. 66. Overview of our work 1) We worked with one midwife to understand the process of signing a woman up for Healthy Start by week 10 of pregnancy (Mar 2014) 2) Once we had identified a simpler and faster process to sign up we surveyed other midwives in the same team, neighbouring team then the whole of Lothian (Apr – May 2014) 4) We shared the recommendations and data with team leads, for cascade, and started visiting the other teams (May to Nov 2014). 3) We put the lessons into a simple recommendation sheet and flow chart for pregnant women and their midwife (May 2014). 5) We kept testing – e.g. reaching new populations, support for women to complete the form, other services and beyond pregnancy…. work that continues… Twitter: @gmacscotland
  67. 67. Voucher receipt by women Full paper shows data at team level too Source: Department of Health Jan 14 – Dec 15 PLEASE DO NOT TWEET/ SHARE THIS – WAIT FOR BMJ QIR PAPER
  68. 68. Voucher receipt by women Full paper shows data at team level too Source: Department of Health Jan 14 – Dec 15 PLEASE DO NOT TWEET/ SHARE THIS – WAIT FOR BMJ QIR PAPER
  69. 69. Staff and service factors (e.g. midwives and welfare rights adviser (WRA)). Do students know about Healthy Start and welfare rights? Is WRA accessible? Family factors (e.g. language, beliefs around claiming benefits, literacy) Community factors (e.g. does local shop accept Healthy Start, local transport links) DWP/ HMRC (e.g. if no response 3 weeks after Healthy Start application, reapply). Keep rejection letters to discuss with WRA. Points to consider when discussing results with team Starting point: e.g. a team with a higher baseline figure may not expect much of an increase. Twitter: @gmacscotland
  70. 70. Referrers Welfare rights advice Families Granton Information Centre 89 clients attended appointment at Granton Information Centre Mar – Sep 2015 £404k financial gain projected for these families during 2015/16 Average £4,500/ family Scottish Legal Aid Board funding until Oct 2016Twitter: @gmacscotland
  71. 71. #SHCR @School4Radicals To conclude • Institute for Healthcare Improvement "high impact" leadership behaviours • Person-centredness (1:1) • Front Line Engagement (with teams) • Relentless Focus (keep testing) • Transparency (share data) • Boundarilessness (all partners) Swensen S, Pugh M, McMullan C, Kabcenell A. High-Impact Leadership: Improve Care, Improve the Health of Populations, and Reduce Costs. IHI White Paper. Cambridge, Massachusetts: Institute for Healthcare Improvement; 2013. (Available at ihi.org)
  72. 72. #SHCR @School4Radicals • Next Tuesday, 16th February 1900-2000 GMT: Tweet chat #SHCR (Basic tips on how to join in a tweetchat) • Next Thursday 18th February 1430-1600 GMT - Module 3: Rolling with resistance • Catch up on all sessions via the SHCR website http://theedge.nhsiq.nhs.uk/school/resources/ Next opportunities for learning
  73. 73. #SHCR @School4Radicals This week’s #SHCR twitter chat ‘can’t be a rebel alone’
  74. 74. #SHCR @School4Radicals Questions for reflection • What learning and inspiration can I take from social movement leaders to help me in my role as an agent of change? • How can I connect with new individuals and groups to achieve my goal/s for change? • How can I promote co-production in my communities? Questions for reflection
  75. 75. #SHCR @School4Radicals Questions for reflection • Let others know what’s happening in my own change community • Identify opportunities for co-production • Create my own story/narrative to win other people to my cause Call to action
  76. 76. #SHCR @School4Radicals Goodbye and good luck! ‘Coming together is a beginning. Keeping together is progress. Working together is success.’ Henry Ford Goodbye and good luck! Source of image: http://switchandshift.com/transactional-or- transformational-which-leadership-style-is-best

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