Successfully reported this slideshow.
We use your LinkedIn profile and activity data to personalize ads and to show you more relevant ads. You can change your ad preferences anytime.

School for Health and Care Radicals Module 1 Slides 2016

2,912 views

Published on

These are the slides for Module 1 of the 2016 School for Health and Care Radicals - Being a health and care radical: Change starts with me

Published in: Healthcare
  • Hello! Get Your Professional Job-Winning Resume Here - Check our website! https://vk.cc/818RFv
       Reply 
    Are you sure you want to  Yes  No
    Your message goes here

School for Health and Care Radicals Module 1 Slides 2016

  1. 1. #SHCR @School4Radicals Module 1 Being a health and care radical: Change starts with me Supported by: http://www.theedge.nhsiq.nhs.uk/school/ Module 1 Being a health and care radical: Change starts with me
  2. 2. #SHCR @School4Radicals Welcome to the School for Health and Care Radicals A global community of change agents Over 7000 people have now taken part in The School for Health and Care Radicals, from around the world, including: Argentina, Australia, Austria, Belgium, Brazil, Canada, Denmark, England, France, Georgia, Germany, Greece, India, Ireland (Republic), Italy, Netherlands, New Zealand, Nigeria, Norway, Northern Ireland, Pakistan, Qatar, Russian Federation, Saudi Arabia, Scotland, Singapore, Slovenia, South Africa, Spain, Sweden, Switzerland, Thailand, Tunisia, Ukraine, USA, Wales
  3. 3. #SHCR @School4Radicals Make your mark!
  4. 4. #SHCR @School4Radicals Where on earth are you?
  5. 5. #SHCR @School4Radicals Where in the UK are you?
  6. 6. #SHCR @School4Radicals How are you feeling today? I’m ready to be radical! I’m cautiously optimistic. I remain unconvinced or sceptical. I’m feeling positive, let’s see how I can make this work!
  7. 7. #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 • Send a request to join our Facebook group School for Health and Care Radicals • We will produce summaries of each module discussion using Storify and Stella and put on the website • Join in the #SHCR Tweetchat each Tuesday at 1900 (GMT)
  8. 8. #SHCR @School4Radicals Study guides Programme Study Guide: http://www.slideshare.net/TheEdgeNHS/school-for-health-and-care-radicals-iii- study-guide-2016?related=2 Module 1 Study Guide: http://www.slideshare.net/TheEdgeNHS/the-school-for-health-and- care-radical-2016-module-1-study-guide?related=1
  9. 9. #SHCR @School4Radicals The team today Session lead: Helen Bevan @HelenBevan Learning lead: Pip Hardy @PilgrimPip Storyteller alumna: Jon Bryant @chicustard Session chair: Kate Pound @kateslater2 Twitter monitor: Olly Benson @ollybenson Storyteller alumna: Wendy McIntosh @1wenmac Chat monitor: Dominic Cushnan @domcushnan
  10. 10. #SHCR @School4Radicals Modules 4th February: Being a health and care radical: change starts with me 11th February: Creating connections and building communities 18th February: Rolling with resistance 25th February: Making change happen 3rd March: Moving beyond the edge
  11. 11. #SHCR @School4Radicals School for Health and Radical Change Agents Get certificated!
  12. 12. #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.
  13. 13. #SHCR @School4Radicals Today • Background to The School for Health and Care Radicals • Learning processes • Context: emerging directions in transformation and change • Some challenges for health and care radicals • The difference between a radical and a troublemaker • How to rock the boat AND stay in it • How to thrive and survive as a radical • Questions and call to action Sourceofimage:www.freshnessmag.com
  14. 14. #SHCR @School4Radicals The genesis of the School 2002 2014 2013 2010 2012 2003 NHS Change Day 2013 “A school for healthcare radicals” Applying social movement thinking to healthcare improvement “The School for Health and Care Radicals” Applying community organising principles to healthcare improvement 2016 “A one day school for organisational radicals”
  15. 15. #SHCR @School4Radicals The School has been formally evaluated by the Chartered Institute for Personnel & Development http://theedge.nhsiq. nhs.uk/school/school- evaluation/ How has the School for Health and Care Radicals made a difference?
  16. 16. #SHCR @School4Radicals The School has been formally evaluated by the Chartered Institute for Personnel & Development • Change knowledge • Sense of purpose & motivation to improve practice • Ability to challenge the status quo • Rocking the boat & staying in it • Connecting with others to build support for change Statistically significant positive effect on EVERY dimension of impact at both individual and organisational level
  17. 17. #SHCR @School4Radicals The Fundamental Law of Conventional Conferences The sum of the expertise of the people in the audience is greater than the sum of expertise of the people on stage. Dave Winer “ “ Source of image: www.citynet.com
  18. 18. #SHCR @School4Radicals Source: http://www.slideshare.net/alwynlau/learning-theories-learner-needs
  19. 19. #SHCR @School4Radicals Source: @NHSChangeDay
  20. 20. #SHCR @School4Radicals “New truths begin as heresies” (Huxley, defending Darwin’s theory of natural selection) Source of image: installation by the artist Adam Katz www.thisiscolossal.com Via @NeilPerkin
  21. 21. #SHCR @School4Radicals
  22. 22. #SHCR @School4Radicals Starts on the fringe (at the edge) Starts with the activists Gary Hamel always
  23. 23. #SHCR @School4Radicals Tomorrow belongs to those who can hear it coming David Bowie “
  24. 24. #SHCR @School4Radicals If I put my ear down on the railroad track, I can hear the train coming, and we ain’t ready. Ray Smith, former Chairman and CEO of Bell Atlantic Source of image: cubimention.net “ “
  25. 25. #SHCR @School4Radicals The Five Year Forward View Mentions “radical” 12 times “transformation/transformational” 13 times “change” 42 times
  26. 26. #SHCR @School4Radicals
  27. 27. #SHCR @School4Radicals What is happening with change?
  28. 28. #SHCR @School4Radicals Kinthi Sturtevant, IBM 13th annual Change Management Conference June 2015 We rarely see two, three or four year change projects anymore. Now it’s 30-60-90 day change projects
  29. 29. #SHCR @School4Radicals Source: Bromford P (2015), ”What’s the difference between a test and a pilot?”
  30. 30. #SHCR @School4Radicals What is happening with change?
  31. 31. #SHCR @School4Radicals Empower your staff to be the voice of the organisation. They’ve got audience & credibility.
  32. 32. #SHCR @School4Radicals What is happening with change?
  33. 33. #SHCR @School4Radicals What is happening with change?
  34. 34. #SHCR @School4Radicals Change from the edge What is happening with change?
  35. 35. #SHCR @School4Radicals Moving to the edge “ Traditional R&D is no longer sufficient. Big companies invest in innovation centers; some aim to act like start ups, others set out to partner with or acquire them. Either way, innovation centers spark new ideas, experiment faster, fail faster and gain momentum to affect HQ and force change from the outside in” Disruptive technology trends 2016-2018
  36. 36. #SHCR @School4Radicals http://www.slideshare.net/Openpolicymaking/policy-lab-slide- share-introduction-final
  37. 37. #SHCR @School4Radicals By joining The School for Health and Care Radicals, you are moving to the edge!
  38. 38. #SHCR @School4Radicals Why go to the edge? “ Leading from the edge brings us 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. Aylet Baron “
  39. 39. #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
  40. 40. #SHCR @School4Radicals The essential flaw of quality improvement methods The essential flaw of [quality improvement methodology] is that, when implemented, it tends to reinforce the mechanistic and hierarchical models that are consistent with the mental maps of most managers. Chris Argyris, Flawed advice and the management trapSource of image: www.biblicalcreation.org.uk Read more at: http://www.slideshare.net/jurgenappelo/management-30-workout
  41. 41. #SHCR @School4Radicals 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
  42. 42. #SHCR @School4Radicals People who are highly connected have twice as much power to influence change as people with hierarchical power. Leandro Herrero http://t.co/Du6zCbrDBC
  43. 43. #SHCR @School4Radicals Discussion What are the implications of old vs.new power for the way change agents work?
  44. 44. #SHCR @School4Radicals Is your change process a cathedral or a bazaar? http://www.unterstein.net/su/docs/CathBaz.pdf
  45. 45. #SHCR @School4Radicals We have a lot of cathedrals Source: Sewell (2015) : Stop training our project managers to be process junkies
  46. 46. #SHCR @School4Radicals People at every level recognise that things aren’t right “Legacy constructs that enforce bureaucracy through command- and-control structures …with gated handovers between organizational silos are pervasive across large organisations. These processes were built to mitigate risk for an environment that doesn’t exist today.” “With this in mind, many organisations are looking for ways to improve employee participation in the organisation’s strategy and in turn, increase retention rates and hold on to the great people they’ve already invested in. This results in a radical shift in the existing work constructs……” Thoughtworks, The unfinished business of organizational transformation
  47. 47. #SHCR @School4Radicals Success….depends on having an open, engaging, and iterative process that harnesses the energies of clinicians, patients, carers, citizens, and local community partners including the independent and voluntary sectors, and local government. Sustainability and Transformation Plans
  48. 48. #SHCR @School4Radicals • systematic “change management” • too often, leaders prescribe outcome and 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 Programmes • everyone (including service users and families) can help tackle the most challenging issues • value diversity of thought • connect people, ideas and learning • Role of formal leaders is to create the conditions and get out of the way Change Platforms “Tear down the walls”
  49. 49. #SHCR @School4Radicals “Tomorrow’s management systems will need to value diversity, dissent and divergence as highly as conformance, consensus and cohesion.” Gary Hamel Image by neilperkin.typepad.com “The single biggest mistake to avoid? Creating disruption at work. Focus on developing relationships, not disrupting and alienating people. .” Peter Vander Awera on learning from setbacks and failures is the new normal!
  50. 50. #SHCR @School4Radicals
  51. 51. #SHCR @School4Radicals We need rebels! •The principal champion of a change initiative, cause or action •Rebels don’t wait for permission to lead, innovate, strategise •They are responsible; they do what is right •They name things that others don’t see yet •They point to new horizons •Without rebels, the storyline never changes Source : @PeterVan http://t.co/6CQtA4wUv1
  52. 52. #SHCR @School4Radicals If you put fences around people, you get sheep. Give people the room they need. William L McKnight
  53. 53. #SHCR @School4Radicals What happens to heretics/radicals/rebels/mavericks in organisations?
  54. 54. #SHCR @School4Radicals
  55. 55. #SHCR @School4RadicalsSource: Lois Kelly http://www.slideshare.net/Foghound/rocking-the-boat-without-falling-out
  56. 56. #SHCR @School4Radicals We need to be boatrockers! • Walk the fine line between difference and fit, inside and outside, rock the boat but manage to stay in it • 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
  57. 57. #SHCR @School4Radicals What are the risks for a boat rocker? 1. Our experiences of “being different” can be fundamentally disempowering. This can lead us to conform because we see no other choice Source: adapted from Debra E Meyerson
  58. 58. #SHCR @School4Radicals What are the risks for a boat rocker? 1. Our experiences of “being different” can be fundamentally disempowering. This can lead us to conform because we see no other choice.  we surrender a part of ourselves, and silence our commitment, in order to survive Source: adapted from Debra E Meyerson
  59. 59. #SHCR @School4Radicals Research shows the psychological distress that comes with inauthentic behaviour "Staying true to yourself matters, even if it is difficult, because we notice that there is a cost involved in straying too far from your personal values.” “It seems to be true that to act in accordance with one’s own self, emotions, and values is a fundamental aspect of well-being.” F. Gino, Maryam Kouchaki and Adam D. Galinsky (2015) The moral virtue of authenticity: how inauthenticity produces feelings of immorality and impurity Psychological Science July 2015
  60. 60. #SHCR @School4Radicals
  61. 61. #SHCR @School4Radicals What are the risks for a boat rocker? 1. Our experiences of “being different” can be fundamentally disempowering. This can lead us to conform because we see no other choice.  we surrender a part of ourselves, and silence our commitment, in order to survive 2. leave the organisation Source: adapted from Debra E Meyerson
  62. 62. #SHCR @School4Radicals Research shows the psychological distress that comes with inauthentic behaviour “it is important to note that a threat to someone’s moral self-concept is different from other negative states of mind such as feeling confused, disrespected, or overwhelmed. Clear instructions, positive feedback, and flexible hours are all undoubtedly appreciated, but for leaders who want to keep their employees engaged for as long as possible, understanding their need for a positive moral self- concept might be key.” F. Gino, Maryam Kouchaki and Adam D. Galinsky (2015) The moral virtue of authenticity: how inauthenticity produces feelings of immorality and impurity Psychological Science July 2015
  63. 63. #SHCR @School4Radicals What are the risks for a boat rocker? 1. Our experiences of “being different” can be fundamentally disempowering. This can lead us to conform because we see no other choice  we surrender a part of ourselves, and silence our commitment, in order to survive 2. leave the organisation  we cannot find a way to be true to our values and commitments and still survive Source: adapted from Debra E Meyerson
  64. 64. #SHCR @School4Radicals What are the risks for a boat rocker? 1. Our experiences of “being different” can be fundamentally disempowering. This can lead us to conform because we see no other choice.  we surrender a part of ourselves, and silence our commitment, in order to survive 2. leave the organisation  we cannot find a way to be true to our values and commitments and still survive 3. stridently challenge the status quo in a manner which is increasingly disruptive and self-defeating Source: adapted from Debra E Meyerson
  65. 65. #SHCR @School4Radicals What are the risks for a boat rocker? 1. Our experiences of “being different” can be fundamentally disempowering. This can lead us to conform because we see no other choice.  we surrender a part of ourselves, and silence our commitment, in order to survive 2. leave the organisation  we cannot find a way to be true to our values and commitments and still survive 3. stridently challenge the status quo in a manner which is increasingly radical and self-defeating  this just confirms what we already know – that we don’t belong Source: adapted from Debra E Meyerson
  66. 66. #SHCR @School4Radicals Source : Lois Kelly www.foghound.com There’s a big difference between a rebel and a troublemaker Rebel
  67. 67. #SHCR @School4Radicals
  68. 68. #SHCR @School4Radicals Reflection • What are your insights around “rebels” and “troublemakers”? • What moves people from being “rebel” to “troublemaker”? • How do we protect against this?
  69. 69. #SHCR @School4Radicals Source : Lois Kelly www.rebelsatwork.com There’s a big difference between a rebel and a troublemaker Rebel
  70. 70. #SHCR @School4Radicals Telling her story Wendy McIntosh @1wenmac
  71. 71. #SHCR @School4Radicals Storyteller: Wendy McIntosh
  72. 72. #SHCR @School4Radicals Change starts with me Source of image: jasonkeath.com
  73. 73. #SHCR @School4Radicals "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
  74. 74. #SHCR @School4Radicals “The success of our actions as change- makers does not depend on what we do or how we do it, but on the inner place from which we operate.” Otto Scharmer Leading from the emerging future
  75. 75. #SHCR @School4Radicals 1. able to join forces with others to create action 2. able to achieve small wins which create a sense of hope, possibility and confidence 3. More likely to view obstacles as challenges to overcome 4. strong sense of “self-efficacy”  belief that I am personally able to create the change Four things we know about successful boat rockers Source: adapted from Debra E Meyerson CHANGE me BEGINS WITH
  76. 76. #SHCR @School4Radicals 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 Source of image:www.h3daily.com
  77. 77. #SHCR @School4Radicals What’s the difference between self efficacy and self esteem, self belief, self-confidence?
  78. 78. #SHCR @School4Radicals Source: @NHSChangeDay
  79. 79. #SHCR @School4Radicals Source: @NHSChangeDay What is the issue here? “permission” ? (externally generated) or Self efficacy ? (internally generated)
  80. 80. #SHCR @School4Radicals Building self-efficacy: some tactics 1. Create change one small step at a time 2. Reframe your thinking: • failed attempts are learning opportunities • uncertainty becomes curiousity 3. Make change routine rather than an exceptional activity 4. Get social support 5. Learn from the best
  81. 81. #SHCR @School4Radicals Our awareness provides the underlying ground out of which our thinking and doing emerge
  82. 82. #SHCR @School4Radicals Avedis Donabedian Ultimately, the secret of quality is love. …… If you have love, you can then work backward to monitor and improve the system.’
  83. 83. #SHCR @School4Radicals Tactic for radicals: Out-love everyone else Source of image: Bradley Burgess
  84. 84. #SHCR @School4Radicals Telling his story Jon Bryant @chicustard
  85. 85. #SHCR @School4Radicals
  86. 86. #SHCR @School4Radicals Share the School: set up a local group!
  87. 87. #SHCR @School4Radicals Share the School: set up a local group!
  88. 88. #SHCR @School4Radicals Calls to action from this module • Discuss tactics for ‘rocking the boat and staying in it’ with other radicals. • Take part in a RCT (Randomised Coffee Trial). • Tweet #my3words http://chrisbrogan.com/3-words-2016/
  89. 89. #SHCR @School4Radicals Take part in an RCT What is a RCT?
  90. 90. #SHCR @School4Radicals • Randomised Coffee Trial! • Randomised Coffee Trial! Randomised Coffee Trial!
  91. 91. #SHCR @School4Radicals Outcomes of Randomised Coffee Trials
  92. 92. #SHCR @School4Radicals How to take part • Instructions in News from Jo • Send an email to say you want to take part in the RCT to radicals@nhsiq.nhs.uk • We will randomly match you with another participant in the School for Health and Care Radicals from anywhere in the world. • At some time in the next four weeks, arrange to have a conversation over Skype (or other communication system) with a cup of coffee!
  93. 93. #SHCR @School4Radicals Questions for reflection • How can I build self-efficacy (the belief that I can deliver change) • How can I move beyond skills and knowledge of change to ‘live and be the change’? • What or who do I need to support my work as a change agent? Questions for reflection
  94. 94. #SHCR @School4Radicals Questions for reflection • How can I build self-efficacy (the belief that I can deliver change)? • How can I move beyond skills and knowledge of change to ‘live and be the change’? • What or who do I need to support my work as a change agent? Call to action
  95. 95. #SHCR @School4Radicals Celebration and certification Put your learning into action. Become a certificated change agent.
  96. 96. #SHCR @School4Radicals Next issue due out soon!
  97. 97. #SHCR @School4Radicals #EdgeTalks presents… In Search of the Perfect Health System with Mark Britnell @MarkBritnell Webinar joining details: theedge.nhsiq.nhs.uk/events/2626-2 Friday 5th February, 2016 09:30-11:00 GMT This free, live webinar will take you on a whistle-stop tour through the key messages and conclusions of Mark Britnell’s experiences of having run a hospital, a health system, a global healthcare enterprise and his own personal story as a cancer patient. Join in the conversation on Twitter using the hashtag #EdgeTalks
  98. 98. #SHCR @School4Radicals Next opportunities for learning • Next Tuesday, 9th February 1900-2000 GMT: Tweet chat #SHCR • Next Thursday 6th February 1430-1600 GMT: Module 2: Creating connections and building communities
  99. 99. #SHCR @School4Radicals Goodbye and good luck! ‘Be the change you want to see in the world.’ Goodbye and good luck!

×