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Zoe Lord @ZoeLord1
Kate Pound @KateSlater2
Power of collective leadership…
Our Session
• Collective Leadership
1. What is it?
2. Benefits?
3. What can I do?
• NHS Examples
What is collective leadership?
‘Collective leadership means everyone taking
responsibility for the success of the organisation
as a whole – not just for their own jobs. It
requires organisations to distribute leadership
power to wherever expertise, capability and
motivation sit within organisations.’
Benefits of collective leadership
• Strength
• Creativity
• Staff engagement & empowerment
• Talent management
• Collaboration and co creation
• Sustainability
• Commitment
6
What has changed in your world in the last
12months?
Some examples might include…
• Demand?
• Capacity… decision making?
• Relationships?
• Workforce?
• Attitudes & behaviour?
• Culture?
• Service redesign?
Change is change too…
We still organise government departments
like the Tabulating Machine Co. of 1917
Source of image: @corp_rebels
Source: Innovisor
Adapted from 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
The design dilemma at the heart of
policy implementation
The predominant approach in recent years has been
STRUCTURE
but globally there is a big shift towards AGENCY
12
WHO makes change happen in your organisation?
List A
• The Transformation
Programme Board
• The programme sponsor
• The Programme Management
Office
• The leads of the [insert
number] transformation work
streams
• The Project Manager
• The Team Leader /Unit
Manager
• The Change Facilitator
Source: adapted by Helen Bevan
from Leandro Herrera
WHO makes change happen in your organisation?
List A
• The Transformation
Programme Board
• The programme sponsor
• The Programme Management
Office
• The leads of the [insert
number] transformation work
streams
• The Project Manager
• The Team Leader /Unit
Manager
• The Change Facilitator
List B
• The mavericks and rebels
• The deviants (positive). Who do
things differently and succeed
• The contrarians, because they can
• The nonconformists who see
things through glasses no one else
has
• The hyper-connected. Good or
bad, they spread behaviours, role
model at a scale, set mountains
on fire and multiply anything they
get their hands on
• The hyper-trusted. Multiple
reasons, doesn’t matter which
ones Source: adapted by Helen Bevan
from Leandro Herrera
WHO makes change happen in your organisation?
List A
• The Transformation
Programme Board
• The programme sponsor
• The Programme Management
Office
• The leads of the [insert
number] transformation work
streams
• The Project Manager
• The Team Leader /Unit
Manager
• The Change Facilitator
List B
• The mavericks and rebels
• The deviants (positive). Who do
things differently and succeed
• The contrarians, because they can
• The nonconformists who see
things through glasses no one else
has
• The hyper-connected. Good or
bad, they spread behaviours, role
model at a scale, set mountains
on fire and multiply anything they
get their hands on
• The hyper-trusted. Multiple
reasons, doesn’t matter which
ones Source: adapted by Helen Bevan
from Leandro Herrera
To create collective
leadership and
sustainable change
you need to create
the right
environment.
Psychological
Physical
Spiritual
Social Intellectual
Energy for Change
Source: http://www.institute.nhs.uk/tools/energy_for_change/energy_for_change_.html
Social energy
Energy of personal
engagement, relationships and
connections between people
It’s where people feel a sense of
“us and us”
rather than
“us and them”
Spiritual energy
Energy of commitment to a common
vision for the future, driven by shared
values and a higher purpose
Gives people the confidence to move towards a
different future that is more compelling than
the status quo
Psychological energy
Energy of courage, resilience and feeling
safe to do things differently
Involves feeling supported to make a change and
trust in leadership and direction
Physical energy
Energy of action, getting things done and
making progress
The flexible, responsive drive to make things
happen
Intellectual energy
Energy of analysis, planning and thinking
Involves gaining insight as well as planning and
supporting processes, evaluation, and arguing a
case on the basis of logic/ evidence
High and low ends of each energy domain
Social isolated solidarity
Spiritual uncommitted higher purpose
Psychological risky safe
Physical fatigue vitality
Intellectual Illogical reason
LOW
HIGH
Where are
your
strengths and
weaknesses?
“Leadership is not about
making clever decisions
and doing bigger deals.
It is about helping
release the positive
energy that exists
naturally within
people”
Henry Mintzberg
Collective leadership
Examples of Collective Leadership from
Health and Care
Coming soon… theedge.nhsiq.nhs.uk/school
Source: @NHSChangeDay
The Change Challenge
Tapping the collective brilliance
of the NHS
14,000 contributions identified
10 barriers to change:
Confusing strategies
Over controlling
leadership
Perverse incentivesStifling innovation
Poor workforce
planning
One way
communication
Inhibiting
environment
Undervaluing staff
Poor project
management
Playing it safe
14,000 contributions identified
11 building blocks for change:
Inspiring & supportive
leadership
Collaborative working
Thought diversityAutonomy & trust
Smart use of resources
Flexibility &
adaptability
Long term thinking
Nurturing our people
Fostering an open
culture
A call to action
Source: Health Service Journal, Nursing Times, NHS Improving
Quality, “Change Challenge” March 2015
Challenging the
status quo
TRIZ
TRIZ
What is it?
• It’s a Russian acronym:
“Teoriya Resheniya Izobretatelskikh Zadach”
• A problem solving, analysis and forecasting tool.
• Depersonalising and unpicking topics that people are
passionate about.
• Part of ‘Liberating Structures’
• Frameworks that make it possible for people and
organisations to create, do new things, to be innovative.
TRIZ
How could reliably ensure
policing completely fails in collective
leadership?
TRIZ
Step 1
As a table, make a list of all the things that we could do
to ensure we meet our goal:
How could reliably ensure
policing completely fails in collective leadership?
• Go wild!
• Use post it notes (one per action!)
• 10 minutes
TRIZ
Step 2
As a table group, go down your first list and ask:
Is there anything that we are currently doing that in
any way, shape or form resembles any of the actions
on your post it notes?
• If yes, move these post it notes to sheet 2.
• Be unforgiving about these items and talk about their
impact
• 8 minutes
TRIZ
Step 3
As a table group, go down your second list from step 2
and ask:
What could be stopped?
• Take these post it notes and move them to sheet 3.
• 8 minutes
TRIZ
Step 4
From the actions that can be stopped, discuss and
create an action plan for the stopping these activities.
• 8 minutes
TRIZ
Unconference
The Fundamental Law of Unconferencing
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
Traditional event
The agenda is pre-set
One way learning style
with Q&A
People sit in rows or round
tables
Networking between
sessions
Hard to leave the session
once it starts
Absorbing information
Unconference
People set the agenda
Based on discussion
People sit in a circle
Networking the whole
time
Encouraged to find the
right session
Connecting to action
Source: adapted from @BCPSQC
The unconference:
4 principles and a law
Principles:
1. Whoever comes are the right people
2. Whatever happens is the only thing that could
have happened.
3. When it starts is the right time
4. When it's over it's over
The Law is known as the Law of Two Feet:
"If you find yourself in a situation where you are not
contributing or learning, move somewhere where
you can."
Our unconference process
• Think about one area of policing that you are
passionate to change and improve - And that you
would like to explore with other people.
• It should be a topic that you want to take action on.
• This will continue as homework and innovatively
presented back in plenary for 5 mins tomorrow
• Prizes to be won!!
• So… raise your hand and we will bring you a sheet!
Further Reading
• Bevan, H., and Fairman, S. (2014) The new era of thinking and practice in
change and transformation. NHSIQ http://www.nhsiq.nhs.uk/resource-
search/publications/white-paper.aspx
• Cullen, K. L., Palus, C. J., & Appaneal, C. (2013). Developing Network
Perspective. Center for Creative Leadership.http://insights.ccl.org/wp-
content/uploads/2013/03/DevelopingNetworkPerspective.pdf
• Donald Berwick - London 2013 Keynote Courage and the Pursuit of Better
Healthcare - Donald M. Berwick
https://www.youtube.com/watch?v=ve2fASVZCT0
• West et al (2014) http://www.kingsfund.org.uk/publications/developing-
collective-leadership-health-care
• Leading large scale change (2017) https://www.england.nhs.uk/wp-
content/uploads/2017/09/leading-large-scale-change-practical-guide.pdf
Randomised
Coffee Trial!
Break time!
Outcomes of randomised coffee trials

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Collective Leadership in Health and Care

  • 1. Zoe Lord @ZoeLord1 Kate Pound @KateSlater2 Power of collective leadership…
  • 2.
  • 3. Our Session • Collective Leadership 1. What is it? 2. Benefits? 3. What can I do? • NHS Examples
  • 4. What is collective leadership? ‘Collective leadership means everyone taking responsibility for the success of the organisation as a whole – not just for their own jobs. It requires organisations to distribute leadership power to wherever expertise, capability and motivation sit within organisations.’
  • 5. Benefits of collective leadership • Strength • Creativity • Staff engagement & empowerment • Talent management • Collaboration and co creation • Sustainability • Commitment
  • 6. 6
  • 7. What has changed in your world in the last 12months? Some examples might include… • Demand? • Capacity… decision making? • Relationships? • Workforce? • Attitudes & behaviour? • Culture? • Service redesign?
  • 8. Change is change too…
  • 9. We still organise government departments like the Tabulating Machine Co. of 1917 Source of image: @corp_rebels
  • 11. Adapted from 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
  • 12. The design dilemma at the heart of policy implementation The predominant approach in recent years has been STRUCTURE but globally there is a big shift towards AGENCY 12
  • 13. WHO makes change happen in your organisation? List A • The Transformation Programme Board • The programme sponsor • The Programme Management Office • The leads of the [insert number] transformation work streams • The Project Manager • The Team Leader /Unit Manager • The Change Facilitator Source: adapted by Helen Bevan from Leandro Herrera
  • 14. WHO makes change happen in your organisation? List A • The Transformation Programme Board • The programme sponsor • The Programme Management Office • The leads of the [insert number] transformation work streams • The Project Manager • The Team Leader /Unit Manager • The Change Facilitator List B • The mavericks and rebels • The deviants (positive). Who do things differently and succeed • The contrarians, because they can • The nonconformists who see things through glasses no one else has • The hyper-connected. Good or bad, they spread behaviours, role model at a scale, set mountains on fire and multiply anything they get their hands on • The hyper-trusted. Multiple reasons, doesn’t matter which ones Source: adapted by Helen Bevan from Leandro Herrera
  • 15. WHO makes change happen in your organisation? List A • The Transformation Programme Board • The programme sponsor • The Programme Management Office • The leads of the [insert number] transformation work streams • The Project Manager • The Team Leader /Unit Manager • The Change Facilitator List B • The mavericks and rebels • The deviants (positive). Who do things differently and succeed • The contrarians, because they can • The nonconformists who see things through glasses no one else has • The hyper-connected. Good or bad, they spread behaviours, role model at a scale, set mountains on fire and multiply anything they get their hands on • The hyper-trusted. Multiple reasons, doesn’t matter which ones Source: adapted by Helen Bevan from Leandro Herrera
  • 16. To create collective leadership and sustainable change you need to create the right environment. Psychological Physical Spiritual Social Intellectual Energy for Change Source: http://www.institute.nhs.uk/tools/energy_for_change/energy_for_change_.html
  • 17. Social energy Energy of personal engagement, relationships and connections between people It’s where people feel a sense of “us and us” rather than “us and them”
  • 18. Spiritual energy Energy of commitment to a common vision for the future, driven by shared values and a higher purpose Gives people the confidence to move towards a different future that is more compelling than the status quo
  • 19. Psychological energy Energy of courage, resilience and feeling safe to do things differently Involves feeling supported to make a change and trust in leadership and direction
  • 20. Physical energy Energy of action, getting things done and making progress The flexible, responsive drive to make things happen
  • 21. Intellectual energy Energy of analysis, planning and thinking Involves gaining insight as well as planning and supporting processes, evaluation, and arguing a case on the basis of logic/ evidence
  • 22. High and low ends of each energy domain Social isolated solidarity Spiritual uncommitted higher purpose Psychological risky safe Physical fatigue vitality Intellectual Illogical reason LOW HIGH
  • 24. “Leadership is not about making clever decisions and doing bigger deals. It is about helping release the positive energy that exists naturally within people” Henry Mintzberg
  • 26. Examples of Collective Leadership from Health and Care
  • 29. The Change Challenge Tapping the collective brilliance of the NHS
  • 30. 14,000 contributions identified 10 barriers to change: Confusing strategies Over controlling leadership Perverse incentivesStifling innovation Poor workforce planning One way communication Inhibiting environment Undervaluing staff Poor project management Playing it safe
  • 31. 14,000 contributions identified 11 building blocks for change: Inspiring & supportive leadership Collaborative working Thought diversityAutonomy & trust Smart use of resources Flexibility & adaptability Long term thinking Nurturing our people Fostering an open culture A call to action Source: Health Service Journal, Nursing Times, NHS Improving Quality, “Change Challenge” March 2015 Challenging the status quo
  • 33. What is it? • It’s a Russian acronym: “Teoriya Resheniya Izobretatelskikh Zadach” • A problem solving, analysis and forecasting tool. • Depersonalising and unpicking topics that people are passionate about. • Part of ‘Liberating Structures’ • Frameworks that make it possible for people and organisations to create, do new things, to be innovative.
  • 34. TRIZ How could reliably ensure policing completely fails in collective leadership? TRIZ
  • 35. Step 1 As a table, make a list of all the things that we could do to ensure we meet our goal: How could reliably ensure policing completely fails in collective leadership? • Go wild! • Use post it notes (one per action!) • 10 minutes TRIZ
  • 36. Step 2 As a table group, go down your first list and ask: Is there anything that we are currently doing that in any way, shape or form resembles any of the actions on your post it notes? • If yes, move these post it notes to sheet 2. • Be unforgiving about these items and talk about their impact • 8 minutes TRIZ
  • 37. Step 3 As a table group, go down your second list from step 2 and ask: What could be stopped? • Take these post it notes and move them to sheet 3. • 8 minutes TRIZ
  • 38. Step 4 From the actions that can be stopped, discuss and create an action plan for the stopping these activities. • 8 minutes TRIZ
  • 40. The Fundamental Law of Unconferencing 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
  • 41. Traditional event The agenda is pre-set One way learning style with Q&A People sit in rows or round tables Networking between sessions Hard to leave the session once it starts Absorbing information Unconference People set the agenda Based on discussion People sit in a circle Networking the whole time Encouraged to find the right session Connecting to action Source: adapted from @BCPSQC
  • 42. The unconference: 4 principles and a law Principles: 1. Whoever comes are the right people 2. Whatever happens is the only thing that could have happened. 3. When it starts is the right time 4. When it's over it's over The Law is known as the Law of Two Feet: "If you find yourself in a situation where you are not contributing or learning, move somewhere where you can."
  • 43. Our unconference process • Think about one area of policing that you are passionate to change and improve - And that you would like to explore with other people. • It should be a topic that you want to take action on. • This will continue as homework and innovatively presented back in plenary for 5 mins tomorrow • Prizes to be won!! • So… raise your hand and we will bring you a sheet!
  • 44.
  • 45. Further Reading • Bevan, H., and Fairman, S. (2014) The new era of thinking and practice in change and transformation. NHSIQ http://www.nhsiq.nhs.uk/resource- search/publications/white-paper.aspx • Cullen, K. L., Palus, C. J., & Appaneal, C. (2013). Developing Network Perspective. Center for Creative Leadership.http://insights.ccl.org/wp- content/uploads/2013/03/DevelopingNetworkPerspective.pdf • Donald Berwick - London 2013 Keynote Courage and the Pursuit of Better Healthcare - Donald M. Berwick https://www.youtube.com/watch?v=ve2fASVZCT0 • West et al (2014) http://www.kingsfund.org.uk/publications/developing- collective-leadership-health-care • Leading large scale change (2017) https://www.england.nhs.uk/wp- content/uploads/2017/09/leading-large-scale-change-practical-guide.pdf
  • 47. Outcomes of randomised coffee trials

Editor's Notes

  1. Zoe implemented/used
  2. Zoe
  3. Zoe
  4. Zoe