A rapid introduction to the evidence base of what works on getting large scale change started, with valuable insights from senior leaders on the successful progression of transformation. Hear from NHS IQ’s Transforming Care team and take away learning and tips from their work with over half the country’s local health and care systems.

1. Advancing
transformational
change –
stepping-up the
pace

2. @CharlieKeeney and @RachelHinde

3. #bigrealchange
• Development for Commissioners (2011-13) - 70% Clinical
Commissioning Groups took-up our support to help them
become ‘authorised’
• Transforming Care / CCG capability programme (2013-15)
– over half the country’s CCGs and local partners took
this up
• Improvement partner to Prime Minister’s Challenge Fund
sites – 20 pilots (2014/15) and 37 schemes (2015/16)
• Ongoing place-based support

4. “Investment in building capacity and capability for
change is the most consistent characteristic in high-
performing systems globally ……
Evidence from high-performing health systems indicates
the need to invest significantly in leadership-level skills
for large-scale change; [skills] to mobilise for
improvement, strategically align goals and create measures
and implementation initiatives; to work explicitly with
models and theories of large-scale change; and to balance
short-term operational results with longer term
transformation”
‘The next leg of the journey: how do we make high quality care for all a reality?’
Helen Bevan, Chris Ham, Paul Plsek (2009)

5. Commissioning improvement
support

7. Our role
• Helping to frame the challenge - the burning platform
and burning ambition*
• Creating ‘transformational space’ – distinct from
business as usual meetings
• Using evidence-based tools and approaches – tested at
an unprecedented scale and creating a resource for NHS
and its partners
• Flexibly supporting local systems to deliver their change
*Peter Fuda: Leadership Transformed www.peterfuda.com

8. Our core tools
0
5
10
15
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25
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35
40
45
Consecutive patients
Days
waiting time
mean
upperprocesslimit
lowerprocesslimit

9. Models for large
scale change

10. Learning from S Tyneside
• A need to join-up work across health and social care –
for patients, carers, staff, better use of resources…
• Frankness and signals from the ‘big 5’ leaders
• Prototyping with permission
• Speed of change, energy generated and wider impact
• See: tinyurl.com/qjdcjkh for a great short film of the
people who’ve led integration of community services

11. Tips for system leaders
• It’s ok (and good!) not to have all the answers
• Collaboration is key and already happening
• Create space to allow frontline
staff to innovate
• Provide the ‘air cover’
• Allow experimentation
• …requires resilience, courage and willingness to be challenged

12. Further information
‘Stepping up the pace…’ – free copy on your seat featuring
case studies, insights and tools
nhsiq.nhs.uk – go to the Transforming Care team pages for
tools and resources
youtube.com/c/transformingcare – our YouTube channel
packed with online webinars (driver diagrams, measurement,
capacity & demand etc), team videos/case studies and
Productive General Practice resources
Twitter - @RachelHinde @CharlieKeeney
@NHSIQ @TransformCare