This slide deck contributed to a session I gave as part of the #ThankYouFriday celebration at Poole Hospital NHS FT on 13th September 2019

1. Be the Change You Want to See
Bev Matthews RN MSc, Transformation Associate, Horizons
Registered Nurse, Dudley Group NHS & Return to Practice Lecturer, Birmingham City University
Poole Hospital NHS Foundation Trust
13th September 2019
@BevMatthewsRN #ThankYouFriday #teamCNO

2. Role Areas of Focus Organisation
Student Nurse Adult nursing Dudley School of Nursing
Staff Nurse Diabetes Medical Ward Russell’s Hall Hospital
Staff Nurse Adult ITU Brompton Hospital, London
Senior Staff Nurse Renal Ward and Dialysis Unit Royal Sussex County Hospital
Branch Director Nursing & Care Agency British Nursing Association
Transplant Coordinator Donation & transplantation (heart, lung, liver, kidney) UHB Hospitals Birmingham
Programme Lead Organ Donation and Transplantation: Public Awareness WM Specialised Services
Network Manager Kidney transplantation, Dialysis, Supporting Young Adults WM Specialised Services
National Director NHS Kidney Care & NHS Liver Care NHS Diabetes & Kidney Care
Programme Lead Long Term Conditions & Year of Care Commissioning Sustainable Improvement Team
Student Nurse Return to Practice Birmingham City University and
Dudley Group Hospital
Transformation
Associate
#teamCNO, Transforming Perceptions of Midwifery and
Ageing Well
Horizons
Who am I?
@BevMatthewsRN #ThankYouFriday #teamCNO

3. • A small, diverse team of people within the NHS that supports change
agents and builds change agency
• We tune into the latest change thinking and practice in healthcare and
other industries around the world, blending established and new methods
for innovation, large scale change, transformation and spread
• We focus on “change agency” (the power to make a positive difference)
which is different to improvement and innovation, but boosts both
• The team has emerged through years of supporting change in the NHS
and the wider health and care system
@BevMatthewsRN #ThankYouFriday #teamCNO

4. @BevMatthewsRN #ThankYouFriday #teamCNO

5. @BevMatthewsRN #ThankYouFriday #teamCNO

6. @BevMatthewsRN #ThankYouFriday #teamCNO

7. Mark Jaben: The science of change
What NOT to do What TO do
We don’t need buyers (who “buy-in” to change). We need investors
Engage
people
here
Engage
people
here
@BevMatthewsRN #ThankYouFriday #teamCNO

8. Two kinds of people at work
• Feel connected to a higher
purpose
• Direction set through shared
goals & values (“magnetic north”)
• Collaborate
• Embrace change
• Work to who they are
The Contributor
• Feel disconnected from purpose
• Controlled & coordinated
through performance
management & standardised
procedures
• Hold back
• Resist change
• Work to a role specification
Adapted from
The Emotional
Economy
http://emotionalec
onomy.com.au/pap
ers-articles/why-
the-winners-in-
business-are-
taking-the-time-to-
build-a-positive-
kind-social-culture/
Gallup global research:
• Only 13% of the workforce are
engaged (Contributors)
• Contributors create six times
the value to an organisation
compared to the compliant
The Compliant
http://www.gallup.com/poll/165269/
worldwide-employees-engaged-
work.aspx
@BevMatthewsRN #ThankYouFriday #teamCNO

9. @BevMatthewsRN #ThankYouFriday #teamCNO

10. A mindset for cross-boundary change
Source:
The Arbinger Institute
@BevMatthewsRN #ThankYouFriday #teamCNO

11. @BevMatthewsRN #ThankYouFriday #teamCNO

12. • Be curious
• Creating spaces
• Virtual learning
• Improvement communities
• Know your fierce urgency of now
• Sharing and Learning
• Mentoring and Reverse Mentoring
• Be a social influencer
Creating the Conditions for change
@BevMatthewsRN #ThankYouFriday #teamCNO

13. Jeremy Heimens, Henry Timms New Power: How it’s changing the 21st Century and why you need to know (2018)
@BevMatthewsRN #ThankYouFriday #teamCNO

14. Just 3% of
people in the
organisation or
system typically
influence 85% of
the other people
Source: Organisational Network
Analysis by Innovisor
Influencers
.
Find the 3% “super-connectors”
@BevMatthewsRN #ThankYouFriday #teamCNO

15. Sources
Innovisor Evidence-based change
McKinsey Tapping the power of hidden influencers
Mike Klein Internal influencers: actionable and no longer optional
Why superconnectors?
A major cause of change failure is poor dialogue with the
informal organisation
The 3% informal influencers:
Have the relationships, networks, content and context
Drive the perceptions of other people
Are the go-to people for advice
Make sense of things and reduce ambiguity for others
Are trusted by peers more than formal leaders are trusted
Are largely unknown to formal leaders
@BevMatthewsRN #ThankYouFriday #teamCNO

16. What does this mean for you?
@BevMatthewsRN #ThankYouFriday #teamCNO

17. Return to Practice: what’s different?
Click on this image for video
@BevMatthewsRN #ThankYouFriday #teamCNO

18. • Stop calling us “The student”
– We have a name
• Learning Disability and Autism awareness training
– should be offered to all
• Think creatively about using RtP nurses skills
– Induction programme post reinstating on NMC register
– Create steps to develop confidence
• Grab opportunities
– Spend a shift out with local ambulance crew
– Shadow senior nursing team
– Offer to teaching on the Return to Practice course
– Join School for Change Agents
Returning to Practice: Reflections
@BevMatthewsRN #ThankYouFriday #teamCNO

19. School for Change Agents 2019
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20. Thank You
@BevMatthewsRN @HorizonsNHS
Bev.Matthews@NHS.net
horizonsnhs.com
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