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Change as an Intrinsic part of Care
@JennyTheM
We want you to leave us feeling …
….inspired and ready to embrace change
Putting evidence into practice
Barriers
• Fear of change
• The ‘Cant’ approach –
risk
• Being introverted
• Disbelief
• Culture
• Time
Drivers
• Patient Experience
• Daring greatly-Brene Brown
• Social media
• Individualised care
• Compassion
• Belief
• Time
What one change can you make to improve
quality and patient experience?
Go Global and stay local
Presenting
Blogging
Twitter
Poetry
Journal Publications
Creating valuable connections
My ROAR was guided by
• Evidence
• Humanity
• Compassion
“Roar Behind The Silence” Sheena Byrom Soo Downe
Adam Bojelian @Adsthepoet
NHS Change Day 2015
https://www.youtube.com/watch?v=TmVfVB
N0gnQ
Thanks to @NatSkelt
Some who challenge others to grow
http://www.wecommunities.org
http://matexp.org.uk
#GlobalVillageMidwives
NHS Change Day
NHSiQ.nhs.uk- School for Health & Care
Radicals
worldhealthinnovationsummit.com
Over to Kate Pound
Time to reframe ‘leading’
change
Kate Pound & Jenny Clarke
Twitter
@KateSlater02 @JennytheM
What does leading change mean to you?
‘Pushed’ to change
or carrot and stick
approach, change
happens because….
Leading change in a new era
Dominant approach Emerging direction
@HelenBevan
Does this work?
• More than 70% of all major transformation efforts fail.
Why?
Because organizations do not take a consistent, holistic approach to
changing themselves, nor do they engage their workforces effectively.
John Kotter
“Change doesn’t rain down on us from on high. Rather, its stories
are co-created and co-owned by the community. Or, at least they
are if you want the change to stick”
Julian Stodd
https://julianstodd.wordpress.com/2013/11/29/the-co-creation-and-co-ownership-of-organisational-change/
14,000 contributors recently 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
Source: Health Service Journal, Nursing Times, NHS Improving Quality, “Change Challenge” March 2015
What does the NHS workforce think?
• Front line teams get too many high priority messages from leaders each
day, making it difficult for them to know what to focus on
Increasing number of messages as
information cascade through the organisation
Source: adapted from
http://businessjournal.gallup.com/content/162707/change-initiatives-fail-
don.aspx @Helenbevan
Confusing strategies
One way communication
• The biggest mistake people make is that communication is
involvement / engagement
• One way communications kills co-creation and does not
harness the flow of energy
• It can kill relationships
• Keeps people feeling controlled and ‘done to’
https://www.youtube.com/watch?v=-4EDhdAHrOg
Stifling innovation
• Be suspicious of new ideas
• Invoke history – ‘we tried that before and it didn’t work’
• Keep people really people – if people have time to thing about
changing stuff they clearly aren’t that business
• In the name of excellence – cut throat competition
• Confine discussions of strategies and plans to a small circle –
• Act as punishing failure motivates success
• Blame problems on the incompetent people below – weak skills poor
ethics
Rosabeth Moss Kanter (2013)
14,000 contributors recently 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
What does the NHS workforce think?
“I have some Key
Performance
Indicators
for you”
or
“I have a
dream”
Source: @HelenBevan @RobertVarnam
A call to action – what’s yours?
Collaborative working -
we need to widen our teams
Where are your team on the project marmite zone?
Love It! Hate it!
What barriers to change would you
put in room 101?
Four ways to connect!
1. Follow us on Twitter
@JennytheM @KateSlater2
@TheEdgeNHS @School4Radicals
2. Subscribe to
theedge.nhsiq.nhs.uk
3. Get materials from
theedge.nhsiq.nhs.uk/school
…and sign up for our monthly #EdgeTalks
theedge.nhsiq.nhs.uk/edgetalks
4. Save the date for
theedge.nhsiq.nhs.uk/transformathon
4pm - 4pm, 27-28th January 2016

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Change as an Intrinsic Part of Care

  • 1. Change as an Intrinsic part of Care @JennyTheM
  • 2. We want you to leave us feeling … ….inspired and ready to embrace change
  • 3. Putting evidence into practice Barriers • Fear of change • The ‘Cant’ approach – risk • Being introverted • Disbelief • Culture • Time Drivers • Patient Experience • Daring greatly-Brene Brown • Social media • Individualised care • Compassion • Belief • Time
  • 4. What one change can you make to improve quality and patient experience?
  • 5. Go Global and stay local Presenting Blogging Twitter Poetry Journal Publications Creating valuable connections
  • 6. My ROAR was guided by • Evidence • Humanity • Compassion “Roar Behind The Silence” Sheena Byrom Soo Downe
  • 8. NHS Change Day 2015 https://www.youtube.com/watch?v=TmVfVB N0gnQ Thanks to @NatSkelt
  • 9.
  • 10. Some who challenge others to grow http://www.wecommunities.org http://matexp.org.uk #GlobalVillageMidwives NHS Change Day NHSiQ.nhs.uk- School for Health & Care Radicals worldhealthinnovationsummit.com
  • 11. Over to Kate Pound
  • 12. Time to reframe ‘leading’ change Kate Pound & Jenny Clarke Twitter @KateSlater02 @JennytheM
  • 13.
  • 14. What does leading change mean to you? ‘Pushed’ to change or carrot and stick approach, change happens because….
  • 15. Leading change in a new era Dominant approach Emerging direction @HelenBevan
  • 16. Does this work? • More than 70% of all major transformation efforts fail. Why? Because organizations do not take a consistent, holistic approach to changing themselves, nor do they engage their workforces effectively. John Kotter
  • 17. “Change doesn’t rain down on us from on high. Rather, its stories are co-created and co-owned by the community. Or, at least they are if you want the change to stick” Julian Stodd https://julianstodd.wordpress.com/2013/11/29/the-co-creation-and-co-ownership-of-organisational-change/
  • 18. 14,000 contributors recently 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 Source: Health Service Journal, Nursing Times, NHS Improving Quality, “Change Challenge” March 2015 What does the NHS workforce think?
  • 19. • Front line teams get too many high priority messages from leaders each day, making it difficult for them to know what to focus on Increasing number of messages as information cascade through the organisation Source: adapted from http://businessjournal.gallup.com/content/162707/change-initiatives-fail- don.aspx @Helenbevan Confusing strategies
  • 20. One way communication • The biggest mistake people make is that communication is involvement / engagement • One way communications kills co-creation and does not harness the flow of energy • It can kill relationships • Keeps people feeling controlled and ‘done to’ https://www.youtube.com/watch?v=-4EDhdAHrOg
  • 21. Stifling innovation • Be suspicious of new ideas • Invoke history – ‘we tried that before and it didn’t work’ • Keep people really people – if people have time to thing about changing stuff they clearly aren’t that business • In the name of excellence – cut throat competition • Confine discussions of strategies and plans to a small circle – • Act as punishing failure motivates success • Blame problems on the incompetent people below – weak skills poor ethics Rosabeth Moss Kanter (2013)
  • 22. 14,000 contributors recently 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 What does the NHS workforce think?
  • 23. “I have some Key Performance Indicators for you” or “I have a dream” Source: @HelenBevan @RobertVarnam A call to action – what’s yours?
  • 24. Collaborative working - we need to widen our teams Where are your team on the project marmite zone? Love It! Hate it!
  • 25. What barriers to change would you put in room 101?
  • 26. Four ways to connect! 1. Follow us on Twitter @JennytheM @KateSlater2 @TheEdgeNHS @School4Radicals 2. Subscribe to theedge.nhsiq.nhs.uk 3. Get materials from theedge.nhsiq.nhs.uk/school …and sign up for our monthly #EdgeTalks theedge.nhsiq.nhs.uk/edgetalks 4. Save the date for theedge.nhsiq.nhs.uk/transformathon
  • 27. 4pm - 4pm, 27-28th January 2016

Editor's Notes

  1. Link below http://www.bbc.co.uk/news/magazine-23790147 http://www.bbc.co.uk/learningzone/clips/martin-luther-king-i-have-a-dream-pt-1-2/1293.html With the brooding statue of Abraham Lincoln peering down at him, King began by telling protesters that their presence in the symbolic shadow of the "great emancipator" offered proof of the marvellous new militancy sweeping the country. For too long, he complained, black Americans had been exiles in their own land, "crippled by the manacles of segregation and the chains of discrimination". The whirlwinds of revolt would continue to shake the very foundations of the country: "And those who hope that the Negro needed to blow off steam and will now be content will have a rude awakening if the nation returns to business as normal," King said. It would be fatal for the nation "to overlook the urgency of the moment and to underestimate the determination of the Negro". “He's good - he's damned good” Kennedy on King Wearied by the suffocating heat, the crowd's initial response was muted. The speech was not going well. "Tell 'em about the dream, Martin," shouted Mahalia Jackson, referring to a rhetorical riff that King had used several times before, but which had not made it into his prepared speech because aides insisted he needed fresh material. But King decided to cast aside his prepared notes, and launched extemporaneously into the refrain for which he will forever be remembered. "I have a dream that one day this nation will rise up and live out the true meaning of its creed," he shouted, his out-stretched right arm reaching towards the sky. Soon he was hitting his rhythm, invigorated by the chants and cries of the crowd. "Dream on!" they shouted. "Dream on!" With his voice thundering down the Mall, King imagined a future in which his children could "live in a nation where they will not be judged by the colour of their skin but by the content of their character". Then he reached his impassioned finale. King asked the crowd to yell so it was heard the world over Watching at the White House, the president was riveted. Like so many Americans, it was the first time he had heard the 34-year-old preacher deliver a speech in its entirety - the first time he had taken its measure, listened to its cadence. "He's good," Kennedy told one of his advisors. "He's damned good." The aide was struck, however, that the president seemed impressed more by the quality of King's performance rather than the power of his message.