Presentation about social movements, influencing change in health and care

1. Influencing Change
in Health and Care
Leigh Kendall
NHS Horizons
@leighakendall
Institute of Health Visiting
London, 5 December 2017

2. • 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
• The team has emerged through years of
supporting change in the NHS and the wider
health and care system
Who is the Horizons team?

3. Life doesn’t always go to plan
• HELLP syndrome at 24 weeks’
pregnant (rare, life-threatening
pregnancy complication – can cause
multiple organ failure unless baby is
born).
• My son Hugo weighed just 420
grams (about the same size as
a tin of baked beans)
• Hugo lived for 35 days.
• He was too small, and
premature. His treatment was
withdrawn.

4. Life after…
• Diagnosed with post-
traumatic stress
disorder
• Finding appropriate
support took more than
two years
• Trying to find a ‘new
normal’, a way of living
a life unexpected

5. My new normal…
• I started a blog:
Headspace Perspective
• I am a patient leader
and campaigner -
#HugosLegacy
#MatExp

6. Campaigning…
• Campaigning for
improved support for
bereaved parents
• Raising awareness of
pregnancy complications,
and issues affecting
neonatal families.
• Spoken at House of
Commons, and House
of Lords

9. Because we WANT to,
not because we HAVE to

10. Jeremy Heimens, Henry Timms
This is New Power
old power new power
Currency
Held by a few
Pushed down
Commanded
Closed
Transaction
Current
Made by many
Pulled in
Shared
Open
Relationship

11. The predominant approach in recent years has been STRUCTURE
but globally there is a big shift towards AGENCY
The design dilemma at the heart of change &
implementation

12. The people making change happen is
changing
12
List B
• The mavericks and rebels
• The deviants (positive). Who do
things differently and succeed
• The nonconformists who see
things through glasses no one else
has
• The hyper-connected who 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
onesSource: adapted by Helen Bevan from
Leandro Herrera
List A
• The Delivery Board
• The programme sponsors
• The programme
management office
• The work stream leads
• The Clinical Leads
• The Directors of
participating functions
• The Change Facilitators

13. To stay in touch, connect with the 3%
Just 3% of people in
the organisation or
system typically
drive conversations
with 90% of the
other people
Source: research by Innovisor

19. Influence and Impact
• Engagement: starting
conversations
• Communities: like-minded
people collaborating
• Quality, not quantity
• Generosity and support
• Inclusivity: all voices are
welcome
• Authenticity, not ‘playing the
game’