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Influencing Change
in Health and Care
Leigh Kendall
NHS Horizons
@leighakendall
Institute of Health Visiting
London, 5 December 2017
• 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?
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withdrawn.
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
My new normal…
• I started a blog:
Headspace Perspective
• I am a patient leader
and campaigner -
#HugosLegacy
#MatExp
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
Because we WANT to,
not because we HAVE to
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
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
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
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
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’
Influencing Change in Health and Care - presentation to Institute of Health Visiting 5 December 2017
Influencing Change in Health and Care - presentation to Institute of Health Visiting 5 December 2017

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Influencing Change in Health and Care - presentation to Institute of Health Visiting 5 December 2017

  • 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
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  • 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
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  • 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’

Editor's Notes

  1. Kathryn NHS Horizons 30 second or so New learning in practice: What might this mean for you if you participate in Horizons’ offers?