Leadership #RCT - randomised coffee trial Change

1. @ZoeLord1
Leadership
in a changing world
1
Zoe Lord
Senior Transformation Lead
Horizons Team

2. @ZoeLord1
The Horizons team:
Change agents and change
agency
• 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

3. @ZoeLord1 4

4. @ZoeLord1
Change is change too…
5

5. @ZoeLord1
Tabulating Machine Co. of 1917
Source of image: @corp_rebels

6. @ZoeLord1
Source: Innovisor

7. @ZoeLord1
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

8. @ZoeLord1
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

9. @ZoeLord1
Source: @NHSChangeDay

10. @ZoeLord1
Source: @NHSChangeDay

11. @ZoeLord1
Source: @NHSChangeDay
Problematic:
changing a
“permission
culture” can
take years
The good news:
we can usually
build agency
much more
quickly

12. @ZoeLord1
The people making change happen
is changing
13
Source: 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. @ZoeLord1
The Network Secrets of Great Change Agents
Julie Battilana & Tiziana Casciaro
As a change agent, my centrality in
the informal network is more
important than my position in the
formal hierarchy

14. @ZoeLord1 15
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
The people making change happen
is changing

15. @ZoeLord1 16
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
The people making change happen
is changing

16. @ZoeLord1
What’s the evidence?
The failure of large scale
transformational change projects is
rarely due to the content or
structure of the plans that are put
into action
To make transformational change
happen we need to connect networks
of people who ‘want’ to contribute
http://iedp.com/articles/vertical-leadership/?utm_source=Sign-Up.to&utm_medium=email&utm_campaign=13787-
257163-Campaign+-+01%2F09%2F2016
Source: David Dinwoodie (2015)
It’s much more about the role
of informal networks in the
organisations and systems
affected by change

17. @ZoeLord1 18
Top tips for leading in a changing
world… (1)

18. @ZoeLord1
Top tips for leading in a changing
world… (2)
Mind set change…
Don’t break down silos…. Connect them!!

19. @ZoeLord1@helenbevan
People who are highly
connected have twice
as much power to
influence change as
people with hierarchical
power
Leandro Herrero
http://t.co/Du6zCbrDBC

20. @ZoeLord1@horizonsnhs #civilservicelive
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

21. @ZoeLord1
Randomised Coffee Trials #RCT
Download resources for your RCT:
https://www.slideshare.net/HorizonsCIC/how-to-set-up-a-
randomised-coffee-trial

22. @ZoeLord1
Top tips for leading in a
changing world… (3)
• Lead with the why, the
passion & intrinsic
motivation
• Connect with shared
purpose
• Commitment not
compliance
• Develop trust
Source: Leading Large Scale Change

23. @ZoeLord1
https://www.england.nhs.uk/publication/leadi
ng-large-scale-change/

24. @ZoeLord1

25. @ZoeLord1
“If we take care of the
relationships, the results
will follow”
Chip Bell
Bridge building leaders