This document contains the transcript of a Twitter discussion using the hashtag #HQT2016. The discussion focuses on how change is evolving and the need for more platform-based approaches. Key points include: change is happening faster through rapid testing; digital skills are important for leaders; and formal change programs can be replaced by change platforms that empower many people to contribute ideas. Examples are given of successful change platforms like The Academy of Fabulous Stuff. The discussion advocates framing issues to engage people, investing in networks over formal systems, empowering diverse contributors, and allowing ideas to emerge through learning and adaptation.
It's the era of the improvement platformHelen Bevan
Slides from the presentation Helen Bevan made at 2nd International Symposium on Healthcare Improvement and Innovation, Monash University, 29th June 2016
It's the era of the improvement platformHelen Bevan
Slides from the presentation Helen Bevan made at 2nd International Symposium on Healthcare Improvement and Innovation, Monash University, 29th June 2016
"Where is change going?" Slides from Helen Bevan's first talk at the NHS Tran...Helen Bevan
The NHS Transformathon was a 24 hour virtual event to connect people from all over the world who are leading the way in transforming the health and care system. It took place on 27/28 January 2016. The aim of this first talk "Where is chaneg going?" was to set the scene for the following 24 hours and to identify the principles that underpinned many of the talk to come during the Transformathon.
The entire event was a live broadcast on Google hangout. You can watch all of the sessions. Go to http://theedge.nhsiq.nhs.uk/transformathon/ and click on the title of the session you would like to view. The content is free and available to all.
If you tweet about the content of the Transformathon, please use the hashtag #NHSTform
The new era of thinking and practice in change and transformationNHS Improving Quality
The slides from the presentation that Helen Bevan made at the Australian Health Informatics Conference 3rd August 2015. The topic is "The new era of thinking and practice in change and transformation: why system reform really does need to be everyone’s business".
@HelenBevan
#HIC15
This is the slide deck for the workshop that Helen Bevan ran on "Transformational leadership in healthcare" at the International Conference on Residency Education, Vancouver, Canada, on October 24th 2015
IMPORTANT INFORMATION.
This ppt has been amended. I uploaded a version lacking the last two slides: a business model I was working on and the bibliography. In this version (amended) the bibliography has been added. Apologies.
A presentation over the characteristics and opportunities accruing from the platform thinking.
Open Innovation is a chatchy word that rised a lot of interest as well as critiques (especially in Europe). The innovation porcess has allways been open and the sociotechnical progesses observed over the last century just show that. On the other hand, my inpression is that under this term there is a lot going on. Platform thinking is one of these phenomena.
"Where is change going?" Slides from Helen Bevan's first talk at the NHS Tran...Helen Bevan
The NHS Transformathon was a 24 hour virtual event to connect people from all over the world who are leading the way in transforming the health and care system. It took place on 27/28 January 2016. The aim of this first talk "Where is chaneg going?" was to set the scene for the following 24 hours and to identify the principles that underpinned many of the talk to come during the Transformathon.
The entire event was a live broadcast on Google hangout. You can watch all of the sessions. Go to http://theedge.nhsiq.nhs.uk/transformathon/ and click on the title of the session you would like to view. The content is free and available to all.
If you tweet about the content of the Transformathon, please use the hashtag #NHSTform
The new era of thinking and practice in change and transformationNHS Improving Quality
The slides from the presentation that Helen Bevan made at the Australian Health Informatics Conference 3rd August 2015. The topic is "The new era of thinking and practice in change and transformation: why system reform really does need to be everyone’s business".
@HelenBevan
#HIC15
This is the slide deck for the workshop that Helen Bevan ran on "Transformational leadership in healthcare" at the International Conference on Residency Education, Vancouver, Canada, on October 24th 2015
IMPORTANT INFORMATION.
This ppt has been amended. I uploaded a version lacking the last two slides: a business model I was working on and the bibliography. In this version (amended) the bibliography has been added. Apologies.
A presentation over the characteristics and opportunities accruing from the platform thinking.
Open Innovation is a chatchy word that rised a lot of interest as well as critiques (especially in Europe). The innovation porcess has allways been open and the sociotechnical progesses observed over the last century just show that. On the other hand, my inpression is that under this term there is a lot going on. Platform thinking is one of these phenomena.
The presentation of John C. Yiannoudis in IPSEF Dubai 2016. The magic behind setting up a play-based preschool as per the example of Dorothy Snot preschool & kindergarten in Athens, Greeece.
Understanding Opportunities, Challenges and Strategies to Build Your Career i...Ricardo Viana Vargas
Ricardo Vargas gives great insights about managing a career in Project Management. He addresses the perspectives from those who are in the beginnings, going through a transition and for those seeking to expand their horizons.
How change platforms can help transform the NHS - pop up uni, 10am, 2 septemb...NHS England
Expo is the most significant annual health and social care event in the calendar, uniting more NHS and care leaders, commissioners, clinicians, voluntary sector partners, innovators and media than any other health and care event.
Expo 15 returned to Manchester and was hosted once again by NHS England. Around 5000 people a day from health and care, the voluntary sector, local government, and industry joined together at Manchester Central Convention Centre for two packed days of speakers, workshops, exhibitions and professional development.
This year, Expo was more relevant and engaging than ever before, happening within the first 100 days of the new Government, and almost 12 months after the publication of the NHS Five Year Forward View. It was also a great opportunity to check on and learn from the progress of Greater Manchester as the area prepares to take over a £6 billion devolved health and social care budget, pledging to integrate hospital, community, primary and social care and vastly improve health and well-being.
More information is available online: www.expo.nhs.uk
An extended slide set for the Helen Bevan and Jodi Brown talk on the power of change platforms at NHS Expo on 2nd September 2015.
There is also a blog and Storify summary to go with this slide set. Download them here: https://t.co/bUnaSPxHyR
Follow us on Twitter
@HelenBevan @JodiOlden
@TheEdgeNHS
The new era of change and transformationHelen Bevan
The slides that Helen Bevan presented at #LIIPSforum2016 25th November 2016. The event is organised by the Leicestershire Improvement, Innovation and Patient Safety Unit of the University of Leicester
Fab Change Day Activists School (Leeds)NHS Horizons
Slides used during the Fab Change Day Activists School (Newcastle) on Wednesday 14 September 2016 and delivered by the Horizons team. If you have any comments or questions about these slides, please email england.si-horizons@nhs.net.
This year, NHS Change Day is joining forces with The Academy of Fabulous Stuff to create Fabulous Change Day on Wednesday 19 October 2016. We hope that you will be able to take action on this date (and all year round) to improve things for patients, service users, families and colleagues.
Ahead of Fab Change Day, we’re running one-day training events at six venues round the country to build your skills in leading change and help you make a real difference to patients and staff.
Fab Change Day Activists School (Newcastle)NHS Horizons
Slides used during the Fab Change Day Activists School (Newcastle) on Tuesday 13 September 2016 and delivered by the Horizons team. If you have any comments or questions about these slides, please email england.si-horizons@nhs.net.
This year, NHS Change Day is joining forces with The Academy of Fabulous Stuff to create Fabulous Change Day on Wednesday 19 October 2016. We hope that you will be able to take action on this date (and all year round) to improve things for patients, service users, families and colleagues.
Ahead of Fab Change Day, we’re running one-day training events at six venues round the country to build your skills in leading change and help you make a real difference to patients and staff.
if "Action on Accident & Emergency" was a social movemtHelen Bevan
Slides from the talk that Helen Bevan gave at the launch of the "Action on A&E" programme on 31st March 2017. The focus is on applying social movement principles to improving urgent and emergency care
Let's Talk Research 2015 - Dr. Helen Bevan - The change agent of the future c...NHSNWRD
The change agent of the future; curating knowledge and making connections
In this talk Helen will explore the skills and capabilities that change agents are likely to need in the future; for a world where the power of hierarchy is diminishing in the face of complexity and change is happening faster and becoming more disruptive. The key new competencies are the ability to connect people who are currently disconnected and to curate, rather than create, knowledge for change. She will describe the new breed of change leaders who are rewriting the rules and leading change from the future.
Helen Bevan is acknowledged globally for her expertise in large scale change and ability to translate it into practical action and deliver outcomes. She provides advice, guidance and training on transformational change to leaders of health and care systems across the world. In 2008, the 60th anniversary of the National Health Service, Helen was recognised as one of the 60 most influential people in the history of the NHS.
This is the presentation that Goran Henriks and Helen Bevan made at the International Forum on Quality and Safety in Healthcare, 23rd April 2015.
Follow us on Twitter:
@HelenBevan
@GoranHenriks
QA Paediatric dentistry department, Hospital Melaka 2020Azreen Aj
QA study - To improve the 6th monthly recall rate post-comprehensive dental treatment under general anaesthesia in paediatric dentistry department, Hospital Melaka
Defecation
Normal defecation begins with movement in the left colon, moving stool toward the anus. When stool reaches the rectum, the distention causes relaxation of the internal sphincter and an awareness of the need to defecate. At the time of defecation, the external sphincter relaxes, and abdominal muscles contract, increasing intrarectal pressure and forcing the stool out
The Valsalva maneuver exerts pressure to expel faeces through a voluntary contraction of the abdominal muscles while maintaining forced expiration against a closed airway. Patients with cardiovascular disease, glaucoma, increased intracranial pressure, or a new surgical wound are at greater risk for cardiac dysrhythmias and elevated blood pressure with the Valsalva maneuver and need to avoid straining to pass the stool.
Normal defecation is painless, resulting in passage of soft, formed stool
CONSTIPATION
Constipation is a symptom, not a disease. Improper diet, reduced fluid intake, lack of exercise, and certain medications can cause constipation. For example, patients receiving opiates for pain after surgery often require a stool softener or laxative to prevent constipation. The signs of constipation include infrequent bowel movements (less than every 3 days), difficulty passing stools, excessive straining, inability to defecate at will, and hard feaces
IMPACTION
Fecal impaction results from unrelieved constipation. It is a collection of hardened feces wedged in the rectum that a person cannot expel. In cases of severe impaction the mass extends up into the sigmoid colon.
DIARRHEA
Diarrhea is an increase in the number of stools and the passage of liquid, unformed feces. It is associated with disorders affecting digestion, absorption, and secretion in the GI tract. Intestinal contents pass through the small and large intestine too quickly to allow for the usual absorption of fluid and nutrients. Irritation within the colon results in increased mucus secretion. As a result, feces become watery, and the patient is unable to control the urge to defecate. Normally an anal bag is safe and effective in long-term treatment of patients with fecal incontinence at home, in hospice, or in the hospital. Fecal incontinence is expensive and a potentially dangerous condition in terms of contamination and risk of skin ulceration
HEMORRHOIDS
Hemorrhoids are dilated, engorged veins in the lining of the rectum. They are either external or internal.
FLATULENCE
As gas accumulates in the lumen of the intestines, the bowel wall stretches and distends (flatulence). It is a common cause of abdominal fullness, pain, and cramping. Normally intestinal gas escapes through the mouth (belching) or the anus (passing of flatus)
FECAL INCONTINENCE
Fecal incontinence is the inability to control passage of feces and gas from the anus. Incontinence harms a patient’s body image
PREPARATION AND GIVING OF LAXATIVESACCORDING TO POTTER AND PERRY,
An enema is the instillation of a solution into the rectum and sig
CHAPTER 1 SEMESTER V - ROLE OF PEADIATRIC NURSE.pdfSachin Sharma
Pediatric nurses play a vital role in the health and well-being of children. Their responsibilities are wide-ranging, and their objectives can be categorized into several key areas:
1. Direct Patient Care:
Objective: Provide comprehensive and compassionate care to infants, children, and adolescents in various healthcare settings (hospitals, clinics, etc.).
This includes tasks like:
Monitoring vital signs and physical condition.
Administering medications and treatments.
Performing procedures as directed by doctors.
Assisting with daily living activities (bathing, feeding).
Providing emotional support and pain management.
2. Health Promotion and Education:
Objective: Promote healthy behaviors and educate children, families, and communities about preventive healthcare.
This includes tasks like:
Administering vaccinations.
Providing education on nutrition, hygiene, and development.
Offering breastfeeding and childbirth support.
Counseling families on safety and injury prevention.
3. Collaboration and Advocacy:
Objective: Collaborate effectively with doctors, social workers, therapists, and other healthcare professionals to ensure coordinated care for children.
Objective: Advocate for the rights and best interests of their patients, especially when children cannot speak for themselves.
This includes tasks like:
Communicating effectively with healthcare teams.
Identifying and addressing potential risks to child welfare.
Educating families about their child's condition and treatment options.
4. Professional Development and Research:
Objective: Stay up-to-date on the latest advancements in pediatric healthcare through continuing education and research.
Objective: Contribute to improving the quality of care for children by participating in research initiatives.
This includes tasks like:
Attending workshops and conferences on pediatric nursing.
Participating in clinical trials related to child health.
Implementing evidence-based practices into their daily routines.
By fulfilling these objectives, pediatric nurses play a crucial role in ensuring the optimal health and well-being of children throughout all stages of their development.
Leading the Way in Nephrology: Dr. David Greene's Work with Stem Cells for Ki...Dr. David Greene Arizona
As we watch Dr. Greene's continued efforts and research in Arizona, it's clear that stem cell therapy holds a promising key to unlocking new doors in the treatment of kidney disease. With each study and trial, we step closer to a world where kidney disease is no longer a life sentence but a treatable condition, thanks to pioneers like Dr. David Greene.
Navigating the Health Insurance Market_ Understanding Trends and Options.pdfEnterprise Wired
From navigating policy options to staying informed about industry trends, this comprehensive guide explores everything you need to know about the health insurance market.
Medical Technology Tackles New Health Care Demand - Research Report - March 2...pchutichetpong
M Capital Group (“MCG”) predicts that with, against, despite, and even without the global pandemic, the medical technology (MedTech) industry shows signs of continuous healthy growth, driven by smaller, faster, and cheaper devices, growing demand for home-based applications, technological innovation, strategic acquisitions, investments, and SPAC listings. MCG predicts that this should reflects itself in annual growth of over 6%, well beyond 2028.
According to Chris Mouchabhani, Managing Partner at M Capital Group, “Despite all economic scenarios that one may consider, beyond overall economic shocks, medical technology should remain one of the most promising and robust sectors over the short to medium term and well beyond 2028.”
There is a movement towards home-based care for the elderly, next generation scanning and MRI devices, wearable technology, artificial intelligence incorporation, and online connectivity. Experts also see a focus on predictive, preventive, personalized, participatory, and precision medicine, with rising levels of integration of home care and technological innovation.
The average cost of treatment has been rising across the board, creating additional financial burdens to governments, healthcare providers and insurance companies. According to MCG, cost-per-inpatient-stay in the United States alone rose on average annually by over 13% between 2014 to 2021, leading MedTech to focus research efforts on optimized medical equipment at lower price points, whilst emphasizing portability and ease of use. Namely, 46% of the 1,008 medical technology companies in the 2021 MedTech Innovator (“MTI”) database are focusing on prevention, wellness, detection, or diagnosis, signaling a clear push for preventive care to also tackle costs.
In addition, there has also been a lasting impact on consumer and medical demand for home care, supported by the pandemic. Lockdowns, closure of care facilities, and healthcare systems subjected to capacity pressure, accelerated demand away from traditional inpatient care. Now, outpatient care solutions are driving industry production, with nearly 70% of recent diagnostics start-up companies producing products in areas such as ambulatory clinics, at-home care, and self-administered diagnostics.
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Navigating Challenges: Mental Health, Legislation, and the Prison System in B...Guillermo Rivera
This conference will delve into the intricate intersections between mental health, legal frameworks, and the prison system in Bolivia. It aims to provide a comprehensive overview of the current challenges faced by mental health professionals working within the legislative and correctional landscapes. Topics of discussion will include the prevalence and impact of mental health issues among the incarcerated population, the effectiveness of existing mental health policies and legislation, and potential reforms to enhance the mental health support system within prisons.
2. @HelenBevan #HQT2016
Joining in this session
• The theme of the session is
connectivity and platforms
for change
• Please tweet using hashtag
#HQT2016
• A challenge: make our
Twitter conversational
• We will get some feedback
on Twitter activity during the
session
6. @HelenBevan #HQT2016
Kinthi Sturtevant, IBM
13th annual Change Management
Conference June 2015
We rarely see two, three or four
year change projects any more.
Now it’s 30-60-90 day change
projects
7. @HelenBevan #HQT2016
Source: Bromford P (2015), ”What’s the difference between a test and a pilot?”
Pilots are being replaced by rapid tests and
prototypes
11. @HelenBevan #HQT2016
How does the NHS improvement community
prefer to communicate?
Digital
Non-digital
ProactiveReactive
Source: RAND evaluation data from the Q community of improvement leaders
12. @HelenBevan #HQT2016
How does the NHS improvement community
prefer to communicate?
Digital
Non-digital
ProactiveReactive
Source: RAND evaluation data from the Q community of improvement leaders
20. @HelenBevan #HQT2016
An example from the
Cabinet Office
http://www.slideshare.net/Openpolicymaking/060715-change-cardscollated?next_slideshow=1
21. @HelenBevan #HQT2016
Why go to the edge?
“ Leading from the edge brings us
into contact with a far wider range
of relationships, and in turn, this
increases our potential for diversity
in terms of thought, experience
and background. Diversity leads to
more disruptive thinking, faster
change and better outcomes
Aylet Baron
22. @HelenBevan #HQT2016
Jeremy Heimens TED talk “What new power looks like”
https://www.youtube.com/watch?v=j-S03JfgHEA
old power new power
Currency
Held by a few
Pushed down
Commanded
Closed
Transaction
Current
Made by many
Pulled in
Shared
Open
Relationship
23. @HelenBevan #HQT2016
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
24. @HelenBevan #HQT2016
WHO will make the change happen?
Source: adapted by Helen Bevan
from Leandro Herrera
List A
• The STP Transformation
Programme Board [or
equivalent]
• The programme sponsors
• The Programme Management
Office
• The [insert number] STP
transformation work streams
• The Clinical Leads of
workstreams
• The Directors of participating
organisations
• The Change Facilitators
25. @HelenBevan #HQT2016
WHO will make the change happen?
List A
• The STP Transformation
Programme Board [or
equivalent]
• The programme sponsors
• The Programme Management
Office
• The [insert number] STP
transformation work streams
• The Clinical Leads of
workstreams
• The Directors of participating
organisations
• The Change Facilitators
List B
• The mavericks and rebels
• The deviants (positive). Who do
things differently and succeed
• The contrarians, because they can
• The nonconformists who see
things through glasses no one else
has
• The hyper-connected. Good or
bad, they 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
ones Source: adapted by Helen Bevan
from Leandro Herrera
26. @HelenBevan #HQT2016
WHO will make the change happen?
List B
• The mavericks and rebels
• The deviants (positive). Who do
things differently and succeed
• The contrarians, because they can
• The nonconformists who see
things through glasses no one else
has
• The hyper-connected. Good or
bad, they 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
ones Source: adapted by Helen Bevan
from Leandro Herrera
List A
• The STP Transformation
Programme Board [or
equivalent]
• The programme sponsors
• The Programme Management
Office
• The [insert number] STP
transformation work streams
• The Clinical Leads of
workstreams
• The Directors of participating
organisations
• The Change Facilitators
27. @HelenBevan #HQT2016
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/systems affected
by change
28. @HelenBevan #HQT2016
The essential flaw of quality improvement
approaches
The essential flaw of [quality
improvement ] is that, when
implemented, it tends to reinforce
the mechanistic and hierarchical
models that are consistent with
the mental maps of most
managers
Chris Argyris, Flawed advice and
the management trapSource of image:
www.biblicalcreation.org.uk Read more at: http://www.slideshare.net/jurgenappelo/management-30-workout
29. @HelenBevan #HQT2016
Is your change process a cathedral or a
bazaar?
http://www.unterstein.net/su/docs/CathBaz.pdf
30. @HelenBevan #HQT2016
We have a lot of cathedrals
Source: Sewell (2015) : Stop training our project managers to be process junkies
31. @HelenBevan #HQT2016
The power of the platform
“Facebook, YouTube, Twitter and their lesser cousins have
proved the power of the platform. They have shown that if
your average 21st century citizen is given the tools to
connect and the freedom to create, they will do so with
enthusiasm, and often with an originality that blindsides
the so-called creative industries. …..
Good leadership is no longer about ‘taking charge’ or
imposing a strategic vision but about creating the
platforms that allow others to flourish and create”
Ashoka
http://www.virgin.com/unite/entrepreneurship/what-does-leadership-mean-in-
the-21st-century
32. @HelenBevan #HQT2016
“Change comes
naturally when
individuals have a
platform that
allows them to
identify shared
interests and to
brainstorm
solutions.”
Gary Hamel & Michele
Zanini, 2014
Build a change platform not a
change program
33. @HelenBevan #HQT2016
• systematic “change
management”
• too often, leaders
prescribe outcome
and method of change
in a top-down way
• change is experienced
by people at the front
line as “have to”
(imposed) rather than
“want to” (embraced)
Change
Programmes
• everyone (including
service users and families)
can help tackle the most
challenging issues
• value diversity of thought
• connect people, ideas and
learning
• Role of formal leaders is to
create the conditions and
get out of the way
Change
Platforms
“Tear down the walls”
34. @HelenBevan #HQT2016
Why platforms?
“Platforms today power learning and innovation
at the speed of change by providing
collaborative and sometimes exponentially
productive spaces for people to create value”
John Hagel
Source of image: Pinipa
38. @HelenBevan #HQT2016
The Academy of Fabulous Stuff
• Half a million page views
• Over 700 fab shares
• 1,500 to 4,000 page views
a day
• Nottingham Safe staffing
app: 2,500 views
• Dovetailing vaccinations
Scheme: 160 direct queries
43. @HelenBevan #HQT2016
Our Sli.do change platform
What one thing would make the biggest
difference in improving the healthcare system?
44. @HelenBevan #HQT2016
Adding your idea about “one thing”
• Go to Sli.do
• Add the event code #7674 and click “join
event”
• In the space that says add
your tip
• Don’t forget to add your name before you
click
• Vote for the answers you like best by clicking
on the thumbs up
52. @HelenBevan #HQT2016
The School was formally evaluated by the Chartered
Institute for Personnel & Development
#EdgeTalks WebEx
http://theedge.nhsiq.nhs.uk/expert
/how-has-the-school-for-health-
and-care-radicals-made-a-
difference/
How has the School for Health and Care
Radicals made a difference?
53. @HelenBevan #HQT2016
The School was formally evaluated by the Chartered
Institute for Personnel & Development
• Change knowledge
• Sense of purpose & motivation to improve practice
• Ability to challenge the status quo
• Rocking the boat & staying in it
• Connecting with others to build support for change
Statistically significant positive effect on at
both individual and organisational level
56. @HelenBevan #HQT2016
The People’s Transformathon
#CoPro16
“A new relationship with patients and
communities”
Global online event co-created by
patients, caregivers, the voluntary
sector & NHS England Horizons team.
Showcasing the range of innovation and
improvement initiatives in which citizens
are involved as equal partners in the UK &
worldwide. #EveryoneIncluded
Join us on 28th November. 12-8pm GMT
58. @HelenBevan #HQT2016
Should we undertake routine radiology
investigations overnight for all our inpatients?
How to build
a change
platform in
an hour
63. @HelenBevan #HQT2016
”If people give to a cause,
they expect a relationship,
not a transaction”
Nilofer Merchant
Once you start down this path, you
have to follow up and continue
64. @HelenBevan #HQT2016
1. Frame the issues in ways
that will engage and
mobilise the imagination,
energy and will of diverse
stakeholders
2. Take steps to be more social
leaders, invest in digital
skills & social connections &
lead through networks as
well as formal leadership
systems
3. Find your B-list people &
give them important tasks
4. Consider what/where your
equivalent of ‘the edge’ is, so
that you incubate radical &
disruptive ideas & lead
healthcare from the future
5. Build change platforms for
important issues – create
bazaars alongside the cathedrals
6. Adopt emergent approaches to
planning & design, based on
monitoring progress, learning &
adapting as you go
65. @HelenBevan #HQT2016
Four ways to connect!
1. Follow us on Twitter
@HelenBevan
@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
66. @HelenBevan #HQT2016
Ashoka (2014) What does leadership mean in the 21st century?
Berg O (2014) The Collaboration Pyramid revisited
Bevan H (2015) From change programmes to platforms
Briggs D (2015) The elements of council as a platform
Bromford P (2015) What’s the difference between a test and a pilot?
Chesbrough H et al (2016) Why does open innovation work?
Choudray P (2015) The platform manifesto: 16 principles for digital transformation
Dawson R (2015) The future of work and organisations
Deloitte University Press (2014) A movement in the making
Deloitte University Press (2015) Business ecosystems come of age
Hagel J (2015) The power of platforms
Hagel J (2015) John Hagel at SXSW 2015: Narratives, platforms and movements
Hagel J (2014) Platforms are not created equal: harnessing the full potential of platforms
Hamel G, Zanini J (2014) Build a change platform not a change program
Health Services Journal, Nursing Times, NHS Improving Quality (2015) ‘Change Challenge’
interactive toolkit
Heimans J (2014) What new power looks like [YouTube]
References cited in the slide deck (1/2)
67. @HelenBevan #HQT2016
Heimens J, Timms J (2014) Understanding “New Power”
Innovations- Kontor Väst (2013) Open innovation – a handbook for Researchers
Little J (2016) Change management is dead
Milton N (2014) Why knowledge transfer through discussion is 14 times more effective
than writing
O’Reilly T (2010) Government as a platform
Pearce D (2013) Social business discussions are the new documentation
Raymond E S (2001) The Cathedral and the Bazaar
Satell G (2015) 4 things you should know about platforms
Satell G (2012) How power is shifting from corporations to platforms
Satell G (2015) Leaders must do more than inspire – we must shape networks
Schillinger C (2015) Forget social networks, think social impact [YouTube]
Scrivens J (2015) Enabling the experience of wholeness within enterprise social networks
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References cited in the slide deck (2/2)
Editor's Notes
Cathedral and Bazaar is an essay, then book, by Eric S. Raymond on software engineering methods
Illustrates the struggle between top-down and bottom-up design
The Cathedral model: restricted access to code, code only available with each software release – controlled / limited / restricted / closed
The Bazaar model, in which the code is developed over the Internet in view of the public
Raymond's proposition that "given enough eyeballs, all bugs are shallow" - the more openly and widely available the source code is for public testing, scrutiny, and experimentation, the more rapidly all forms of bugs will be discovered.
Raymond claims that an inordinate amount of time and energy must be spent hunting for bugs in the Cathedral model, since the working version of the code is available only to a few developers.
Why platforms are the new power
Old power won’t deliver what we need to
Social platforms
Social platforms include more tightly defined communities of interest that come together around specific shared interests like certain genres of music, types of sports or academic disciplines like history or economics.
They tend to foster mesh networks of relationships rather than hub and spoke interactions
E.g. Facebook, Twitter,
2. Mobilisation platforms
Mobilization platforms ultimately focus on mobilising participants to engage in some kind of collaborative effort that will take considerable time to accomplish
Because of the need for collaborative action over time, these platforms tend to foster longer-term relationships rather than focusing on isolated and short-term transactions or tasks
3. Learning platforms
Explicit goal to create environments where participants can learn faster and individually achieve higher and higher levels of performance as more and more participants join the platform
E.g. School for Health and Care Radicals, World of Warcraft
4. Aggregation platforms
The basic focus of these platforms is to bring together a broad array of relevant resources and help users of the platform to connect with the most appropriate resources.
E.g. EBay
Transactional & task focussed (Need > response > deal > move on)
Hub & spoke model – all transactions are brokered by platform owner/organiser
OpenIdeo’s challenges and programs are modelled on IDEO's human-centered design methodology. This means that they enable their community to develop solutions rooted in people's needs and lifestyles.