Rocking the boat and staying in it:respiratory leader as organisational radical - Helen Bevan
Presented by Helen Bevan at 'Influencing and coordinating respiratory care in London': an invitation only event for current and future respiratory leaders in London.
Kings College London – Strand Campus, Friday June 28th 2013
PCRS-UK & the respiratory leaders programme – Part 1
The two PCRS-UK workshops considered different but complementary approaches to acquiring some of the essential knowledge, skills and qualities to
becoming an effective respiratory leader. In this first session Helen Bevan will inspired you to communicate your ideas and learn more effectively using innovative media
and show you how being a disruptive radical can help you and your organisation achieve better value care – a concept everybody can agree with.
These are the slides for Module 3 of The School for Health and Care Radicals, a five week virtual programme, designed to equip people across the health and care system with the core skills to improve their skills as change agents. It supports NHS Change Day 2014, the grassroots movement in which everyone who values the NHS can make a pledge of action to improve things for patients and the health and care system.
Big change only happens in health and care because of heretics and radicals: passionate people who are willing to take responsibility and work with others to make change happen. Being a radical isn't related to hierarchy or position and you don't have to work in the NHS or social care to qualify as one. Registrants to the school so far include patients and carers, students, senior leaders, improvement facilitators and clinical and care staff.
There is also a live weekly web seminar which will be available to 'listen again', supported by a raft of other opportunities, including coaching and mentoring, virtual discussions and tweet chats, and an ever- expanding portal of useful resources.
Programme
The programme focuses on five modules over five weeks, 9:30 to 11:00 am GMT
Friday 31 January 2014: Being a health and care radical: change starts with me
Friday 7 February 2014: Forming communities: building alliances for change
Friday 14 February 2014: Rolling with resistance
Friday 21 February 2014: Making change happen
Friday 28 February 2014: Moving beyond the edge
Tweetchat
We will run a tweetchat each Wednesday from 16:00 to 17:00 GMT, based on the content of the module from the previous Friday. A tweetchat is a facilitated conversation using Twitter. The hashtag we will use for the tweetchats is #SHCRchat. The dates for the tweetchats are:
12 February
19 February
26 February
5 March
There is no charge to join the School of Health and Care Radicals and it is open to all, whatever your role or level, and whether or not you work in the NHS
Resources
Resources from all modules can be found at: http://www.nhsiq.nhs.uk/9059.aspx
Presentation from IHI National Forum on Quality and Safety
Minicourse M10 How to Be a Great Change Agent
It’s tough being a change agent, particularly when other people don’t want to change. Yet big change happens in health care organizations only because of heretics: passionate people who are willing to take responsibility for change. Such individuals support organizational goals, but also want to change existing thinking and practice and improve care for patients. This session provides a toolkit for surviving and thriving as a change agent.
After this session, participants will be able to:
Identify and practice tactics for being an effective change agent
Build a toolkit of powerful approaches to enable change
Connect with and learn from other change agents
Monday 9th December Crystal Ballroom, Salon D8.30am to 4.00pm
Helen Bevan @HelenBevan
Robert Varnam @RobertVarnam
Andrew Hasler @AndrewHasler
#IHI25Forum #ChangeAgents
These are the slides for the one day School for Health and Care Radicals that Helen Bevan ran in Vancouver on 18th February as part of the British Columbia Quality Forum, organised by the BC Patient Safety and Quality Council
This is the presentation on “The personal leadership challenge of making integrated care a reality” that Helen Bevan made at the conference “Leading Better Care for All in the North West” on 12 March 2014. This conference is one of a series of regional events across the country on how the best use can be made of the Better Care Fund.
Pre-summit workshop on Wedesday, April 10 at the 2013 Saskatchewan Health Care Quality Summit. For more information about the summit, visit www.qualitysummit.ca. Follow @QualitySummit on Twitter.
Much of the redesign effort in health care is focused on the “anatomical” or technical aspects of improvement; how we transform processes, pathways and structures of care. There is growing recognition globally among leaders that we need to give more credence to the “physiological” aspects of redesign; how we capture the imagination and energy of frontline teams, leaders, and patients and families and mobilize them for system-wide transformation. Individuals and teams can weather the inevitable challenges presented by change, and they will sustain energy for change if they have an intrinsic sense of purpose, hope, and possibility about what the change will achieve.
At this one-day workshop, Helen Bevan – she is energy personified! - took us through some of the latest thinking and practice on how to build this ‘contagious commitment’ to change. She illustrates why energy is such a critical factor in successful change efforts. Learn about the different kinds of energy required for change, and the skills for assessing and building energy levels in yourself and in your team members.
These are the slides for Module 3 of The School for Health and Care Radicals, a five week virtual programme, designed to equip people across the health and care system with the core skills to improve their skills as change agents. It supports NHS Change Day 2014, the grassroots movement in which everyone who values the NHS can make a pledge of action to improve things for patients and the health and care system.
Big change only happens in health and care because of heretics and radicals: passionate people who are willing to take responsibility and work with others to make change happen. Being a radical isn't related to hierarchy or position and you don't have to work in the NHS or social care to qualify as one. Registrants to the school so far include patients and carers, students, senior leaders, improvement facilitators and clinical and care staff.
There is also a live weekly web seminar which will be available to 'listen again', supported by a raft of other opportunities, including coaching and mentoring, virtual discussions and tweet chats, and an ever- expanding portal of useful resources.
Programme
The programme focuses on five modules over five weeks, 9:30 to 11:00 am GMT
Friday 31 January 2014: Being a health and care radical: change starts with me
Friday 7 February 2014: Forming communities: building alliances for change
Friday 14 February 2014: Rolling with resistance
Friday 21 February 2014: Making change happen
Friday 28 February 2014: Moving beyond the edge
Tweetchat
We will run a tweetchat each Wednesday from 16:00 to 17:00 GMT, based on the content of the module from the previous Friday. A tweetchat is a facilitated conversation using Twitter. The hashtag we will use for the tweetchats is #SHCRchat. The dates for the tweetchats are:
12 February
19 February
26 February
5 March
There is no charge to join the School of Health and Care Radicals and it is open to all, whatever your role or level, and whether or not you work in the NHS
Resources
Resources from all modules can be found at: http://www.nhsiq.nhs.uk/9059.aspx
Presentation from IHI National Forum on Quality and Safety
Minicourse M10 How to Be a Great Change Agent
It’s tough being a change agent, particularly when other people don’t want to change. Yet big change happens in health care organizations only because of heretics: passionate people who are willing to take responsibility for change. Such individuals support organizational goals, but also want to change existing thinking and practice and improve care for patients. This session provides a toolkit for surviving and thriving as a change agent.
After this session, participants will be able to:
Identify and practice tactics for being an effective change agent
Build a toolkit of powerful approaches to enable change
Connect with and learn from other change agents
Monday 9th December Crystal Ballroom, Salon D8.30am to 4.00pm
Helen Bevan @HelenBevan
Robert Varnam @RobertVarnam
Andrew Hasler @AndrewHasler
#IHI25Forum #ChangeAgents
These are the slides for the one day School for Health and Care Radicals that Helen Bevan ran in Vancouver on 18th February as part of the British Columbia Quality Forum, organised by the BC Patient Safety and Quality Council
This is the presentation on “The personal leadership challenge of making integrated care a reality” that Helen Bevan made at the conference “Leading Better Care for All in the North West” on 12 March 2014. This conference is one of a series of regional events across the country on how the best use can be made of the Better Care Fund.
Pre-summit workshop on Wedesday, April 10 at the 2013 Saskatchewan Health Care Quality Summit. For more information about the summit, visit www.qualitysummit.ca. Follow @QualitySummit on Twitter.
Much of the redesign effort in health care is focused on the “anatomical” or technical aspects of improvement; how we transform processes, pathways and structures of care. There is growing recognition globally among leaders that we need to give more credence to the “physiological” aspects of redesign; how we capture the imagination and energy of frontline teams, leaders, and patients and families and mobilize them for system-wide transformation. Individuals and teams can weather the inevitable challenges presented by change, and they will sustain energy for change if they have an intrinsic sense of purpose, hope, and possibility about what the change will achieve.
At this one-day workshop, Helen Bevan – she is energy personified! - took us through some of the latest thinking and practice on how to build this ‘contagious commitment’ to change. She illustrates why energy is such a critical factor in successful change efforts. Learn about the different kinds of energy required for change, and the skills for assessing and building energy levels in yourself and in your team members.
These are the presentation slides from Helen Bevan at the Health and Care Innovation Expo 2014, Manchester #Expo14NHS
Learn how to be a health and care radical who can challenge the status quo when you see there could be a better way. We want to change existing thinking and practice and improve care for patients, families and people who use care services
"It's time to rewrite the rules of change in healthcare" - a presentation that Helen Beven, Chief Transformation Officer with the Horizons group, NHS Improving Quality, made at Yale on 10 June 2014.
This is the summary of the talk:
As leaders of health and care, we are seeking to create change in a world where the power of hierarchy is diminishing and change is happening faster and becoming more disruptive. Many of the ways we have traditionally gone about improving health and care were designed in a different mindset for a different set of circumstances and increasingly, they won't work. This means a fundamental rethink about what organisational change means; who does it (many change agents, not just a few) where it happens (increasingly 'at the edge' of organisations and the skills and mindsets that change agents need. This also means embracing disruption and 'disruptors' in our health and care organisations so that innovation happens; no longer seeking to 'overcome resistance to change' but welcoming difference, diversity and dissent as core operating principles in our approach to change. The slides end with a call to action: join the movement of health and care leaders across the world who are rewriting the rules of change and leading change from the future for different results.
Organisational Radicals
A half day school hosted by Helen Bevan for organisational radicals. Minicourse M12 held on Thursday 18 April to delegates of the International Forum.
The Seven Habits of Highly Effective People by Steven CoveyTimothy Wooi
Course Objective
Today more than ever we need to improve life and work
effectiveness. They represent a proven process of personal and interpersonal growth that can have an immediate and lasting impact.
The purpose of The 7 Habits of Highly Effective People ® is to help you lead your life in a truly effective way and thus, your organization to achieve greater productivity, improved communication, strengthened relationships, increased influence, and laser-like focus on critical priorities.
Contents
The 7 Habits
Independence
1- Be proactive
2- Begin with the end in mind
3- First things first
4- Think win-win
5- Seek first to understand, then
to be understood
6- Synergize
Continual improvement
7- Sharpen the Saw; Growth
This is my personal view and summary on the thoughts and ideas behind the successful book of Stephen R. Covey, "7 habits of highly effective people".
All credits go to Stephen R Covey.
Sources:
YOUTUBE: https://www.youtube.com/watch?v=RygDHsK2a70 - 2014;
https://www.stephencovey.com/7habits/7habits.php - 2014
http://www.amazon.com/The-Habits-Highly-Effective-People/dp/1455892823
This was a speech I gave in September 2015 to an audience of NZ women as part of The Women in Media and Communication Leadership Summit.
It was a real honour to be asked to speak and share my story. This presentation reflects my own opinion based on my life experience and I appreciate that we each do our best and create our own path in life.
I have included several reference from those that I admire and are inspired by.
feel free to contact me directly for a chat
Helen Bevan presents to Kaiser Permanente’s Innovation Leadership NetworkNHS Improving Quality
Helen Bevan's presentation to members of Kaiser Permanente’s Innovation Leadership Network on Friday 4 October 2013 about NHS Change Day.
In 2013, the first NHS Change Day brought together thousands of NHS staff from across clinical and non-clinical areas of work, in a single day of collective action to improve care for patients, their families and their carers. More than 189,000 online pledges of action were made to make a positive difference to the NHS, proving that large scale improvement is possible in the NHS.
This is the presentation on “health and care radicals for large scale improvement” that Helen Bevan made at the University of Jönköping on 17th January 2014. The occasion was a mini-symposium on improvement science to celebrate Jönköping Academy’s first 5 years.
Helen Bevan is Chief of Service Transformation, working in the Horizons Group at NHS Improving Quality, the national improvement body that supports the NHS in England. Follow her on Twitter @HelenBevan
The Butterfly Emerges Self-coaching session 2Brenda Silveira
This is a self guided session that will help you develop the skills needed to find your confidence in Christ by changing the way you think and talk. It goes hand-in-hand with The Butterfly Emerges Workbook, Finding Your Confidence in Christ that can be purchased at www.imconfident.com
Ralph Blundell offered a compelling keynote taking us through the actual application of ebbf's core values and the questions that this raises in our every day workplace decisions
You can view his keynote in this Facebook Live streaming video: https://www.facebook.com/ebbf.mindfulpeople.meaningfulwork/videos/10155080450636801/
Stopping over-medication of People with Learning Disabilities
(STOMPLD) 2016.
Reducing Inappropriate Psychotropic Drugs in People with a Learning Disability in General Practice and Hospitals in 2016.
These are the presentation slides from Helen Bevan at the Health and Care Innovation Expo 2014, Manchester #Expo14NHS
Learn how to be a health and care radical who can challenge the status quo when you see there could be a better way. We want to change existing thinking and practice and improve care for patients, families and people who use care services
"It's time to rewrite the rules of change in healthcare" - a presentation that Helen Beven, Chief Transformation Officer with the Horizons group, NHS Improving Quality, made at Yale on 10 June 2014.
This is the summary of the talk:
As leaders of health and care, we are seeking to create change in a world where the power of hierarchy is diminishing and change is happening faster and becoming more disruptive. Many of the ways we have traditionally gone about improving health and care were designed in a different mindset for a different set of circumstances and increasingly, they won't work. This means a fundamental rethink about what organisational change means; who does it (many change agents, not just a few) where it happens (increasingly 'at the edge' of organisations and the skills and mindsets that change agents need. This also means embracing disruption and 'disruptors' in our health and care organisations so that innovation happens; no longer seeking to 'overcome resistance to change' but welcoming difference, diversity and dissent as core operating principles in our approach to change. The slides end with a call to action: join the movement of health and care leaders across the world who are rewriting the rules of change and leading change from the future for different results.
Organisational Radicals
A half day school hosted by Helen Bevan for organisational radicals. Minicourse M12 held on Thursday 18 April to delegates of the International Forum.
The Seven Habits of Highly Effective People by Steven CoveyTimothy Wooi
Course Objective
Today more than ever we need to improve life and work
effectiveness. They represent a proven process of personal and interpersonal growth that can have an immediate and lasting impact.
The purpose of The 7 Habits of Highly Effective People ® is to help you lead your life in a truly effective way and thus, your organization to achieve greater productivity, improved communication, strengthened relationships, increased influence, and laser-like focus on critical priorities.
Contents
The 7 Habits
Independence
1- Be proactive
2- Begin with the end in mind
3- First things first
4- Think win-win
5- Seek first to understand, then
to be understood
6- Synergize
Continual improvement
7- Sharpen the Saw; Growth
This is my personal view and summary on the thoughts and ideas behind the successful book of Stephen R. Covey, "7 habits of highly effective people".
All credits go to Stephen R Covey.
Sources:
YOUTUBE: https://www.youtube.com/watch?v=RygDHsK2a70 - 2014;
https://www.stephencovey.com/7habits/7habits.php - 2014
http://www.amazon.com/The-Habits-Highly-Effective-People/dp/1455892823
This was a speech I gave in September 2015 to an audience of NZ women as part of The Women in Media and Communication Leadership Summit.
It was a real honour to be asked to speak and share my story. This presentation reflects my own opinion based on my life experience and I appreciate that we each do our best and create our own path in life.
I have included several reference from those that I admire and are inspired by.
feel free to contact me directly for a chat
Helen Bevan presents to Kaiser Permanente’s Innovation Leadership NetworkNHS Improving Quality
Helen Bevan's presentation to members of Kaiser Permanente’s Innovation Leadership Network on Friday 4 October 2013 about NHS Change Day.
In 2013, the first NHS Change Day brought together thousands of NHS staff from across clinical and non-clinical areas of work, in a single day of collective action to improve care for patients, their families and their carers. More than 189,000 online pledges of action were made to make a positive difference to the NHS, proving that large scale improvement is possible in the NHS.
This is the presentation on “health and care radicals for large scale improvement” that Helen Bevan made at the University of Jönköping on 17th January 2014. The occasion was a mini-symposium on improvement science to celebrate Jönköping Academy’s first 5 years.
Helen Bevan is Chief of Service Transformation, working in the Horizons Group at NHS Improving Quality, the national improvement body that supports the NHS in England. Follow her on Twitter @HelenBevan
The Butterfly Emerges Self-coaching session 2Brenda Silveira
This is a self guided session that will help you develop the skills needed to find your confidence in Christ by changing the way you think and talk. It goes hand-in-hand with The Butterfly Emerges Workbook, Finding Your Confidence in Christ that can be purchased at www.imconfident.com
Ralph Blundell offered a compelling keynote taking us through the actual application of ebbf's core values and the questions that this raises in our every day workplace decisions
You can view his keynote in this Facebook Live streaming video: https://www.facebook.com/ebbf.mindfulpeople.meaningfulwork/videos/10155080450636801/
Similar to Rocking the boat and staying in it (20)
Stopping over-medication of People with Learning Disabilities
(STOMPLD) 2016.
Reducing Inappropriate Psychotropic Drugs in People with a Learning Disability in General Practice and Hospitals in 2016.
Presentation slides Frailty: building understanding, empathy and the skills t...NHS Improving Quality
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Guest speaker:Dr Dawn Moody, Director - Fusion48
An opportunity to learn about some innovative approaches to making the health and care workforce 'Fit for Frailty'* (*British Geriatrics Society 2015).
Learning outcomes:
To explore the Frailty Fulcrum as a tool for holistic assessment and management of frailty
To hear how Virtual Reality is being used to build empathy for older people living with frailty
To learn about the impact of a county-wide, multi-agency, multi-professional training an toolkit for care professionals working with older people
Resources:www.fusion48.net
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LTC Lunch & Learn webinar:- 22nd March 2016
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An overview of the work carried out by NHS England and NHS Improving Quality's Long Term Conditions Sustainable Improvement Team. It puts the case for why person-centred care has to be at the heart of healthcare.
Commissioning Integrated models of care
Kent LTC Year of Care Commissioning Early Implementer Site
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Integrated data to support service redesign decision making 19 01 2016 finalNHS Improving Quality
Integrated data to support service redesign decision making
Leeds LTC Year of Care Commissioning Early Implementer Site
Tricia Cable, Year of Care Lead
Alison Phiri, Business Intelligence Manager
Mohini Chauhan, Year of Care Commissioning Manager
Improving profitability for small businessBen Wann
In this comprehensive presentation, we will explore strategies and practical tips for enhancing profitability in small businesses. Tailored to meet the unique challenges faced by small enterprises, this session covers various aspects that directly impact the bottom line. Attendees will learn how to optimize operational efficiency, manage expenses, and increase revenue through innovative marketing and customer engagement techniques.
B2B payments are rapidly changing. Find out the 5 key questions you need to be asking yourself to be sure you are mastering B2B payments today. Learn more at www.BlueSnap.com.
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This Digital Transformation and IT Strategy Toolkit was created by ex-McKinsey, Deloitte and BCG Management Consultants, after more than 5,000 hours of work. It is considered the world's best & most comprehensive Digital Transformation and IT Strategy Toolkit. It includes all the Frameworks, Best Practices & Templates required to successfully undertake the Digital Transformation of your organization and define a robust IT Strategy.
Editable Toolkit to help you reuse our content: 700 Powerpoint slides | 35 Excel sheets | 84 minutes of Video training
This PowerPoint presentation is only a small preview of our Toolkits. For more details, visit www.domontconsulting.com
In the Adani-Hindenburg case, what is SEBI investigating.pptxAdani case
Adani SEBI investigation revealed that the latter had sought information from five foreign jurisdictions concerning the holdings of the firm’s foreign portfolio investors (FPIs) in relation to the alleged violations of the MPS Regulations. Nevertheless, the economic interest of the twelve FPIs based in tax haven jurisdictions still needs to be determined. The Adani Group firms classed these FPIs as public shareholders. According to Hindenburg, FPIs were used to get around regulatory standards.
VAT Registration Outlined In UAE: Benefits and Requirementsuae taxgpt
Vat Registration is a legal obligation for businesses meeting the threshold requirement, helping companies avoid fines and ramifications. Contact now!
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Cracking the Workplace Discipline Code Main.pptxWorkforce Group
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Although discipline is not a one-size-fits-all approach, it can help create a work environment that encourages personal growth and accountability rather than solely relying on punitive measures.
In this deck, you will learn the significance of workplace discipline for organisational success. You’ll also learn
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• The best and most practical approach to implementing workplace discipline.
• Three (3) key tips to maintain a disciplined workplace.
[Note: This is a partial preview. To download this presentation, visit:
https://www.oeconsulting.com.sg/training-presentations]
Sustainability has become an increasingly critical topic as the world recognizes the need to protect our planet and its resources for future generations. Sustainability means meeting our current needs without compromising the ability of future generations to meet theirs. It involves long-term planning and consideration of the consequences of our actions. The goal is to create strategies that ensure the long-term viability of People, Planet, and Profit.
Leading companies such as Nike, Toyota, and Siemens are prioritizing sustainable innovation in their business models, setting an example for others to follow. In this Sustainability training presentation, you will learn key concepts, principles, and practices of sustainability applicable across industries. This training aims to create awareness and educate employees, senior executives, consultants, and other key stakeholders, including investors, policymakers, and supply chain partners, on the importance and implementation of sustainability.
LEARNING OBJECTIVES
1. Develop a comprehensive understanding of the fundamental principles and concepts that form the foundation of sustainability within corporate environments.
2. Explore the sustainability implementation model, focusing on effective measures and reporting strategies to track and communicate sustainability efforts.
3. Identify and define best practices and critical success factors essential for achieving sustainability goals within organizations.
CONTENTS
1. Introduction and Key Concepts of Sustainability
2. Principles and Practices of Sustainability
3. Measures and Reporting in Sustainability
4. Sustainability Implementation & Best Practices
To download the complete presentation, visit: https://www.oeconsulting.com.sg/training-presentations
Enterprise Excellence is Inclusive Excellence.pdfKaiNexus
Enterprise excellence and inclusive excellence are closely linked, and real-world challenges have shown that both are essential to the success of any organization. To achieve enterprise excellence, organizations must focus on improving their operations and processes while creating an inclusive environment that engages everyone. In this interactive session, the facilitator will highlight commonly established business practices and how they limit our ability to engage everyone every day. More importantly, though, participants will likely gain increased awareness of what we can do differently to maximize enterprise excellence through deliberate inclusion.
What is Enterprise Excellence?
Enterprise Excellence is a holistic approach that's aimed at achieving world-class performance across all aspects of the organization.
What might I learn?
A way to engage all in creating Inclusive Excellence. Lessons from the US military and their parallels to the story of Harry Potter. How belt systems and CI teams can destroy inclusive practices. How leadership language invites people to the party. There are three things leaders can do to engage everyone every day: maximizing psychological safety to create environments where folks learn, contribute, and challenge the status quo.
Who might benefit? Anyone and everyone leading folks from the shop floor to top floor.
Dr. William Harvey is a seasoned Operations Leader with extensive experience in chemical processing, manufacturing, and operations management. At Michelman, he currently oversees multiple sites, leading teams in strategic planning and coaching/practicing continuous improvement. William is set to start his eighth year of teaching at the University of Cincinnati where he teaches marketing, finance, and management. William holds various certifications in change management, quality, leadership, operational excellence, team building, and DiSC, among others.
1. @helenbevan
Rocking the boat and
staying in it:
respiratory leader
as organisational radical
Helen Bevan
Delivery team
NHS Improving Quality
@helenbevan
@NHSIQ
9. @helenbevan
Are you a boat rocker?
• One who challenges the status
quo when they see that there
could be a better way
• Energise their organisation by
working from their true self
• Capable of working with others
to create success NOT a
destructive troublemaker
• Walk the fine line between
difference and fit, inside and
outside, rock the boat but
manage to stay in it
10. @helenbevan
Troublemaker Radical
Complain Create
Me-focused Mission-focused
Anger Passion
Pessimist Optimist
Energy-sapping Energy-generating
Alienate Attract
Problems Possibilities
Alone Together
Source : Lois Kelly www.foghound.com
Sometimes people see us radicals as
troublemakers
11. @helenbevan
Task
• Talk to others at your table about your
experiences around “rebels” and
“troublemakers”
• Which have you been and why?
• What moves people from being “good” to
“bad”?
• How do we protect against this?
13. @helenbevan
Valuing radicals
• “New truths begin as heresies” (Huxley, defending
Darwin’s theory of natural selection)
• big things only happen in organisations because of
heretics and radicals
16. @helenbevan
Four tactics for organisational radicals
1. Start with myself
2. Build alliances
3. Work out what might help others to
change
4. Don't be a martyr
17. @helenbevan
Four tactics for organisational radicals
1. Start with myself
2. Build alliances
3. Work out what might help others to
change
4. Don't be a martyr
18. @helenbevan
“There is nothing more
difficult to carry out, nor
more doubtful of success,
nor more dangerous to
handle, than to initiate a
new order of things. For the
reformer has enemies in all
those who profit by the old
order, and only lukewarm
defenders in all those who
profit by the new”
Niccolo Machiavelli 15th century
19. @helenbevan
"There’s only one corner of the
universe you can be certain of
improving, and that’s your own self."
Aldous Huxley
21. @helenbevan
What are the risks for a boat rocker?
1. Our experiences of “being different” can be
fundamentally disempowering. This can lead us to
conform because we see no other choice
22. @helenbevan
What are the risks for a boat rocker?
1. Our experiences of “being different” can be
fundamentally disempowering. This can lead us to
conform because we see no other choice
we surrender a part of ourselves, and silence
our commitment, in order to survive
25. @helenbevan
What are the risks for a boat rocker?
1. Our experiences of “being different” can be
fundamentally disempowering. This can lead us to
conform because we see no other choice
we surrender a part of ourselves, and silence
our commitment, in order to survive
2. leave the organisation
26. @helenbevan
What are the risks for a boat rocker?
1. Our experiences of “being different” can be
fundamentally disempowering. This can lead us to
conform because we see no other choice
we surrender a part of ourselves, and silence
our commitment, in order to survive
2. leave the organisation
we cannot find a way to be true to our values
and commitments and still survive
27. @helenbevan
What are the risks for a boat rocker?
1. Our experiences of “being different” can be
fundamentally disempowering. This can lead us to
conform because we see no other choice
we surrender a part of ourselves, and silence
our commitment, in order to survive
2. leave the organisation
we cannot find a way to be true to our values
and commitments and still survive
3. stridently challenge the status quo in a manner
which is increasingly radical and self-defeating
28. @helenbevan
What are the risks for a boat rocker?
1. Our experiences of “being different” can be
fundamentally disempowering. This can lead us to
conform because we see no other choice
we surrender a part of ourselves, and silence
our commitment, in order to survive
2. leave the organisation
we cannot find a way to be true to our values
and commitments and still survive
3. stridently challenge the status quo in a manner
which is increasingly radical and self-defeating
this just confirms what we already know – that
we don’t belong
29. @helenbevan
1. convictions and values – driven
2. strong sense of “self-efficacy”
belief that I am personally able to create change
belief in others
3. action orientated
ignite collective action
mobilising others, inspiring change
4. able to join forces with others
work as a collective body for commonly valued changes
5. able to achieve small wins which create a sense of hope, self-
efficacy and confidence
6. optimistic in the face of challenge
see opportunities
take account of obstacles
What do we know about successful boat rockers?
30. @helenbevan
Three assumptions for organisational
radicals
1. Assume that everyone has a noble intention
2. Motivation and behaviour in a change
process are due to interpersonal interaction
(not just innate character trait)
3. My role as a change agent is about
alignment, not judgement
31. @helenbevan
Four tactics for organisational radicals
1. Start with myself
2. Build alliances
3. Work out what might help others to
change
4. Don't be a martyr
33. @helenbevan
“if you want to go fast, go alone. If you want to
go far, go together”
African proverb quoted by Al Gore
34. @helenbevan
Framing
Is the process by which leaders construct, articulate
and put across their message in a powerful and
compelling way in order to win people to their cause
and call them to action
Snow D A and Benford R D (1992)
38. @helenbevan
What do we need to do?
1. Tell a story
2. Make it personal
3. Be authentic
4. Create a sense of “us” (and be clear who the “us”
is)
39. @helenbevan
What do we need to do?
1. Tell a story
2. Make it personal
3. Be authentic
4. Create a sense of “us” (and be clear who the “us”
is)
5. Build in a call for urgent action
44. @helenbevan
Four tactics for organisational radicals
1. Start with myself
2. Build alliances
3. Work out what might help others to
change
4. Don't be a martyr
47. @helenbevan
The model is mostly used around
health-related behaviours
• smoking cessation
• exercise adoption
• alcohol and drug use
• weight control
• fruit and vegetable intake
• domestic violence
• HIV prevention
• use of sunscreens to prevent skin cancer
• medication compliance
• mammography screening
48. @helenbevan
The model is mostly used around
health-related behaviours
• smoking cessation
• exercise adoption
• alcohol and drug use
• weight control
• fruit and vegetable intake
• domestic violence
• HIV prevention
• use of sunscreens to prevent skin cancer
• medication compliance
• mammography screening
It works for
organisational and
service change too!
50. @helenbevan
“Stages of change”
Smoking
Prochaska, DiClemente & Norcross (1992)
I am not aware my
smoking is a
problem – I have no
intention to quit
I know my smoking
is a problem – I
want to stop but no
plans yet
51. @helenbevan
“Stages of change”
Smoking
Prochaska, DiClemente & Norcross (1992)
I am not aware my
smoking is a
problem – I have no
intention to quit
I know my smoking
is a problem – I
want to stop but no
plans yet
I am making plans
& changing things
I do in
preparation.
52. @helenbevan
“Stages of change”
Smoking
Prochaska, DiClemente & Norcross (1992)
I am not aware my
smoking is a
problem – I have no
intention to quit
I know my smoking
is a problem – I
want to stop but no
plans yet
I am making plans
& changing things
I do in
preparation.
I have
stopped
smoking!
53. @helenbevan
“Stages of change”
Smoking
Prochaska, DiClemente & Norcross (1992)
I am not aware my
smoking is a
problem – I have no
intention to quit
I know my smoking
is a problem – I
want to stop but no
plans yet
I am making plans
& changing things
I do in
preparation.
I have
stopped
smoking!
I am continuing to
not smoke.
I sometimes miss it
– but I am still not
smoking
54. @helenbevan
“Stages of change”
Smoking
Prochaska, DiClemente & Norcross (1992)
I am not aware my
smoking is a
problem – I have no
intention to quit
I know my smoking
is a problem – I
want to stop but no
plans yet
I am making plans
& changing things
I do in
preparation.
I have
stopped
smoking!
I am continuing to
not smoke.
I sometimes miss it
– but I am still not
smoking
56. @helenbevan
90% of the tools available for healthcare change
agents are designed for the “action” stage
The reality of our change situation
• Our tools are often not effective at the stage of
change that most people we work with are at
• It’s hard to engage people in change
• It’s hard to get people to make the changes we
want them to make
• People get irritated, defensive, irrational
• We feel powerless in our ability to lead or
facilitate the change
57. @helenbevan
Example - Surgical Checklist
• Designed for Stage 4
– ACTION!
• Mandated it through
targets
• Despite compelling
case for change –
people resisted it –
no values connection
• People did the task
and missed the point
58. @helenbevan
“One key issue is that many doctors already feel
that they are delivering patient centred care –
unfortunately that is not what patients report.”
Dr Nigel Mathers, Vice Chair, Royal College of
General Practice
59. @helenbevan
So what do we TEND to do?
• Lower our ambitions for improvement
• Focus our energies on those who are already in
the “action” stage
• Put negative labels on those who are not yet at
the action stage such as “blocker” or “resister” or
“laggard”
• Blame the leadership for not enforcing change
• Overestimate the motivation of those who say
they’re ready to change and underestimate the
motivation of those who indicate no interest in
change (Lundberg)
60. @helenbevan
So what SHOULD we do
• Listen and understand
• appreciate the starting point
• elaborate interests
• Build meaning and conviction in the change
• Roll with resistance (Singh)
• Don’t argue against it
• Encourage elaboration of resistance
• What makes it so hard?
• What would help?
• Build shared purpose
61. @helenbevan
Outwitted
He drew a circle that shut me out -
Heretic, rebel, a thing to flout.
But Love and I had the wit to win:
We drew a circle that took him in.
Edward Markham
62. @helenbevan
Discussion
What might you do to:
• enhance your own role as a respiratory
maverick, radical or heretic?
• Support other mavericks, radicals or rebels in
your organisation or system?
63. @helenbevan
....the last era of management was about how
much performance we could extract from
people
.....the next is all about how much humanity we
can inspire
Dov Seidman
64. @helenbevan
We have a choice
“This is the true joy of life, the being used up for a
purpose recognised by yourself as a mighty
one, being a force of nature instead of a
feverish, selfish little clot of ailments and
grievances, complaining that the world will not
devote itself to making you happy”
George Bernard Shaw