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To integrate:
Is that the question?
Sasha Karakusevic
Horizons team
NHS England
In a well performing system
everything has it time and place
When the environment changes
organisational health is not
guaranteed
Activity People
£Trust
20% 32,000
£2bnPRICELESS
Transformation in transition
From: Three
Horizons: The
Patterning of
Hope
Bill Sharpe
International
Futures Forum
2013
The implosion of trust
Source: http://www.edelman.com/news/2017-edelman-trust-barometer-reveals-global-implosion /
6
Peers are now as credible as experts
Integrate is a verb
Definition: Combine one thing
with another to form a whole
Complex evolving systems
Accelerated learning
Big
design
Big vision
• Define the change they want to see
• Identify the pillars of power
• Create a spectrum of allies
• Seek to attract not overpower
• Build a plan to survive victory
What do successful
social movements do?
Source: Satell G
(2017) How to
create
transformational
change, according
to the world’s most
successful social
movements
Source: Jason Leitch and Derek Feeley
Organising in new power ways
Change AGENCY definition:
The power, individually and
collectively, to make a positive
difference. It is about pushing
the boundaries of what is
possible, mobilising others and
making change happen more
quickly
Three design principles for
spreading change
Design with productivity in
mind
Excellence is achieved
when there is nothing
left to remove, not
when there is nothing
left to add
Technology is
an enabler of
new ways of
serving citizens
and new ways
of doing
business.
Use all of the
opportunities
Integrate in ways that
meet your purpose
Accelerate learning,
Enable co-production
Maximise productivity
Questions?
Sasha.Karakusevic@nhs.net
@Karas01
@horizons nhs
Background sources

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Sasha Karakusevic: To integrate- is that the question?