School for Change Agents 2018: Module 4 - From Me to We: Mobilising and Organising

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Quick re-cap
Source of image: thenounproject.com
• Recap from modules one, two
and three
• Structure vs. agency
• How to build agency
• The ACE design principles for
spreading change
• Resistance and reactance
• Building resilience and ‘grit’

Change agent perspectives
in module 4
Source of image: thenounproject.com
• A “social movement
approach” to healthcare
• Stories as a resource for
change
• The craft of Public Narrative
• Frameworks for activism
• Practical tips to get started

• In my team, we consciously use
stories to inspire and energise each
other and those around us.
• In my team, we invest as much time
and care in developing our people as
we do in delivering our outputs.
What’s your experience?

Pursuing social change is more of an art than
a science. There is no fixed model. No curricula.
No rules. No guarantee.
It’s about reading power. Building relationships.
Framing issues. Honing messages. Mobilising
supporters. Bringing pressure to bear.
All of this in an increasingly complex, networked
society in which assumptions that held
even a year ago no longer hold.
We Change the World: How Social Movements Influence Health and Wellbeing, NESTA
Sue Tibballs
Sheila McKechnie Foundation

We do not become transformed alone,
we become transformed when we’re in
relationship with others.
Hahrie Han
Source of image: Idahoc Community Action

Knowledge of how to combine
is the mother of all other forms of
knowledge; on its progress depends
that of all others.
Alexis de Tocqueville

Big drive to bring social
movement thinking and
practice into delivery

#S4CA @Sch4Change
Source: adapted from Rebels at Work

Marshall Ganz
Stories not only teach us how
to act – they inspire us to act.
Stories communicate our
values through the language of
the heart, our emotions.
And it is what we feel – our
hopes, our cares, our
obligations – not simply what
we know that can inspire us
with the courage to act.
Telling Your Public Story, Marshall Ganz

Source of image: Dr. Christina Winsey AT Mind-Body Connection

Frame 1: Challenge-Choice-
Outcome

Frame 2: Self-Us-Now

I do not think you can really deal
with change without a person asking
real questions about who they are and
how they belong in the world.”
David Whyte, The Heart Aroused 1994

#HelloMyNameIs…

By July 2016
• …more than 1.6 billion Twitter impressions
to date
• …widely used across healthcare every day
based on the quantity of photographs and
mentions on social media
• …re-framed the start to the therapeutic
relationship for thousands within the NHS
• …global ambassadors continue to actively
campaign
• …raised more than £250,000 for charity

That evening, Kate and I were
talking about it… Kate was
moaning. There’s no other way of
saying it. She was moaning about
it.
And I said, “Look Kate… If you’ve
got something that’s not right,
either stop moaning about it, or do
something about it.”
And we decided to do something
about it.
#HelloMyNameIs…
Frame 1: Challenge-Choice-
Outcome
Chris Pointon, Tedx, “The HelloMyNameIs… Story”

The “first follower” principle

If you can put yourself in my position – I'm
29 years old, I know I've got cancer, I think it's
confined to my abdomen... I'm in a side room… A
junior doctor comes to see me… I'd never met
this doctor before. He came into my room, he sat
down in the chair next to me and looked away
from me. Without any warning or asking if I
wanted anyone with me he just said, “Your
cancer has spread”.
It’s something simple we can all do... Patients
are people and we should treat everyone we
look after like a member of our own family…
If we get the simple things right for students now
in their careers, that’s going to bode well for the
future of healthcare.
Self
Us
Now
Kate Granger
Kate Granger, 1000 Lives National Learning event 2014

My presence on this stage is
pretty unlikely. My father was a
foreign student… My grandfather
was a cook, a domestic servant to
the British [who] had larger dreams
for his son…
I stand here knowing that my story is
part of the larger American story…
and that in no other country on Earth
is my story even possible…
This year, in this election, we are
called to reaffirm our values and our
commitments…
Self
Us
Now
Barack Obama
Speech to the 2004 Democratic Convention

Some additional resources
• NHS Virtual Academy of Large Scale Change
masterclasses, Sustainable Improvement Team, NHS England
https://www.england.nhs.uk/sustainableimprovement/leading-
large-scale-change/virtual-academy-of-large-scale-change-
masterclasses/
• Open School in Organizing, Institute for Healthcare
Improvement (IHI)
http://www.ihi.org/education/IHIOpenSchool/Pages/default.aspx
• Leadership, Organizing and Action, Harvard Online
Executive Education https://online-
learning.harvard.edu/course/leadership-organizing-and-action-
leading-change
• Act, Build Change: free online resources in community
organising http://actbuildchange.com/

Lone wolves
Mobilisers
Organisers
Source: Hahrie Han How Organizations Develop Activists: Civic Associations and Leadership in the 21st Century
Three frames for activism:
Hahrie Han

Which kind of activists are most
successful at creating agency &
delivering results?

Lone wolves
Build power by expertise and information —
through advocacy, oversight, contributing to
committees, public comments and other forms of
consultation
delivering results?

Patient leaders as
“lone wolves”
“What I am ranting about is the way in which patients are
being streamed into advisory sub committees, the way
we are being used as tokens and to
help tick off the right box…
Where is the attitude that patients are part of the team in
healthcare, that we are partners? Why are we always
asked to participate inside a pre-determined frame?
When will we see co-design of new policies, and
ultimately co-production?”
Annette McKinnon

delivering results?
Lone wolves
consultation
Mobilisers
Build power by mobilising people – being able to
call on large numbers of people to contribute,
engage in change and take action

Which kind of activists are most successful at creating
agency & delivering results?
Lone wolves
Build power by expertise and information — through
advocacy, oversight, contributing to committees, public
comments and other forms of consultation
Mobilisers
Build power by mobilising people – being able to call
on large numbers of people to contribute, engage in
change and take action
Organisers
Build power by growing leaders – identifying, recruiting
and training future leaders in a distributed network:
building a community and protecting its strength

delivering results?
Lone wolves
consultation
Mobilisers
Organisers
Build power by growing leaders – identifying,
recruiting and training future leaders in a distributed
network: building a community and protecting its
strength

successful at delivering change?
Lone wolves
consultation
Mobilisers
Organisers
Build power by growing leaders – identifying,
recruiting and training future leaders in a distributed
network: building a community and protecting its
strengthSource: Hahrie Han How Organizations Develop Activists: Civic Associations and Leadership in the 21st Century

Practical tips to get started
1. Beware the snare of preparation. Get to action.
2. Frame issues simply, in ways that will engage
people’s imagination and energy.
3. Weave relational conversations into everyday
work. All real life is meeting, not meetings.
4. Connect with your first follower – or become one for
someone who inspires you.
5. It’s only a movement if it moves without you.

#MyPHBStory: sharing the power of
Personal Health Budgets
#PimpMyZimmer: customising zimmer
frames with older people
#SmallestThings: calling for more
legal rights for parents of babies born
prematurely
#MatExp: practical steps to improve
care and rights connected with
childbirth and maternal experience
#WereNotWaiting: focusing
medical device companies on the
healthcare products we actually need

#S4CA @Sch4Change
When we talk of social change, we
talk of movements, a word that
suggests vast groups of people walking
together, leaving behind one way and
travelling towards another.
Rebecca Solnit

#S4CA @Sch4Change
Learning Management
System
Successfully complete three of our e-
learning modules to become a Certificated
Change Agent!
Module 1 – Change Starts With Me - is live!

#S4CA @Sch4Change
Learning Management System
Module 2 –Resistance and Dealing with Resistance –
is live!
If you have recently registered
you will be emailed your login details.
Not received login details? Please email england.si-horizons@nhs.net

#S4CA @Sch4Change
Edge Talks – School Edition
Tuesday 13th March, 6pm: Change on the front line: the power of
patient voices with Hilary Garratt.
Wednesday 14th March, 7pm: Resilience and leadership – special
session for students at the University of Central Lancashire
Tuesday 20th March, 7pm: Change Under Pressure with Zoe Lord
and Kate Pound.
Wednesday 21st March, 6:30pm: Change Agents 2.0: Digital
capabilities with Dominic Cushan, Susan Kennedy and Richard
Price.
Each session has up to 25 places, and offers the opportunity to
have an interactive conversation
Sign up via the Learning Management System

Thursday 15 March

School for Change Agents 2018: Module 4 - From Me to We: Mobilising and Organising

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