Facilitating Change

Ann YorkSteve Kingsbury

3 STEPS TO CHANGE

Intolerable

Shared vision

Plan

Leadership Effects

Intolerable

Shared vision

Plan

Facilitation of…

Consensus…

Actions…

Innovators Adopters Change Majority Stable Majority Stabilisers

Change and Stability

1 2 3 4 5

FOCUS group of clinicians in E Herts:We learnt ….

Before starting CAPA, clinicians worried

there were things that helped to get started

It changed the way they practiced

There were some problems

There were things they really liked

And …

Tweaking the system was important!!!!!!!!!!!!!!!!!!!!!!!

Before starting CAPA, what did clinicians worry about?

That it may not work Adapting to a new way of working Overload

What helped in getting things started?

Vision Leadership Commitment Planning

Other things clinicians thought…

How did it change clinicians practice?

Working in a more focussed way Thinking more clearly Having a more collaborative stance Developing a shared language with

colleagues from other disciplines

What else did clinicians really like?

Pride in having changed to a system that worked

Referrers pleased not a waiting list Sense of being in control of demand

And what were the problems?

More awareness of how others work and they of you

It was important to tweak the system

Iterative process helped Flexibility about co-working was good

What was important in making CAPA work?

Monitoring the process Flexibility and adapting the system Team discussion Trust within team