Change Day Looking back & looking forward….
Friday 9th September 2016 at 9.30am (GMT+1)theedge.nhsiq.nhs.uk/edgetalks @theedgenhs #edgetalks
Janet Wildman, Associate, Horizons, NHS EnglandGill Phillips, Co-Founder, #MatExpAndy Tysoe, Dementia Nurse SpecialistTerri Porrett, FabChangeDay, DirectorOliver Benson, Community Mobiliser, Horizons, NHS England
• Share insights from the NHS Change Day Re-Valuation
• Share specific evaluation examples from #MatExp and #DementiaDo
• Change Day Fab School – what’s happening?• Looking ahead to Fab Change Day 2016
Aims of the session
It is only by holding up the evidence that we can see what is happening across the UK on Change Day The Social Innovation Partnership
Re-Valuation ReportDifficult to capture all pledge/actions
Compartmentalising and aggregating looses the benefits of reinforced and integrated change
The more complex the context the less credibility in looking for simplified approaches
Benefits of Change Day could be ‘crowded out’ by placing a monetary value on each action
We need a theory on how change happens and a social metrics to measure the costs/benefits
http://theedge.nhsiq.nhs.uk/nhs-change-day-2015-re-valuation
Visible InvisibleCalculate Quantifiable outputs, outcomes
e.g. Milton Keynes Recycling Scheme £40,000 saved via 25 recycled items FT of two staff supported#Sepsis Toolkit now used in 8 settings as a result of Change Day 2015 exposure
Multiplying up – use third party dataPotential (not actual savings)Staff engagement, staff moral, patient experience
Calibrate Cost benefit assessment through socialising changeDecision on where to invest effort or take actionThe process of weighing up alternatives, initiating conversations, building support
Socialising indirect benefits/costs of Change Day Indirect benefits - care pathways re-designDevelop positive working relationshipsPermission to self and othersIntroduce innovations
Capacitate Building capacity for changeFrom December 2014 – April 2015, 6 X many Twitter mentions as Change Day 201468% Acute Trusts, 65% Mental Health Trusts, 62% Clinical Commissioning GroupsHighest surge of activity in West Midlands but increase across the UKCampaigns #MatEx, #DementiaDo, #TImetoChange
Key individuals attract high-level Twitter activity and mentionsStrong hubbie activities – support each other and generate noise in the systemBuild weak ties, networks, connections, relationships
Evidence is everywhere you look………
• Individual pledges delivered have a direct impact
on patient care, staff practice/behaviour/thinking
• Change Day accelerated spread and adoption of
ideas through collective action
• Young clinical leaders are inspired and engaged
to take up the leadership challenge
• Staff feel energised to take action to improve
patent care
• Staff and patients are enabled to co-create,
share ideas and be part of the solution to quality
improvement
How we make change and how we measure change are interlinked
Build your case for CHANGE Speeches: Simon Stevens in NHS Expo 2015 highlighted £2.4bn a year productivity loss, equivalent to £1 in every £40 spent in the NHSPublished reports: Department of Health 2010 report – NHS organisation with 3,000 staff could save £235,000 in annual staff costs by improving levels of staff engagementChange Day Re-Valuation 2015 report- individuals who participate in Change Day are highly motivated and more productive Surveys:NHS Staff Surveys consistently show lack of staff engagement
Never doubt that a small group of thoughtful, committed citizens can change the world, indeed, it is the only group that ever has.’ (Margaret Mead)
Platforms and Social ChangeWhy are change platforms so important to large-scale social movements?
‘Change platforms take advantage of social technologies that make large-scale collaboration easy and effective.’ Gary Hamel
#Change Day is a platform of platforms and its power lies in how it connects people and resources together, provide spaces for people to meet, make their actions visible, make valuations of them together. http://theedge.nhsiq.nhs.uk/nhs-change-day-2015-re-valuation
A national conversation on change• Provides a space to increase value,
move ideas from intangible to tangible impact
• Social process used to determine assess value and potential impact
• Aim to achieve a settled account• Use social impact measures -
stories, conversations, interactions, activities
http://theedge.nhsiq.nhs.uk/nhs-change-day-2015-re-valuation
Building a discourse on SOCIAL INTENTIONS
A new epidemic of ideas concepts, new ways of thinking about change
‘The idea of a ‘social movement’ was in part attractive because it was a way of talking about ‘change’ and ‘mobilisation’ and ‘power’ that did not feel ‘theoretical.’
Research participant in Change Day Re-Valuation 2015
Move from counting pledges to understanding networks and interactions
On-line engagement boost impact in 2015
Hubbies are the engine for Change Day
• A mouthpiece for radical change from within• Make local activity visible to each other e.g. via Twitter chat
sessions, WhatsApp, shooting/posting films• A strong sense of worker-owned activity: bottom-up• Involves “massive personal sacrifice” but rewards also• Maintain a sense of invisibility - working under the radar• Go for No – and support from each other• Working inside and outside the hierarchy• Key to making change happen on the day
Use FabChangeDay website to create greater spread and engagement
• Tell your story – use emotion and be visible
• Access free resources• Link to other platforms and
campaigns• Use Facebook, Twitter,
webpages, blogs, direct messaging services
• Engage in off line and on-line conversations
• Engage patients and patient representatives
• Capture the change you want to make
• Share third party data to evidence impact
Looking ahead….Change Day 2016
• Use social media to create a space to inspire change conversations
• Move beyond twitter mentions, signposting and announcements to meaningful debate• Use this opportunity to prototype and showcase
your service or innovation• Get involved and create greater spread
‘We must develop social impact metrics and a system of governing them as if we were creating a language, not a set of statistics.’ (Seddon 2013)
#MatExp and #DementiaDoWorking examples of using evidence to
demonstrate the value of Change Day
‘Helping the NHS to innovate, be more adaptable to the unpredictable demands and turbulent environment we operate in’.
(NHS Change Day Revaluation Report 2015)
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Gill Phillips#MatExp#WhoseShoes
The Edge webinar9 September 2016
@WhoseShoes
#MatExp is magic
But how do you evaluate magic?
NEAT BOX 1
I am the creator of Whose Shoes?®
Gill Phillips @WhoseShoes
Neat box evaluation
NEAT BOX 2
I am the co-founder (with #FabObs Flo*) of #MatExp
Whose Shoes? maternity sites so far…London 12 Rest of the country 5
235 people attended the London SCN pilot workshops
93% said it changed the way they viewed maternity services
* #FabObs Flo a.k.a Florence Wilcock @FWmaternityKHFT, Consultant Obstetrician at Kingston Hospital
Neat evaluation#MatExp highly successful social media platform
470 million Twitter impressionsConsistent – one million Twitter impressions a day
Lemons score: Jackpot!
Neat evaluation
Neat line
More sophisticated analysis?Whose Shoes? - impact
Neat line
#MatExp - impact
Gill Phillips @WhoseShoes Via Symplur analytics
#Eek – wot, no neat line?
My evaluation
Gill Phillips @WhoseShoes
Social media, connections, storytelling, leadership, friends, intrigue, fun, personalities, empowerment, drawing people in, drawing people, poems, wacky stuff, #bakeoff, tour bus, advent, lemons… and so much more.
Our #NHSChangeDay landscape
‘captured the magic’
storytelling storytelling
#MatExpAdvent
#MatExp ABC
Gill Phillips @WhoseShoes
1. Just Do It2. Then do something else
3 Keep it fresh4. Have fun
Click on the magic picture to learn the magic secrets… #MatExp
Gill Phillips @WhoseShoes
Gill’s Top 4 tips
Fab Change Day 2016
Gill Phillips @WhoseShoes
More #MatExp magic… And some new stuff… Click on the magic picture to learn the magic secrets…#CovMindTheGap
Gill Phillips @WhoseShoes nutshellcomms.co.uk matexp.org.uk
#DementiaDo
Andy TysoeSee the PERSON, not the dementia• Setting numerical targets do not change hearts
and minds
• Thousands of people have attended Andy’s free NHS Tier 1 dementia Education session and committed to #dementiaDO something to support people affected by dementia
• Not just NHS staff – Police, Tesco, Council, carers, people with dementia too
#DementiaDo
Andy Tysoe‘I’ve found story telling to be the most powerful way to get the message across’
• The need to re-frame dementia and dementia care services, making reasonable adjustments, challenging stigma and the actual names of services
• Dementia causes disability – a cognitive (or thinking) disability
• You may not be able to ‘see’ a cognitive disability and therefore you may not be able to ‘see’ the #cognitiveramp that would support the person
Don’t just talk, #DO something!
The Academy of FabNHSStuff
We encourage the community to:• Own the process• Discover uncommon successful behaviours – be a
rebel• Design ways in which to share successful innovations• JustDoIt! No permission needed in a #JustDoIt culture
Impact - The aggregation of marginal gains
• A recent share on commissioning to dovetail vaccinations received over 160 emails requesting information as other commissioners wished to implement the service redesign 💉
• ⬆️ uptake service user satisfaction ⬆️ ⬇️cost
Impact So Far…….More than 1200 shares• Over half a million page views
• 11,000 Twitter followers
• Up to 4000 page views a day
• Small changes, small solutions alongside large-scale change
• Transferable, with wider application
FabChangeDay• A year of ideas into action• Electronic pledging • Ongoing support and advice
to enable completion of change pledge
• Dissemination of completed shares
• Benching marking and audit
Activists’ school
Thank you for joining us today
http://fabchangeday.net/
@jwildman1@whoseshoes@dementiaboy
@FABNHSSTUFF