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Change as an Intrinsic part of Care
@JennyTheM
We want you to leave us feeling …
….inspired and ready to embrace change
Putting evidence into practice
Barriers
• Fear of change
• The ‘Cant’ approach – risk
• Being introverted
• Disbelief
• Culture
• Time
Drivers • Patient Experience
• Daring greatly-Brene Brown
• Social media
• Individualised care • Compassion
• Belief
• Time
What one change can you make to improve
quality and patient experience?
Go Global and stay local Presenting
Blogging
Poetry
Journal Publications
Creating valuable connections
My ROAR was guided by
• Evidence
• Humanity
• Compassion
“Roar Behind The Silence” Sheena Byrom Soo Downe
Adam Bojelian @Adsthepoet
NHS Change Day 2015
https://www.youtube.com/watch?v=TmVfVB
N0gnQ
Thanks to @NatSkelt
Some who challenge others to grow
http://www.wecommunities.org
http://matexp.org.uk
#GlobalVillageMidwives
NHS Change Day
NHSiQ.nhs.uk- School for Health & Care Radicals
worldhealthinnovationsummit.com
Over to Kate Pound
Time to reframe ‘leading’
change Kate Pound & Jenny Clarke
@KateSlater02 @JennytheM
What does leading change mean to you?
‘Pushed’ to change or carrot and stick approach, change
happens because….
Leading change in a new era
Dominant approach Emerging direction
@HelenBevan
Does this work?
• More than 70% of all major transformation efforts fail.
Why?
Because organizations do not take a consistent, holistic approach to
changing themselves, nor do they engage their workforces effectively.
John Kotter
“Change doesn’t rain down on us from on high. Rather, its stories
are co-created and co-owned by the community. Or, at least they
are if you want the change to stick” Julian Stodd
https://julianstodd.wordpress.com/2013/11/29/the-co-creation-and-co-ownership-of-organisational-change/
14,000 contributors recently identified 10 barriers to change:
Confusing strategies
Over controlling leadership
Perverse incentives Stifling innovation
Poor workforce planning
One way communication
Inhibiting environment
Undervaluing staff
Poor project management
Playing it safe
Source: Health Service Journal, Nursing Times, NHS Improving Quality, “Change Challenge” March 2015
What does the NHS workforce think?
• Front line teams get too many high priority messages from leaders each
day, making it difficult for them to know what to focus on
Increasing number of messages as information cascade through the organisation
Source: adapted from
http://businessjournal.gallup.com/content/162707/change-initiatives-fail-
don.aspx @Helenbevan
Confusing strategies
One way communication
• The biggest mistake people make is that communication is involvement / engagement
• One way communications kills co-creation and does not harness the flow of energy
• It can kill relationships • Keeps people feeling controlled and ‘done to’
https://www.youtube.com/watch?v=-4EDhdAHrOg
Stifling innovation
• Be suspicious of new ideas • Invoke history – ‘we tried that before and it didn’t work’ • Keep people really people – if people have time to thing about
changing stuff they clearly aren’t that business • In the name of excellence – cut throat competition • Confine discussions of strategies and plans to a small circle – • Act as punishing failure motivates success • Blame problems on the incompetent people below – weak skills poor
ethics Rosabeth Moss Kanter (2013)
14,000 contributors recently identified 11 building blocks for change:
Inspiring & supportive leadership Collaborative working
Thought diversity Autonomy & trust
Smart use of resources
Flexibility & adaptability
Long term thinking
Nurturing our people
Fostering an open culture
A call to action
Source: Health Service Journal, Nursing Times, NHS Improving Quality, “Change Challenge” March 2015
Challenging the status quo
What does the NHS workforce think?
“I have some Key
Performance
Indicators
for you”
or
“I have a
dream”
Source: @HelenBevan @RobertVarnam
A call to action – what’s yours?
Collaborative working - we need to widen our teams
Where are your team on the project marmite zone?
Love It! Hate it!
What barriers to change would you put in room 101?
Four ways to connect!
1. Follow us on Twitter
@JennytheM @KateSlater2
@TheEdgeNHS @School4Radicals
2. Subscribe to theedge.nhsiq.nhs.uk
3. Get materials from theedge.nhsiq.nhs.uk/school
…and sign up for our monthly #EdgeTalks theedge.nhsiq.nhs.uk/edgetalks
4. Save the date for theedge.nhsiq.nhs.uk/transformathon
4pm - 4pm, 27-28th January 2016