Change Day, looking back, looking forward

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Change Day Looking back & looking forward.

Friday 9th September 2016 at 9.30am (GMT+1) @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-ValuationShare specific evaluation examples from #MatExp and #DementiaDoChange Day Fab School whats 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 Report

Difficult 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

VisibleInvisibleCalculateQuantifiable outputs, outcomese.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 exposureMultiplying up use third party dataPotential (not actual savings)Staff engagement, staff moral, patient experienceCalibrateCost benefit assessment through socialising changeDecision on where to invest effort or take actionThe process of weighing up alternatives, initiating conversations, building supportSocialising indirect benefits/costs of Change Day Indirect benefits - care pathways re-designDevelop positive working relationshipsPermission to self and othersIntroduce innovationsCapacitateBuilding 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, #TImetoChangeKey individuals attract high-level Twitter activity and mentionsStrong hubbie activities support each other and generate noise in the systemBuild weak ties, networks, connections, relationships

No attempt to aggregate the calculable value of Change Day.5

Evidence is everywhere you lookIndividual pledges delivered have a direct impact on patient care, staff practice/behaviour/thinkingChange Day accelerated spread and adoption of ideas through collective actionYoung clinical leaders are inspired and engaged to take up the leadership challenge Staff feel energised to take action to improve patent careStaff 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.

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 impactAim to achieve a settled accountUse social impact measures - stories, conversations, interactions, activities

Building a discourse on SOCIAL INTENTIONS

Social innovation gets mainstreamed into the systemHow to reach a settled account on value10

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 DayA mouthpiece for radical change from withinMake local activity visible to each other e.g. via Twitter chat sessions, WhatsApp, shooting/posting filmsA strong sense of worker-owned activity: bottom-upInvolves massive personal sacrifice but rewards alsoMaintain a sense of invisibility - working under the radarGo for No and support from each otherWorking inside and outside the hierarchyKey to making change happen on the day

Use FabChangeDay website to create greater spread and engagementTell your story use emotion and be visibleAccess free resourcesLink to other platforms and campaignsUse Facebook, Twitter, webpages, blogs, direct messaging services

Engage in off line and on-line conversationsEngage patients and patient representativesCapture the change you want to makeShare third party data to evidence impact

Looking ahead.Change Day 2016Use social media to create a space to inspire change conversationsMove beyond twitter mentions, signpostingand announcements tomeaningful debateUse this opportunity to prototype and showcase your service or innovationGet 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)

Copyright Nutshell Communications Ltd. All rights reserved.Gill Phillips#MatExp#WhoseShoes

The Edge webinar9 September 2016

@WhoseShoes#MatExp is magicBut how do you evaluate magic?



I am the creator of Whose Shoes?Gill Phillips @WhoseShoesNeat box evaluation


I am the co-founder (with #FabObs Flo*) of #MatExp

Whose Shoes? maternity sites so farLondon12Rest of the country5235 people attended the London SCN pilot workshops93% said it changed the way they viewed maternity services

* #FabObs Flo a.k.a Florence Wilcock @FWmaternityKHFT, Consultant Obstetrician at Kingston HospitalNeat evaluation#MatExp highly successful social media platform470 million Twitter impressionsConsistent one million Twitter impressions a dayLemons score: Jackpot!

Neat evaluationNeat line

More sophisticated analysis?Whose Shoes? - impact

Neat line#MatExp - impactGill 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


#MatExpAdvent#MatExp ABCGill Phillips @WhoseShoes

1. Just Do It2. Then do something else3 Keep it fresh4. Have fun

Click on the magic picture to learn the magic secrets #MatExp

Gill Phillips @WhoseShoesGills 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


#DementiaDoAndy TysoeSee the PERSON, not the dementia

Setting numerical targets do not change hearts and minds

Thousands of people have attended Andys 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


#DementiaDoAndy TysoeIve 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

Dont just talk, #DO something!

The Academy of FabNHSStuffWe encourage the community to:Own the processDiscover uncommon successful behaviours be a rebelDesign ways in which to share successful innovationsJustDoIt! No permission needed in a