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How to lead and innovate when the world is collapsing
all around you?
Dave Dawes
1) What do we know about leadership?
Deficit-based approach
Spiky Leadership
"Return on leadership" - McKinsey & Co & Egon Zehnder International
2) What do we know about innovation?
Prizes don’t work
Middle manager problem
How easy to access your Nurse
Director?
How easy to access your Chief
Exec?
How easy to access your
commissioner?
Ideas are worthless
Execution matters
3) What we have learned about
developing innovation
Community nursesCommunity nurses
Find the potential
Start with the problem
Solve real problems
Expose to amazing thinkers
Radical, incremental and
adaptive innovation
The reality of success
What staff sound like
Being needed isn’t Being needed isn’t enoughenough
They don’t care about your pressure
Sleep at nightSleep at night
Opportunity costs - £3.6mOpportunity costs - £3.6m
£20,000 x £20,000 x 180 180
womenwomen
£1,000 x £1,000 x 3680 3680
peoplepeople
Understand how funders
see the world
Don’t present to Don’t present to yourselfyourself
They are peopleThey are people
Limbix vs Cortex
Messiness of execution
Messiness of execution
Emotional resilience
Dealing with obstacles
Dealing with obstacles
4) Making the money work
Money is the Oxygen of the NHS
Create costed business plans
Scissors of Doom
CheaperBetter
CheaperBetter
CheaperWorse
CheaperWorse
Cost moreWorse
Cost moreWorse
Cost moreBetter
Cost moreBetter
4 Pillars of Innovation
Pro
ble
m
Gre
at
Idea
Busi
ness
Mod
el
Execu
tion
Examples of projects
Mental health & diabetes
Older people
•£800,000 on acute admissions
•£280,000 on community admissions
•£400,000 on GP & community services
•New service saved £740,000
100 most vulnerable elderly people used:
NutritionNutrition 12% of residents known to nutrition service
12% of residents known to nutrition service
20% over nutrition
20% over nutrition
22% under nutrition
22% under nutrition
Falls prevention
Palliative careEx offenders
Infection control
Heart disease
Speech and languageMultiple Sclerosis
Epilepsy
COPDAsthma
Wound care
Sexual health
Diabetes
Cancer
Mental health
Carer support
Staff well-being
Social isolation
IncontinenceLymphodema
Drug and alcohol
Mother and baby
£1.2 million savings each£1.2 million savings eachRaised average of £16k eachRaised average of £16k each
£1 million = 1 admission prevented per day
£1 million = 1 admission prevented per day
It’s impossible
It’s impossible
It’s impossible for me
It’s impossible
It’s impossible for me
It’s possible for me
It’s impossible
It’s impossible
It’s impossible for me
Melissa Poe
300,000 members15 countries
1 million trees
300,000 members15 countries
1 million trees
It’s impossible
It’s impossible for me
It’s possible for me
Innovation and Fear
Fail often
Fail oftenFail small
Fail oftenFail smallBe imperfect
Fail oftenFail smallBe imperfectConnect
www.nursefirst.org.uk