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Challenging people's mindsets to change that think and reaches beyond the boundaries of the organisation and be willing to share, collaborate with patients, partners and employees in ways that are transparent, so that others can take part and learn too.
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Leading Large Scale Change
Steve Fairman, Managing Director (interim)Helen Bevan, Chief Transformation Officer, Horizons groupCharlie Keeney, Programme Director
Transformational
Transformational
@HelenBevan @CharlieKeeney @nhsiq #confed2014@stevefairman1
Capability for radical change: HIGH stakes
All industrialised countries face profound and defining health
care choices over the coming decade… It’s not just funding that
will shape the future success of the NHS. As important will be our capacity for improvement and
change
Simon Stevens Chief Executive NHS England
The NHS. . . needs toturbo-charge changes in the
way healthcare is delivered to patients
David Bennett Chief Executive
Monitor
We need to up the pace of radical change if we are to truly
respond to the lessons of Mid Staffordshire, Winterbourne View and the needs of our
population.
Jane CummingsChief Nurse
NHS England
‘‘
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Introducing NHS Improving QualityCore purpose: helping the NHS to develop to face and meet the critical challenges ahead
Future success of the NHS will rest on all in and who use it having the capability to transform the way we think and work
A new lean, impactful, relevant, inspiring organisation, focused on patient benefit
Our approach
Developing evidence-based products and programmes supporting delivery of the Outcomes Framework and NHS priorities
Active development pipeline for the things that the NHS’ improvement body should do at a national level. Partnerships critical for development and delivery
Being at the leading edge of thinking and skills about radical, transformational change and translating this into action for the service
Our new White Paper• Examines leading trends in
change and transformation globally
• How to make change happen at a faster rate and be more disruptive
• join the new breed of leaders across the world, rewriting the rules of change and leading change from the future to get different results
• Release date: 4th July 2014 (celebration day for NHS Change Day)
Today’s session
1. Positioning the Horizons group to be at the ‘edge’ – hear from Helen Bevan shortly…
2. …and then a flavour of NHS IQ support on the ground from Charlie Keeney, leading the Clinical Commissioning Group transformational change capability programme
3. Questions and Answers
The remainder of weekVisit our stand A34, to:•hear more about our work supporting improvement at scale, •senior team ‘listening clinics’ as we further build our offer, and •details of our upcoming White Paper
@HelenBevan @CharlieKeeney @nhsiq #confed2014@stevefairman1
SEISMIC SHIFTS
@HelenBevan @CharlieKeeney @nhsiq #confed2014@stevefairman1
SEISMIC SHIFTS
@HelenBevan @CharlieKeeney @nhsiq #confed2014@stevefairman1
SEISMIC SHIFTS
DIGITALCONNECTION
@HelenBevan @CharlieKeeney @nhsiq #confed2014@stevefairman1
SEISMIC SHIFTS
DIGITALCONNECTION
Hierarchical
power
@HelenBevan @CharlieKeeney @nhsiq #confed2014@stevefairman1
SEISMIC SHIFTS
DIGITALCONNECTION
Hierarchical
powerWork complexity
@HelenBevan @CharlieKeeney @nhsiq #confed2014@stevefairman1
SEISMIC SHIFTS
DIGITALCONNECTION
Hierarchical
powerWork complexity
Change from the edge
@HelenBevan @CharlieKeeney @nhsiq #confed2014@stevefairman1
Whilst back in the world of health and care...
Many of the ways we go about improving health and care were designed
in a different mindset for a different set of
circumstances Source of image:www.lifecompassblog.com
@HelenBevan @CharlieKeeney @nhsiq #confed2014@stevefairman1
Some warnings‘‘The organizations that survive the future will be those that are capable of changing as fast as change itself
Gary Hamel’’
@HelenBevan @CharlieKeeney @nhsiq #confed2014@stevefairman1
Leading change in a new era
Dominant approach Emerging direction
@HelenBevan @CharlieKeeney @nhsiq #confed2014@stevefairman1
@HelenBevan @CharlieKeeney @nhsiq #confed2014@stevefairman1
@HelenBevan @CharlieKeeney @nhsiq #confed2014@stevefairman1
John Kotter: “Accelerate!”
• We won’t create big change through hierarchy on its own
• We need hierarchy AND network• Many change agents, many acts of leadership• At least 50% buy-in• Changing our mindset
• From “have to” to “want to”
Source of image:www.slideshare.net/mexicanwave/champions-trolls-10-years-of-the-cipd-online-community
@HelenBevan @CharlieKeeney @nhsiq #confed2014@stevefairman1
5 ways to lead from the edge - and thrive
1. Embrace disruption2. Curate knowledge3. Build bridges to
connect the disconnected
4. Roll with resistance5. It starts with me
@HelenBevan @CharlieKeeney @nhsiq #confed2014@stevefairman1
@corprebelscorporaterebelsunited.com
Across the world, the change agent movement Is exploding!
@rebelsatworkrebelsatwork.com
@chagwwchangeagentsworldwide.com
@HelenBevan @CharlieKeeney @nhsiq #confed2014@stevefairman1
And it’s happening in healthcare!
@HelenBevan @CharlieKeeney @nhsiq #confed2014@stevefairman1
is the new normal!
“By questioning existing ideas, by opening new fields for action, change agents actually help
organisations survive and adapt to the 21st Century.”
Céline Schillinger
Image by neilperkin.typepad.com
@HelenBevan @CharlieKeeney @nhsiq #confed2014@stevefairman1
The 90/30 conundrum
of senior leaders say that to create more
innovation, they need to activate the
radicals/rebels/heretics/mavericks in their
organisations or systems
of senior leaders are very satisfied that
radicals/rebels can provide this value in their organisations or
systemsSource: rebelsatwork.com
@HelenBevan @CharlieKeeney @nhsiq #confed2014@stevefairman1
5 ways to lead from the edge - and thrive
@HelenBevan @CharlieKeeney @nhsiq #confed2014@stevefairman1
An “overcoming resistance” mindset
@HelenBevan @CharlieKeeney @nhsiq #confed2014@stevefairman1
“The most basic not-so-secret formula for building an innovation culture is pretty simple - embrace diversity and start to attract, retain
and promote a diverse workforce that looks differently, works differently, dress differently, speaks differently and is inclusive of the
full spectrum of human sexual orientation and gender identities.”
Source of image: idsgn.org
Diversity: critical to innovation
“Do this before you start hiring consultants and rethinking your innovation process; there is no process that works without true diversity.”
Idris Moore
@HelenBevan @CharlieKeeney @nhsiq #confed2014@stevefairman1
Supporting CCGs and local systems to get their ambitions for patient-centredtransformation off to the best possible start
@HelenBevan @CharlieKeeney @nhsiq #confed2014
Our learning…
Collaboration and broad partnership Commitment -v- compliance Impact of shared purpose Loose – tight properties Learning through doing Wider yield
@HelenBevan @CharlieKeeney @nhsiq #confed2014