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Jackie Lynton – Head of Transformation @jackielynton Disruption an agent of constructive ….. Health Education East Midlands

Disruption an agent of constructive change

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1. Jackie Lynton Head of @jackielynton Disruption an agent of constructive .. Health Education East Midlands 2. Operate at the edge of current thinking and change Share the disruptive power of connecting, leading edge knowledge, transformation and innovation Connect people to people, to help health and care to think differently about the rules of change and make sense of it in their own context Horizons Group Small team @jackielynton 3. The future starts on the fringe (not in the mainstream). Gary Hamel The future has already happened, its just unequally distributed. William Gibson @jackielynton 4. Its hard to out-run the future if you dont see it coming. Future FUTURE @jackielynton Context is King in change and improvement 5. Themes I would like to talk about Lessons in accelerating change Successes and Failures in accelerating change Creating an environment for contagious commitment to change Getting in touch with our intention, a personal experience @jackielynton 6. Disruptors don't have to discover something new; they just have to discover a practical use for new discoveries. Jay Samit, Disrupt You!: Master Personal Transformation, Seize Opportunity, and Thrive in the Era of Endless Innovation @jackielynton 7. Tomorrows management systems will need to value diversity, dissent and divergence as highly as conformance, consensus and cohesion. Gary Hamel@jackielynton 8. is the new normal! Without risks, there can't be breakthroughs. ... Everywhere, the rate of change is so fast... Peter Diamandis Image by neilperkin.typepad.com @jackielynton 9. Convention is the enemy of change 10. Avedis Donabedian Father of quality and safety Ultimately, the secret of quality is love. If you have love, you can then work backward to monitor and improve the system. 11. Tactic for disruptors: Out-love everyone else Source of image: Bradley Burgess 12. Combine top down and bottom up and across Embody new ways of working Allow voice and influence Progres s real work Accelerating Change C Julie Beedon 2013, including material from Building evidence based Guide to 13. How we go about improvement needs to dependent on the attributes of adaptive change Complex Adaptive Systems An adaptable organisation is one that captures more than its fair share of new opportunities. Gary Hamel@jackielynton 14. Large organisations dont worship shareholders or customers, they worship the past. If it were otherwise it would take a crisis to set a company on a new path. Gary Hamel @jackielynton 15. Quality assurance Quality improvement Quality control 3 balls @jackielynton 16. The Change Model www.changemodel.nhs.uk 17. We all have difference aspect of improvement that are our pet likes 18. 0 1 2 3 4 5 6 7 8 9 10 Our shared purpose Spread of innovation Improvement methodology Rigorous delivery Transparent measurement System drivers Engagement to mobilise Leadership for change What's our prognosis for this asthma pathway project? 19. How do you bring a 'creative take' to improvement? NHS @jackielynton 20. Why is change needed and what needs to change? 21. People dont resist change They resist being changed 22. Why do we need to change and what needs to change? 23. What are your biggest opportunities as agents of disruptive change? @jackielynton HEEM 24. Mobilising & organising - theory of change PEOPLE Developing leadership POWER Building community to create power CHANGE Using this power to address a challenge and creating the capacity for change Improvement Change Agent Network ihi.org/ICAN Image: from Jessica Perlo@jackielynton people acting together to change the status quo 25. What lights the fire in your belly and makes you feel passionate and determined to make change happen? 26. Frame the change you want to see The story of Fredrick @jackielynton 27. Must do Want to do Kotter: From have to to want to We wont create big change through hierarchy on its own 28. Here have some of mine! My Power Power Shifting positional power to relational 29. Framing .is the process by which leaders construct, articulate and put across their message in a powerful and compelling way in order to win people to their cause and call them to action Snow D A and Benford R D (1992) @jackielynton 30. Core components of framing Diagnostic framing - aims to identify the problem that the movement will address and attribute the problem to a specific source or sources Motivational framing - typically stresses urgency and an overall duty of/ call for action that connects with the motivational and emotional drivers of the audience Prognostic framing - relates to the creation of a plan of attack and clear strategies for carrying out the plan 31. What can you see in this scan? 32. Harvard researchers put a gorilla image on this lung scan 33. What proportion of the radiologists who reviewed this scan actually saw the gorilla? 90% 25% 17% 80% 9% 60% 34. What proportion of the radiologists who reviewed this scan actually saw the gorilla? 90% 25% 17% 80% 9% 60% http://www.npr.org/blogs/health/2013/02/11/171409656/why-even-radiologists-can-miss-a-gorilla-hiding-in-plain-sight 35. Sense making - patterns Rehearse alternate futures. Its not enough to spot trends, you have to think through their implications and how theyll interact. GH 36. Top secrets for conquering rejection Rejection doesnt mean you are not good enough, it means the other person failed to notice what you have to 37. #1 - Instead of avoiding rejection ..increase it 38. #2. Dont take it personally, its not about you! Michelle 39. #3 Respond positively. Dont take it badly! Your so amazing! @jackielynton 40. #4 See NO as an opportunity. Value it Sales industry 41. 80% of sales are made on the fifth to twelfth #5 Make it a personal performance target See how many Nos you get this week 42. #6 Understand that No doesnt mean never. Im going to a go for no! 43. A life without curiosity is quite simply a boring life. The cure for boredom is curiosity. But there is no cure for curiosity. Dorothy Parker 44. Curiosity is really another way of saying - I like to ask questions. @jackielynton 45. Source : Lois Kelly www.rebelsatwork.com Theres a big difference between trouble maker and rebel Rebel Curious 46. We need rebels! The principal champion of an improvement initiative, cause or action Rebels dont wait for permission to lead, innovate, strategise They are responsible; they do what is right They name things that others dont see yet They point to new horizons Without rebels, the storyline never changes Source : @PeterVan http://t.co/6CQtA4wUv1 47. Five questions we should ask ourselves about purpose 1.What CONFRONTS me? (What tigers do I need to face: boats I need to rock - a tough decision, a difficult person?) 2.What am I BRINGING? (What is my history with this situation, my expectations, my hopes and fears, my predictions?) super power 3.What RUNS me? (What is my default way of handling things like this? How am I on automatic without realizing it? How am I limiting my options?) unconscious, self aware 4.What CALLS me? (What inside me yearns to find greater expression in my life and work? What is the need out there in the world that needs the best of who I am?) 5.What will UNLEASH me? (Ive had insights before. What will make this experience different? What am I curious about?) 48. Image from: @TheWorldStories Change the world 49. Creating a space for getting ready for change Invitation to thinking differently about change Share the collective wisdom of people in the room 5 minutes of wisdom Overview 50. pounds 51. Strong sense public service and community 52. 1986 1. I did not feel heard or supported 2. Let down by my profession 3. I felt powerless 4. I was part of a hierarchical system that didnt protect vulnerable 53. When you hit up against this wall, how do you feel? 54. Motivation goes down 55. Always fighting for change, speaking out, wanting to improve things and make a difference 56. Lean in to your own discomfort 57. This picture was taken from my hotel window in Scotland, when I asked myself some of the most important questions. Lock Linnhe, Fort William, Highlands of Scotland 58. Knowing your purpose Whats my purpose and whats important to me 59. It wasnt about trying to move the mountain it was about climbing it Together/WeAlone/Me 60. 30 years on 1. Staff didnt feel heard checked out 2. Compliance over commitment 3. Staff not feeling permission to make to make changes 61. Can I really make the change? Will the system really ALLOW me? Self efficacy FEAR 62. When your leading change its not just about me, its about how I work with others 1. Cut on the dotted line 2. Rotate 180 degrees 63. Creating power through connections and building relationships (super power) 64. Now I dont! Now I bring my authentic, curious, radical, risktaking, out-loving, sometimes failing, having had lots of failures self ..so I can do my best work Improvement was about programmes and projects 65. #NHSChangeDay #SHCRchat 66. NHS Change Day - Making a difference The more you do what you love is the more energy you have Leadership Freak 67. approach to improvement 68. NHS as a social movement 69. A global movement was born https://www.youtube.com/watch?v=inHc1NgohuA 70. Do you want to.. Impress OR Inspire 71. Quote from Chloe I was inspired by the caring, creative and committed individuals I met in the NHS and realised I need to fulfil a sense of purpose in using my skills and passion in helping others. I want 72. Power divided is power shared Power without positive action is just an ego Jackie Lynton The way to get power is by actually sharing it. 73. @HelenBevan @JackieLynton #mixmashup Ways to connect with us! 1. Follow on Twitter @Jackie Lynton [email protected] 2. Subscribe to 3. The School for Health and Care Radicals: @School4Radical TheEdge.nhsiq.nhs.uk