California presentation march 2015 final 2 - jackie lytnon
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Transcript of California presentation march 2015 final 2 - jackie lytnon
@jackielynton
Jackie LyntonCreating a contagious
commitment for change
…..
@HelenBevan #SHCR #QF15
The Horizons Group within NHS Improving Quality
Aim of the group: to stimulate new and ‘disruptive’ approaches in support of health and care transformation, operating at the edge of current thinking and practice:
• skipping a generation of thinking and practice in how to create radical, system-wide change
• skipping a generation in a wider level of connection: working with emerging leaders, clinical trainees, students
• skipping a generation of methods for change and improvement: open innovation, open source, digital connection, social media, change platforms, hacking
“You
can’t cross a chasm in small
steps”David
Lloyd George
@HelenBevan
Five enabling themes in change and transformation www.nhsiq.nhs.uk/whitepaper
@HelenBevan @JackieLynton #mixmashup
Agenda
1. Building a social movement
2. Why programmatic and target-driven approaches to change aren’t enough
3. Leading contagious commitment to change
4. A disruptive case study: NHS Change Day
Community
Call to attention Stay with the process
@HelenBevan @BoelGare @JackieLynton #Quality 2014 #M5
Activity
Today you will be working as a community with others on your table so it’s important to find out who is in your community.
Introduce yourself to others at your table. Tell a quick story that demonstrates why you chose to come to this workshop today.
Time allowed: 10 minutes for the whole table
Building a social
movement
@HelenBevan @JackieLynton #mixmashup
The NHS is the 5th biggest employer on the globe
Source: BBC
@HelenBevan @JackieLynton #mixmashup
The National Health Service is the closest thing the English have to a religion, with those who
practice in it regarding themselves as a priesthood. This makes it quite extraordinarily
difficult to reform
Nigel Lawson, politician
“
“
@HelenBevan @JackieLynton #mixmashup
Where are we?The dominant NHS approach [to leadership] is
typified by laying down demanding targets, leading from the front, often being reluctant to delegate,
and collaborating little – and is the consequence of the health service focusing on process targets, with
reward dependent on meeting them.
Source: Kings Fund Leadership for engagement and improvement in the NHS http://www.kingsfund.org.uk/sites/files/kf/field/field_publication_file/leadership-for-engagement-improvement-nhs-final-review2012.pdf
“
“
@HelenBevan @JackieLynton #mixmashupBuilding on a legacy of social movement thinking for the NHS
@HelenBevan @BoelGare @JackieLynton #Quality 2014 #M5
What is happening in the world of change?
Source of image: from guardiansprayerwarrior.com
@HelenBevan @BoelGare @JackieLynton #Quality 2014 #M5
SEISMIC SHIFTS
Change from the edge
@HelenBevan
Most change efforts are built upon the shaky foundation of five flawed assumptions; 1. that change can be managed2. that human beings are objective 3. that there are ‘X’ steps to change4. that we have a neutral starting point for change5. and that change, itself, is the goalPeter Fuda http://www.peterfuda.com/wp-content/themes/peterfuda-bootstrap/content/Why-Change-Efforts-Fail.pdf
Source of image: Whatsthebigideascwartzy.blogspot.com
@HelenBevan #SHCR #QF15
Leading change in a new era
Dominant approach Emerging direction
@HelenBevan #SHCR #QF15
Leading change in a new era
Dominant approach Emerging direction
Most policy efforts are driven from this
side
@HelenBevan
Many of the ways we go about improving health and
care were designed in a different mindset
for a different set of circumstances
We are operating with 20th century change
practice in a 21st
century world
:
Source of images : http://www.slideshare.net/dachisgroup/dave-gray-the-connected-company
“When we talk of social change, we talk of movements, a word that suggest vast
groups of people walking together, leaving behind one way and travelling towards
another”
Rebecca Solnit
#NHSChangeDay #SHCRchat@HelenBevan @BoelGare @JackieLynton #Quality 2014 #M5
‘If people give to a cause, they expect a relationship, not a transaction.’
Nilofer Merchant
@HelenBevan @BoelGare @JackieLynton #Quality 2014 #M5
Why am I a radical?
#NHSChangeDay #SHCRchat@HelenBevan @BoelGare @JackieLynton #Quality 2014 #M5
Source : Lois Kelly www.rebelsatwork.com
Sometimes other people see radicals/rebels as troublemakers
Rebel
Six characteristics of people or groups within effective social movements
1. They share a sense of PURPOSE: There is purposefulness about
collaborations, discussions, actions, decisions and a sense of forward momentum
2. They are UNITED: They have learned to manage their differences well enough
that they can unite to accomplish their purpose. Differences are openly debated, discussed, and resolved.
3. They share UNDERSTANDING: There is a widely shared understanding of what's going on, what the challenges are and why what is being done has to be done
4. People PARTICIPATE: Lots of people and organisations in the system are
active - not just in discussions and meetings, but getting the work done.
5. They take INITIATIVE: Rather than reacting to whatever happens in their
environment, they are proactive, and act upon their environment.
6. They ACT: People do the work they must do to
make the things happen that need to happen
Source: adapted from Wellstone Action
@HelenBevan #SHCR #QF15
We need rebels!
•The principal champion of a change initiative, cause or action
•Rebels don’t wait for permission to lead, innovate, strategise
•They are responsible; they do what is right
•Without rebels, the storyline never changes
Source : @PeterVan http://t.co/6CQtA4wUv1
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)
#NHSChangeDay #SHCRchat@HelenBevan @BoelGare @JackieLynton #Quality 2014 #M5
Three components of framing
• Diagnostic – what is the problem that we are addressing? What is the extent of the problem? What is the specific source or sources?
• Prognostic – what could the future look like? What is our “plan of attack” and our strategy for carrying out the plan?
• Motivational – why is this urgent? What is our call for action that connects with the motivational and emotional drivers of the audience?
Source: Benford and Snow
What’s the financial incentive?
Who is performance managing?
What’s the project plan?
Source: @RobertVarnam
#NHSChangeDay #SHCRchat@HelenBevan @BoelGare @JackieLynton #Quality 2014 #M5Source: Rebelsatwork.com
“I have some Key
Performance
Indicators
for you”
or
“I have a
dream”
Source: @RobertVarnam
My first experience of being in large scale change in the NHS 1986
The story of Fredrick……
Leaders ask their staff to be ready for change, but do not engage enough in sensemaking........
Sensemaking is not done via marketing...or slogans but by emotional connection with employees
Ron Weil
Call to Action
• A call to action assumes that we can end an intolerable condition by creating a burning platform from which to organise our resources and seek commitment
• A call to action finds and builds new sources of power and so enables change through
• collaboration and mobilisation• developing leadership
• A call to action unites us around a collective vision and focuses our energy towards a specific and real change and a measureable goal
#NHSChangeDay #SHCRchat
Why do we need to change and what needs to change?
Discuss in your community
ACTIVITY
Why programmatic and target driven
approaches to change aren’t enough in our
system?
@HelenBevan @JackieLynton #mixmashup
Starts on the fringe
(at the edge)
Starts with the activistsGary Hamel
always
Four keys to collaboration
• Lean into your discomfort
• Listen as an ally
• State your intent
• Share your “street corner”Source: Judith Katz and Fred Miller
@HelenBevan
John Kotter: “Accelerate!” most influential thought leader globally, recognises new approaches are needed
• We won’t create big change through hierarchy on its own
• We need hierarchy AND network
• Many change agents, not just a few, with many acts of leadership
• Changing our mindsetTO
FROM
Must do
Want to do
Kotter: From “have to” to “want to”
@helenbevan
“Tomorrow’s management systems
will need to value diversity, dissent and
divergence as highly as conformance, consensus
and cohesion.”
Gary Hamel
Source of image: www.fastcompany.com
Embracing difference to change the conversation
Less change programmes More change platforms
Change Programmes:• utilise systematic “change
management” approaches• Too often, leaders prescribe
the outcome and the method of change in a top-down way
• change is experienced by people at the front line as “have to” (imposed) rather than “want to” (embraced)
Change Platforms• enable everyone in the
organisation/system (including service users) to help tackle the most challenging issues
• value diversity of thought• leadership attention on
creating an environment receptive to transformational change
http://www.hsj.co.uk/resource-centre/scrap-the-programme-successful-change-starts-with-a-change-platform/5078014.article?blocktitle=Blogs-and-videos&contentID=16031
@helenbevan
Conclusions• The way that change is changing means that traditional
policy levers (targets, payment incentives, regulation etc) will be increasingly less effective
• They don’t have the track record in delivering the sort of transformational change now required across the NHS New Health Foundation report: 10% impact on overall performance
• Transformation needs frontline staff to learn from the wider world, build shared purpose and have the freedom to take action
• We have to find ways to:
• Build organisations that are activist at their core
• marry innovation with complexity and scale
• balance control and freedom
@HelenBevan #SHCR #QF15
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 SchillingerImage by neilperkin.typepad.com
Leading contagious commitment to change in the workplace
#NHSChangeDay #SHCRchat@HelenBevan @BoelGare @JackieLynton #Quality 2014 #M5
You get the best effort from others not by lighting a fire beneath them, but by
building a fire within
Bob Nelson
#NHSChangeDay #SHCRchat
What lights the ‘fire in your belly’ and makes you feel passionate and determined to make change happen?
ACTIVITY
#NHSChangeDay #SHCRchat@HelenBevan @BoelGare @JackieLynton #Quality 2014 #M5
Connecting to other people values and emotions
#NHSChangeDay #SHCRchat
If we want people to take action, we have to connect with their emotions through values
action
values
emotion
Source: Marshall Ganz
Building contagious commitment
Source: Marshall Ganz
Shared understanding leads to
Action
Narrativewhy?
Strategywhat?
#NHSChangeDay #SHCRchat@HelenBevan @BoelGare @JackieLynton #Quality 2014 #M5
What is strategy?
Strategy is the process of turning the you have into the you need to win
the you wantSource: Marshall Ganz
#NHSChangeDay #SHCRchat@HelenBevan @BoelGare @JackieLynton #Quality 2014 #M5
Here have some of mine!
MyPower
Power
Shifting positional power to relational
#NHSChangeDay #SHCRchat
Unleashing the energy
The more you do what you love the more energy you have. Leadership Freak
Vs
#NHSChangeDay #SHCRchat@HelenBevan @BoelGare @JackieLynton #Quality 2014 #M5
Resources to improve health and care
Economic resourcesdiminish with use• money• materials• technology
Natural resourcesgrow with use• relationships• commitment• community
Based on principles from Albert Hirschman, Against Parsimony
#NHSChangeDay #SHCRchat#NHSChangeDay #SHCRchat
“Stages of change” Transtheoretical model of behaviour change
Prochaska, DiClemente & Norcross (1992)
#NHSChangeDay #SHCRchat@HelenBevan @BoelGare @JackieLynton #Quality 2014 #M5 Source: Helen Bevan
Compliance
States a minimum performance
standard that everyone must
achieve
Uses hierarchy, systems and
standard procedures for co-
ordination and control
Threat of penalties/ sanctions/
shame creates momentum for
delivery
What is our approach to change? 3 Mins
Commitment
States a collective goal that
everyone can aspire to
Based on shared goals, values
and sense of purpose for co-
ordination and control
Commitment to a common
purpose creates energy for
delivery
#NHSChangeDay #SHCRchat
"There’s only one corner of the universe you can be certain of improving, and that’s your own self." Aldous Huxley
Source of image: timcoffeyart.wordpress.com
#NHSChangeDay #SHCRchat@HelenBevan @BoelGare @JackieLynton #Quality 2014 #M5
It starts
with me….
#NHSChangeDay #SHCRchat@HelenBevan @BoelGare @JackieLynton #Quality 2014 #M5
Effective framing: what do we need to do?
1. Tell a story
2. Make it personal
3. Be authentic
4. Create a sense of “us” (and be clear who the “us” is)
5. Build in a call for urgent action
#NHSChangeDay #SHCRchat@HelenBevan @BoelGare @JackieLynton #Quality 2014 #M5
Creating our narrative
• Challenge: What was the challenge? Why was it a challenge?
• Choice: What were the choices? Why did you make the choice you did? Where did you get the courage or hope? How did it feel?
• Outcome: How did the outcome feel? Why did it feel that way? What do you want us to feel?
Source: Marshall Ganz
#NHSChangeDay #SHCRchat
Vivid details
Source: Marshall Ganz
#NHSChangeDay #SHCRchat@HelenBevan @BoelGare @JackieLynton #Quality 2014 #M5
Me at 22 years old
#NHSChangeDay #SHCRchat@HelenBevan @BoelGare @JackieLynton #Quality 2014 #M5Image from: @TheWorldStories
#NHSChangeDay #SHCRchat@HelenBevan @BoelGare @JackieLynton #Quality 2014 #M5
• 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
OverviewMY
GOAL
#NHSChangeDay #SHCRchat@HelenBevan @BoelGare @JackieLynton #Quality 2014 #M5
Strong sense public service and community
#NHSChangeDay #SHCRchat@HelenBevan @BoelGare @JackieLynton #Quality 2014 #M5
#NHSChangeDay #SHCRchat@HelenBevan @BoelGare @JackieLynton #Quality 2014 #M5
1986
1. I did not feel heard, supported
2. Let down by my profession
3. I was part of a hierarchical
system that didn’t protect vulnerable people
#NHSChangeDay #SHCRchat
#NHSChangeDay #SHCRchat@HelenBevan @BoelGare @JackieLynton #Quality 2014 #M5
Always fighting for change an speaking out
#NHSChangeDay #SHCRchat@HelenBevan @BoelGare @JackieLynton #Quality 2014 #M5
#NHSChangeDay #SHCRchat@HelenBevan @BoelGare @JackieLynton #Quality 2014 #M5
Being open to creating
alliances with others,
and not build silos…..
#NHSChangeDay #SHCRchat@HelenBevan @BoelGare @JackieLynton #Quality 2014 #M5
This picture was taken fromthe window of my hotelroom in Scotland when I asked myself one of the mostimportant questions
#NHSChangeDay #SHCRchat@HelenBevan @BoelGare @JackieLynton #Quality 2014 #M5
Connecting to What’s important to me?
Alone/Me
Together/We
Building connections and relationships for change
#NHSChangeDay #SHCRchat@HelenBevan @BoelGare @JackieLynton #Quality 2014 #M5
Knowing your purpose
#NHSChangeDay #SHCRchat@HelenBevan @BoelGare @JackieLynton #Quality 2014 #M5
A 3-word concept
@HelenBevan @BoelGare @JackieLynton #Quality 2014 #M5
#NHSChangeDay #SHCRchat
[Shared] purpose goes way deeper than vision and mission; it goes right into your gut
and taps some part of your primal self. I believe that if you can bring people with similar primal-purposes together and get them all marching in the same direction,
amazing things can be achieved.Seth Carguilo
@HelenBevan @BoelGare @JackieLynton #Quality 2014 #M5
#NHSChangeDay #SHCRchat@HelenBevan @BoelGare @JackieLynton #Quality 2014 #M5
30 years on
1. Staff didn’t feel heard –
‘checked out’
2. Compliance over
commitment
3. Staff not feeling
‘permission’ to make to
make changes
#NHSChangeDay #SHCRchat
#NHSChangeDay #SHCRchat@HelenBevan @BoelGare @JackieLynton #Quality 2014 #M5
“People who think differently challenge the status quo…. in difference lies value. They are what Cass Sustein (2003) might call “dissenters”……dissenters identify new dimensions, and they force us to abandon our existing predictive models. Dissent is useful. Without it society would falter”Source: Scott E. Page, Making the difference: Applying a Logic of Diversity - Academy of Management Perspectives
#NHSChangeDay #SHCRchat@HelenBevan @BoelGare @JackieLynton #Quality 2014 #M5
Change starts with me
#NHSChangeDay #SHCRchat@HelenBevan @BoelGare @JackieLynton #Quality 2014 #M5
When you start with ‘me’ - you can see ‘we and us’
1. Cut on the dotted line2. Rotate 180 degrees
#NHSChangeDay #SHCRchat@HelenBevan @BoelGare @JackieLynton #Quality 2014 #M5
Creating change through connections and building relationships
#NHSChangeDay #SHCRchat@HelenBevan @BoelGare @JackieLynton #Quality 2014 #M5
Reconnecting with my values
#NHSChangeDay #SHCRchat@HelenBevan @BoelGare @JackieLynton #Quality 2014 #M5
Innovation/ideas is not reserved for someone sitting at
the top of a hierarchy, but driven down to unleash new
levels of engagement
Nurse
Doctor ManagerSocial worker
Patient
Carer maker Cleaner
Pharmacist
#NHSChangeDay #SHCRchat
Now I don’t!Now I bring my authentic self to work
I had to be someone else
to fit in
#NHSChangeDay #SHCRchat@HelenBevan @BoelGare @JackieLynton #Quality 2014 #M5
Talk to the person next to you ACTIVITY
• Tell your story about why the change you are involved in now is so important to you
• Relate it to a personal experience
You have:
• 2 minutes to prepare your story
• 2 minutes each to tell your story
#NHSChangeDay #SHCRchat@HelenBevan @BoelGare @JackieLynton #Quality 2014 #M5
Talk to the person next to you
Have a further discussion
• In terms of the people you want to get on board with your change project, what will create a sense of “us” rather than “us and them”?
• How could telling your story help create the “us”?
You have three minutes for further discussion as a pair
#NHSChangeDay #SHCRchat@HelenBevan @BoelGare @JackieLynton #Quality 2014 #M5
Talk to the rest of the table
What insight did you get from that exercise?
You have five minutes for a whole table discussion
#NHSChangeDay #SHCRchat
How do we create a sense of “us” to build
momentum for change?
Source of image: studentblognmaestics.blogspot.com
#NHSChangeDay #SHCRchat@HelenBevan @BoelGare @JackieLynton #Quality 2014 #M5
strong ties (cohesive)v.
weak ties (disconnected)
Source of image:brucemacvaresh.com
#NHSChangeDay #SHCRchat
When we spread change through strong ties:
• we interact with “people like us”, with the same life experiences, beliefs and values
• Change is “peer to peer”; GP to GP, nurse to nurse, gynaecologist to gynaecologist
• Influence is spread through people who are strongly connected to each other, like and trust each other
#NHSChangeDay #SHCRchat
When we spread change through strong ties:
• we interact with “people like us”, with the same life experiences, beliefs and values
• Change is “peer to peer”; GP to GP, nurse to nurse, gynaecologist to gynaecologist
• Influence is spread through people who are strongly connected to each other, like and trust each other
IT WORKS BECAUSE: people are far more likely to be influenced to adopt new behaviours or ways of working from those with whom they are most strongly tied
#NHSChangeDay #SHCRchat
The pros and cons of strong ties
Pros Cons
ACTIVITY
#NHSChangeDay #SHCRchat
Strong and weak tiesWhen we seek to spread change
through strong ties:
• we interact with “people like us”, with the same life experiences, beliefs and values
• Change is “peer to peer”; GP to GP, nurse to nurse, gynaecologist to gynaecologist
• Influence is spread through people who are strongly connected to each other, like and trust each other
When we seek to spread change through weak ties:
• we build bridges between groups and individuals who were previously different and separate
• we create relationships based not on pre-existing similarities but on common purpose and commitments that people make to each other to take action
• our aim is to mobilise all the resources in our organisation, system or community that can help achieve our goals
#NHSChangeDay #SHCRchat@HelenBevan @BoelGare @JackieLynton #Quality 2014 #M5
Why we need to build weak ties AS WELL AS strong ties
• Weak ties are more likely to lead to change at scale because they enable us to access more people with fewer barriers
#NHSChangeDay #SHCRchat@HelenBevan @BoelGare @JackieLynton #Quality 2014 #M5
Why we need to build weak ties AS WELL AS strong ties
• Weak ties are more likely to lead to change at scale because they enable us to access more people with fewer barriers
• In situations of uncertainty, we have a tendency to revert to our strong tie relationships
• yet the evidence tells us that weak ties are much more important than strong ties when it comes to searching out resources in times of scarcity
#NHSChangeDay #SHCRchat@HelenBevan @BoelGare @JackieLynton #Quality 2014 #M5
Why we need to build weak ties AS WELL AS strong ties
• Weak ties are more likely to lead to change at scale because they enable us to access more people with fewer barriers
• In situations of uncertainty, we have a tendency to revert to our strong tie relationships
• yet the evidence tells us that weak ties are much more important than strong ties when it comes to searching out resources in times of scarcity
• The most breakthrough innovations will come when we tap into our weak ties
#NHSChangeDay #SHCRchat@HelenBevan @BoelGare @JackieLynton #Quality 2014 #M5
Why we need to build weak ties AS WELL AS strong ties
• Weak ties are more likely to lead to change at scale because they enable us to access more people with fewer barriers
• In situations of uncertainty, we have a tendency to revert to our strong tie relationships
• yet the evidence tells us that weak ties are much more important than strong ties when it comes to searching out resources in times of scarcity
• The most breakthrough innovations will come when we tap into our weak ties
History suggests that weak ties will probably give us the best chance to deliver large scale improvements in a challenging
timescale
Key messages• Create a “burning platform” and imperative
for action around quality and cost improvement
• Make a clinically relevant case that makes both a rational case for change and a connection to emotions, through values
• Frame to connect with hearts and minds and identify levers for commitment rather than compliance
• Build a strategy for both strong and weak ties
• Ask people to commit to specific actions
NHS Change Day
2015
Wednesday 11 March
Making a change for
better together.
Disruptive Case Study
Do something better together….
Audacity to imagine we could mobilise
the 1.3m people in the NHS
@HelenBevan @JackieLynton #mixmashup
2013 2014 2015
Must do
Want to do
Shared purposeGoal – 65,000 (500k)
pledgesCore leadership team
Personal pledgeSet a dateWebsite
Social media Took risks
Courage & belief Kept it simple!
Holding each other to account rather than performance management
ENGAGEMENTCOMMITMENT ENERGY
ENGAGEMENTCOMMITMENT ENERGY
‘Can I really make
the change?’
Will ‘the system’
really ALLOW me?
ENGAGEMENTCOMMITMENT ENERGY
When you hit up against this wall, how
do you feel and how do staff feel?
Change Day pledges and stories
‘…the floodgates of change open’from front line to senior leaders
@HelenBevan @JackieLynton #mixmashup
Change starts with me..
Maker
...Making a
difference
Anyone can pledge – it’s personal to you!
Change Activist
@HelenBevan @JackieLynton #mixmashup
Volunteers – leaders everywhere
98% of activity via volunteers
My pledge/action…..Not let hierarchy get in the way of patient care
What I didWorked with the hierarchy at an early stage. Seeking their support with an explicit understanding that they respected the grassroots nature of Change Day.
Bottom up approach with top down support
I urge as many people as possible to give their support“
"NHS Change Day is a fantastic opportunity to join a movement of young leaders who want to make a
difference in the NHS
Jeremy Hunt Health Secretary
Chief Nursing Officer - England
Professor Sir Bruce Keogh National Medical Director
It's especially an opportunity for the next generation of junior doctors to effect change
in a practical and sustainable way"
Fun day for children Support group with a stomas
NHS CEO personal National pledge campaign
30% shift in staff survey:‘Would you feel confident your hospital
would address your concern?’
Ashley Brooks Patient Champion
‘Change Day gave me the permission to use my energy in the direction I wanted to use it’
Students swap places with patients in mock ward
Change in University nursing curriculum
Louise Trowse – Second year student
Tasting common medicine for children
Discussing pharmacy methods of improving the taste
Dr Damian Roland
“The single most important skill I learned from improvement leaders was narrative. It connects us to the reasons we were called to work forthe NHS. It will stay with me the rest of my career.”
Local anaesthetic for arterial blood gas sampling
Clinician shows painful procedure for patient experience
Jeharna sings forchildren’s ward tosay thank you
‘I wanted to say thank you to NHS staff for the way my brother was looked after when he got knocked over,’
Staff feel appreciated
Smile Feedback Wednesday
Ellie Milner
125
With the patronage and support of Her Royal Highness Princess Muna Al-Hussein who was the first to pledge
@HelenBevan @JackieLynton #mixmashup
@HelenBevan @JackieLynton #mixmashup
A global movement was born
https://www.youtube.com/watch?v=inHc1NgohuA
OCTOBER 2015
Google Searches Twitter
Google Searches and Twitter posts tell the same story: 50% bigger than last year at peakOnline mentions: 4x bigger than last year (Source — OLR) 9,274 vs1,869 in 2014
Changeathon:
Changeathon peaked on Twitter around 09:00 and 11:00
46 Million Twitter Impressions14 Thousand Tweets9 Thousand online mentions4,859 individuals tweeting200 events flagged on Twitter60 events notified to team
Biggest ever
Events acrossEngland
Twitter:
50% bigger than 2014(tweets & searches — online is 400% bigger)
CHANGEATHON
@HelenBevan @JackieLynton #mixmashup
• We must activate the mavericks, radicals, rebels and heretics
• From the top of the hierarchy:
You CAN support and enable a social movement
You CAN join forces to achieve shared purpose
You CAN utilise movement principles
BUT you CANNOT lead or drive it
• It’s not enough to mobilise, we have to organise
• There is a massive untapped reservoir of energy and talent out there and the potential is outstanding
What have we learnt?
#NHSChangeDay #SHCRchat#NHSChangeDay #SHCRchat
If your horse dies, get off itCherokee proverb
Source of image: fenwickgallery.co.uk
#NHSChangeDay #SHCRchat
Chloe at 24
Quote from ChloeI 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 ……
More information
For more information visit
changeday.nhs.uk
@jackielynton
@HelenBevan @JackieLynton #mixmashup
Health and care radicals
@HelenBevan @BoelGare @JackieLynton #Quality 2014 #M5
The school is based on two kinds of learning
Transactional learning Transformational learning
A “toolkit” of ideas & approaches
Learning through motivation, practice &feedback
Seeks to transfer useful knowledge
Seeks to transform beliefs & underlying assumptions
Learning event, presentations & materials
Experiential, interactive & action-based
Generates understanding of “what to do”
Generates increased capacity in “how to do it”
Source: Based on John Wenger https://medium.com/corporate-learning/3deb1bb2e865
@helenbevan#SHCR @School4Radicals
http://www.theedge.nhsiq.nhs.uk/school/
Change starts with me
Forming communities: Rolling with resistance
Building alliances for change
Making change happen
Moving beyond the edge
The extent of our reach
Nearly 5,000 enrolees in 2014 & 2015
2015: #SHCR: 20,786,339 impressions across 14,288 tweets
@School4Radicals: reached 35,044 unique twitter accounts;
1,686 followers; 24,551 views of school materials, including
attendees on live webinars
Nearly 7,000 subscribers, 13,000 unique users
@theedgenhs: 65,438 impressions; reached 50,413 accounts;
1,726 followers / The Edge: 6,652 subscribers;
Since 5 November 2014: 22,328 visits to The Edge website,
with 64,611 page views from 13,011 separate users
Since launch of 2015 campaign on 1 December 2014:
@nhschangeday: 708,100 impressions, 12.2k followers
#nhschangeday: 30,053,800 impressions across 11,396 tweets
#100daysofchange: 1,629,672 impressions across 539 tweets
Facebook reach of 9,995, 10 separate campaigns launched
29,068 visits to website, with 70,593 page views from 19,777 separate users
Since 1 December 2014:
#thoughtdiversity: 10,839,571 impressions across 3,749 tweets
• Being an effective
change activist
• Transformational leadership
• Thought diversity
and disruptive
innovation
• Scale and spread of
change
• The new methods
for change
@HelenBevan @JackieLynton #mixmashup
Four ways to connect with us!
1. Follow on Twitter
1. @Jackie Lynton
2. Subscribe to
3. The School for Health and Care Radicals: @School4Radical
4. Engage with NHS Change Daywww.ChangeDay.nhs.uk @usachangeday
TheEdge.nhsiq.nhs.uk
36.3m twitter impressions (across all main accounts)
Reached 143k individual accounts
36k twitter followers across all main accounts
24.5k views of #SHCR materials, including students on live webinars
64.6k views from 13k unique users of The Edge
480k impressions and 2,451 clicks for Challenge Top-Down Change
Horizons group: numbers for February 2015
@helenbevan #IQTGOLD#SHCR @School4Radicals
“You don’t need an engine when you have
wind in your sails”
ENGAGEMENTCOMMITMENT ENERGY
Thank you for listening
ENGAGEMENTCOMMITMENT ENERGY