How to lead and innovate when the world is collapsing

all around you?Dave Dawes,Nurse First

1) What do we know about leadership?

Deficit-based approach

"Return on leadership" - McKinsey & Co & Egon Zehnder International

Spiky Leadership

2) What do we know about innovation?

• Insufficient recognition and celebration of innovation and innovators

• Commissioners lack the tools or capability to drive innovation

• Lack of effective and systematic innovation architecture

• Poor or limited leadership culture to support innovation

• Financial levers do not reward innovators and can act as a barrier to adoption and diffusion

• Poor access to evidence, data and metrics

Prizes don’t work

Middle manager problem

Disconnected boards

Ideas are worthless

Execution matters

Money is the Oxygen of the

NHS

Scissors of Doom

%GDP, Source HM Treasury, to keep Khadija in Compliance happy

CheaperBetterCheaperBetter

CheaperWorse

CheaperWorse

Cost moreWorse

Cost moreWorse

Cost moreBetter

Cost moreBetter

4 Pillars of Innovation

Problem

Great Idea

Business Model

Execution

The reality of success

Money

•Raised an average of £16,000 each

•Cohort 1 identified £16 million savings

•Cohort 2 identified £27 million savings

The system is The system is designed to say designed to say

nono

What staff sound like

Being needed isnBeing needed isn’’t t enoughenough

They don’t care about your pressure

Sleep at nightSleep at night

Opportunity costs - Opportunity costs - £3.6m£3.6m

£20,000 £20,000 x 180 x 180 womenwomen

£1,000 x £1,000 x 3680 3680

peoplepeople

Based on 2007 figures from a London PCTto keep Khadija in Compliance happy

Understand how funders see the

world

DonDon’’t present to t present to yourselfyourself

They are peopleThey are people

Limbix vs Cortex

Are they in a Are they in a mess?mess?

Will your idea save Will your idea save them money?them money?

What would they love to What would they love to happen?happen?

What drives them What drives them mad?mad?

It’s impossible

It’s impossible

It’s possible for me

It’s impossible

It’s impossibleIt’s impossible

for me

Melissa Poe

300,000 members15 countries

1 million trees

300,000 members15 countries

1 million trees

It’s impossibleIt’s impossible

for meIt’s possible

for me

Innovation and Fear

Fail often

Fail oftenFail small

Fail oftenFail smallBe imperfect

Fail oftenFail smallBe imperfectConnect

www.nursefirst.org.uk