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NHS Transformathon - Jan 2016

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NHS Transformathon Leadership and change
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Page 1: NHS Transformathon - Jan 2016

NHS TransformathonLeadership and change

Page 2: NHS Transformathon - Jan 2016

The Art of Change Making

• Who we are we?

• Systems Leadership in relation to change

• Introduction to The Art of Change Making

• Technologies test

• What’s this like in real life?

• The future of The Art of Change Making

Page 3: NHS Transformathon - Jan 2016

Our History

• 10 years! supporting leaders in public services

• A move from local government specifically to public services broadly.

• A focus on people and place!

Page 4: NHS Transformathon - Jan 2016

We see the world as….

…this …more than this.

Page 5: NHS Transformathon - Jan 2016

The work we do• Develop leadership capability in individuals, teams, organisations and

places

• Leaders at all levels

• Create space for new thinking, relationships and collaboration.

• Use a real issue to develop leadership capability

• ‘Wicked’ (needs leadership) not ‘tame’(needs management)

• Examples include: Total Place, Troubled Families, Community Budgets, Health & Social Care Integration Pioneers

• Coordinating the Systems Leadership Alliance & designing and delivering interventions.

Page 6: NHS Transformathon - Jan 2016

Leadership in relation to change

• In England there’s a push for more integrated, seamless public services

• Financial pressures • Demographic pressure • User demand & expectation

• This means we have to think in a more interconnected way and change the way we operate.

• Worked with over 50 places in last 3 years to explore and develop capabilities for leading this type of change. Systems Leadership!

Page 7: NHS Transformathon - Jan 2016

What the work tells us is…Ways of feeling

Ways of perceiving

Ways of thinking

Ways of relating

Ways of being

Ways of doing

Change doesn’t occur through structural modification alone (if at all)

It’s about RELATIONSHIPS and TRUST!

Page 8: NHS Transformathon - Jan 2016

And…Systems act to preserve themselves.

Maturana & Varela – evolutionary biology

• Organisms, from single cells to eco-systems have a variety of characteristics in common

• They have evolved to be in a perfect relationship with their environment

• It is a symbiotic relationship, the organism/organisation defines the environment and the environment defines the organism

• Organisms are self-referencing, they act to preserve their own identity (autopoeisis)

Page 9: NHS Transformathon - Jan 2016

Competing models for change…

If your current thinking got you to where you are now, then you need new thinking/experiences to develop the solution.

To change or develop something new we need to change the way we do change – or we will just get what we’ve always got.

Page 10: NHS Transformathon - Jan 2016

How we work (shorthand)

Understand

BuildTest & Deliver

Politics

Relationships

LeadershipCi

tize

n

Page 11: NHS Transformathon - Jan 2016

The Art of Change MakingTechnologies

Our ‘enablers’ got together to share ideas, tools and ways of thinking they use in places with the hope that it would help others to lead change in a different way.

A collection of over 70 different ways of understanding the interconnected world and tools and skills for leading and intervening to create change.

http://tiny.cc/TheArt

Page 12: NHS Transformathon - Jan 2016

Three levels of Organisational Culture Edgar Schein

Level 1: Artefacts – how people behave, how it feels attitude. Dress code, décor, urgency and caring.

Level 2: Espoused values – how an organisation explains it culture.

Level 3: Tacit assumptions – Assumptions values and beliefs. The understood ways of being, doing, understanding.

Page 13: NHS Transformathon - Jan 2016

Multiple Cause Diagrams Jake Chapman, Open University

• Think about the primary causes of this problem.

• Connect the causes to their effect • Now think about the causes of

those causes. • And connect, and ask again, and so

on. • Make sure paths make sense. • Review the diagram, explore and

discuss it. • Ask where can intervention be

made?

Page 14: NHS Transformathon - Jan 2016

You have a go.. What do you notice?

• Think about the primary causes of this problem.

• Connect the causes to their effect • Now think about the causes of those

causes. • And connect, and ask again, and so

on. • Make sure paths make sense. • Review the diagram, explore and

discuss it. • Ask where can intervention be made?

Level 1: Artefacts – how people behave, how it feels attitude. Dress code, décor, urgency and caring.

Level 2: Espoused values – how an organisation explains it culture.

Level 3: Tacit assumptions – Assumptions values and beliefs. The understood ways of being, doing, understanding.

Page 15: NHS Transformathon - Jan 2016

Away from theories & into the real world

Liz Goold Bernie Brooks

Page 16: NHS Transformathon - Jan 2016

The Digital Art of Change Making

Concept 1

Page 17: NHS Transformathon - Jan 2016

The Digital Art of Change Making

Concept 2

Page 18: NHS Transformathon - Jan 2016

Thank you

Twitter: @localleadership

Email: [email protected]


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