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@HelenBevan #NHSExpo14
and staying in it: The School for Health and Care
Radicalswww.changeday.nhs.uk/healthcareradicals
Helen Bevan Source of image: showstudio.com
@HelenBevan #NHSExpo14
• Background to The School for Health and Care Radicals
• Context: emerging directions in transformation and change
• Being, seeing and doing change• The difference between a radical and a troublemaker• How to thrive and survive as a radical• Next steps with The School for Health and Care
RadicalsSource of image: www.freshnessmag.com
for today
@HelenBevan #NHSExpo14
Part of NHS Change Day 2014 Five weekly learning modules, live on Friday mornings and
available 24/7
The School for Health and Care Radicals
@HelenBevan #NHSExpo14
31st January: Being a health and care radical: change starts with me7th February: Forming communities: building alliances for change14th February: Rolling with resistance21st February: Making change happen28th February: Moving beyond the edge
Modules
The School for Health and Care Radicals
@HelenBevan #NHSExpo14
Part of NHS Change Day 2014 Five weekly learning modules, live on Friday mornings and
available 24/7 Materials, inc a weekly study guide to back up the modules
changeday.nhs.uk/healthcareradicals Weekly Storify and Pinterest summaryA weekly tweetchat, 4-5pm on Wednesdays #SCHRchatA chat forum
www.changeday.nhs.uk/healthcareradicalsforum A mentor if requestedOrganised by NHS Improving Quality
The School for Health and Care Radicals
@HelenBevan #NHSExpo14
The School for Health and Care RadicalsPromoted through social mediaMore than 1,300 enrollees from 26 countries90 volunteer mentorsAverage weekly twitter reach 2.6 millionOver 10,000 shares of the slides on SlideShareOver 1,800 shares of the study guides on
SlideShareMore than 5,000 tweets using #SCHRchatStorify has been viewed nearly 1,000 times
@HelenBevan #NHSExpo14
The genesis of the School
2002
2014
2013
20102012
2003
NHS Change Day 2013
“A school for healthcare radicals”
Applying social movement
thinking to healthcare
improvement
“The School for Health and Care
Radicals”
“A one day school for organisational
radicals”
Applying community organising
principles to healthcare
improvement
@HelenBevan #NHSExpo14
Change agents “fit for purpose” for the new era
Organisation CommunityPower through hierarchy Power through connectionMission and vision Shared purposeMaking sense through rational argument
Making sense through emotional connection
Leadership-driven (top down) innovation
Viral (grass-roots driven) creativity
Tried and tested, based on experience
“ Open” approaches , sharing ideas & data, co-creating
change
Transactions Relationships
Dominantapproach
Emerging direction
Source: @HelenBevan
@HelenBevan #NHSExpo14
John Kotter: “Accelerate!”
• We won’t create big change through hierarchy on its own
• We need hierarchy AND network• Many change agents, not just the usual few • Changing our mindset
• From “have to” to “want to”• Head and heart, not just head
Source of image:www.slideshare.net/mexicanwave/champions-trolls-10-years-of-the-cipd-online-community
@HelenBevan #NHSExpo14
The Network Secrets of Great Change AgentsJulie Battilana &Tiziana Casciaro
1. As a change agent, my centrality in the informal network is more important than my position in the formal hierarchy
2. If you want to create small scale change, work through a cohesive network
If you want to create big change, create bridge networks between disconnected groups
@HelenBevan #NHSExpo14
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
@HelenBevan #NHSExpo14
@rebelsatwork rebelsatwork.com
Across the world, the change agent movement is exploding!
@chagwwChangeagentsworldwide.com
@corprebelsCorporaterebelsunited.com
@helenbevan #1000LivesPlusImage copyright: http://13c4.wordpress.com/2007/02/24/50-reasons-not-to-change/
@HelenBevan #NHSExpo14
The 90/30 conundrum
of senior leaders say that to create more
innovation, they need to activate the
radicals/rebels in their organisations
of senior leaders are very satisfied that radicals/rebels can
provide this value in their organisations
Source: rebelsatwork.com
@helenbevan@HelenBevan #qmicro
We need to be boatrockers!• Rock the boat but manage to
stay in it• Walk the fine line between
difference and fit, inside and outside, Able to challenge the status quo when we see that there could be a better way
• Conform AND rebel• Capable of working with others
to create success NOT a destructive troublemaker Source: Debra Meyerson
@helenbevan#NHSChangeDay #SHCRchatSource : Lois Kelly www.foghound.com
Sometimes people see us radicals as troublemakers
Rebel
@helenbevan@HelenBevan #qmicro
Reflection
• What are your insights around “radicals” and “troublemakers”?
• What moves people from being “radical” to “troublemaker”?
• How do we protect against this?
@helenbevan@HelenBevan #qmicro
Valuing radicals
• “New truths begin as heresies” (Huxley, defending Darwin’s theory of natural selection)
• Big things only happen in organisations because of heretics and radicals.
GALILEO DESCRIBES HIS DISCOVERIES TO THE CHURCH ESTABLISHMENT
@helenbevan@HelenBevan #qmicro
Peter Fuda’s Transformational Change Agent framework
Skills and methods for creating change
Ability to make sense of, and reshape perceptions of ‘reality’
Personal characteristics and qualities
@helenbevan@HelenBevan #qmicro
Peter Fuda’s Transformational Change Agent framework: our perspective
“Doing”• Where most change agents
in health and care put most of their effort and emphasis
• What others typically judge us on
• What we often perceive we need to do to add value
• What most change and improvement courses focus on
@helenbevan@HelenBevan #qmicro
Peter Fuda’s Transformational Change Agent framework: our perspective
“Seeing ” and “Being”• We can only do effective
“doing” if we build on strong foundations of “seeing and being”
• Change begins with me• Hopeful futures, creative
opportunities and potential• Multiple lenses for change • See myself in the context of
my higher purpose
@helenbevan@HelenBevan @RobertVarnam #IHI25Forum #ChangeAgents
"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
@helenbevan@HelenBevan #qmicro
‘I do not think you can really deal with change without a person asking real
questions about who they are and how they belong in the world’
David Whyte, The Heart Aroused 1994
Source of image: fistfuloftalent.com
@helenbevan@HelenBevan #qmicro
1. Driven by conviction and values2. strong sense of “self-efficacy”
belief that I am personally able to create the change
3. able to join forces with others to create action4. able to achieve small wins which create a sense
of hope, self-efficacy and confidence5. More likely to view obstacles as challenges to
overcome
Five things we know about successful boat rockers
Source: adapted from Debra E Meyerson
CHANGE
me
BEGINS WITH
@helenbevan@HelenBevan #qmicro
Self-efficacy
“If you think you can or think you
can't, you are right.”
Henry Ford
“The ability to act is tied to a belief that it is possible to do so”
Albert Bandura
There is a positive, significant relationship between the self-efficacy beliefs of a
change agent and her/his ability to facilitate change
and get good outcomes
Source of image:www.h3daily.com
@helenbevan@HelenBevan #qmicro
What’s the difference between
self efficacyand
self esteem,self belief,
self-confidence?
@helenbevan@HelenBevan #qmicro
Source: @NHSChangeDay
What is the issue here?“permission” ?
(externally generated)or
Self efficacy ? (internally generated)
@helenbevan@HelenBevan #qmicro
Reflection
What are some ways that health and care radicals can build self-efficacy?
@helenbevan@HelenBevan #qmicro
Building self-efficacy: some tactics1. Invest in your own change agent development (modules 2-5)
• create the conditions where success is more likely to happen
2. Create change one small step at a time3. Reframe your thinking:
• failed attempts are learning opportunities• uncertainty becomes curiousity
4. Make change (and learning cycles from change) routine rather than an exceptional activity5. Get social support6. Learn from the best7. Get people whose opinions you value to encourage you (mentor?)
@helenbevan@HelenBevan #qmicro
1. Driven by conviction and values2. strong sense of “self-efficacy”
belief that I am personally able to create the change
3. able to join forces with others to create action4. able to achieve small wins which create a sense
of hope, self-efficacy and confidence5. More likely to view obstacles as challenges to
overcome
Five things we know about successful boat rockers
Source: adapted from Debra E Meyerson
CHANGE
me
BEGINS WITH
@helenbevan #IQTGOLD#NHSChangeDay
“I have some Key Performance
Indicators
for you”
or
“I have a dream”
Source: @RobertVarnam
@helenbevan@HelenBevan #qmicro
Three assumptions for health and care radicals
1. Assume that everyone has a noble intention.2. When people “resist” change is it more likely
to be a result of their interpersonal interaction with the change process than their innate character traits (“a bad change process not a difficult person”).
3. My role as a change agent is about alignment, not judgement.
Source of image:help.adobe.com
@helenbevan@HelenBevan #qmicro
www.changeday.nhs.uk/healthcareradicals