Scrap the change programme - it's the era of change platforms

@HelenBevan @Jodi Olden #EdgeTalks

Scrap the programme – this is an era for change platforms

Source of image: Buildingchangetrust.org

Helen Bevan@HelenBevan

Jodi Brown @Jodi Olden

#EdgeTalks

@HelenBevan @Jodi Olden #EdgeTalks @HelenBevan @JodiOlden #EdgeTalks

The team todaySession lead: Helen Bevan @HelenBevan

Twitter monitor:Janet Wildman@JWildman1

Chat room monitor:Kate Pound@kateslater2

Session lead: Jodi Brown @JodiOlden


Joining in today and beyond• Please use the chat box to contribute continuously during the

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@TheEdgenhs• Sign up to TheEdge.nhsiq.nhs.uk to continue the discussion• We will produce summaries of the discussions using Storify and

put on The Edge website• Join in the Tweetchat next Wednesday 8th July at 4-5pm (GMT)

using the hashtag #EdgeTalks


I amar prestar aen, Han mathon ne nen, Han mathon ne chae,

A han noston ned gwilith

The world is changed,I feel it in the water, I feel it in the Earth,I smell it in the air

Galadriel’s prologue: The Lord of the Rings: The Fellowship of the Ring


“In a world of mounting performance pressure, [organisations and change processes] need to evolve…the most successful will be those that

evolve into movements.

Success will be determined by their ability to mobilise, inspire and support an

ever-expanding array of participants extending far beyond their own four walls”

John Hagel, SXSW 2015http://www2.deloitte.com/us/en/pages/center-for-the-edge/articles/john-hagel-at-sxsw.html

@HelenBevan @TheEdgenhs #EdgeTalks @HelenBevan @Jodi Olden #EdgeTalks

http://www2.deloitte.com/us/en/pages/center-for-the-edge/articles/john-hagel-at-sxsw.html



Jeremy Heimens TED talk “What new power looks like” https://www.youtube.com/watch?v=j-S03JfgHEA

old power new power

Currency

Held by a few

Pushed down

Commanded

Closed

Transaction

Current

Made by many

Pulled in

Shared

Open

Relationship

https://www.youtube.com/watch?v=j-S03JfgHEA



The battle and balancing between the old and new power will be a defining feature

of society and business in the coming yearsJeremy Heimans and Henry Timms

Understanding new power, Harvard Business Review, December 2014 https://hbr.org/2014/12/understanding-new-power?utm_campaign=Socialflow&utm_source=Socialflow&utm_medium=Tweet

https://hbr.org/2014/12/understanding-new-power?utm_campaign=Socialflow&utm_source=Socialflow&utm_medium=Tweet




The battle and balancing between the old and new power will be a defining feature

of society and business in the coming yearsJeremy Heimans and Henry Timms

Understanding new power, Harvard Business Review, December 2014 https://hbr.org/2014/12/understanding-new-power?utm_campaign=Socialflow&utm_source=Socialflow&utm_medium=Tweet

The battle and balancing between old and new power will also be the defining feature of the

health and care system in the coming years





Jeremy Heimens TED talk “What new power looks like” https://www.youtube.com/watch?v=j-S03JfgHEA

old power new power

Currency

Held by a few

Pushed down

Commanded

Closed

Transaction

Current

Made by many

Pulled in

Shared

Open

Relationship




What is a platform? Some simple definitions…

“A raised level surface on which people or things can stand.”

“A raised floor or stage used by public speakers or performers so that they can be seen by their audience.”

“A raised structure standing in the sea from which oil or gas wells can be drilled or regulated.”

“A raised structure or orbiting satellite from which rockets or missiles may be launched.”

“The declared policy of a political party or group”

…flattening hierarchies

…new ideas and

discoveries

…diversity of thought

…with shared purpose

Definitions from Oxford Dictionary @HelenBevan @TheEdgenhs #EdgeTalksSource of content: Jodi Brown


What do these four have in common? They have:• excelled via their superior use of technology• embraced partnerships and external innovation• built interactive communities• embraced an entirely new way of doing business: the

platform. Adapted from: http://www.philsimon.com/books/the-age-of-the-platform/

http://www.philsimon.com/books/the-age-of-the-platform/




The power of the platform“Facebook, YouTube, Twitter and their lesser cousins have proved the power of the platform. They have shown that if

your average 21st century citizen is given the tools to connect and the freedom to create, they will do so with

enthusiasm, and often with an originality that blindsides the so-called creative industries. …..

Good leadership is no longer about ‘taking charge’ or imposing a strategic vision but about creating the

platforms that allow others to flourish and create” Ashoka

http://www.virgin.com/unite/entrepreneurship/what-does-leadership-mean-in-the-21st-century





Research by IBM

200841% of leaders considered they were successful in managing change

201420% of leaders considered they were successful in managing change

Source: Jorgensen, Bruel & Franke, Making change work….while the work keeps changing” quoted in Foster F (2015) “Using crowdsourcing to deliver transformational change


Page 62, Business ecosystems come of age, Deloitte University Press http://d2mtr37y39tpbu.cloudfront.net/wp-content/uploads/2015/04/DUP_1048-Business-ecosystems-come-of-age_MASTER_FINAL.pdf

and new power?

http://d2mtr37y39tpbu.cloudfront.net/wp-content/uploads/2015/04/DUP_1048-Business-ecosystems-come-of-age_MASTER_FINAL.pdf




Joy’s Law: No matter who you are, most of the smartest people work for someone else

Bill Joy, Sun Microsystems

“It’s become a kind of ‘Joy’s Law’ for the networked era—the best resources and capabilities always lie somewhere else.”

Greg Satellhttp://www.digitaltonto.com/2015/4-things-you-should-know-about-platforms/?

ct=t%28Why_Some_Movements_Succeed_5_31_2015%29

Platforms give access to resources

http://www.digitaltonto.com/2015/4-things-you-should-know-about-platforms/?ct=t(Why_Some_Movements_Succeed_5_31_2015)



Platforms engage emotions

Source of image:http://www.kinshipenterprise.com/

“Social technologies allow people not only to consume but to share and make together for social good.”

Clay Shirky, 2015http://www.kinshipenterprise.com/_blog/Blog/post/Experience-Wholeness-Enterprise-Social-Networks-esn/#.VZP7VBtVikr

http://www.kinshipenterprise.com/

http://www.kinshipenterprise.com/

http://www.kinshipenterprise.com/_blog/Blog/post/Experience-Wholeness-Enterprise-Social-Networks-esn/#.VZP7VBtVikr






Is your change process a cathedral or a bazaar?

http://www.unterstein.net/su/docs/CathBaz.pdf




We have a lot of cathedrals


• systematic “change management”

• too often, leaders prescribe outcome and 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 Programmes

• everyone (including service users and families) can help tackle the most challenging issues

• value diversity of thought• connect people, ideas and

learning• Role of formal leaders is to

create the conditions and get out of the way

Change Platforms

“Tear down the walls”

@HelenBevan @Jodi Olden #EdgeTalks @HelenBevan @JodiOlden #EdgeTalksFor more information/explanation visit: The Collaboration Pyramid revisited

http://www.oscarberg.net/2014/11/the-collaboration-pyramid-revisited.html



Platforms to change platforms

“Change comes naturally when individuals have a platform that allows them to

identify shared interests and to brainstorm solutions.”

Gary Hamel & Michele Zanini (2014)http://www.mckinsey.com/insights/organization/build_a_change_platform_not_a_change_program

http://www.mckinsey.com/insights/organization/build_a_change_platform_not_a_change_program



What is a change platform?“What’s needed is a real-time, socially constructed approach to change, so that the leader’s job isn’t to

design a change program but to build a change platform — one that allows anyone to initiate

change, recruit confederates, suggest solutions, and launch experiments.”

Gary Hamelhttp://

www.mckinsey.com/insights/organization/build_a_change_platform_not_a_change_program






“In a connected world, power no longer emanates from the top of the heap, but the centre of the

network.”Greg Satell, 2015

Greg Satell: http://www.digitaltonto.com/2015/how-power-is-shifting-from-corporations-to-platforms/

http://www.digitaltonto.com/2015/how-power-is-shifting-from-corporations-to-platforms/




Evolving kinds of change platforms:

1. Connecting platforms

2. Mobilisation platforms

3. Learning platforms

4. Knowledge platforms

5. Crowdsourcing platformsThey overlap!


Platform principles have long been part of change practice

• Building on traditions in the field of organisation development of communities of interest and communities of practice

• Technology enables us to connect more widely and at greater speed

Source of image: Socialserviceinstitute.sg


Example platforms



Case study: Giff Gaff“The mobile network run by you”

http://www.giffgaff.com/



https://www.youtube.com/watch?v=CMDKkTuLUHw

http://www.breakdengue.org/






www.newhcvoices.co.uk


The Academy of Fabulous NHS Stuff




A platform for Trust-wide transformationLeeds Teaching Hospitals NHS Trust & Clever TogetherWayFinder – a Crowdsourcing methodology and platform • Step 1: 4,500 staff and stakeholders shared 45,000 contributions to

• co-create The Leeds Way – a redefinition of their vision and their values

• co-design a five year strategy – a shared agreement of what needs to happen to achieve their vision

• co-define a new behavioural framework – a new agreement of the acceptable ways in which staff will live their values embedded into recruitment, induction, training and appraisals

• Step 2: WayFinder local – every department trained to use its own crowdsourcing platform • 19 clinical service units trained • A new way of working – online workshops – to ensure staff always

have a say in what’s happening in the Trust, bringing people together to co-create solutions.

Examples of results:• Staff satisfaction is up / buy-in to vision and values at an all time

high / complaints down 17% / 18weeks RTT down by 66% / CQC acknowledgement of staff engagement and impact on quality and safety



Carousal: shows all active challenges open for staff participation

Live activity feed

Click here to submit an idea

Gamification


An example of i-matter in action:“Idea to implementation in 22 hrs”


• Board sponsorship and buy-in• Clearly linked to Trust vision, values and strategy• A culture that promotes engagement and values staff• A clear systemic process for innovation and innovators• A meaningful innovation strategy• “No idea is bad” rule• Demonstrate quick measurable wins• Take the good with the bad (don’t succumb to risk-aversion)• Keep it live and fresh• Build in rewards: say “thank you” and recognise contributions• Informal innovation champions > organisational radicals

What makes a social innovation platform successful?


http://www.insme.org/files/open-innovation-handbook





Discussion

• What are the characteristics of effective change platforms?


Effective change platforms: Encourage individuals to tackle significant organisational challenges foster honest and forthright discussion of root causes and, in the

process, develop a shared view of the thorniest barriers elicit dozens (if not hundreds) of potential solutions rather than

seeking to coalesce prematurely around a single approach; the goal is first to diverge, then to converge

focus on generating a portfolio of experiments that can be conducted locally to help prove or disprove the components of a more general solution, as opposed to developing a single grand design

encourage individuals to take personal responsibility for initiating the change they want to see and give them the resources and tools necessary to spur their thinking and imaginationsGary Hamel & Michele Zanini (2014)




@HelenBevan @Jodi Olden #EdgeTalks Source: UXthink


Knowledge platforms


Because there’s a problem….

Source of quote: Harold JarcheSource of image: http://gotcll.com/about-2/

Gettinginformation off the

internet is like taking a drink from a fire hydrant

Mitchell Kapor



What is the best way to spread new knowledge?

Source of data: Nick Milton http://

www.nickmilton.com/2014/10/why-knowledge-transfer-through.html

Social connection/discussion is 14 times more effective

than written word/best practice

databases/toolkits etc.

Source of image: www.happiness-one-quote-time.blogspot.com

http://www.nickmilton.com/2014/10/why-knowledge-transfer-through.html



http://www.happiness-one-quote-time.blogspot.com/


Platforms as the new documentation

Source of image:Flickr user acaben

http://www.flickr.com/photos/acaben/11518666

@HelenBevan @Jodi Olden #EdgeTalks Source: Oliver Benson

If you’re a programmer, you don’t even bother reading the manual, you simply

use stackoverflow to answer all your questions”


Horizons team:all our work is via change platforms



http://www.slideshare.net/Downes/connectivism-and-personal-learning?next_slideshow=1






100,000

2,000

20,00065

348

25,000+

120 14,000

inc


The school is being formally evaluated by the Chartered Institute for Personnel and Development


21,000 active usersActivists from 120

countries@theedgenhs:

500,000+ Twitter impressions


• The biggest-ever digital campaign for EMAP (Health Service Journal and Nursing Times)

• 14,000 contributors to the joint campaign to “challenge top down change”

• Ground-breaking: the first-ever crowd-sourced theory of change in the NHS


What does the NHS workforce think? 14,000 contributors recently identified 10 barriers to change:

Confusing strategies

Over controlling leadership

Perverse incentivesStifling innovation

Poor workforce planning

One way communication

Inhibiting environment

Undervaluing staff

Poor project management

Playing it safe

Source: Health Service Journal, Nursing Times, NHS Improving Quality, “Change Challenge” March 2015


What does the NHS workforce think? 14,000 contributors recently identified 11 building blocks for change:

Inspiring & supportive leadershipCollaborative working

Thought diversityAutonomy & trust

Smart use of resources

Flexibility & adaptability

Long term thinking

Nurturing our people

Fostering an open culture

A call to action

Source: Health Service Journal, Nursing Times, NHS Improving Quality, “Change Challenge” March 2015

Challenging the status quo


We have supported NHS Change Day for three years

• 800,000 pledges in 2014

• 4 X the local activity/connectivity in 2015 compared to 2014

• #nhschangeday: 130m impressions

• Facebook impressions 253,999


Our change platforms

We won the Harvard Business

Review/McKinsey global

challenge for creating “leaders

everywhere”

Identified as one of the most significant “stealth revolutionaries” in

healthcare (source: Social Media in the NHS)

“Probably the most widely read, impactful NHS paper globally,

challenging the “Five Year Forward View””


Is your change process a cathedral or a bazaar?





How can we create a thriving bazaar?

Keep it open to spark innovation and growth

Start small, let it evolveDesign for participation

Learn from your hackers (or those

that break the rules)

Lower the barriersto experimentation(promote constant experiments)

Lead by example

http://chimera.labs.oreilly.com/books/1234000000774/ch02.html#government_as_a_platform






How to create a change platform• Be clear about your intention or goal:• Solve a problem?• Learn from others?• Create solutions?• Mobilise for change?• Spread innovation?

• Articulate your mission• Set out your objectives and the stages in your

process


How to create a change platform• Identify the people you want in your community• Identify how to reach them• Find a platform • Existing or new • Free or paid for

• Measure the outcomes (all the way through)

• Engage your community• Set their expectations• Keep the connections flowing• Convert ideas to actions• Always, always follow up


”If people give to a cause, they expect a relationship, not a transaction”

Nilofer Merchant

Once you start down this path, you have to follow up and continue


Platforms are only as good as the people leading them

Source of image: www.activationjourney.com

http://www.activationjourney.com/


“Even the smallest creature can

change the world”Galadriel to FrodoLord of the Rings


1. Follow us on Twitter @HelenBevan @JodiOlden

2. Subscribe to

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TheEdge.nhsiq.nhs.uk

Four ways to connect!

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http://www.theedge.nhsiq.nhs.uk/school


References (1/2)Ashoka (2014) What does leadership mean in the 21st century?Berg O (2014) The Collaboration Pyramid revisitedBriggs D (2015) The elements of council as a platformDeloitte University Press (2015) Business ecosystems come of ageDeloitte University Press (2014) The power of platformsFoster F (2015) Using crowdsourcing to deliver transformational change (not yet published)Hagel J (2015) John Hagel at SXSW 2015: Narratives, platforms and movementsHagel J (2014) Platforms are not created equal: harnessing the full potential of platformsHamel G, Zanini J (2014) Build a change platform not a change programHealth Services Journal, Nursing Times, NHS Improving Quality (2015) ‘Change Challenge’ interactive toolkitHeimans J (2014) What new power looks like [YouTube]Heimens J, Timms J (2014) Understanding “New Power”







http://davebriggs.io/2015/06/18/the-elements-of-council-as-a-platform/


http://dupress.com/articles/platform-strategy-new-level-business-trends/


http://edgeperspectives.typepad.com/edge_perspectives/2014/08/platforms-are-not-created-equal-harnessing-the-full-potential-of-platforms.html


http://m.hsj.co.uk/5083743.article




Innovations- Kontor Väst (2013) Open innovation – a handbook for Researchers [White Paper]Ivanov E (2013) The Strength WithinJarche H (2014) The Seek > Sense > Share Framework Milton N (2014) Why knowledge transfer through discussion is 14 times more effective than writingO’Reilly T (2010) Government as a platformPearce D (2013) Social business discussions are the new documentationRaymond E S (2001) The Cathedral and the BazaarSatell G (2015) 4 things you should know about platformsSatell G (2012) How power is shifting from corporations to platformsSchillinger C (2015) Forget social networks, think social impact [YouTube]Scrivens J (2015) Enabling the experience of wholeness within enterprise social networksSimon P (2011) The Age of the Platform

References (2/2)


http://connect.forwardmetrics.com/business-management/the-strength-within.html

http://jarche.com/2014/02/the-seek-sense-share-framework/




http://www.informationweek.com/software/social/social-business-discussions-are-the-new-documentation/d/d-id/898942








@HelenBevan @Jodi Olden #EdgeTalks @HelenBevan @TheEdgenhs #EdgeTalks

@HelenBevan @Jodi Olden #EdgeTalks @HelenBevan @TheEdgenhs #EdgeTalks


Other stuff

• http://www.slideshare.net/Meedabyte/becoming-platforms-harnessing-the-power-of-communities-beyond-crowdsourcing-and-openness?qid=d3fb5432-e5ac-4d13-a7a7-d9604f4dfd9b&v=default&b=&from_search=8

• http://www.slideshare.net/InfoEcon/the-rise-of-platforms-and-what-it-means-for-business?qid=d3fb5432-e5ac-4d13-a7a7-d9604f4dfd9b&v=default&b=&from_search=1

@HelenBevan @TheEdgenhs #EdgeTalks

http://www.slideshare.net/Meedabyte/becoming-platforms-harnessing-the-power-of-communities-beyond-crowdsourcing-and-openness?qid=d3fb5432-e5ac-4d13-a7a7-d9604f4dfd9b&v=default&b=&from_search=8






http://www.slideshare.net/InfoEcon/the-rise-of-platforms-and-what-it-means-for-business?qid=d3fb5432-e5ac-4d13-a7a7-d9604f4dfd9b&v=default&b=&from_search=1






More articles found during research, not included in slide deck

• http://platformed.info/platform-thinking-business-model/

• http://platformed.info/why-business-models-fail-pipes-vs-platforms/

• http://shiftsurrey.org/wp-content/uploads/2014/04/Shift_Guide_interactive100414.pdf

http://platformed.info/platform-thinking-business-model/



http://platformed.info/why-business-models-fail-pipes-vs-platforms/



http://shiftsurrey.org/wp-content/uploads/2014/04/Shift_Guide_interactive100414.pdf



Date post:	21-Apr-2017
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Scrap the change programme - it's the era of change platforms

Healthcare