30/01/2015 1 Disruption: an Agent of Constructive Change Aflonyddu: Asiant ar Gyfer Newid Adeiladol Jackie Lynton Head of Transformation, NHS Horizons, NHS Improving Quality Pennaeth Trawsnewid, GIG Gorwelion, GIG Gwella Ansawdd @welshconfed #wnhsreality15 Jackie Lynton – Head of Transformation @jackielynton Disruption an agent of constructive ….. Stepping up to reality
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30/01/2015
1
Disruption: an Agent of Constructive ChangeAflonyddu: Asiant ar Gyfer Newid Adeiladol
Most change efforts are built upon the shaky foundation of five flawed assumptions; that change can be managed, that human beings are objective, that there are ‘X’ steps to change, that we have a neutral starting point for change, 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@jackielynton
@HelenBevan
Front line teams get inundated with high priority messages from leaders each day, making it difficult for them to know what to focus on
Increasing number of messages as information cascade through
the organisation
Source: adapted from http://businessjournal.gallup.com/content/162707/change‐initiatives‐fail‐don.aspx
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@HelenBevan
Front line teams get inundated with high priority messages from leaders each day, making it difficult for them to know what to focus on
Increasing number of messages as information cascade through
the organisation
Source: adapted from http://businessjournal.gallup.com/content/162707/change‐initiatives‐fail‐don.aspx
Buy in from front line staff is critical for improvements in quality and safety . Don’t overload them
Buy in from front line staff is critical for improvements in quality and safety
Audacity to think we could mobilise the 1.5m people in the NHS
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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
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Change Day pledges and stories
‘…the floodgates of change open’from front line to senior leaders
My pledge…..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.
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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"
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With the patronage and support of Her Royal Highness Princess Muna Al-Hussein who was the first to pledge
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Fun day for children Support group with a stomas
NHS CEO personal National pledge campaign
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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
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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.”
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
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Smile Feedback Wednesday
Ellie Milner
@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?
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#NHSChangeDay #SHCRchat
Now I don’t!
Now I believe it starts with me
Change had to start from the top with a change programme