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Platforms not programmes

NHS MasterclassRadical Thinking, Change and TransformationLeading Across London for the NHS#NHSchange

New truths begin as heresies (Huxley, defending Darwins theory of natural selection)Source of image: installation by the artist Adam Katzwww.thisiscolossal.com

Via @NeilPerkin

Starts on the fringe (at the edge)Starts with the activistsGary Hamel

always

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

Galadriels prologue: The Lord of the Rings: The Fellowship of the Ring

@HelenBevan #NHSchange

@HelenBevan #NHSchange

SEISMIC SHIFTS

@HelenBevan #NHSchange

@HelenBevan #NHSchange Kinthi Sturtevant, IBM 13th annual Change Management Conference June 2015

We rarely see two, three or four year change projects anymore. Now its 30-60-90 day change projects

@HelenBevan #NHSchange

Source: Bromford P (2015), Whats the difference between a test and a pilot?

@HelenBevan #NHSchange

DIGITALCONNECTIONSEISMIC SHIFTS

@HelenBevan #NHSchange

@HelenBevan #NHSchange

Empower your staff to be the voice of the organisation. Theyve got audience & credibility Employees have 10x more connections than corporate social accounts

@HelenBevan #NHSchange

@HelenBevan #NHSchange

@HelenBevan #NHSchange How does the NHS improvement community prefer to communicate?

@HelenBevan #NHSchange

@HelenBevan #NHSchange

Work complexitySEISMIC SHIFTSDIGITALCONNECTION

@HelenBevan #NHSchange

@HelenBevan #NHSchange

DIGITALCONNECTIONSEISMIC SHIFTS

Hierarchical power

Work complexity

@HelenBevan #NHSchange

@HelenBevan #NHSchange

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/

@HelenBevan #NHSchange

DIGITALCONNECTIONSEISMIC SHIFTS

Hierarchical power

Work complexity

Change from the edge

@HelenBevan #NHSchange

@HelenBevan #NHSchange

http://www.slideshare.net/Openpolicymaking/policy-lab-slide-share-introduction-final

@HelenBevan #NHSchange

@HelenBevan #NHSchange Why go to the edge?

Leading from the edge brings us into contact with a far wider range of relationships, and in turn, this increases our potential for diversity in terms of thought, experience and background. Diversity leads to more disruptive thinking, faster change and better outcomesAylet Baron

@HelenBevan #NHSchange

@HelenBevan #NHSchange Thinking processes for better outcomes

The tricky bitOurstarting point@HelenBevan

@HelenBevan #NHSchange

@HelenBevan #NHSchange Jeremy Heimens TED talk What new power looks like https://www.youtube.com/watch?v=j-S03JfgHEA

old power

new powerCurrency

Held by a few

Pushed down

Commanded

Closed

TransactionCurrent

Made by many

Pulled in

Shared

Open

Relationship

@HelenBevan #NHSchange

@HelenBevan #NHSchange

For more information/explanation visit: The Collaboration Pyramid revisited

@HelenBevan #NHSchange

@HelenBevan #NHSchange Change programme at the topNeed to be doing stuff at bottomRedraw slide21

Three types of levers for large scale change

Prod mechanisms targets performance management price & payment incentives regulation competitionProactive support relies on building intrinsic motivation in staff to make the right changes to improvePeople focused education and trainingnational contractsprofessional regulation clinical quality standards

Type one:Type two:Type three:Source: Health Foundation report Constructive comfort: accelerating change in the NHS 2015

@HelenBevan #NHSchange

@HelenBevan #NHSchange Three types of levers for large scale change

Prod mechanisms targets performance management price & payment incentives regulation competitionProactive support relies on building intrinsic motivation in staff to make the right changes to improvePeople focused education and trainingnational contractsprofessional regulation clinical quality standards

Type one:Type two:Type three:Source: Health Foundation report Constructive comfort: accelerating change in the NHS 2015

Less than 10%of the potential for improvement at system level can be delivered through type one change

@HelenBevan #NHSchange

@HelenBevan #NHSchange Is your change process a cathedral or a bazaar?

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

@HelenBevan #NHSchange Cathedral and Bazaar is an essay, then book, byEric S. Raymondonsoftware engineeringmethodsIllustrates the struggle between top-down and bottom-up designTheCathedralmodel: restricted access to code, code only available with each software release controlled / limited / restricted / closedTheBazaarmodel, in which the code is developed over theInternetin view of the publicRaymond's proposition that "given enough eyeballs, allbugsare shallow"- the more openly and widely available the source code is for public testing, scrutiny, and experimentation, the more rapidly all forms of bugs will be discovered.Raymond claims that an inordinate amount of time and energy must be spent hunting for bugs in the Cathedral model, since the working version of the code is available only to a few developers.24

We have a lot of cathedrals

Source: Sewell (2015) : Stop training our project managers to be process junkies

@HelenBevan #NHSchange

@HelenBevan #NHSchange

In a world of mounting performance pressure, [organisations and change processes] need to evolvethe 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

@HelenBevan #NHSchange The power of the platformFacebook, 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 andthe freedom tocreate, 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

@HelenBevan #NHSchange

@HelenBevan #NHSchange Why platforms are the new powerOld power wont deliver what we need to27

@HelenBevan #NHSchange

systematic change managementtoo often, leaders prescribe outcome and method of change in a top-down waychange 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 issuesvalue diversity of thoughtconnect people, ideas and learningRole of formal leaders is to create the conditions and get out of the way

Change Platforms

Tear down the walls

@HelenBevan #NHSchange A space (physical or virtual) that is created so people get the choice and opportunity to collaborate without boundaries to achieve a common purpose, tackle a challenge or improve a situationChange platforms tackle silo thinking and other barriers to the exchange of knowledge. They enable a diverse group of people to come to the table, share ideas, insight and learned experience, co-create solutions and launch experiments. Platforms thrive on trust, relationships and the collisions of minds. They build energy for change.

What is a change platform?Definition by @JodiOlden & @HelenBevan 2015

@HelenBevan #NHSchange

@HelenBevan #NHSchange

30

Change comes naturally when individuals have a platform that allows them to identify shared interests and to brainstorm solutions.Gary Hamel & Michele Zanini, 2014Build a change platform not a change program

@HelenBevan #NHSchange

@HelenBevan #NHSchange

Joys Law: No matter who you are, most of the smartest people work for someone elseBill Joy, Sun Microsystems

Its become a kind of Joys Lawfor the networked erathe 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

@HelenBevan #NHSchange

@HelenBevan #NHSchange

32

Evolving kinds of change platforms:

They overlap!Connecting platformsMobilising platformsLearning platformsKnowledge platformsCrowdsourcing platforms

@HelenBevan #NHSchange

Masterclass on Radical Thinking, Change and Transformation for London leadership Academy

Feb 07, 2017

ReportDownload

Healthcare

Platforms not programmes

NHS MasterclassRadical Thinking, Change and TransformationLeading Across London for the NHS#NHSchange

New truths begin as heresies (Huxley, defending Darwins theory of natural selection)Source of image: installation by the artist Adam Katzwww.thisiscolossal.com

Via @NeilPerkin

Starts on the fringe (at the edge)Starts with the activistsGary Hamel

always

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

Galadriels prologue: The Lord of the Rings: The Fellowship of the Ring

@HelenBevan #NHSchange

@HelenBevan #NHSchange

SEISMIC SHIFTS

@HelenBevan #NHSchange

@HelenBevan #NHSchange Kinthi Sturtevant, IBM 13th annual Change Management Conference June 2015

We rarely see two, three or four year change projects anymore. Now its 30-60-90 day change projects

@HelenBevan #NHSchange

Source: Bromford P (2015), Whats the difference between a test and a pilot?

@HelenBevan #NHSchange

DIGITALCONNECTIONSEISMIC SHIFTS

@HelenBevan #NHSchange

@HelenBevan #NHSchange

Empower your staff to be the voice of the organisation. Theyve got audience & credibility Employees have 10x more connections than corporate social accounts

@HelenBevan #NHSchange

@HelenBevan #NHSchange

@HelenBevan #NHSchange How does the NHS improvement community prefer to communicate?

@HelenBevan #NHSchange

@HelenBevan #NHSchange

Work complexitySEISMIC SHIFTSDIGITALCONNECTION

@HelenBevan #NHSchange

@HelenBevan #NHSchange

DIGITALCONNECTIONSEISMIC SHIFTS

Hierarchical power

Work complexity

@HelenBevan #NHSchange

@HelenBevan #NHSchange

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/

@HelenBevan #NHSchange

DIGITALCONNECTIONSEISMIC SHIFTS

Hierarchical power

Work complexity

Change from the edge

@HelenBevan #NHSchange

@HelenBevan #NHSchange

http://www.slideshare.net/Openpolicymaking/policy-lab-slide-share-introduction-final

@HelenBevan #NHSchange

@HelenBevan #NHSchange Why go to the edge?

Leading from the edge brings us into contact with a far wider range of relationships, and in turn, this increases our potential for diversity in terms of thought, experience and background. Diversity leads to more disruptive thinking, faster change and better outcomesAylet Baron

@HelenBevan #NHSchange

@HelenBevan #NHSchange Thinking processes for better outcomes

The tricky bitOurstarting point@HelenBevan

@HelenBevan #NHSchange

@HelenBevan #NHSchange Jeremy Heimens TED talk What new power looks like https://www.youtube.com/watch?v=j-S03JfgHEA

old power

new powerCurrency

Held by a few

Pushed down

Commanded

Closed

TransactionCurrent

Made by many

Pulled in

Shared

Open

Relationship

@HelenBevan #NHSchange

@HelenBevan #NHSchange

For more information/explanation visit: The Collaboration Pyramid revisited

@HelenBevan #NHSchange

@HelenBevan #NHSchange Change programme at the topNeed to be doing stuff at bottomRedraw slide21

Three types of levers for large scale change

Prod mechanisms targets performance management price & payment incentives regulation competitionProactive support relies on building intrinsic motivation in staff to make the right changes to improvePeople focused education and trainingnational contractsprofessional regulation clinical quality standards

Type one:Type two:Type three:Source: Health Foundation report Constructive comfort: accelerating change in the NHS 2015

@HelenBevan #NHSchange

@HelenBevan #NHSchange Three types of levers for large scale change

Prod mechanisms targets performance management price & payment incentives regulation competitionProactive support relies on building intrinsic motivation in staff to make the right changes to improvePeople focused education and trainingnational contractsprofessional regulation clinical quality standards

Type one:Type two:Type three:Source: Health Foundation report Constructive comfort: accelerating change in the NHS 2015

Less than 10%of the potential for improvement at system level can be delivered through type one change

@HelenBevan #NHSchange

@HelenBevan #NHSchange Is your change process a cathedral or a bazaar?

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

@HelenBevan #NHSchange Cathedral and Bazaar is an essay, then book, byEric S. Raymondonsoftware engineeringmethodsIllustrates the struggle between top-down and bottom-up designTheCathedralmodel: restricted access to code, code only available with each software release controlled / limited / restricted / closedTheBazaarmodel, in which the code is developed over theInternetin view of the publicRaymond's proposition that "given enough eyeballs, allbugsare shallow"- the more openly and widely available the source code is for public testing, scrutiny, and experimentation, the more rapidly all forms of bugs will be discovered.Raymond claims that an inordinate amount of time and energy must be spent hunting for bugs in the Cathedral model, since the working version of the code is available only to a few developers.24

We have a lot of cathedrals

Source: Sewell (2015) : Stop training our project managers to be process junkies

@HelenBevan #NHSchange

@HelenBevan #NHSchange

In a world of mounting performance pressure, [organisations and change processes] need to evolvethe 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

@HelenBevan #NHSchange The power of the platformFacebook, 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 andthe freedom tocreate, 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

@HelenBevan #NHSchange

@HelenBevan #NHSchange Why platforms are the new powerOld power wont deliver what we need to27

@HelenBevan #NHSchange

systematic change managementtoo often, leaders prescribe outcome and method of change in a top-down waychange 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 issuesvalue diversity of thoughtconnect people, ideas and learningRole of formal leaders is to create the conditions and get out of the way

Change Platforms

Tear down the walls

@HelenBevan #NHSchange A space (physical or virtual) that is created so people get the choice and opportunity to collaborate without boundaries to achieve a common purpose, tackle a challenge or improve a situationChange platforms tackle silo thinking and other barriers to the exchange of knowledge. They enable a diverse group of people to come to the table, share ideas, insight and learned experience, co-create solutions and launch experiments. Platforms thrive on trust, relationships and the collisions of minds. They build energy for change.

What is a change platform?Definition by @JodiOlden & @HelenBevan 2015

@HelenBevan #NHSchange

@HelenBevan #NHSchange

30

Change comes naturally when individuals have a platform that allows them to identify shared interests and to brainstorm solutions.Gary Hamel & Michele Zanini, 2014Build a change platform not a change program

@HelenBevan #NHSchange

@HelenBevan #NHSchange

Joys Law: No matter who you are, most of the smartest people work for someone elseBill Joy, Sun Microsystems

Its become a kind of Joys Lawfor the networked erathe 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

@HelenBevan #NHSchange

@HelenBevan #NHSchange

32

Evolving kinds of change platforms:

They overlap!Connecting platformsMobilising platformsLearning platformsKnowledge platformsCrowdsourcing platforms

@HelenBevan #NHSchange