leading large scale change helen bevan

@HelenBevan #Expo14NHS

Leading large scale changeHelen Bevan

@HelenBevan4th March 2014


• What is happening in the wider world of transformation and change?

• Where are the big opportunities for innovation and improvement?

• The Horizons group: a new initiative from NHS Improving Quality• Sharing on a massive scale• NHS Change Day and The School for Health and Care Radicals • How we work

Source of image: www.freshnessmag.com

For today


1. Change is happening at a faster rate and is becoming more disruptive

2. New digital tools enable us to be in constant, direct contact with nearly everyone in the developed world at little cost or effort

3. Hierarchical management styles are diminishing in the face of the inherent complexity and scale of the current work environment

4. Complex work is getting more complex and that makes it difficult to replicate and copy; creative work is changing more quickly both require more tacit knowledge which is best developed through conversation and social relationships

rather than guidelines and best practice databases

5. Creative processes are moving to the edges of our organisations

Many of the ways we go about change were designed in a different mindset for a different set of circumstances

5 things that are happening in the world of change:

Sources: Change Agents Worldwide, Harold Jarche, Steven Verjans


In the near future, the edges will be where almost all high-value work will be done in organizations……. Organizational

development and change management need to move to the edges, and quickly.

Harold Jarche (2014)


Tensions that change agents must live with Dominantapproach

Emerging direction

Source: @HelenBevan


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 Schillinger

Image by neilperkin.typepad.com


@rebelsatwork rebelsatwork.com

Across the world, the change agent movement is exploding!

@chagwwChangeagentsworldwide.com

@corprebelsCorporaterebelsunited.com


A big challenge for innovation/improvement teams

Tacit knowledge is where the action is….•It’s the people with tacit knowledge who deliver the results•Tacit knowledge is critical for large scale change

But

The only way tacit knowledge can be broadly shared…

…is to turn it into explicit knowledge

VERY difficult

Few organisations succeedGray D (2012) The Connected Company

Source: Harold Jarche


“Tacit knowledge is best developed through conversations and social

relationships”Harold Jarche

Source of image: northcentralcollege.edu


What are the biggest opportunities for change agents?

• As bridge builders between disconnected groups

• As curators and sharers of knowledge


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


Curation:

Source: DaVinci Institute

From

disruptivechaos

To

creative clusters

Finding things out and determining what’s valid from what’s just noise………It’s about identifying networks and communities and seeing where the

nodes and amplifiers sit……………..It’s about quality and coherence, not volume and mass

Julian Stodd

@HelenBevan #Expo14NHS Source of quote: Harold Jarche; source of image:http://gotcll.com/about-2/

Getting information off the internet is like

taking a drink from a fire hydrantMitchell Kapor


Potential on a massive scaleFinding things out and keeping up to date•“pulling” information, but also having it “pushed” to us by trusted sources

Making sense and meaning of information•Reflecting and putting into practice what we have learned•Plugging information into our own mental models and turning it into knowledge

Connecting and collaborating•Sharing complex knowledge with our own work teams•Testing new ideas with our own networks•Increasing connections through social networks.

Source: Harold Jarche


Role of the Horizons GroupTo stimulate new and ‘disruptive’ approaches in support of healthcare transformation, operating at the edge of current thinking and practice:•skip a generation of thinking about how to create large scale change •skip a generation in who we largely connect with: emerging leaders, clinical trainees, students•Skip a generation of methods for change: open innovation, social media, crowdsourcing, hackathons


Horizons Group: what we do• Connections and collaboration• Thought leadership in large scale change

Tacit and explicit knowledge Webinars, publications, films, social media connections Virtual summit

Mobilising for improvement - NHS Change Day The School for Health and Care Radicals - supporting the next

generation of change agents


Supporting NHS Improving Quality programmes, helping to keep NHS IQ thinking and practice fresh, relevant and in line with the leading edge

Inclusion and diversity: key principles for transformational change

Building the movement for radically different thinking and action (“actionable knowledge”) in health and care that makes a difference

Horizons Group: what we do


“The most basic not-so-secret formula for building an innovation culture is pretty simple - embrace diversity and start to attract, retain and promote a diverse workforce that looks differently, works differently, dress differently, speaks differently and is inclusive of the full spectrum of human sexual orientation and gender identities. Do this before you start hiring consultants and rethinking your innovation process; there is no process that works without true diversity.”

Idris Moore

Source of image: idsgn.org

Diversity is critical to innovation and change


Case study: NHS Change Day


Its started with a tweet!

Young clinical leaders & improvement leaders started to talk about how they could improve care

Damian RolandStuart Sutton Helen Bevan


NHS Change Day

@NHSChangeDay #NHSChangeDay

• More than 5 million twitter impressions a day• 4,000 video views a month across YouTube, Vimeo, Podbean

and iTunes • Over 2,500 active audience reach a week on Facebook• Daily Blipfoto photo journal getting 7,500 views a week• Active picture showcases on Instagram, Pinterest, Flickr• New 'how to' films uploaded onto YouTube...28


We work with multiple social media platforms

@NHSChangeDay #NHSChangeDay

Join the conversation on:

TwitterFacebook

Instagram

Blogs

Google+

YouTube

LinkedIn

Vimeo

Tumblr

Vine

PinterestCare Opinion

Patient Opinion

Flickr

Podcasts

Forums


Source: @NHSChangeDay


www.changeday.nhs.uk/healthcareradicals


The School for Health and Care Radicals

Promoted 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


Feedback


Source: @NHSChangeDay

Permissionlessinnovation!


5 things we learnt from the experience of The School for Health and Care Radicals

1. There is a massive untapped reservoir of energy and talent out there and the potential is outstanding

2. The core audience is different to what we anticipated

3. The most important need is for connection and community

4. How to build the relationship between tacit and explicit knowledge

5. All teach, all learn


The Horizons Group• Working out loud• Collaborating on a massive scale• Embracing diversity

• Operating at the edge of knowledge and practice• Beyond hierarchy


I want to stand as close to the edge as I can without going over; on the edge you find things you can’t see from the centre

Kurt VonnegutImage and quote from Harold Jarche


ReferencesBevan H, Plsek P, Winstanley (2011) Leading Large Scale Change - Part 1, A Practical Guide

Bevan H (2011) Leading Large Scale Change - Part 2, The Postscript

Change Agents Worldwide (2013) Moving forward with social collaboration SlideShare

Fuda P (2012) 15 qualities of a transformational change agent

Gray D (2012) The Connected Company

Jarche, H (2013) Rebels on the edges

Jarche H (2014) Moving to the edges

Moore I (2013) Diversity is the short cut to building an innovation culture

Schillinger C (2014) Top-Down is a Serious Disease. But It Can Be Treated

Shinners C (2014) New Mindsets for the Workplace Web

Stoddard J (2014)The future of leadership

Williams B (2014) Working Out Loud: When You Do That… I Do This

Verjans S (2013) How social media changes the way we work together SlideShare

leading large scale change helen bevan

Health & Medicine