Change is changing - how to lead large scale change

Leading Large Scale Change
Steve Fairman, Managing Director (interim)
Helen Bevan, Chief Transformation Officer, Horizons group
Charlie Keeney, Programme Director

@HelenBevan @CharlieKeeney @nhsiq #confed2014@stevefairman1
Capability for radical change: HIGH stakes
All industrialised countries
face profound and defining health
care choices over the coming
decade… It’s not just funding that
will shape the future success of the
NHS. As important will be our
capacity for improvement and
change
Simon Stevens
Chief Executive
NHS England
The NHS. . . needs to
turbo-charge changes in the
way healthcare is delivered to
patients
David Bennett
Chief Executive
Monitor
We need to up the pace of
radical change if we are to truly
respond to the lessons of Mid
Staffordshire, Winterbourne
View and the needs of our
population.
Jane Cummings
Chief Nurse
NHS England
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Introducing
NHS Improving Quality
Core purpose: helping the NHS to develop to face
and meet the critical challenges ahead
Future success of the NHS will rest on all in and who
use it having the capability to transform the way we
think and work
A new lean, impactful, relevant, inspiring
organisation, focused on patient benefit

Our approach
Developing evidence-based products and
programmes supporting delivery of the Outcomes
Framework and NHS priorities
Active development pipeline for the things that
the NHS’ improvement body should do at a
national level.
Partnerships critical for development and delivery
Being at the leading edge of thinking and skills
about radical, transformational change and
translating this into action for the service

Our new White Paper
• Examines leading trends in
change and transformation
globally
• How to make change happen
at a faster rate and be more
disruptive
• join the new breed of leaders
across the world, rewriting the
rules of change and leading
change from the future to get
different results
• Release date: 4th July 2014
(celebration day for NHS
Change Day)

Today’s session
1. Positioning the Horizons group to
be at the ‘edge’ – hear from Helen
Bevan shortly…
2. …and then a flavour of NHS IQ
support on the ground from
Charlie Keeney, leading the Clinical
Commissioning Group
transformational change capability
programme
3. Questions and Answers

The remainder of week
Visit our stand A34, to:
• hear more about our work supporting
improvement at scale,
• senior team ‘listening clinics’ as we further
build our offer, and
• details of our upcoming White Paper

SEISMIC SHIFTS

SEISMIC SHIFTS
Change from the edge

Whilst back in the world of health and care...
Many of the ways we go
about improving health
and care were designed
in a different mindset for
a different set of
circumstances Source of image:
www.lifecompassblog.com

Some warnings
‘‘The organizations that survive
the future will be those that
are capable of changing as
fast as change itself
Gary Hamel’’

Leading change in a new era
Dominant approach Emerging direction

John Kotter: “Accelerate!”
• We won’t create big change through hierarchy
on its own
• We need hierarchy AND network
• Many change agents, many acts of leadership
• At least 50% buy-in
• Changing our mindset
• From “have to” to “want to”
Source of
image:www.slideshare.net/m
exicanwave/champions-trolls-
10-years-of-the-cipd-online-
community

5 ways to lead from the edge - and thrive
1. Embrace disruption
2. Curate knowledge
3. Build bridges to
connect the
disconnected
4. Roll with resistance
5. It starts with me

@corprebels
corporaterebelsunited.com
Across the world,
the change
agent
movement
Is exploding!
@rebelsatwork
rebelsatwork.com

And it’s happening in healthcare!

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

The 90/30 conundrum
of senior leaders say
that to create more
innovation, they need to
activate the
radicals/rebels/heretics/
mavericks in their
organisations or systems
of senior leaders are
very satisfied that
radicals/rebels can
provide this value in
their organisations or
systems
Source: rebelsatwork.com

5 ways to lead from the edge - and thrive

An “overcoming resistance” mindset

“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.”
Source of image: idsgn.org
Diversity: critical to innovation
“Do this before you start hiring consultants and
rethinking your innovation process; there is no process
that works without true diversity.”
Idris Moore

Supporting CCGs and local systems to
get their ambitions for patient-centred
transformation off to the best possible start
@HelenBevan @CharlieKeeney @nhsiq #confed2014

Our learning…
 Collaboration and broad partnership
 Commitment -v- compliance
 Impact of shared purpose
 Loose – tight properties
 Learning through doing
 Wider yield
@HelenBevan @CharlieKeeney @nhsiq #confed2014

Change is changing - how to lead large scale change

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Change is changing - how to lead large scale change