Influencing Change in Health and Care - presentation to Institute of Health Visiting 5 December 2017
- 1. Influencing Change in Health and Care Leigh Kendall NHS Horizons @leighakendall Institute of Health Visiting London, 5 December 2017
- 2. • A small, diverse team of people within the NHS that supports change agents and builds change agency • We tune into the latest change thinking and practice in healthcare and other industries around the world • The team has emerged through years of supporting change in the NHS and the wider health and care system Who is the Horizons team?
- 3. Life doesn’t always go to plan • HELLP syndrome at 24 weeks’ pregnant (rare, life-threatening pregnancy complication – can cause multiple organ failure unless baby is born). • My son Hugo weighed just 420 grams (about the same size as a tin of baked beans) • Hugo lived for 35 days. • He was too small, and premature. His treatment was withdrawn.
- 4. Life after… • Diagnosed with post- traumatic stress disorder • Finding appropriate support took more than two years • Trying to find a ‘new normal’, a way of living a life unexpected
- 5. My new normal… • I started a blog: Headspace Perspective • I am a patient leader and campaigner - #HugosLegacy #MatExp
- 6. Campaigning… • Campaigning for improved support for bereaved parents • Raising awareness of pregnancy complications, and issues affecting neonatal families. • Spoken at House of Commons, and House of Lords
- 9. Because we WANT to, not because we HAVE to
- 10. Jeremy Heimens, Henry Timms This is New Power old power new power Currency Held by a few Pushed down Commanded Closed Transaction Current Made by many Pulled in Shared Open Relationship
- 11. The predominant approach in recent years has been STRUCTURE but globally there is a big shift towards AGENCY The design dilemma at the heart of change & implementation
- 12. The people making change happen is changing 12 List B • The mavericks and rebels • The deviants (positive). Who do things differently and succeed • The nonconformists who see things through glasses no one else has • The hyper-connected who spread behaviours, role model at a scale, set mountains on fire and multiply anything they get their hands on • The hyper-trusted. Multiple reasons, doesn’t matter which onesSource: adapted by Helen Bevan from Leandro Herrera List A • The Delivery Board • The programme sponsors • The programme management office • The work stream leads • The Clinical Leads • The Directors of participating functions • The Change Facilitators
- 13. To stay in touch, connect with the 3% Just 3% of people in the organisation or system typically drive conversations with 90% of the other people Source: research by Innovisor
- 19. Influence and Impact • Engagement: starting conversations • Communities: like-minded people collaborating • Quality, not quantity • Generosity and support • Inclusivity: all voices are welcome • Authenticity, not ‘playing the game’
Editor's Notes
- #22: Kathryn NHS Horizons 30 second or so New learning in practice: What might this mean for you if you participate in Horizons’ offers?