Module 1 chat box - School for Change Agents

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Module 1 chat box – Thursday 16 February 2017
from Kate Pound to All Participants:
Hi all,
we are just running through the slides. How are you all today?
Did you all know this week is Random Acts of Kindness week! Anyone done any?
from @ollybensonOlly Benson to All Participants:
Hello!
from Adrian to All Participants:
Hello
from Charlotte Smith to All Participants:
Good afternoon from Cumbria! :)
from Paul Woodley to All Participants:
Good afternoon all
from Louis Warner to All Participants:
Hi All :)
from Dawn Lawson to All Participants:
Hi Olly, this is very exciting. Looking forward to the first session :-)
Thanks Olly
from Trevor Fossey to All Participants:
I cannot see any tools on my screen!
Microsoft Edge on Windows 10

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ok - they were 'covered'
from Adrian to All Participants:
Thank you Olly
great to see people joining from across the world today, hi from the UK
from S.Domac to All Participants:
Hi All
from mary monica keenan to All Participants:
hi i am monica work nhs fife in scotland as specialist palliative care nurse
from anshu gupta to All Participants:
Hello, Anshu here ! Just got connected and excited to be part of this great movement!
from Sharon Brown to All Participants:
Hello I'm Sharon, an Innovation Portfolio Administrator at South Tees Hospitals.
from Helen Bevan to All Participants:
Great to have music
from claire maggs to All Participants:
Hi from Birmingham in UK. I'm a Funding Manager at the BIG Lottery Fund.
from Pip to All Participants:
Hello Everyone - Looking forward to today's session from Cambridge, UK.
from Nageeta Paul to All Participants:
Hi, I'm from Frimley Health in Surrey :) I'm the OD Advisor
@jo is there time to practice moving into breakout room please?
from Scott Hignett to All Participants:
Hi All my name is scott hignett and i work for the big lottery fund
from victoria mcmahon to All Participants:

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Hi I am Vicky working in Neuro Rehab in Newcastle
from Claire to All Participants:
Hello I'm Claire from City Hospitals Sunderland. Working as a Performance Analyst for PMO
Hi all, I'm joining from London today. feeling excited
Hi, I am really looking forward to the first session, and to facilitating a discussion session afterwards
with Steph Reid :-)
from Ibi Paul-Worika to All Participants:
Hi, I'm Ibi from East London - interested to see how this progresses.
Hi everyone I am Charlotte I work for UCLan and I am super excited to meet you all :)
from Liz Oddy to All Participants:
Hi my name is Liz, im a service improvemnt manager in Leicester. My kids are on the wii downstairs
:)
from Jane Douthwaite to All Participants:
Hello everyone, what a fantastic afternoon ahead of us all. I'm from Northumbria University and City
Hospitals Sunderland. @janedouthwaite on Twitter
from Leigh Kendall to All Participants:
Welcome everyone! If you're on Twitter do tweet away! Include #s4ca. I'm 'twitter monitor' and will
be tweeting on behalf of @Sch4Change :-)
@Liz ha ha! good luck :)
Anyone joining as a group today?
@LIz I am fearful mine will come crashing in from school midway through this :O
from Louis Warner to All Participants:

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Tweet us a photo of you taking part @sch4change @theedgenhs
from Helen Bevan to All Participants:
I'm Helen Bevan. I'm going to be leading today's session. I'm in my living room in Coventry with a
very large Savannah cat asleep in a basket next to me! Hope he doesn't snore!
from John Kolodny to All Participants:
Hi, I am John from the Coalition of Kaiser Unions in the United States of America. Interested on
using change agent skillss to support jobs of the future in Health care
from Victoria Hewitt to All Participants:
Hi! I'm Victoria and I shall be one of your learning set leaders later in the session. Hope you will stay
(and I will be able to master the tech)
from Sue Hatton to All Participants:
Hi everyone Sue here from Health Education England joining from ☀️ Stratford upon Avon. Looking
forward to discussions. What a great mixture of people already to share with.
from Subina Begum to All Participants:
Hi all, I'm Subina I'm from Birmingham, UK - working for the University of Birmingam as a Project
Officer :)
If you are using twitter today don't forget to use #S4CA
from Tom O'Sullivan to All Participants:
Hi all, looking forward to getting started - love the quotes in the course materials! Tom O'Sullivan
from GPS Healthcare, Solihull
from Sally Morgan to All Participants:
Hi I'm Sally from the Disabilities Trust in West Sussex. I'm a clinical psychologist working with adults
with intellectual disabilities. tweets are from @skubakampa
so much energy already - sooooo exciting
from Emily Lau to All Participants:
Hi everyone! Emily Lau - Organisational Development Officer from East Sussex CCGs - can't wait for
this year's school!

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from Rachel Hemingway to All Participants:
Hi I'm Rachel from Bolton England. I work for the NHS as service lead for Adult Speech and Language
Therapy
from dani to All Participants:
Hello, everyone. I'm Dani from Southport, I work in Liverpool as a staff nurse in POCCU. I am looking
forward to joining in. Although I have no idea what I'm doing.
from @ZoeLord1 to All Participants:
Hello - I'm Zoe Lord - very excited about the school this year. Lovely to see a diverse group of people
Just enough time to make a cup of tea?
Hi Dani!
from Tom de Salis to All Participants:
Hi, I'm Tom from Birmingham. Working for HEEWM
from Kathryn to All Participants:
Hi everyone! This is Kathryn from the NHS Horizons team, joining today for the School of
Government at Oxford University, where we've spent the morning looking at leadership, courage
and driving transformational change - great primers for School!
from rob cockburn to All Participants:
Hi all
Hi Zoe
Hi @Rob - long time no see! Hope you're well
just made it as had to leave work and return home as we have had 2 false fire alarms today and
didnt want this webex to be interrupted by another one

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Hi@Zoe
@Rob - that's dedication!
from Jason Mistry to All Participants:
Afternoon All
Should i be hearing sound?
from Edwin M to All Participants:
Hello all, Edwin Magombe here from NHS Improvement - Development and Quality Improvement
Team
from Clare Ibbeson to All Participants:
Hi everyone I'm Clare from Wigan Council
from Michael Goodeve to All Participants:
Hi everyone!
from Lorri Zagar to All Participants:
Hi Everyone, Joining from sunny Caledon Canada - just outside fo Toronto.
from Karen Perkins to All Participants:
Hi I am Karen Perkins, Senior Biochemist at Royal Preston Hospital, UK.
from Tara Lyons to All Participants:
hi there is a group of us here together shall i sign in for everyone
from Pam Trevino to All Participants:
Hi! I'm Pam Trevino. I live and work in Little Rock, AR, USA. I work at a pediatric hospital, and I'm
excited to get to know you!
from Jennifer Walker to All Participants:
Hi, another from Canada from Edmonton Alberta

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I'm in London. Working as improvement manager for the learning disabilities programme
supporting TCPs make the changes to support people in the community rather than hospital. some
locked up for years :(
from tom houston to All Participants:
HI Made the connection...from the grey drizzle of central Scotland
from Holly Dagnall to All Participants:
Hello all. I'm Holly Dagnall - joining the school from Nottingham Community Housing Association
where I am the Director of Care and Support. Looking forward to learning with you all!
from James Turner to All Participants:
Good afternoon all, James from The Christie Hospital in Manchester here
from Alice Brain to All Participants:
Hello to all from Clatterbridge Cancer Centre
from Fiona McKenzie to All Participants:
Hi everyone. Fiona here - joining from grey Battersea. I'm a patient leader and have worked with
UCLH, UCLPartners and the UK Improvement Alliance over the last few years.
from Naomi to All Participants:
Hello Naomi ledwith from university hospital south manchester
from Shawn Volk to All Participants:
Hello everybody! I'm Shawn (@ireland_shawnc) from Edmonton, Alberta, Canada with the Patient
Relations/Engagement & Patient Experience group with Alberta Health Services!
from Elaine Bayliss to All Participants:
Hello everybody I'm Elaine Baylisss and I work in the Sustainable Improvement Team in NHS England.
Really looking forward to joining you all in our first day at 'school' !
from Nigel Millar to All Participants:
Good-day all - NIgel Millar here from NZ - today in QUeenstown where it is 4am _ I am A Geriatrician
and Chief Medical Officer for the SOuther DHB - formerly of Canterbury - here for my annual fix
from kim steel to All Participants:
Hi, I'm Kim Steel, i am a palliative care consultant in Fife!
from angie crisp to All Participants:

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Hi I am Angie Crisp I work in mental health services.
Hi Kim
from Harri to All Participants:
Hi, I'm Harri Weeks, I work at the National LGB&T Partnership (England), and I'm currently in a cafe
in Blackfriars, London.
from Gemma Brown to All Participants:
Hi I'm Gemma working for Health Education England in Oxford - in workforce transformation and
widening participation
hi kim monica here xxx
I've been branve and tweeted a photo :-|
from Ruth Doyle to Host & Presenter:
Hi Ruth, Working for CRN East Midlands based in Nottingham University Hospitals NHS Trust, Study
Support Facilitator with an interest in Continuous Improvement
from Kim Wright to All Participants:
Hi , I'm Kim Wright, I'm a programme manager for a company that works with the NHS on change
from Andrew Marsh to All Participants:
I'm Andrew - Associate Prof in Chemistry at the University of Warwick - Twitter @marshgroup. I
enjoy being active and over the last 12 months I've been connecting with local communities to help
them do the same!
from Karl Fredrik to All Panelists:
I am Karl Fredrik Westermann from Oslo, Norway. Working at the Norwegian National Advisory Unit
on Learning and Mastery in Health.
from Joanna Hornal to All Participants:
Hello, my name is Joanna and I am a pharmacist working in General Practice in Fife, Scotland.
from Fiona Mac to All Participants:

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Hello from Fiona Mac on the Wild borders of Wales, Volunteer for the Red Cross Crisis Response and
Community Connector #tacklingloneliness. Previously 2GetherNHS Recovery College Wellbeing
Coach. #StayWell
from johnathan kelly to All Participants:
Hello!!! Johnathan Kelly - Commissioning Manager and Physio from the North East - looking forward
to the session
from Isabella Davis-Fernandez to All Participants:
Hi all, I'm Izzy from Coastal West Sussex CCG. I'm a Commissioning Manager and I lead on patient
flow improvement projects. Looking forward to this programme!
from Tracy Clifford to All Participants:
Hi there, I'm Tracy Clifford. I'm a Quality Improvement Officer in Caledon, Ontario, Canada.
Hello all. Jason Mistry from Health Education England, Quality
from Linda Machakaire to All Participants:
Hi
Fantastic to see such a diverse group here today !
from karen johnson to All Participants:
hello everyone i'm karen leadership fellow with HEE Yorkshire & Humber based in Sheffield
Linda Machakaire, Consultant Midwife at Lewisham and Greenwich NHS Trust in London
from Jane Moore to All Participants:
Hi. I am Jane from the NICE field team. Lead on implementing NICE guidance. Glad there is a mix of
ALBs and clinicians here.
from Ruth Doyle to All Participants:
Hi Ruth, Working for CRN East Midlands based in Nottingham University Hospitals NHS Trust, Study
Support Facilitator with an interest in Continuous Improvement

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Hi Everyone. I'm Claire and I work for Macc in Manchester. It's my job to look at collaboration and
new ways of working between voluntary sector organisations and the NHS. Really looking forward to
this
from Laura Wilkes to All Participants:
Hello, Laura Wilkes from West Suffolk NHS Foundation Trust, LKS Manager
from Asha Gaines to All Participants:
Hi all! Asha Gaines Population Health Coordinator RN from Atlanta GA, USA
from Charlie Merrick to All Participants:
Hi All I am Charlie from the patient safety team at the Royal Free London
What an amazing group of classmates; this is going to be great!
@Elaine Yeah!
from Julia Petherbridge to All Participants:
Hi Julia form Wessex, OD practitioner working with leaders in STPs
from Kevin Percival to All Participants:
Hello All, i am Kevin; the lead nurse for clinical informatics at Frimley Health
from colette oneill to All Participants:
Hi Everyone I'm Colette O'Neill, from the business develpment team at Nottingham Community
Housing Association
The music: is that a funkified version of "Stir it up"? Marley?
from Michael Dunlop to All Participants:
Hi Everyone, I'm Michael and I work in Leadership & Development in Northern Ireland.
from Melissa Sullivan to All Participants:
Hello everyone. I'm Melissa Sullivan from St. John's, NL. I work as a patient engagement consultant.
from Lizzie to All Participants:

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Hi I'm Lizzie - Physio in Portsmouth, South Central
from sharon kidd to All Participants:
hi all, I'm sharon from United Lincolshire Hospitals
from Ali to All Participants:
HI Ali , Quality Consultant from Alberta Health Services, Canada !!! wohoo!
from julie smith to All Participants:
Hello. Julie Smith here from Norfolk. Graduate of the original school
from Michael Goodeve to All Participants:
Hi everyone, I'm Michael. I used to work in the Horizons team and now work with Wessex AHSN. I'm
logging in from Southampton.
from anne ryan to All Participants:
hi Anne I work in Organisation Development and looking forward to next 5 weeks of change school
from Kim Vereijken to All Participants:
Kim Vereijken form The Netherlands present for some change!
Hi all
Hi Kate
from Richard Bessell to All Participants:
Hi...Richard Bessell - Dorset CCG - Programme Manager
from Maya Pajevic to All Participants:
hi from Canada!
from Alex Irvine to Host (privately):
Hi I am Alex from Leeds - LYPFT
from Zayna Khayat to All Participants:
HI all, Zayna Khayat - I live in Canada, but am on secondment in the Netherlands Team intro slide
from Linda Dykes to All Participants:

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Hello, I'm Linda, an EM consultant & GP from Bangor in North Wales.
from Jim Rawson to All Participants:
Hello from Georgia to my S4CA friends and family.
from Chris to All Participants:
Hello from the NHS Leadership Academy in Leeds. Chris W, Lewis and Andrew tuning in :)
from george to All Participants:
Hi All I'm based in Cincinnati Ohio. Pleasure to meet you all.,
from Martin Shaarp to All Participants:
Martin joining from Public Health England
from Amy Haynes to All Participants:
Hello from the QE Hospital, King's Lynn, Norfolk
from Adam Hopper to All Participants:
Adam Hopper calling from the National Health Service Business Services Authority
from maria mcgill to All Participants:
Maria McGill, CEO from childnrens hospie association scotland just about to embark on
transofrmation across all aspects of the organisation, especially service! hrilled to be hers, missed it
last year.....
from Caroline Parker to All Participants:
Hi Caroline Parker, Gloucestershire Care Services, Occupational Therapy Professional Lead
Anyone joining us today from outside of health and care?
from Mags Mackenzie to All Participants:
Hello, I'm Mags and I work for the MS Society, based in Scotland. Happy to be here.
from angie to All Participants:
Hi Im Angie from UHS, Southampton, where I am a transformation mananger
Lovely to see lots of familiar faces!

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from helen liggett to All Participants:
Hi all i'm Helen Liggett and about to start a new role as Regional Service Improvement Lead for 100k
Genomes Project for NHS England
Hi Kate, yes I'm outside health and social care
from Emily Latourell to All Participants:
Emily Latourell, Quality Improvement Consultant in London, Canada (London Health Sciences)
messy
from Emily Holton to All Participants:
Hello from Emily Holton at St. Michael's Hospital in Toronto :)
from raina to All Participants:
Hello. Raina here from Agincare, a social care provider organistion in UK
Yes!
How are you? What a small world :)
showing how bad my geography is now!
hey! and Wales!!!!
Emma Fleetwood-Jones!
from Hazel Runyararo Murwisi to All Panelists:
London . using smartphone can't use annotation
from Mark to All Participants:
Hi Raina!

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from jo.witherstone to All Participants:
Hello everyone
from michaela da silva to All Participants:
Good afternoon all
from michelle lewis to All Participants:
Hi im MIchelle but can not hear you
Mark here from Agincare too...
Hello Michaela :)
from Victoria Howells to All Participants:
Hi all. I can see you Emily!
from Jo Palmer to All Participants:
Hi all
from michael howard to All Participants:
Hi everyone from Mike Howard
Michelle I used the call option to get sound!
Sent a request to join closed FB page on Tuesday, but it's still showing as 'pending'...
I think I did ask to join facebook page but I don't think I've been approved yet
from Aoife to All Participants:
Hello from rainy south west Ireland
from Alison to All Participants:
Hi everyone,

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What was the Facebook URL?
from Megan to All Participants:
Hello from Edinburgh - Scotland. Working in NHS Lothian
from Harriet Nowak Ramos to All Participants:
Hi, I'm Harriet a NHS Graduate Management Trainee based at UHS, Southampton.
from Shelley Cornick to All Participants:
Hi from Shelley in Newfoundland Canada!
You can change the world one person at a time - or hundreds at a time like now
from Fiona Creed to Host, Presenter & Panelists:
Hi everyone
from Jackie Mann to All Participants:
Hello from Leicestershire Partnership NHS Trust
from Si Chun Lam to All Participants:
Hi from Coventry City Council
ok Mags will try again thanks
I haven't quite got sound working yet though!!
from Melissa Sullivan to All Participants:
Hi Shelley. Nice that another Newfoundlander is taking this course :)
What' the quote from Simon Senek? Martin Luther King did not say 'I have a 12 point management
plan' He said ' I have a dream!"
from Sarah Lesperance to All Participants:
Hi from Iqaluit, Nunavut, Canada!

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from Emma Kelly to All Participants:
Hi from East Kent Hospitals University FT
Love Simon Sinek @Rob
from Sharon Albajjaly to All Participants:
Hi from BMIHealthcare, Droitwich UK!
from Elaine to All Participants:
Hi. I'm a Radiographer in Nottingham.
from sally davies to All Participants:
Hello from Oswestry in Shropshire
Nunavut! Wow!
from Rebecca Crossley to All Participants:
bit late but hello Rebecca Crossley here from East of England
from laura neal to All Participants:
Hi from Preston Lancs - work in General Practice
from Jennie Huntley to All Participants:
Hello from Kent Community Health NHS Foundation Trust
Thanks Mags works great
from Deborah Gallagher to All Participants:
Hi, I'm from North West Ambulance Service, a little late as I couldn't get my link to work. but sorted
now :)
Are the sessions always 3-4pm GMT?
from Gemma Musgreaves to All Participants:
Hi, also from Coventry City Council. Also having issues with getting sound!

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@Edwin - 3-4:30pm
Gemma, you can get Webex to call you if you can't get sound through the computer
If youre on a laptop, check its not on mute!
Hi Edwin, each session is 3pm to 4pm for the main presentation, followed by an online learning set
4-4:30pm GMT
from David Grier to All Participants:
David Grier from Northern Ireland checking in. Had problems with the WebEx. now OK
Thanks Jane and Kathryn
from Joanna Hemming to All Participants:
For those that have no sound, please refer to the quick start menu at the top of your screen and
connect your audio
from James Turner to All Participants:
Get audio by selecting the audio button and select the conference option and select the bottom
option
I find the question a bit challenging
Change is challenging Ali
Tell me more about that, @Ali - what makes it challenging?
from Hazel Runyararo Murwisi to All Participants:
5 , I can't pick an option on smartphone

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Is it in a formal role or informal role as a change agent?
from jane to All Participants:
Cannot find the poll on screen on ipad
from sula to All Participants:
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Informal and formal
same here Jane
Ok thank you that helps
from jane to All Participants:
No -cannot see on iPad... oh well
from Margaret Rauliuk to All Participants:
Margaret Rauliuk checking in from Winnipeg, Manitoba. I had trouble getting on to webex as well.
Sorry to be late.
http://revalidation.nmc.org.uk/download-resources/forms-and-templates link to the NMC forms
Welcome Margaret!
I have lost the video post polling
If you want video back, just reopen the "Participants" panel with the toggle arrow.
from Tanya Burchell to All Participants:
Hi from a cold, wet UK!

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from Angel to All Participants:
permission culture still exists in many organisations
all of my good ideas are battles - I can feel that!
from Mandy Rudczenko to All Participants:
me too
from Gemma Musgreaves to All Participants:
I find that when working with community members, many have great ideas & just need permission
to get them off the ground
Is permission culture driven by performance management which often measures the 'wrong' things
very difficult for us to do this when our position is not certain within an oragnisation which is
increasingly the nature of employment contracts- what do people think?
permission for change begining in CHAS - with this course and also 'The Lens' project in scotland -
developing intrapreunership. scottish government fund the training - we fund the changes!
when i did the first school, i was in a non nursing role and it was simple to be a chnage agent, since
then, I returned to a nursing role and i immediately recognised that the culture was not only
different, it felt oppressive and controllling.
not every truth begins with a heresy...I disagree with that outlandish statement
Love new truths begin as heresies. A lot of what we do as change agents is about challenging things.
We are seeing the world in a new light and seeing all of these things that we could change and yet
we can seem like a heretic and someone who is just too challenging.
from Angela Catley to All Participants:

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We work with people in communities who have good ideas - we help them turn their good ideas into
micro- enterprises and ventures. Totally agree with the battle quote!
Dont drop a pebble in the pond - chuck in a massive boulder
I'm currently seconded to a community role and finding my colleagues much more respectful
(?burdened/?cowed) by tradition than in my usual world of a hospital where I am accustomed to
"asking forgiveness not permission"
I like the theory of connectivism
Make waves fof change for others to surf
love the challenge of throwing a big bolder, and watching the ripples of positivity and light bublubs
of energy come out of the one action. other people inspired one person action
Control and freedom - two polls we live between and need to feel and manage as Change Agents
agree with that comment about community...old skool!
Love that @Linda. My mantra too "seek forgiveness not permission"
Excellent Rebecca - you are on to it
from Deirdre Munro to All Participants:
Hello my nme is Deirdre ... so happy to meet everyone today big wave from the west of Ireland
Hi Deidre, wonderful to have you with us!

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Connections create positive change
ah yes but there can be some nervousness from those who are employed to communicate. its
important to take them with you
Hi Angela
Hi Deirdre, im south west ireland- we should connect Aoife
Heirachical power is diminishing - so the force with you it is
Hierarchical power is diminishing as new forms of power challenge and grow
confidence of managers to give their staff autonomy to influence and innovate
Is the hierarchical power diminishing in health care organizations?
Hi Aoife theres a wild atlantic group on here lol
hierarchy is alive and well in my university context- supposedly a place of learning??
The NHS has too many layers of management for staff to use automny
i agree Jason
Actually, thats not my lived experience, it was looking like it was dissipating but the current concerns
are making causing a reinforcing of those old strutures.

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In traditional heirachies have you ever pulled your lever of power and found nothing happens?
I agree Jason very much so.
from clare PD to All Participants:
and the old school -style leaders are trying to cling on to hierarchy bcause they feel uncomfortable
relinquishing thier power. see it all the time
sometimes hierarchical ' leaders' need to get out of the way of those who are doing it
from Kate Emery to All Participants:
Connectivity through esp Twitter has certainly empowered me through connecting with like-minded
individuals. Sitting in the room with two of them now!
Be happy to join the wild gang Deirdre
Everyone devolves responsibility
yes, thats true, Clare
from catherine to All Participants:
I am proud to be part of the Shared Governance Initiative in Nottingham, where change begins on
the shop floor! �
Hello Kate!
love hackathons like #DoAthon
Connectivity is key

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is there also a counter move to more hierarchy...in politics let's say
Was at the Hackathon. An amazing day! What creativity from the local young people and
community
Isn't the maker movement a response to being let down by the system, though?
Hello Julie! From Jo and Rebecca too :)
we have to make things for ourselves, because noone else will.
Very much so Jane, things like this, the Ambassador scheme etc... Etc.. Will definitely make waves
Hellooo
hierarchies have always made me feel squashed
Love that idea of diversity as a resource
from Anna McNeela to All Participants:
me too mandt
Question for break-out rooms: How, as change agents, should we understand the relationship
between freedom and control?
from Russell Beattie to All Participants:
We had a Healthcare Hackathon in our health board - was a brilliant way of breaking from tradition
and taking a view from outside the usual box

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This is an awesome projecT!!!
Making things applies to new ways of doing health and care too :)
The maker system is a result of people being informed = feeling empowered?
On Maker movement - we started a pinterest board for cool examples of patients/citizens hacking
their own healthcare. https://nl.pinterest.com/lucienengelen/hacked-your-healthcare/
Patient’s can be makers … if the system can’t provide them they will do it ourselves. And the patient
as a collaborator... this really shows how the world is changing.
Hierarchies are diminishing because we have the increased connectedness, the right to speak up and
the ability to lead.
also the ability to be heard
Thanks for sharing Zayna.
See what has happened to the incidence of new HIV - https://www.iwantprepnow.co.uk/
how much personal toll it takes to be a living on the edge?
#covmindthegap ouutline http://fabnhsstuff.net/fabchangeday/campaigns/covmindthegap/
having connectedness doesnt always work - i have ben squahed for making connections in my place
of work which is sole destroying when you only want to make a differnet

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So fantastic to see people showing and taking personal responsibility for their improvement needs.
We so need to harness more of this and create the space for people to co create in true partnership
Living on the edge is safe - just dont look down
Ali that's a great question - we'll be talking about "resilience" in later modules, as it's key!
Thanks Kathryn :)
GReat quote from Jack welch "If the rate of change outside your org is faster than the rate of change
inside ... the end is near"
https://www.google.nl/imgres?imgurl=http%3A%2F%2Fwww.stratabridge.com%2Fwp-
content%2Fuploads%2F2012%2F01%2FRate-of-Change-Jack-
Welch.jpg&imgrefurl=http%3A%2F%2Fwww.stratabridge.com%2F2012%2F01%2Fthe-growth-
control-paradox%2Frate-of-change-jack-
welch%2F&docid=4N7H9BHqBJMzUM&tbnid=7wSkc6nNHuj9UM%3A&vet=1&w=600&h=477&bih=6
90&biw=1224&q=jack%20welch%20if%20the%20rate%20of%20change&ved=0ahUKEwiJx6bA-
JTSAhXkCcAKHWMqCN8QMwghKAUwBQ&iact=mrc&uact=8
I have to say Ali, resilience does start to wear thin eventually 'unfortunately'
Question for discussion sessions: "how do we harness the energy for change in our everyday life?"
Resiliene comes from being connected - "I cant do this on my own" - scrubs
Yes! Resiliance is so important for all health and social care team members
from James Cooper to All Participants:
Please could you explain a bit more about what 'the edge of government' means?

26
I'm not so sure hierarchies are diminishing.....global brands such as FaceBook and Amazon and
Google and Apple have a lot of control and also those who have wealth have more power than
before....but I understand the organisational analysis
Harness the energy by building a group of like minded agents to feed the fires in your bellies
Resilience more important than ever with current pressures. Supporting staff and feeling supported
back
should we learn to be reslient, or should we stop wearing people in the first place so they need to be
resilient?
Luke Skywalker had the new power - he worked to find it - helped by Yoda he was
Amazon has the most unhealthy opertaing model. I closed my account in protest.
take on a new perspective, looking through a different lense can produce a different outcome
i meant operating -sorry
I love this from Eric Hoffer - particularly useful in my Uni role! "In times of change, learners inhesrit
the earth, while the learned find themselves beautifully equipped to deal with a world that no longer
exists".
On the end of hierarchy - the reality is, that most orgs are still in the hierarchy structure, but the real
work that gets done is outside the hierarchy! very inefficient. The only blue chip org I have seen that
really organizes outside of a hierarchy is Amazon - lots written about it.
Here is a question - when in a hierachical position - how does one shed the old power - people keep
giving it back

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Yes Nigel - agree eveyone needs a Yoda ~team
Nigel - you're getting to the heart of what "permission" means - and who "gives" it.
This is by far my favourite slide. Great to observe this at work and learning to operate is in the really
difficult zig zaggy synapse in the middle
How does new power interact with old power?
Nigel - change the culture, why do people keep giving it back? What's happening in the system that
frightens them to revert to old familiar hierarchy?
Permission - "Why dont you" "What is the worst thing that could happen?" - usually les
consequences than we think
This is a major cultural change
nasty backlash from old power if you are a threat
Its not about "either or " bur rather "both and"!!
Old power/new power explains a lot about what we are seeing in the wider world. When is the book
out??
Puts me in mind of the 3 Horizon Thinking Model
positive friction is a good thing

28
weight of some decisions we have to make. This makes it dawnting to want to take the power
from Isabella Dash to All Participants:
nice idea about relationship rather than transaction!!
from Sasha to All Participants:
great to see 3 horizon thinking mentioned. Thanks Ali.
from Claudia to All Participants:
I love this slide and have used this in my own discussions in the context of trying to promote change
within my organization!
I've been in change in the NHS for 23 years. I've always signed up to the thinking that people will
only change if they want to - this theory puts it into words
we need to understand how to work with polarities, old power new power is a classic, a both AND
mindset
I like the idea of building capabilities to work in both the Old Power and New Power - it aligns with
the business world's thinking around the Ambidextrous Organization.
Thanks Sasha :)
Fascinating conept of new power and old power wow! The way the system is managed must
changed signfiicantly to achieve this!
what is interesting is old power started with individuals just like us....how does the system change
people from being dreamers and having aspirations to becoming complaicant?
GE!

29
what do we all like NhS
We need to change the Culture in order to move from old power to new Power. In the Labor
Management Partnership t Kaser in the USA we have done this by using the new poewer traits. 20
year later we are the most long lasting Labor Management Partnership in the USA.
from University Hospital Ayr to All Participants:
In NHS Ayrshire & Arran a clinician has set up a QI Geeks WhatsApp group....just set up and it was on
fire last night - great example of new power!
from Daryl Green to All Participants:
http://plusacumen.org/courses/networking-solve-worlds-toughest-problems/
The first step in changing culture is to not accept the current version
NHS change powerhouse of diversity
Making change is not easy from a hierachical position - it only works if you shed the status and
become human again
Citizens UK run really interesting and empowering courses for communities in the UK to enable
people to take their power and influence for change..
To use the informal network you first have to identify your allies and like-minded friends. I agree it
doesn't matter where you are, but you have to spend a long time building those networks. it's worth
it, though.
Lone wolves aren't necessarily well connected
Holly, yes they do. We love Citizens and their take on Community Organising methodology.

30
passion, connectivity and self belief great change ingredients
Using New Power traits does not happen overnight but over time with with pssionate/committed
leders, yu reach a tipping point nd it becomes the culture.
Laura, could point - me to we.
Positive change especially challenging in the context of budget challenges when the inclination is to
entrench the status quo and stifle innovation as it is seen as far too risky -- even when the old way
does not work anymore...
Name tings that others dare not - what is your Voldermort - then say the word and disturb the pond
Yes, I like that, me to we.
As stated by Socrates - The secret of change is to focus all our energy, not on fighting the old but on
building the new.
absolutely love this well done #s4ca
They get stamped on!
lol thats abot right
As an LKS peep, I would say you also have to gather your evidence, it's ahrd for people to say no
when you can show them it has worked elsewhere. It helps enormously to have a supportive CEO,
too.

31
Totally agree... I'm a student but the power of networks and my centrality within this is incredible to
make a difference, creating a massive power to influence and make change actually happen
Love raise rebels not sheep
hello my names is Deirdre and I am a proud rebel, boat rocker, walking a tight rope and loving it
"Raise rebels not sheep" - thats a tough one for New Zealanders
Connect with other rebels across different orgs and sectors! They keep us motivated and on track
from Tina Cox to Host (privately):
You can rock the boat it is just about having the conviction to do it and support staff and customers
to be empowered
work on your PWI - personal wierdness index...be different enough to be accepted but not too much
a be rejected. Whats your PWI in change scenarios?
Yes I agree Jane, I changed more as a student nurse than I have since qualifying. Still trying though ;)
I like the idea of a Whatsapp group (NHS Ayrshire &Arran)to discuss what are the real truths and
issues without the influence of old managment conducting discussion.
rocking the boat is awesome and keeps everyone on their toes
That's the main thing I want from this course - to connect with other rebels, build our rebel network!
networks and connecttivity is our safety net

32
change agents are bullet proof, conform with conviction
I'm good at rebelling - learning to conform at the same time is more difficult
from Ejiro to All Participants:
Totally agree with your discrimination of rebels. Ejiro
Redesign the boat so it rocks more and doesnt sink
Be a Problem Solver!
conform and rebel - i like it
from Chris Butler to All Participants:
unique skill is spotting those other boatrockers in your org, seeking them out and offering support
To do this you have to belieive in the goodness of people
You are fantastic change agent @Dani and inspirational in your persistance and successes with your
out of work project
Learning when to conform gives us the space to play - love it.
from Wendy Johnson to All Participants:
I'm hearing rebellion with honesty and integrity
I think one of the aspects of being able to rock the boat and challenge is being seen to have personal
integrity
from Charlotte to Host (privately):

33
that is such a good way of putting it Nigel!
I really get the being 100% on-time to get the freedom to get support for change...
We need to gain respect
emotional intelligence crucial in this process to becoming effective rebel change agent
@WEndy - great minds :)
Can we have a copy of the slides being used
Proud rebel
Troublemakers could also be described as Drains - to be avoided at all costs as they drain energy
from Laura to All Participants:
And how do we support each other
We can then rebel with support!
i call energy-sapping people dementors...they suck all the happiness and enthusiasm from erveryone
around them
Credibility is the first part of a change agent! to get followers!
but my frustration tips into troublemaker sometimes
from Charlotte to All Participants:

34
Learning to move from a troublemaker to a rebel is essential!
Rebels and successful boat rockers also see the good in systems and people and shine a light on that
in the context of challenge
from Martha M to All Participants:
me too mandy
As much as I am happy to have scored myself 8/10 on the earlier poll... now that I see this, I find that
in different situations I'm more troublemaker than rebel ... depends on the day, the context, the
scale of imapct. How to stay more on the right of the page, most of the time.
I think I've been both....
It's lonely being a rebel most of the time though, more networks needed
yes you lose your filter after being ignored for so long
really good slide...
from Craig Thompson to All Participants:
I've been called many things but rebel is something I look forward to hearing more.
Everyone believes what they do becasue of their experience. Understanding why 'they' believe what
they do is important
Anger if used correctly is a great fuel for change!
REbels are energy CREATING

35
I definitely started off as a rebel!
Which is where resilience is key to keep the rebel in you and not become a troublemaker
Maybe it's a seesaw?
Can we use these slides or get copies of them? I'd like to do a presentation to our Transformation
Team after the School ends
from Sorrel Talbot to All Participants:
easy to tip from rebel to troublemaker under pressure and stress. we need resilience!
from Clare Ibbeson to All Participants:
Great poimt Ruth - easy to lose your filter after being ignored for too long
passion
Troublemakers are often rebels who have run out of positive energy
from Dean to All Participants:
I'd like to use a copy of these slides too please
from David Grier to All Participants:
together
I know lots of trouble makers but only one really fabulous rebel. She is totally inspiring.
i try to be a rebel but difficult when surrounded by a lot troublemaker
together
from Laura to All Participants:

36
together
Optimist
from Charlie Merrick to All Participants:
passion
from Emma Lowe to All Participants:
Optimism
Passion
from Isabella Dash to All Participants:
optimist..
Passion
optimist
PASSION!
from Freya Burns to All Participants:
energy generating
attract
passion
from Gema Hadridge to All Participants:
Passion

37
Optimist
passion
from Cathy Jaworski to All Participants:
optimist
together
Optimist
from Anne Brittain to All Participants:
together
optimist
from cheryl mudge to All Participants:
passion
TOGETHER
from Fiona McKenzie to All Participants:
together
from Tony Li to All Participants:
together
from Martha M to All Participants:
passion
together
from Kirsty Dewar to All Participants:

38
energy-generating
Possibilities
Passion
passion
passion
attract
Optimism
mission focused
from Nienke Hendriks to All Participants:
attract
mission-focused
from Jonathan to All Participants:
mission focussed
together
optimist

39
optimist
from Vicki Nash to All Participants:
optimism
enegrgy generating
from Caroline Parker to All Participants:
mission focusd
from Ed Holloway to All Panelists:
Mission-focused
from Jim Rawson to All Participants:
together
energy
from Morven MacLean to All Participants:
optimist
from Sharon Brown to All Participants:
Optimist
optimist
from Marie Parish to All Participants:
together!
from Amanda Rimington to All Participants:
create
from Stacey Kavanagh to All Participants:
energy generating

40
Together
from Wendy Johnson to All Participants:
enery generating
missin
toghether
from Pam Trevino to All Participants:
Mission focused
from Katie Fielding to All Participants:
Mission focussed
from Alex Irvine to Host (privately):
passion
from Michele Young to All Participants:
together
Together
from Ariadne Siotis to All Participants:
mission
mission focussed
mission focusses
from Kalena to All Participants:
Together
from Rebecca Fern to All Participants:

41
energy generating
from Lisa Bradley to All Participants:
together
from joanna pawlowska to All Participants:
togehtehr
from Pat McKenna to All Participants:
together
together
Passion
Together
from BARDY to All Participants:
better together
from Cathy Jaworski to All Participants:
oh yeah together
from Stephen Hall to All Participants:
together
together
together
together

42
fair one...
iv elearned to recognise that being a rebel is context dependent.
passion
from Tara Lyons to All Participants:
together
Cant do it alone! right on Helen!
Sticking to the truths and facts with your Rebel cohort helps you from becoming a trouble maker
This is confirming that I've been doing this alone for too long!
from Alison to All Participants:
together and optmistic
from Melissa to All Participants:
together!
from Jo Palmer to All Participants:
take the 'I' out of illbeing and replace with 'we' you get wellbeing
Need support and sense of belonging!
is that a revolutionary?
from Mel Smith to All Participants:
find your flock of rebels - together is eesential.

43
Yes @Alison, both at the same time...
energy-generating, optimistic, passion together!
i think we could all be rebel
from Leigh Morgan-Jones to All Participants:
Thats it! I am forever a rebel all alone. Need to find some more rebels!
finding others to be together with can be challenging
#justdoit but do to together!!
if you want to go fast, go alone. If you want to go far, go together
from claire dawson to All Panelists:
http://www.bing.com/videos/search?q=derek+sivers+how+to+start+a+movement&view=detail&mi
d=F74B959B5E6A0BB64666F74B959B5E6A0BB64666&FORM=VIRE
I have been a loner rebel too long...already energising through connecting with this great group!
Unfortunately I can be a bit of a sponge, so I feel I get dragged down troublemakers but would like to
be better at leading/supporting them to be rebels instead
from Nienke Hendriks to All Participants:
change the universe, start with yourself
from paulineheaton to All Participants:
having "trouble makers" as part of the team helps everyone to see things from others point of view
and helps us to understand why others react they way they do.

44
Mindset. Thats the only thing I can totally control.
Aldous was Thomas's grandson
I've got the chance to be part of a large droup of change agent with a great goal. After 2 years,
culture of the compagny is really begening to swich to a new paradigm
@Mel Smith - a flock of rebels - yep, you can call me a seagull
Isabella - completely empathise with that
This slide is so true. Sometimes its hard to see it though.
from Tina Cox to Host (privately):
Change the small things and let it ripple out and across the people we work with
self awareness, emotional intelligence and mindfulness will give us the strength
If not us, then who? If not now, then when?
Be the mindful change agent
Very true Emily about walking fast and going far. Ejiro
Work is getting in the way. Hope to be able to slip back in later.
Isabella, me too

45
small wins to help create a sense of urgency !!
from babs Henderson to All Participants:
together is good
small wins are key - they help keep the faith
from achal to All Participants:
it's about selling and taking people in direction
Celebrate every small win and give someone else the credit
I've lost sound what have I done??
from elizabethbeech to All Participants:
Hard to value or even recognise small wins sometimes when in the forest!
from Sam Meikle to All Participants:
We keep a weekly 'small wins' list in our team and celebrate them together on a Friday afternooon.
Always big smiles!
Self efficacy - excellent slide
i am therfor i will
that's an excellent idea Sam
Yes we can as Obama says Ejir
Love the idea of celebrating small wins weekly Sam

46
#JFDI
Sam - good idea to celebrate small wins together. Something we could all do in our teams!
Hahaha - Yes Mel Smith!
from Morven MacLean to All Participants:
Love that Sam! I do the same in my monthly team meetings - really helps with team motivation
This takesconfidence
@Sam love it!
Love the small wins list and celebrating on Friday idea Holly.
from Gail Bellissimo to All Participants:
it's both.
It is self efficacy issue
from Blanka Stead to All Participants:
Sadly, I have seen quite a few lonely rebels being constantly put down by gangs of organisational
troublemakers.. Troublemakers also get together..
James - lets do the small wins idea!
love this weekly wins idea =- already thinking of how can implemtn in place of work
We're big cricket fans... so we call the 'runs on the board'. ;-)

47
*them
Great to start from a position of 'yes I ca' rather than 'can I get away with it?'
partly depends how we have been brought up? - to respect authority?
Stick yer neck out!
Ask or Just Try!
I have ideas, but then I'm so trepidatious trying and moreso not knowing where to begin
from Helen Maitland to All Participants:
permission can often be a self generated barrier to action - easier to do nothing
combination of both - definately so. Too many people fail to see this. Self efficacy is key.
not being connected, being so new to it all, it becomes a little overwhelming
we do analysis by paralysis and kill good ideas!
Self efficacy for me is really difficult - believing in what you are trying to achieve is easier
Can do mentality
I believe i can do things but
from claire dawson to All Panelists:

48
I heard a senior nurse tell a room full of varied staff roles proceed until aprehended !
No buts!
I don't think I have an problem with permission or self-efficacy, but some days I'm too busy or a bit
lazy.
Believing in oneself is a win in it's self.
yes true martin
we are never going to get everything right the first time. we have to accept that.
from milne weir to All Participants:
Drew, lets gather that flock of rebels
look at bad news as opportunities to improve and grow rather then negative instances
i was meant to write but i meet resistence along the way causing my ride in my baot choppy and at
times very choppy lol
Embrace failure!
but perserverane pays off
change culture not practice
@Shawn volk and share learnigs from your failures

49
from Gemma to All Participants:
I do have self-efficacy and am curious - but my delivery can be wrong! need to work on it.
Self-apprenticeship is so important.
Ditto Gemma
If you believe in your ability. You see the ability in others and are able to support others in their
growth Ejiro
Gemma , we all have the challange. you are not alone :)
not failure. it just didnt go to plan
@Emily YES! I think it's so important to try to fail - iterate, iterate, iterate until we get it right!
Don't be afraid of failure.
yes Gemma. you are definitely not alone
Well done Helen
we call failure "validated learning"
Ahour of my life well spent
oooh love RCT, we do them in our trust now

50
from helen liggett to All Participants:
invigorating session thank you !
Super session and chat. Thanks everyone
'Validated learning' I need to start using that phrase more
Great idea!
What a great first session!
from Charlotte to All Participants:
love a randomised coffee trial!
Love taking part in the RCTs
Good session, thank you
Love a RCT, never know who you will meet.
Randomised Coffee Trial - what a fabulous idea!
Awesome lesson. Great job!
I think in every corporate induction, should include a session on change and to tell you how to do it
and get together with others already in the organisation so no one ever starts off alone
from Blanka Stead to All Participants:
Fantastic first session! Thank you!

51
Great session. Well worth the time commitment.
that was so good - thank you so much
Love the coffee Ejiro
from Amanda Rimington to All Participants:
Thank you- good session, see you next week
RCTs are great way to expand horizons
What's the email for the RCT?
Great session, thank you so much x
loved loved loved loved it
Ran a great local RCT in my organisation - going for a round two soon!
Thanks so much, its been great!
This has been one of the best and inspiring things I have done for a while, thanks.
Thank you
Brilliant session

52
from Andrea Selley to All Participants:
Loved today -thanks
great session thank you
great idea
thanks for today, speak to you all next week
RCT, do this with Health Foundation Q its brilliant, you meet such intersting people you would never
talk to otherwise!
from Emily Holton to All Participants:
Very inspiring - really great, thanks Helen and all
great session - also helped with my current masters module as well
from colette oneill to All Participants:
Great session Thanks see you next week
Im sticking!
Thanks guys, see you next week
Hi Clare PD I do too
Great session thanks
Dont change the channel

53
Thanks- good stuff!
I'm sticking, too!
from jo.witherstone to All Participants:
Great session thank you,
Can I join a virtual learning group without a mic?
Thank you - sorry can't stay; can the slideshare link be posted on the Twitter? Thanks
im here multitasking
Very informative session thank you very much.
from University Hospital Ayr to All Participants:
Thank you - found that inspiring!
from debbie taylor to All Participants:
Great session, really inspiring,
i'm nto on webex, can istill participate?
will stay for virtual learning group next time if that's ok - have to dash off today sorry
see you next week
Thank you - brilliant session!

54
from Shelley Cornick to All Participants:
unfortunately I have an appointment so I have to leave. Perhaps next week?
from Kalena to All Participants:
Thank you
do we need a microphone to join in the learning group..if so I'll need to dial in on the phone
I don't have audio - can I join in by typing?
Can it be text chat for the virtual learning group?
Thanks all and sorry I have to leave now. Could you post the slide share to twitter so i can pass onto
colleagues. Thank you all
Why cant mandatory training be like this
from Helen Maitland to All Participants:
i only have sound and no access to microphone -
I am on an NHS old school computer and do not have access to a microphone
I'm in a noisy office so would be better for me to do over messaging
Hi can i join in without audio
webex rang me back so i cant unmute myself
this should be mandatory listening for EVERYONE in healthcare!

55
I'm on an iPad unfortunately
from Tami Rich to All Participants:
I'm on a MacBook but not seeing box.
be back next week :)
where can i find a link to the slideshare
I have no options
loved it see you all next week
from Michael Dunlop to All Participants:
Hi Everyone, great session and thanks very much for facilitating Helen! Unfortunately I have to go
but I'll look forward to being in touch with you all soon.
from Hazel Runyararo Murwisi to All Panelists:
I am not sure where I'm supposed to be
Have a great session, I can't seem to do anything. So il leave it until I have a computer access next
week, as I'm hearing everyone now with no option to join any groups :(
I'm having the same problem but don't have option for breakout session
I'm Daryl. Stoke on Trent
from Steven Yull to All Participants:
Steven Yull Teesside

56
I mean to say your description of rebel
We may need to feedback that apple based products require a different set of instructions to
contribute.
That's a really good idea.
Yes
Agree with the importance of connecting with others
Has anyone got any idea how we can connect with others in our own trust?
I often feel very alone and have found it difficult to find dither change agents in my organisation
Naomi- are you at UHSM?
Yes
I have messaged Helen , Dawn and Adrian hopefully someone will give us a voice by unmuting us .
Fab. We have our own little group with Peta Stross and Louise Brady at the CCG
from Avril Washington to All Participants:
I have tweeted via my trust and had some great feedback
yes - very excited at being able to connect with others even if outside my organisation

57
I liked the rebel vs troublemaker comparison. Helped me see one of my "resistant to change"
colleagues in a different light
PETA is 2 doors up from me!
Also looking at systems leadership in south Manchester with the NHS Leadership Academy.
We had the launch a couple of weeks ago. Join us!
Will do sounds fab
May be having our first meeting this evening! No idea who will turn up!
Finding likeminded rebels throughout your organization is important. Look to governors,
sympathetic union stewards, others ostracized groups.
I think even if you are a positive optimistic rebel one can still be perceived as a troublemaker by old
power.
She's tweeting me now! Must be middle of the night in New Zealand. We'll catch up separately
New model of midwifery supervision A-EQUIP includes personal action for quality improvement,
education and development and restorative clinical supervision and personal resilience. To be
Launched at end of March supported by e- learning.
I'm my whole self the whole time! Don't know how to be any other way!
I've muted myself again as homework children on half term

58
I get called a trouble maker a lot. Mainly by people who are quite resistant to change
Finding people who think the same gives a person more confidence to effect change from where
they are.
Totally agree.
yes
Sometimes think that I'm the only person that thinks like this
Making new connections is really important
it's so exciting that we are all here together - not alone
Thanks for this course - helps not to feel so alone
tahnsk!
So important. Thanks everyone!!
from angela gulay to All Participants:
Thank you for today.
Thanks everyone look forward to next weeks session.
back now.

59
great start to learning about how to be rebel
back now just as we were getting going
thanks for a great 1st session
Maybe next week we can have a 5 minute warning!
Rough ending ;-), thank you Rob.
loads to think about - love the idea "tension as a tool for change"
from A. Mahon to All Participants:
www.reinventingorganizations.com
from johnathan kelly to All Participants:
thanks very much for a great session
Fab webex - loved it.....thank you to all.
To Charlotte Smith and group 4, the link was www.reinventingorganizations.com
that session rocked!
great - many thanks
Thank you for the excellent session!

60
Please can you send link out to slides thxs
Thank you, look forward to connecting with you all on social media and next week #Stay Well
from Jennie Huntley to All Participants:
Yes, really glad I tuned in, I will share the key learning points in my org
from Mike Jones to All Participants:
can we watch this again? I missed first 15 minutes
slideshare link for powerpoints?
fantastic session
thank you for sharing the knowledge. great session !
many thanks all
Thanks - it was good. Any word on the coffee sessions.
from Ariadne Siotis to All Participants:
Thanks Helen
Thanks all!
from Lisa Bradley to All Participants:
Bye and thanks you!
Thank you! bye!

61
Nice to meet you all Breakout 9! Thanks Trevor for jumping in as our facilitator. Look forward to
next week @bostonheartmom
from Jonathan to All Participants:
thank you

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