These are the presentation slides from Helen Bevan at the Health and Care Innovation Expo 2014, Manchester #Expo14NHS Learn how to be a health and care radical who can challenge the status quo when you see there could be a better way. We want to change existing thinking and practice and improve care for patients, families and people who use care services

1. and staying in it:
The School for Health and Care
Radicals
www.changeday.nhs.uk/healthcareradicals
@HelenBevan #NHSExpo14
Helen Bevan
Source of image: showstudio.com

2. for
today
• Background to The School for Health and Care
Radicals
• Context: emerging directions in transformation and
change
• Being, seeing and doing change
• The difference between a radical and a troublemaker
• How to thrive and survive as a radical
• Next steps with The School for Health and Care
Radicals
@HelenBevan #NHSExpo14
Source of image: www.freshnessmag.com

3. The School for Health and Care
Radicals
• Part of NHS Change Day 2014
@HelenBevan #NHSExpo14

4. Source: @NHSChangeDay
@HelenBevan #NHSExpo14

5. The School for Health and Care
Radicals
 Part of NHS Change Day 2014
 Five weekly learning modules, live on Friday mornings and
available 24/7
@HelenBevan #NHSExpo14

6. The School for Health and Care
Radicals
Modules
31st January:
Being a health and care radical:
change starts with me
7th February: Forming communities: building
alliances for change
14th February: Rolling with resistance
21st February: Making change happen
28th February: Moving beyond the edge
@HelenBevan #NHSExpo14

7. The School for Health and Care
Radicals
 Part of NHS Change Day 2014
 Five weekly learning modules, live on Friday mornings and
available 24/7
 Materials, inc a weekly study guide to back up the modules
changeday.nhs.uk/healthcareradicals
 Weekly Storify and Pinterest summary
 A weekly tweetchat, 4-5pm on Wednesdays #SCHRchat
 A chat forum
www.changeday.nhs.uk/healthcareradicalsforum
 A mentor if requested
 Organised by NHS Improving Quality
@HelenBevan #NHSExpo14

8. The School for Health and Care
Radicals
Promoted through social media
More than 1,300 enrollees from 26 countries
90 volunteer mentors
Average weekly twitter reach 2.6 million
Over 10,000 shares of the slides on SlideShare
Over 1,800 shares of the study guides on
SlideShare
More than 5,000 tweets using #SCHRchat
Storify has been viewed nearly 1,000 times
@HelenBevan #NHSExpo14

9. Feedback
@HelenBevan #NHSExpo14

10. The genesis of the School
NHS Change Day
2013
2013
Applying
community organising
principles to
healthcare
2010
improvement
“A one day school
for organisational
radicals”
@HelenBevan #NHSExpo14
2014
“The School for
Health and Care
Radicals”
2012
“A school for
healthcare
radicals”
2003
2002
Applying
social movement
thinking to
healthcare
improvement

11. Change agents “fit for purpose” for the new era
Dominant
approach
Organisation
Power through hierarchy
Mission and vision
Making sense through
rational argument
Leadership-driven (top
down) innovation
Tried and tested,
based on experience
Transactions
@HelenBevan #NHSExpo14
Emerging
direction
Community
Power through connection
Shared purpose
Making sense through
emotional connection
Viral (grass-roots
driven) creativity
“ Open” approaches , sharing
ideas & data, co-creating
change
Relationships
Source: @HelenBevan

12. John Kotter: “Accelerate!”
• We won’t create big change through hierarchy
on its own
• We need hierarchy AND network
• Many change agents, not just the usual few
• Changing our mindset
Source of
• From “have to” to “want to”
• Head and heart, not just head
@HelenBevan #NHSExpo14
image:www.slideshare.net/m
exicanwave/champions-trolls10-years-of-the-cipd-onlinecommunity

13. The Network Secrets of Great Change Agents
Julie 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
@HelenBevan #NHSExpo14

14. @HelenBevan #NHSExpo14

15. 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
@HelenBevan #NHSExpo14
Image by neilperkin.typepad.com

16. Across the world, the change agent
movement is exploding!
@chagww
Changeagentsworldwide.com
@rebelsatwork rebelsatwork.com
@corprebels
Corporaterebelsunited.com
@HelenBevan #NHSExpo14

17. Image copyright: http://13c4.wordpress.com/2007/02/24/50-reasons-not-to-change/
@helenbevan #1000LivesPlus

18. What happens to
heretics/radicals/rebels/mavericks
in organisations?
@helenbevan
@HelenBevan #qmicro

19. @helenbevan
@HelenBevan #qmicro

20. The 90/30 conundrum
of senior leaders say
that to create more
innovation, they need to
activate the
radicals/rebels in their
organisations
@HelenBevan #NHSExpo14
of senior leaders are
very satisfied that
radicals/rebels can
provide this value in
their organisations
Source: rebelsatwork.com

21. We need to be boatrockers!
• Rock the boat but manage to
stay in it
• Walk the fine line between
difference and fit, inside and
outside, Able to challenge the
status quo when we see that
there could be a better way
• Conform AND rebel
• Capable of working with others
to create success NOT a
destructive troublemaker
Source: Debra Meyerson
@helenbevan
@HelenBevan #qmicro

22. Sometimes people see us radicals as
troublemakers
Rebel
@helenbevan
#NHSChangeDay #SHCRchat
Source : Lois Kelly www.foghound.com

23. Reflection
• What are your insights around “radicals” and
“troublemakers”?
• What moves people from being “radical” to
“troublemaker”?
• How do we protect against this?
@helenbevan
@HelenBevan #qmicro

24. Valuing radicals
• “New truths begin as heresies” (Huxley, defending
Darwin’s theory of natural selection)
• Big things only happen in organisations because of
heretics and radicals.
GALILEO DESCRIBES HIS DISCOVERIES TO THE CHURCH ESTABLISHMENT
@helenbevan
@HelenBevan #qmicro

25. Peter Fuda’s Transformational Change Agent
framework
Skills and methods for creating
change
Ability to make sense of, and reshape
perceptions of ‘reality’
Personal characteristics and
qualities
@helenbevan
@HelenBevan #qmicro

26. Peter Fuda’s Transformational Change Agent
framework: our perspective
“Doing”
• Where most change agents
in health and care put most
of their effort and emphasis
• What others typically judge
us on
• What we often perceive we
need to do to add value
• What most change and
improvement courses focus
on
@helenbevan
@HelenBevan #qmicro

27. Peter Fuda’s Transformational Change Agent
framework: our perspective
“Seeing ” and “Being”
• We can only do effective
“doing” if we build on strong
foundations of “seeing and
being”
• Change begins with me
• Hopeful futures, creative
opportunities and potential
• Multiple lenses for change
• See myself in the context of
my higher purpose
@helenbevan
@HelenBevan #qmicro

28. "There’s only one
corner of the
universe you can
be certain of
improving, and
that’s your own
self."
Aldous Huxley
Source of image: timcoffeyart.wordpress.com
@helenbevan
@HelenBevan @RobertVarnam #IHI25Forum #ChangeAgents

29. ‘I do not think you can really deal with
change without a person asking real
questions about who they are and how they
belong in the world’
David Whyte, The Heart Aroused 1994
@helenbevan
@HelenBevan #qmicro
Source of image: fistfuloftalent.com

30. Five things we know about successful
boat rockers
CHANGE
BEGINS WITH
1. Driven by conviction and values
me
2. strong sense of “self-efficacy”
 belief that I am personally able to create the change
3. able to join forces with others to create action
4. able to achieve small wins which create a sense
of hope, self-efficacy and confidence
5. More likely to view obstacles as challenges to
overcome
@helenbevan
@HelenBevan #qmicro
Source: adapted from Debra E Meyerson

31. Self-efficacy
There is a positive, significant
relationship between the
self-efficacy beliefs of a
change agent and her/his
ability to facilitate change
and get good outcomes
@helenbevan
@HelenBevan #qmicro
Source of image:www.h3daily.com

32. What’s the difference between
self efficacy
and
self esteem,
self belief,
self-confidence?
@helenbevan
@HelenBevan #qmicro

33. Source: @NHSChangeDay
@helenbevan
@HelenBevan #qmicro

34. Source: @NHSChangeDay
What is the issue here?
“permission” ?
(externally generated)
or
Self efficacy ?
@helenbevan
@HelenBevan #qmicro
(internally generated)

35. Reflection
What are some ways that health and care
radicals can build self-efficacy?
@helenbevan
@HelenBevan #qmicro

36. Building self-efficacy: some tactics
1. Invest in your own change agent development (modules 2-5)
• create the conditions where success is more likely to happen
2. Create change one small step at a time
3. Reframe your thinking:
• failed attempts are learning opportunities
• uncertainty becomes curiousity
4. Make change (and learning cycles from change) routine
rather than an exceptional activity
5. Get social support
6. Learn from the best
7. Get people whose opinions you value to encourage you
(mentor?)
@helenbevan
@HelenBevan #qmicro

37. Five things we know about successful
boat rockers
CHANGE
BEGINS WITH
1. Driven by conviction and values
me
2. strong sense of “self-efficacy”
 belief that I am personally able to create the change
3. able to join forces with others to create action
4. able to achieve small wins which create a sense
of hope, self-efficacy and confidence
5. More likely to view obstacles as challenges to
overcome
@helenbevan
@HelenBevan #qmicro
Source: adapted from Debra E Meyerson

38. or
“I have some Key
Performance
Indicators
for you”
@helenbevan
#NHSChangeDay#IQTGOLD
“I have a
dream”
Source: @RobertVarnam

39. Three assumptions for health and care
radicals
1. Assume that everyone has a noble intention.
2. When people “resist” change is it more likely
to be a result of their interpersonal
interaction with the change process than
their innate character traits (“a bad change
process not a difficult person”).
3. My role as a change agent is about
alignment, not judgement.
@helenbevan
@HelenBevan #qmicro
Source of image:help.adobe.com

40. www.changeday.nhs.uk/healthcareradicals
@helenbevan
@HelenBevan #qmicro

41. Outwitted
He drew a circle that shut me out Heretic, rebel, a thing to flout.
But Love and I had the wit to win:
We drew a circle that took him in.
Edward Markham
@helenbevan
@HelenBevan #qmicro