Ceava Public Services presentation Denmark April 2016

1. Inspiring people & organisations to transform through social change
Master class
Jackie Lynton
Founder and Social Change Activist
Copenhagen - April 14 2016
@jackielynton

2. Objectives
1. Share ideas for how you can contribute to the Danish welfare system
2. My experience in NHS - Disruptive case study
3. 10 design principles for social change
4. How we can spark a movement
@jackielynton

3. The NHS is the 5th largest employer in the world
Source: BBC

4. Easy
Peasy!

5. We need diversity, disruption and divergence
to change the status quo
@jackielynton

6. Image copyright: http://13c4.wordpress.com/2007/02/24/50-reasons-not-to-change/

8. People don’t resist change
They resist being changed

10. It’s hard to out-run the future if you don’t see it coming.
Gary Hamel
Future
FUTURE
Danish Welfare
System
@jackielynton

11. Why do we need change?
How can you contribute
to the future of the
Danish welfare system?

12. Change happens at the edge
Gary Hamel
@jackielynton

13. What does it take to lead at the edge?
Leaders at the edge know how to take appropriate risk, inspire trust and create
opportunities to foster success for themselves and their teams/organisation.
1.Disruption is the new normal
2.Manage your boundary
3.Develop talent
4.Pay attention to what is hard wired
5.The edge is a new beginning
5 practical tips
@jackielynton

14. Danish Welfare System
@jackielynton

16. #NHSChangeDay #SHCRchat
“Stages of change”
Transtheoretical model of behaviour change
Prochaska, DiClemente & Norcross (1992)

17. A call to action assumes
that we can end an
intolerable condition by
creating a burning
aspiration from which to
organise our resources
and seek commitment
Marshall Ganz
What is “intolerable” in your system/work now?

18. Leading social change
PEOPLE
Developing
leadership
POWER
Building
community to
create power
CHANGE
Using this power to
address a challenge
…people acting together
to change the status quo
Improvement Change
Agent Network
ihi.org/ICAN
@jackielynton

20. How did the great social movement thinkers
lead from the edge to change the world?
Why and why now?
NARRATIVE
Belong
Emotion
Feeling
Values
How and where?
ACTION
Contribute
Create
Connect
Lead
What and Who?
STRATEGEY
Know
Think
Understand
Logic

21. Connecting to other people values and emotions helps
us to be inspired to take action

22. Think of a social movement that you were inspired by
In pairs talk about what gave you the fire in your belly to join?
@jackielynton

23. “the key performance
indicators were
irresistible!”
or
“I have a dream”
Source: @RobertVarnam

24. How safe is it to speak up in your organisation?
Within any organization, it’s usually the
malcontents and rebels who are the first to sense
the impending demise of a much-loved business
model, and the first to see the value in wacky, new
ideas. Yet these folks are often muzzled rather than
encouraged to speak up.
Gary Hamel
Without the peoples voice the storyline never changes @jackielynton

27. #NHSChangeDay #SHCRchat
If your horse dies,
get off it
Cherokee proverb
Source of image: fenwickgallery.co.uk

28. NHS Change Day is a
grassroots movement with
the purpose of empowering
each other to take action to
improve health and care. It
connects people, bringing
them together to in turn do
something better together. It
celebrates and shares every
improvement we make better
together
A disruptive case study
@jackielynton

29. Audacity to imagine…
Probably the biggest initiative of collective action for improvement
in the history of the NHS
Creating a mass movement of people working together in and with
the NHS demonstrating the difference they can make, by one simple
act for sustainable improvement to improve care for people
@jackielynton

30. Do something better together….
A call to action

31. Change
starts
with
me..
Maker
...Making
a
difference
Anyone can pledge – It’s personal to you!
Change
Activist

32. Must
do
Want to
do
Shared purpose
Goal – 65,000 pledges
Core leadership team
Personal pledge
Set a date
Website
Social media
Took risks
Courage & belief
Kept it simple!
Compliance
Commitment
2013
@jackielynton

33. What was happening in ‘the system’ at the time that
resonated and enabled Change Day to happen?

34. Change Day pledges and stories
‘…the floodgates of change open’

35. Cartoon: Martin Davies & Jackie Lynton @jackielynton

36. ‘Can I really make
the change?’
Will ‘the system’ really
ALLOW me?
Owned by the grassroots @jackielynton

37. Volunteers (hubbies) – leaders everywhere

38. Unleashing the energy
“The more you do what you love the more energy you have”. Leadership Freak
Vs
Commitment Compliance
@jackielynton

39. Holding
each other
to account
rather than
hierarchy
@jackielynton

41. 189,000

42. More than 802,000 pledges to take action
• 81 separate Campaigns
• 86 million twitter impressions
• 35,400 video views
• 95,000 daily reach on Facebook
• More than 98% of the activity
through volunteers

43. Google Searches
Biggest
ever
200 events
across
England
50% bigger than 2014
9,000 online mentions
100daysofchange
CHANGATHON
2015
10 National
Campaigns

44. My pledge…..
Not let hierarchy get in
the way of patient care
What I did
Worked with the
hierarchy at an early
stage.
Seeking their support
with an explicit
understanding that they
respected the grassroots
nature of Change Day.

45. Bottom up approach with top down support
I urge as many people as possible to give their
support“
"NHS Change Day is a fantastic
opportunity to join a movement of
young leaders who want to make a
difference in the NHS
Jeremy Hunt
Health Secretary
Chief Nursing
Officer - England
Professor Sir Bruce Keogh
National Medical Director
It's especially an opportunity for the next
generation of junior doctors to effect change
in a practical and sustainable way"

46. Fun day for children Support group
with a stomas

47. NHS CEO personal National
pledge campaign

48. Ashley Brooks
Patient Champion
‘Change Day gave me the
permission to use my energy in the
direction I wanted to use it’
Guardian service 30% shift in staff survey

49. Total 2012 Total 2013 Total All*
Would you feel safe raising
your concern?
Yes 752 58% 1072 80% 45,025 71%
No 192 15% 269 20% 6,999 11%
Would you feel confident your
Trust would address your
concern?
Yes 516 40% 932 70% 34200 54%
Staff Feedback:
The following responses in the 2013 NHS Staff Survey in
the Health, Wellbeing and Safety at Work category had
the largest overall shifts in the Trust when compared to
2012:
‘Would you feel confident your hospital would
address your concern?’

50. Students swap places
with patients in
mock ward
Change in University
nursing curriculum
Louise Trowse – Second year student

51. Tasting common
medicine for children
Discussing pharmacy
methods of improving
the taste
Dr Damian Roland
“The single most important skill I
learned from improvement leaders
was narrative. It connects us to the
reasons we were called to work for
the NHS. It will stay with me the
rest of my career.”

52. Jeharna sings for
children’s ward to say
thank you
‘I wanted to say thank
you to NHS staff for
the way my brother
was looked after when
he got knocked over,’
Staff feel appreciated

53. Smile Feedback Wednesday
Ellie Milner

54. Harvard Business Review
McKinsey M-Prize
Leaders everywhere challenge
2013 & overall winner 2014
Nesta and Observer
50 New Radicals
2014

55. A global movement was born
https://www.youtube.com/watch?v=inHc1NgohuA @jackielynton

56. Break

57. design
principles for
social change in
a system
What social change activists do
Adapted by Jackie Lynton
Influenced by Marshall Ganz, Gary Hamel and John Kotter
10
@jackielynton

58. 1. Create a compelling shared purpose
2. Learn to share your story
3. Develop leaders – everywhere
4. Create a sense of urgency
5. Use framing to create intentional actions
6. Co-create with diversity
7. Give permission
8. Organise as well as mobilise
9. Nurture weak and strong ties
10. Create the conditions for change to happen
A daring and inspiring exploration of the vastness and urgency of social change
10 principles for designing social change
@jackielynton

59. Co-create a shared
purpose
•WE take responsibility for creating
and sharing an understanding of why
what we are doing is necessary, the
impact of doing nothing, and who can
help us achieve our shared purpose. A
powerful shared purpose will attract
people to be part of creating the
future
@jackielynton

60. Learn to share your story
•WE develop our own narrative to
call others to action, inspire hope,
share the challenges and choices we
face, and show how small actions can
achieve more when we work together.
We support and coach others in
developing their stories, which are the
lifeblood of a social system @jackielynton

61. Develop leaders
- everywhere
•WE recruit, develop and coach
leaders everywhere - not using
hierarchies, but by connecting a
community of participants and
volunteers who commit to making
change happen for people. We are
relationship driven and understand
that people will own what they help
to create. @jackielynton

62. Create a sense of urgency
•WE create a burning ambition that
moves people from fear to hope,
focusing on intrinsic motivation and
energy, with a specific ask of others,
measurable goals and practical
change. We generate this source of
social energy, which will tip a project
or idea into a movement, not
mandated but inspired. @jackielynton

63. Use framing to create
intentional actions
•WE use data, measurement, the
current reality and hopes for a better
future to articulate and frame the
diagnostic, motivational and prognostic
case for change to win people to our
cause. This way of putting across a
relational message helps reveal why the
status quo or unacceptable condition
must change to motivate, connect and
inspire a deeper alchemy in the work.

64. Co-create with diversity
•WE embrace difference as a strength
and co-create with the wisdom of
people’s experiences, thoughts,
subversive voices and different
approaches to problem-solving to
accelerate and enrich potential around a
shared cause. We derive benefit from our
diverse experiences of who we are and
let go of who we think we ought to be.
@jackielynton

65. Give permission
•WE pay attention to power and influence in
the system, leveraging formal authority to
acknowledge and enable, rather than control
and lead; letting go of hierarchical power so
people at the grassroots are empowered -
because when people understand the
purpose of the change, they don’t need
permission to take the next step; they can
just do it - not because they have to but
because they want to.
@jackielynton

66. Organise as well as
mobilise
•WE strategise through our
distributed leadership community, use
social media to grow the movement
and structure our resources to build
resilience - seeking out new disruptive
sources of power, galvanising our
natural resources of commitment and
self-organising to create agility, speed
and spread. @jackielynton

67. Nurture weak and strong
ties
•WE connect people to people across
networks to take action, inspiring
others to join and act together,
stepping out of our comfort zone and
leaning into new untested
relationships where values are shared
and new trust emerges.
@jackielynton

68. Create the
conditions for
change to happen
•WE do the ‘work before the work’, relentlessly
connecting with people to enable the human
spirit to flourish and achieve purpose. We take
risks, walk with courage, create the space for
difficult conversations and encourage others to
bring their authentic selves. We work with
grassroots as well as in the space being created,
where previously untapped possibilities generate
boundless creativity and innovation.
@jackielynton

69. On your tables share the
challenges and opportunities of
practically using social change
principles to support change in the
welfare system.
Agree 1 question/thought per
table that you want to ask/share

70. What have we learnt?
Transformation or more Information?

71. Making a change for
better together.
It’s not an end in itself!
Untapped potential

73. Losing productivity
‘Happy staff make happy patients’ @jackielynton

76. Power divided is power shared
“When you let go, we let come what is wanting to be born”
Jackie Lynton
Biggest challenge – fear of letting go!

77. Lean into my own discomfort

78. Conform as well break the rules
‘Out-love everyone else’
Source of image: Bradley Burgess

79. You can’t lead a social movement from the top
of your organisation
I’ve got this
movement!

81. Picture source: Influencechange.net

82. It starts with me….
How can I be my
best self

83. Image from: @TheWorldStories
Change the
world

84. Overview

86. Strong sense public service and community

88. 1986
1. I did not feel heard or supported
2. Let down by my profession
3. I felt powerless
4. I was part of a top system that
didn’t protect vulnerable people

89. Intolerable condition

90. Always fighting for change and speaking out

91. Challenging your comfort zone

92. Be open to creating
alliances with others,
and not build silos…..

93. 30 years on
1. Staff didn’t feel heard –
‘checked out’
2. Compliance over commitment
3. Staff not feeling ‘permission’
to make to make changes

94. ConnectingWhen you have lost your purpose?

95. This picture was taken from
my hotel window in
Scotland, when I asked
myself some of the most
important questions….
Lock Linnhe, Fort William, Highlands of Scotland

96. The five searching questions
1. What is my purpose?
2. Why am I sabotaging myself?
3. What yearns for greater creativity and autonomy?
4. How can I bring my authentic self?
5. What is my story?

97. It wasn’t about trying to move the mountain
it was about climbing it
Together/WeAlone/Me

98. Together
1. Cut on the dotted line
2. Rotate 180 degrees

99. Super power
Connector
@jackielynton

100. Creating power through connections and building
relationships – this is how change spreads!
@jackielynton

101. The more you do what you love is the more
energy you have – Leadership Freak
@jackielynton

102. @jackielynton

103. Now I don’t!
Now I bring my authentic self to work
I had to be
someone else
to fit in
@jackielynton

104. Reconnected with my values and having a greater
sense of purpose and power in my work and life
@jackielynton

105. Chloe
I was inspired by the caring,
creative and committed people I
met in the NHS and realised I need
to fulfil a sense of purpose in
using my skills and passion in
helping others.
I want ……

106. Call to action
¨The more you share your story, you create hope, and the more
you create hope, the more you can create power for change.¨
Jackie Lynton
Share
your
story
@jackielynton

108. Sharing you story
1. Tell a story (name, gifts, community)
2. Make it personal
3. Be authentic

109. Vivid details
Source: Marshall Ganz

110. story of
self
call to leadership
story of
now
strategy & action
story of
us
shared values &
shared experience
PURPOSE
Marshall Ganz
Public Narrative

111. Creating our narrative
• Challenge: What was the challenge? Why was it a challenge?
• Choice: What were the choices? Why did you make the choice you
did? Where did you get the courage or hope? How did it feel?
• Outcome: How did the outcome feel? Why did it feel that way? What
do you want us to feel?
Source: Marshall Ganz

112. FAQ
How to
spark a mov
for
changeemen
t

113. Hope
It starts with….
Doing something better
Improving customer care
Overcoming an intolerable condition
Better future @jackielynton

114. Hope
overcomes
Fear @jackielynton

115. “In hope of...our patients, students,”
“In hope of...our team”
“In hope of ...our organisation”
“In hope of...our community”
“In hope of...Copenhagen”
“In hope of...Denmark”
In hope of...

116. Hope
As leaders what if we hold hope for them,
inspire hope with them,
give hope back to them,
so that people can do great things
we never thought possible
@jackielynton

117. Our welfare
system

118. @jackielynton

119. When hope germinates it's powerful,
When power is divided it's shared,
When hope is restored and people connect
with a shared purpose and take action,
it's possible to spark a movement for change.
Jackie Lynton
@jackielynton

120. Image via pinterest: http://wellnourished.com.au/knew-couldnt-fail/

122. https://www.youtube.com/watch?v=dTwIYum45jU

124. @IHOpeople @jackielynton
Facebook.com/IHOpeople
ask@iho-people.com
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Inspiring people & organisations to transform through social change