Conference presentation

1. How to lead and
innovate when the
world is collapsing
all around you?
Dave Dawes,
Nurse First

6. 1) What do we know
about leadership?

8. Deficit-based approach

11. "Return on leadership" - McKinsey & Co & Egon Zehnder International
Spiky Leadership

12. 2) What do we know
about innovation?

13. • Insufficient recognition and
celebration of innovation and
innovators
• Commissioners lack the tools or
capability to drive innovation
• Lack of effective and systematic
innovation architecture
• Poor or limited leadership culture
to support innovation
• Financial levers do not reward
innovators and can act as a
barrier to adoption and diffusion
• Poor access to evidence, data
and metrics

14. Prizes don’t work

15. Middle manager
problem

16. Disconnected
boards

17. Ideas are worthless

18. Execution matters

19. Money is the
Oxygen of the NHS

20. Scissors of Doom
%GDP, Source HM Treasury,
to keep Khadija in Compliance happy

21. Cheaper
Better
Cheaper
Worse
Cost more
Worse
Cost more
Better

22. 4 Pillars of Innovation

23. Problem
GreatIdea
BusinessModel
Execution

24. The reality of
success

25. Money
• Raised an average of £16,000 each
• Cohort 1 identified
£16 million savings
• Cohort 2 identified
£27 million savings

26. The system isThe system is
designed to say nodesigned to say no

27. What staff sound like

28. Being needed isnBeing needed isn’t enough’t enough

29. They don’t care
about your pressure

30. Sleep at nightSleep at night

31. Opportunity costs - £3.6mOpportunity costs - £3.6m
£20,0£20,0
1818
womwom
000 x000 x
680680
opleople
gures from a London PCT
a in Compliance happy

32. Understand how
funders see the world

33. DonDon’t present to yourself’t present to yourself

34. They are peopleThey are people

36. Limbix vs Cortex

37. Are they in a mess?Are they in a mess?

38. Will your idea save themWill your idea save them
money?money?

39. What would they love to happen?What would they love to happen?

40. What drives them mad?What drives them mad?

41. It’s impossible

42. It’s impossible
It’s possible for me

43. It’s impossible

45. It’s impossible
It’s impossible for me

46. Melissa Poe

48. 300,000 members
15 countries
1 million trees

49. It’s impossible
It’s impossible for me
It’s possible for me

50. Innovation and Fear

51. Fail often

52. Fail often
Fail small

53. Fail often
Fail small
Be imperfect

54. Fail often
Fail small
Be imperfect
Connect

55. www.nursefirst.org.uk