NHS Blood and Transplant Nurse Leadership Team Conference 2019

1. Be the Change You Want to See
Bev Matthews RN MSc, Transformation Associate, Horizons
Registered Nurse, Dudley Group NHS & Return to Practice Lecturer, Birmingham City University
Nurse Leadership Team
NHS Blood and Transplant
10th October 2019
@BevMatthewsRN

2. Role Areas of Focus Organisation
Student Nurse Adult nursing Dudley School of Nursing
Staff Nurse Diabetes Medical Ward Russell’s Hall Hospital
Staff Nurse Adult ITU Brompton Hospital, London
Senior Staff Nurse Renal Ward and Dialysis Unit Royal Sussex County Hospital
Branch Director Nursing & Care Agency British Nursing Association
Transplant Coordinator Donation & transplantation (heart, lung, liver, kidney) UHB Hospitals Birmingham
Programme Lead Organ Donation and Transplantation: Public Awareness WM Specialised Services
Network Manager Kidney transplantation, Dialysis, Supporting Young Adults WM Specialised Services
National Director NHS Kidney Care & NHS Liver Care NHS Diabetes & Kidney Care
Programme Lead Long Term Conditions & Year of Care Commissioning Sustainable Improvement Team
Student Nurse Return to Practice Birmingham City University &
Russells Hall Hospital
Transformation Associate #teamCNO, #FutureMidwifery #AgeingWell Horizons
Who am I?
@BevMatthewsRN

3. • 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, blending established and new methods
for innovation, large scale change, transformation and spread
• We focus on “change agency” (the power to make a positive difference)
which is different to improvement and innovation, but boosts both
• The team has emerged through years of supporting change in the NHS
and the wider health and care system
@BevMatthewsRN

4. @BevMatthewsRN

5. @BevMatthewsRN

6. @BevMatthewsRN

7. • Be curious
• Creating spaces
• Virtual learning
• Improvement communities
• Know your fierce urgency of now
• Sharing and Learning
• Mentoring and Reverse Mentoring
• Be a social influencer
Creating the Conditions
@BevMatthewsRN

9. School for Change Agents 2019
@BevMatthewsRN #S4CA

10. The Nightingale Challenge
@BevMatthewsRN #NightingaleChallenge
https://twitter.com/NursingNow2020

11. NHS England and NHS Improvement
Transforming perceptions of nursing and
midwifery in schools Programme
We will be:
• Working with senior nurses and midwives in a local site for each NHS region to deliver the programme through the
recruitment of role-model Ambassadors. The 7 sites have been identified using the following key priorities: high
proportion of disadvantaged children, high BAME % of their population, Deprivation. low application rates to study
Nursing at higher education and at least one male only school.
• The areas we will work with are: Nottingham
Luton
Tower Hamlets
Portsmouth
Middlesbrough
Manchester
Torbay
• Developing a toolkit, which will include a measurement tool for capturing the shift in young people’s perceptions of
nursing and midwifery.

12. Mark Jaben: The science of change
What NOT to do What TO do
We don’t need buyers (who “buy-in” to change). We need investors
Engage
people
here
Engage
people
here
@BevMatthewsRN

13. Two kinds of people at work
• Feel connected to a higher
purpose
• Direction set through shared
goals & values (“magnetic north”)
• Collaborate
• Embrace change
• Work to who they are
The Contributor
• Feel disconnected from purpose
• Controlled & coordinated
through performance
management & standardised
procedures
• Hold back
• Resist change
• Work to a role specification
Adapted from
The Emotional
Economy
http://emotionalec
onomy.com.au/pap
ers-articles/why-
the-winners-in-
business-are-
taking-the-time-to-
build-a-positive-
kind-social-culture/
Gallup global research:
• Only 13% of the workforce are
engaged (Contributors)
• Contributors create six times
the value to an organisation
compared to the compliant
The Compliant
http://www.gallup.com/poll/165269/
worldwide-employees-engaged-
work.aspx
@BevMatthewsRN

14. Jeremy Heimens, Henry Timms New Power: How it’s changing the 21st Century and why you need to know (2018)
@BevMatthewsRN

15. Just 3% of
people in the
organisation or
system typically
influence 85% of
the other people
Source: Organisational Network
Analysis by Innovisor
Influencers
.
Find the 3% “super-connectors”
@BevMatthewsRN

16. Sources
Innovisor Evidence-based change
McKinsey Tapping the power of hidden influencers
Mike Klein Internal influencers: actionable and no longer optional
Why superconnectors?
A major cause of change failure is poor dialogue with the
informal organisation
The 3% informal influencers:
Have the relationships, networks, content and context
Drive the perceptions of other people
Are the go-to people for advice
Make sense of things and reduce ambiguity for others
Are trusted by peers more than formal leaders are trusted
Are largely unknown to formal leaders
@BevMatthewsRN

17. What does this mean for you?
@BevMatthewsRN

18. Return to Practice: what’s different?
@BevMatthewsRN #ReturnToPractice #teamCNO

19. • Stop calling us “The student”
– We have a name
• Learning Disability and Autism awareness training
– should be offered to all
• Think creatively about using RtP nurses skills
– Induction programme post reinstating on NMC register
– Create steps to develop confidence
• Grab opportunities
– Spend a shift out with local ambulance crew
– Shadow senior nursing team
– Offer to teaching on the Return to Practice course
– Join School for Change Agents
Returning to Practice: Reflections
@BevMatthewsRN #ReturnToPractice #teamCNO

20. @BevMatthewsRN

21. Thank You
@BevMatthewsRN @HorizonsNHS
Bev.Matthews@NHS.net
horizonsnhs.com
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