My presentation on Being A Social Leader and Nursing Now England to the Nursing Council of NHS Blood and Transplant

1. Being a Social Leader
Bev Matthews RN MSc,
Transformation Associate, Horizons
Honorary Lecturer RtP, Birmingham City University
Registered Nurse, Russells Hall Hospital
NHS Blood and Transplant Nursing Council
24th June 2019
@BevMatthewsRN #NursingNowEngland

2. Who am I?
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 Nursing Now England & Transforming Perceptions of Midwifery Horizons

3. Returning to Practice
BevMatthewsRN #NursingNowEngland

4. BevMatthewsRN #NursingNowEngland

5. Who we are
NHS Horizons is a specialist team within the Improvement Directorate of NHS England and NHS Improvement.
We provide design and delivery support on practical approaches to large-scale change. Our work is commissioned by local
teams in the NHS, Sustainability and Transformation Partnerships, Integrated Care Systems, teams within NHS England and
NHS Improvement, other arms-length bodies, UK government departments, third sector organisations and healthcare
systems globally.
NHS Horizons team members have created and facilitated significant change initiatives including:
• Introducing social movement methods to health and care improvement, including a call to action
which contributed to a 51% reduction in prescribing of antipsychotic drugs to people with dementia,
across the whole of England, in fewer than three years.
• The School for Change Agents, the largest MOOC (massive online open course) in the
public sector. More than 100,000 people have participated in the School globally,
with some 15,000 participants signed up for the current cohort from across public
service.
• Initiating NHS Change Day, in partnership with a group of young clinical and
managerial leaders, which became the largest ever voluntary collective
action for improvement in the NHS. Change Day spread to 21 other
countries and territories globally.

6. • Blending established and new methods for
innovation, large scale change, transformation and
spread.
• Creating spaces (both face-to-face and virtual)
where people with diverse views and experiences
share learning, and plan for large-scale change in
complex environments.
• Building the capability of change agents across the
system. We focus on “change agency” (the power to
make a positive difference) which is different to
improvement and innovation, but boosts both.
• Developing communities, both face to face and
virtually.
• Promoting the spread and scale of specific
innovations, new ways of thinking and working and
new methods and framework for change, in line
with the priorities of NHS England, NHS
Improvement, and the other organisations that
commission our work.
We do this by

7. How we do it
• Accelerated Design Events (ADEs) – we achieve several months’ of work in one or two
days during these events; they really do accelerate the pace of change. We do this by
utilising the science and psychology of change with a variety of interactive facilitation
techniques by experienced facilitators. Every event is bespoke and co-designed in
collaboration with the individual client.
• Virtual learning and improvement communities – NHS Horizons is at the forefront of
virtual collaboration techniques. Virtual facilitation brings people together for interactive
collaboration, while saving time and resources due to not travelling or booking meeting
space. We facilitate virtual communities of up to 1,000 people
• Workshops - our subject specialists can create interactive workshops on topics such as
leadership for the future, leading large scale change, working with social movement
principles; energy for change; liberating structures; being a social leader.
• Keynotes – members of the NHS Horizons team give talks to audiences across sectors
and across the world, both face to face and virtual. The team has experienced speakers
on a range of related topics.
• Social media – NHS Horizons is one of the most socially influential teams in the public
sector in world. The team reaches more than a million people each month through its
social media connections, virtual presentations, commentaries and blogs.
• Coaching & mentoring – NHS Horizons has several qualified leadership coaches who can
provide one-to-one or group support. Areas of expertise include personal development,
designing and delivering nationwide improvement programmes, creating engagement,
improving staff wellbeing.
“Horizons are able to work with our brief for a complex
project and condense this into an highly interactive and
detailed but fast paced design session delivered by
engaging and knowledgeable facilitators that helped us
generate feedback and outcomes that we otherwise may
not have been able to capture. The Accelerated Design
process has been invaluable to our project going
forward.”
“‘Project A (the ambulance improvement project that the
Horizons team facilitates] has provided the UK ambulance
service with a unique opportunity to engage directly with all
its staff in an innovative, positive way to improve the care we
provide to patients and support we offer to our staff. We are
seeing a wave of virtual connectivity flowing through the
sector as a result of Project A, the effects of which we are
keen to optimise with enhanced communication within and
between our trusts’”
Accelerated Design Event in South West London

8. @BevMatthewsRN #NursingNowEngland

9. 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 #NursingNowEngland

10. Why superconnectors?
Source of
graphic: The
Strategy
Group
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 #NursingNowEngland

11. How do you find your superconnectors?
Ask other people!
Who do you
go to for information when you have
concerns at work?
Whose advice do
you trust and
respect?
Sources
Innovisor Evidence-based change
McKinsey Tapping the power of hidden influencers
Mike Klein Internal influencers: actionable and no longer optional
@BevMatthewsRN #NursingNowEngland

12. Nurses and midwives: meeting the challenge of providing health care for
everyone, everywhere

13. Our goal
Nursing Now aims to
improve health globally by
raising the status and
profile of nursing and
midwifery.
Credit: Morgana Wingard for IntraHealth International

14. Credit: The Royal College of Nursing
Who we are
• A global campaign
• 225 groups in over 80
countries
• In collaboration with
International Council of Nurses
and World Health Organization
• Programme of the Burdett
Trust for Nursing
Credit: Tim Bekir for THET

15. April
2019
February
2018
A growing global
influence:
• 225 regional, national
and local groups
• Over 80 countries

16. Global and local
health challenges 1
• There is demand for a big expansion in the health workforce – recruitment and
retention challenges, pay, conditions and morale need improving
• Work roles are changing as needs change – ‘carequake’
• A (financial) shift away from hospitals and towards communities and homes.
• There is greater emphasis on disease prevention and health

17. Global and local
health challenges 2
• The engagement of patients and citizens alongside health workers is increasingly
seen as essential in improving access, quality and costs.
• Technology is beginning to play a more prominent part – as the internet becomes
the organising principle of the age.
• Knowledge of what works is at a premium as countries struggle to achieve the goal
of good access, high quality and value for money.

18. Nurses meeting
the challenge
Better
health
Greater
gender
equality
Triple
impact
of
nursing
Stronger
economies

19. The health workforce: a best buy in sustainable
development
3x return on
investment
Economic
growth
Social
development
Health and
human security

20. What we want to
achieve with
Nursing Now
• Change policy globally
and nationally
• Promote influential
leadership
• Strengthen evidence of
impact
• Increase investment
• Achieve triple impact
Credit: Tim Bekir for THET

21. WHAT ARE WE DOING?

22. 2020 Year of the
Nurse & Midwife
A once in a generation opportunity to put nurses
and midwives at the centre of global and health
policy.
A celebration of all that nurses and midwives do
to improve health and health care.

23. The path to
Universal Health
Coverage
Invest and develop nursing and
midwifery workforce.
In particular:
• Nurse-led clinics
• More specialist nurses
• Develop midwifery services
• Primary health care
• Health promotion and disease
prevention
Credit: The Royal College of Nursing

24. Credit: The Royal College of Nursing
Join the
NIGHTINGALE
CHALLENGE
 Champion influential leadership
roles for nurses and midwives
 Provide development opportunities
for young nurses and midwives
during 2020
 Healthcare is changing fast and so
should the workforce – invest in
nurses and midwives, and prepare
them for the future
 Demonstrate that nursing and
midwifery are exciting and
rewarding careers
 Read more at nursingnow.org

25. Credit: THET
WHO’s first ever
State of the World’s
Nursing Report
with the International
Council of Nurses and
Nursing Now
• Inform national policy
• Drive investment in
nursing workforce to
achieve UHC and SDGs
Credit: THET

26. Paul Vaughan RN MSc, Head of Nursing Now England, NHS England & NHS
Improvement
Elizabeth Carter, Transformation Lead, NHS England & NHS Improvement
Bev Matthews RN MSc, Transformation Associate, Horizons, NHS England & NHS
Improvement
Credit: Guy’s and St Thomas’ NHS Foundation Trust
@BevMatthewsRN #NursingNowEngland

27. Nursing Now England Priorities
•Primary school
•Secondary school
•Adult learners
Young people
in education
•Current workforce
•Return to practice
Nursing and
midwifery
•Public
•Media
•Professional groups
•Politicians and policy makers
Key
influencers
Inspire
Ignite
Influence
@BevMatthewsRN #NursingNowEngland

28. Credit: Guy’s and St Thomas’ NHS Foundation Trust
Specific Focus
Men in
Nursing
Learning
Disabilities
Mental
Health
BAME
Primary
Care
Community
Nursing
@BevMatthewsRN #NursingNowEngland

29. The 30 Day Challenges:
@BevMatthewsRN #NursingNowEngland

30. • Everyone from first year students to all
registrants on NMC and supporters,
newly qualified nurses and midwives
• Practitioners from all stages in their
career across all disciplines and sectors
• People working across health and care
sectors, including voluntary
organisations
We are igniting a social movement across the
system and our ambition is that the network
grows to over 200 registered midwifery
ambassadors and 5,000 nursing
ambassadors.
The ambassadors are all championing the
wonderful profession and opportunities in
midwifery
What is the Ambassadors’ role
@BevMatthewsRN #NursingNowEngland

31. An Ambassador …
 Acts as a local ambassador for nursing and midwifery, representing our professions in a
positive light and by doing so, building awareness and positive perceptions
 Creates a bridge between activities to promote nursing and midwifery locally and the
nationwide campaign
 Speaks for local organisations and the nurses and midwives in them within the national
campaign
 Brings back the ideas and calls to action from the national campaign and customise,
remix and reshape then so they will work in a local context
 Leads the local version of the campaign and get people engaged and taking action
@BevMatthewsRN #NursingNowEngland

32. What is in it for you?
You will …
1. receive coaching and mentoring
support
2. have an opportunity to build your
own and collective agency for
change
3. join a growing national network
4. share what works and develop your
knowledge and learning
5. take part in an exciting programme
of events and challenges including
a regular newsletter and opportunity
to participate in virtual and face to
face meetings like today
6. be able to demonstrate your passion
and pride for the professions
Our voices are stronger together
@BevMatthewsRN #NursingNowEngland

33. Credit: Guy’s and St Thomas’ NHS Foundation Trust
Sign up to be an ambassador today!
Midwifery
Ambassadors
Nursing
Ambassadors
@BevMatthewsRN #NursingNowEngland

34. Thank You
@BevMatthewsRN @HorizonsNHS
Bev.Matthews@nhs.net
horizonsnhs.com
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