Mod 5 Chat Box - School for Change Agents

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Module 5 chat box contents
from Joanna Hemming to All Participants:
Hi all. If you would like to chat to your fellow change agents on here, please select 'all participants'
in the drop down box and everyone will see your message.
from Adrian Woodfield to All Participants:
Hello from Orkney! Excited, but sad this is the last session!
yeay!
is there a cup of tea and a biscuit going?? Yes please - two sugars!
PSB - excellent!! So impressed i bought the album!
from Oliver Benson to All Participants:
@adrian do you like it?
@oliver - I've heard the other two albums,but not this one - realy brings it back
http://www.metrolyrics.com/go-lyrics-public-service-broadcasting.html
from Helen Bevan to All Participants:
Welcome everyone to the 5th and final module of the School for Change agents 2017. Where are
you and how is the weather? I'm in Glasgow and it is cold
Orkney is cold and wet
from Pip Hardy to All Participants:
It's chilly in Cambridge also, @Helen - yesterday was beautiful and warm but today it's only 10
degrees!
from David Deans to All Participants:
Ayrshire is cold too but dry.

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from Marie Parish to All Participants:
Marie in Ottawa Canada! It's sunny but chilly here at -10.. but better than yesterday as we got 25 cm
of snow.
We have a strong Scottish contribution today!
from Karl Fredrik Westermann to All Participants:
I'm in Oslo, Norway and the weather is like spring.
Hawkeye the noo!
@Oslo - hi Norway!
from kay rutherford to All Participants:
Freezing but sunny in RI. USA
Cold seems to be our global weather theme
@kay - not related to Andy (Fud) by any chance?
So who here is old enough to remember the Apollo 11 mission?
from kay rutherford to All Participants:
no
@Pip - yep!
from Tony Longbone to All Participants:
not quite Pip
no, can't remember

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@Karl whereabouts in Oslo are you? We were there a couple of weeks ago giving a talk at Oslo og
Akershus Hogskolen
from Aidan Murphy to All Participants:
Me: exctited. Weather: Dull. Town: Chorley. Looking forward to session 5. hello.
from Mandy Townsend to All Participants:
hello my name is Mandy my twitter handle is @MT_marshlands I am on the Wirral and work in
Wales, and it's sunny here
from Emily Beardall to All Participants:
Hi everyone, a pharmacist in Bradford here. Bit gloomy weather-wise but not in outlook, after lots of
inspiration and energy from doing this course :)
@helen_funnell Hi to everyone in Edmonton!
Good afternoon all, #hellomynameis Tony, joining you from my sofa in Wolverhampton with a chilly
wind blowing outside
from jean dipple to All Participants:
Hello guys, how are you all
from cris mulshaw to All Participants:
Salisbury checking in!
from Cheryl Mudge to Host (privately):
Good morning from Calgary, Canada.
from Yvonne Newbold to All Participants:
Hello, my name is Yvonne and I'm in Wallington South London, with beautiful sunshine outside,
though still a bit of a chill in the air
from Ruth Doyle to All Participants:
Hi Ruth Doyle Nottingham dull and cloudy here - wishing I was in South London
from Tom de Salis to All Participants:
Hi all, Tom at HEEWM in Birmingham, weather not so great this week

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from John Kolodny to All Participants:
John From United Staes- Cleveland Ohio- Coalition Of Kaiser Permanenete Unions. Cold and snowy
here.
from Leigh Kendall to All Participants:
Hi! I'm Leigh from a very grey and chilly Bedford.
from Tracy Clifford to All Participants:
HI there, Tracy Clifford from Caledon, Ontario, Canada. it's sunny and chilly.
from Maya Pajevic to All Participants:
Hi from Calgary! cold and snowing here!
from cris mulshaw to All Participants:
Salisbury is grey overcast and a tad chilly
from Emily Lau to All Participants:
Hi there, Emily Lau - OD Officer in East Sussex, it's glorioiusly sunny and warm here.
from Lorri Zagar to All Participants:
Hi, It's Lorri from Caledon Ontario Canada. Very cold but sunny here.
from milne weir to All Participants:
HI, Milne from Inverness in Scotland Weather is sunny with rain and wind!!
from jo Palmer to All Participants:
hello all, am actually onleave but enjoying the sessions so didn't want to miss it. Am in dry but n
overcast Poole
from Liz Oddy to All Participants:
hi Im Liz from Leicester UK, its grey and grim here
from Marc August to All Participants:
Hi!!, Marc here In Los Angeles today.
from tom houston to All Participants:
sunny here in Scotland in between showers...and the heating's on...so it's nice and warm
Sussex is bucking the global weather trend!

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from Emma Hill to All Participants:
afternoon from overcast but dry Burnemouth
from Mike Jones to All Participants:
10C in cloudy Leek, but at least not snowing
from Lucy Butler to All Participants:
Morning from a warm 10 degrees in NZ
from Sajjad Mushtaq to All Participants:
Hi from cloudy Birmingham, UK
from Hazel Murgatroyd to All Participants:
Morning from northwest Arkansas! �
from Martin Sharp to All Participants:
Same 10 degrees here in the UK (well Salisbury area)
from Sally Davies to All Participants:
Hello from Oswestry :)
from Michele Wood to All Participants:
Hello from a bright spring afternoon here in London UK!
from Angelique hogeboom to All Participants:
hello from Rotterdam
from Wendy Johnson to All Participants:
A wee bit dreich (soggy, wet, mizzle) near Edinburgh :)
from Sezer Domac to All Participants:
Hello from Leciester City (last year champions):)
@Sezer and this year's European Champions?!?
from Mel Harrington to All Participants:
Hello from a damp and windy North Cumbria

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@Mel - Cumbria is alwaysdamp and windy!
Rather sad that this is going to be our last session :(
from Marc August to All Participants:
Los Angeles is chilly 57 degrees F but sunny.
You have a point there
from Caroline Carswell to All Participants:
Lighting a fire later, for the first time in a week (Dublin, Ireland)
80 degrees and sunny in Birmingham...JOKE!
from Ashley Burton to All Participants:
hiiiiii :-)
lol @ jean
from Tanya Burchell to All Participants:
Hi from a chilly Gloucester!
from Fran Mead to All Participants:
it was sunny in Sheffield and now it isn't
Hi tony :)
wish I knew how to tweet :(
from Malcolm Cooper to All Participants:
Hello from Malcolm Cooper. I'm in South London and it is warm and sunny.
from Richard Bessell to All Participants:
Rich Bessell from Dorchester (UK)(Dorset CCG)

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from Leigh Kendall to All Participants:
Hi! I'm tweet monitor, please do tweet us @sch4change #s4ca if you're on twitter - thanks, Leigh! :-)
Hi Jean glad you can join us today
from Leeanne Lockley to All Participants:
Hi Everyone. Sad this is the last session
from Sally Drake to All Participants:
Lucy Seymour & Diana Stewart are present with me
from Ashley Burton to All Participants:
loving the wallpaper
from Leigh Morgan-Jones to All Participants:
Hi All. It is 80 degrees in Staffs. Office heating on and sunny outside. Nearly!
from Lori Williamson to All Participants:
I can't believe how quickly this has gone - really enjoyed
from angela gulay to All Participants:
Hello from Alberta Canada. These sessions were awesome!
from Andrew Marsh to All Participants:
Hi @Adrian Woodfield - you need to do the Twitter training run by @WhoseShoes and colleagues
just google search her
Thank you!
@Andrew - will do - thanks!
from Nigel Millar to All Participants:
when you go over the edge of the world - you get to NZ
from Fiona Mac to All Participants:
@Nigel - keep the Canoe Steady!

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@Tony - thank you!
from Jane Moore to All Participants:
Happy to be doing this live this time!
Glad your here @JaneMoore
Some of us naturally live on the edge!
agreed Caroline - many years i have sat outside the conformist circle but now I have a purpose
@Tony, it is a process :-)
#releasethepens
Hi Emily. Hope your here. A new connection from Canada. An excellant RCT. Thank you for putting us
together
from Emily Latourell to All Participants:
Hi Leeanne! Nice to see your name again :)
Highly recommend the RCT if anyone is considering signing up
bye bye pens! :(
from Naomi Brook to All Participants:
My RCT hasn't got back to me :(
power to the pens!

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Naomi - I can do that
I did enjoy it when I took part last year, think i'll have to get myself sorted for #RCT2017
from Zayna Khayat to All Participants:
Hello everyone. Zayna here from Canada, on loan to the Netherlands for a year. I have been curating
some of my favorite images from the school + Helen's tweets + other stuff I see in my work into a
Pinterest gallery. Here it is https://nl.pinterest.com/khayatzayna/health-innovn-culture-mindsets/ If
you'd like to be added to my Board, ping me!
@Zayna - Ping!!
My RCT connection led to really interesting connections with people facing similar challenges,
fantastic
Nigel - how do you mean?
#RCT2017 great fun @Tony
from madelyn griffiths to All Participants:
Felt very humbled after my skype RCT, thank you Yvonne cant wait to talk again
stood on the edge ready to dive in
The edge is where you meet edgy radicals
go and stamp on the cracks in the pavement!
LOL I love this every time I see the Cartoon. Were too busy to change

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change is hard work but once you connect the passion it starts to flow
The only tool of a leader is behaviour - being a role model - anything else is an illusion
good points @Nigel and @Tony
rolling with being a role model
Cultivating the Quality of the Soil #ULab
If you want to signal change - you have to be the message
fed up with the lead being the one who shouts the loudest. they ae often the ones who fear change
most
Shouting is not the best tool of leadership
from Jacke Welsh to All Participants:
Agreed Adrian
Who loves shouty people - not me - not you - not everyone
from Muhammad Ali Abid to All Participants:
lol @ Nigel
your right Nigel, calm conversation - change is there to be nurtured
Being a leaderisnt a position and power it is the influence and how to activate others

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If you are in health - you can have a million stories to lead with - patietns will give them to you
Leadership is about talking to people not at them
love to connect with people
from Wanda Collinge-Wagner to All Participants:
i think you also hve to search for stories within the group where change is happening
A wise patient said recently "The more I walk the better I am" - I can never say that better
I want others to see that bottem up (how rude!) change is possible
from madelyn griffiths to All Participants:
Leadership is also about listening
Its also about demonstrating that you believe in what your trying to change
belief is vitally important
"True leaders dont create followers, they create more leaders" - not sure who said that!
if you stand by and do nothing - then you are complicit in being part of the problem
and passion @Jane
lol @jean - together we can achieve

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You just did Jane :)
from Sarah Edwards to All Participants:
Love the comment "True Leaders don't create followers, they create more leaders"
The best leaders also know how to be folowers - for this is how they became leaders
from Kim Vereijken to All Participants:
Coalition of the willing and the winning
@Tony how's your bridge building skills
Old power sees informal networks as a threat
Spin your web wide - and do not give up - cf spider and Robert the Bruce
bridge networks resonates, once i adopted that things fell into place
Love to network but with ebeyone busy how do we meet? Not everyone can access social media at
work. Any suggestions
*everyone
a network is only as good as the weakest link
Communcate with many people from many places - ideally by talking to them face to face
yes, face to face in a non-hierachical format

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Need to seek people that don't have the same values too. That's where we learn
from Tom O'Sullivan to All Participants:
I think this is really missing the benefit of working across boundaries where we DON'T work with
peers or 'folk like us'...
funny I was trying to articulate this idea last week in a meeting!
from Laura Wilkes to All Participants:
Because we serve all, librarians are in a great position to build bridge networks :-)
@Leeanne - you meet for lunch, coffee etc
"distributed leadership rocks"
true adrian!
haha - whole told Helen she could not influence GPs
@leanne - what about a noticeboard where people can share info about themselves?
from Rob Cockburn to All Participants:
is change through strong ties more "improvement" whereas transformational change comes from
exposing the "we dont know what we dont know"?
Thank you @Nigel
from Si Chun Lam to All Participants:
I agree with a lot of what you're saying Helen but also I agree with Tom's comment above -- often it
is often advantageous working with people who DISAGREE with us too because it stretches,
challenges and enhances my thinking too.

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@Leeanne - just find a way - anyway to talk to people
Need strong ties for support, need understanding and valuing differences to truly co-create
from Jonathan Williams to All Participants:
different perspectives
Easier to build momentum
from elaine bayliss to All Participants:
helps to build momentum
Need strong ties to build the trust
Trust
from anne brittain to All Participants:
relationship and trust already built
Efficiency - things move faster
similar values mean commitments more like to be made and actions taken forward
@Wendy - need some selfcare to help get through, but challange really makes it better.
Same language
from Andrew Blane to All Participants:
common language eases understanding
connections

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from Christopher Malvern to All Participants:
Pro - builds quick momentum
Fewer barriers
Connectivity - Ease of access
trust
Cons - you can end up preaching to the choir
from Amy Anslow to All Participants:
Easier to build trust
familiarity
its easy
knowing each other already
Support and encouragement
from Sarah Lesperance to All Participants:
Similar perspective, faster change
from Steven Amrhein to All Participants:
support and things get tough
Shared values and vision

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diversity
Common language and perceptions
from Hugo Lemay to All Participants:
same language
shared vision
Provide a safe haven
its lazy?
from Clare Ibbeson to All Participants:
shared understanding
Strong ties - it's easier to work with people who "speak" our language in terms of expectations,
beliefs & values
from Cat Chatfield to All Participants:
Easier to create a shared vision
adv: know the language to use, and what motivates people
Speak the same language, less time wasted explaining your vision, they already get it
connected through ideas
common goals

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Fast
understanding of same pressures
shared understanding of the problems that you want to change
from ann quinn to All Participants:
peer influencing and trust
from Ruth Twiggins to All Participants:
more sustainable
pros - feels 'natural' working together and you do more
vision
lots of agreement and support
Pros: increased trust
different perspectives
value base
from Felicity Mitchell to All Participants:
understanding
be more confident in portraying your idea
from Siobhan Bonham to All Participants:
same technical language

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coomon language
from Rainer Golombek to All Participants:
get inside knowledge
shared goals, missions and values
same level communication
helps keep the momentum of change going
cons - sometimes end up with groupthink
We are social beings - we did not evelove to work through documents
from Amy Newbery to All Participants:
Trust and efficiency
starting at a similar place
from Drew Carr to All Participants:
Easier to progress to a common goal
from Sharon Brown to All Participants:
Speak the same language, have the same experinces.
sense of purpose
from Chris Chambers to All Participants:
relationships bui;d trust

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same logic models and framwork
it builds a community
from Lisa Holloway to Host (privately):
agility through knowing and learning from collegues from other organizations
Change is more resilient (less prone to falling apart) since on a foundation of trust
synergy
from Chris Bungoni to All Participants:
shared experiences
from Kate Silvester to All Participants:
common cause, problem. Common experieneand language. already established network
from Ann-Marie Caunce to All Participants:
ties strengthen incrementally
understanding
supportive
support from strong ties is essential & can help achieve through their weak ties
Pro - low hanging fruit is picked off
Easier to explain an idea to like mined strong ties
Understanding

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from Masood Darr to All Participants:
common understandings
Shared values, differing perspectives on the system
Con = we onl ychange within the parameters of what is already known
Less explanation to do
similar chalenges
less obvious conflict
HNG
value base
Shared reality (or perception of reality
pooling knowledge
speak the same language
from Nicolas Bardy to All Participants:
trust, shared experiences
helps framing in a relavant way

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pros of strong ties: it's a safe to be. and check your thinking before we go wider
Relationships are all there is. Everything in the universe only exists because it is in relationship to
everything else. Nothing exists in isolation. We have to stop pretending we are individuals that can
go it alone.
- Margaret J. Wheatley
shared context
Trust means people listen more easily
HANG ON! How does working with like people bring diversity?!
from Michelle Lewis to All Participants:
Understanding
non threatening
similar interests
easier access to strong ties
Con - limits disperse ideas and innovations
@tom - diversity as in different points of view
feathers remain unruffled
@Tom - yes, well spotted, we need opposition to create sticky change

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If people like us they want to help
Sometimes being exposed to challenging, difficult, and contrasting ideas is quite important -- maybe
it fits with "strong ties" too if you include strong ties in with people you disagree with but respect
Confirmation bias
@Tom - well diversity is your challenge - find unlike people
Risk of group think
lack of diversity
groupthink
@Adrian - but 'like' people DON'T see things differently
group think
cons: group think
People just don't like change.
CONFIRMATION BIAS
group think

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from Liz Worsam to All Participants:
Think the same
preaching to the choir
draw back - same old, same old.
sustainability
lack of innovation and creativity
from Clare Ibbeson to All Participants:
takes time to build new relationships
close view on solutions
lack of diversity
Too similar - Not challenging
limited network
from Chris Bungoni to All Participants:
sterotyping
limit input from those that don't like change
from martin hurst to All Participants:
not seeing alternative views
from Felicity Mitchell to All Participants:

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doesn't reach everyone
risk of "group think" and not consider opposing view points.
Don't get diversity of different ideas and ways of thinking.
Lack of new ideas.
Lack of challenge, can breed complacency
Insular
not being challenged
same people
from Sarah Lesperance to All Participants:
Time to explain WHY change needed
don't reach out to new /less thought of people
you are stuck in one domain
limited impact
too few solutions
You only ever preach to the converted

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missing connections further afield
from Liz Lester to All Participants:
If you don't work with and listen to people who have different views then you might never
understand and address resistence.
blinkered thinking
from cathy caple to All Participants:
Groupthink
people not critical enough
from Cat Chatfield to All Participants:
unaware of your unknown unknowns
Agree - confirmation bias
Not transformational
from Ruth Twiggins to All Participants:
lack of an alternative way of thinking being in the group
Hierarchy
from Elizabeth Bleu to All Participants:
no change of status quo
too informal a relationship
strong ties, and especially commitments can make change threatening

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lack of dissenting voices
Lack of ideas
you wont make it to the edge
too many similar ideas
expections of favouristism
you're likely to think the same
drawbacks - sustaining the change
lack of external context
might build resistance
You create a silo
tendancy towards bias
lack of diversity
you are not cahllenged

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NOt diverse enough
spread is limited to a small group of US
we only change within parameters of what is known
from James Turner to All Participants:
bias in agendas
collective power intransgence
not enough different views
competitiveness
lacks of wider perception / seeing through different lenses
Not reaching people who don't want to change
You get incremental change, not transformatonal.
Echochamber - might limit innovation
ability to achieve small tasks
all pros can become cons if they are too strong
lack of strong tie relationship

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not engaging the opposition
May be more difficult to promote change
status quo
translating message to those who are not in agreement
Group think, limited resources withi the group, no new perspectives.
Confimation bias
no resisteance
from Laurent Voyer to All Participants:
not innovative enough?
from Christine Clarke to All Participants:
Limited to the people you are connected to
threatens to unsettle existing power dynmaics
Fight for power
from Sally Humphreys to All Participants:
Pros Shared understanding thats aids collaboration
cons: they may change their minds if a stronger person puts the opposite perspective

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It doesnt make you think outside the box as you all have the same interests and values
lack of diversity
shared mindset = lack of different thinking
becomes tautological
Con - we don't reach people who aren't active in desiring changes
We draw towards people too much like us so risk of less diverse views
not necessarily standing in the 'right' other shoes
lack of innovation
Who you don't know, you don't reach
differents goals
Doesn't stretch you to think differently
pro: common understanding
Lack of understanding
You create a climate of them and us which can encourage division and judgement

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lack of co-creation to spread
Is real change going to happen?
from Sally Humphreys to All Participants:
Cons - people don't always think outside the box
becomes its own "division"
Agree. Can create barriers to change
silos of work
prespective is different from those who we are hoping wil adopt change
exactly Yvonne in this together is the way i see it
@yvonne definately them and us
from Claire Tomkinson to All Participants:
I quite enjoy delivering a workshop with people who don't quite get it. Can be a challenge, but I
know that I've reached someone different who hasn't thought this way before
@sharon "silos" - great!
always try to engage the weak ties in the hope of making them strong
Bridges offer a way round obstacles!

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develop permission to challenge and disagree within the strong ties...and yeslook to what
strengthens the weak ties
from susan edgar to All Participants:
I love story telling..it is a great way to bring people together!
woulld that mean different department groups working together on a common goal?
from Angelique hogeboom to All Participants:
i have to continue this training at another time ;-( Thank you Helen
@susan - Once upon a time....
look for strength in depth
Weak ties is critical, we use an approach here we called "trojan mice" trying to break down barriers
through weak ties
Haha - love trojan mice!
#Trojanmice love it!
weak ties are like dodgy wiring - creates sparks!
Brilliant! Its so easy to focus on strong ties, when its the weaker links that can be affected, and
effective
To work with weak ties we need to get out of our comfort zone.

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more about Tojan Mice please Si Chun Lam
yes please Si! :)
trojan cheese?
https://ssir.org/articles/entry/wheeling_in_the_trojan_mice
Make weak ties strong!
#WeRadicals?
kim - I was just thinking that!
Achieving a common goal for all, will help turn weak ties into stronger ties
@Noami WeRadicals a great idea
#BandOfRadicals ?
yes cos I'm not any of those!
data overload with weak ties?.....Organisations should give time to employees to build up weak ties
#JFDIRadicals???!

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if we enter as a trojan horse we attract a lot of attention and then people will attack the
idea/change. But if you train up an army of mice of all sorts, and enter through every crack and
crevice and influence change, people are much more likely to buy into / influenced by the change :)
there is the @GlobalVRadicals out there in the #twittersphere
WeRadicals could create a group on the WeCommunity?
YES mandy!
from Claire Tomkinson to All Participants:
Love the Trojan Mice :-)
@Si isn't that called 'Entryism'?
#WeTrajanMice
Love the potential of WeRadicals
*trojan
Need to read more about trojan mice. Just realised I have been one for years without knowing it!
Acute hospitals have divisions- the word itself says it all. No room to meet weak ties
Love the idea from Naomi about JFDI radicals! And the trojan mice - fab concept!
torjan mice, like it

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trojan
any of that really. Doesn't matter what the # is
from Patricia Gbadebo to All Participants:
Good leaders create leaders
Thanks for the signpost to @GlobalVRadicals
I vote for #torjanmice!
Ties are great - but be careful in sticking only to old school ties
no problem Liz
isn't Brexit a move away from bridging our weak ties?
oooh politics!
eeek - the Brexit word!!!
lol @naomi
don't get me started!
Im so impressed people can listen, tweet and get involved in the chat all at the same time.
Trojan mice (leaders) can create emerging followers

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#multitasking
It is some of the fun/challenge I find at work to bridge those weak ties in the face of adversity
haha Leanne I'm doing no twitter this time - attempting focus...
Im a man - I cant do that
i'm trying my best @Naomi but it's not easy
I feel like Jean Michel Jarre - I have multiple screens in front of me!
Old reference!!!
Think we'll meet on twitter afterwards @tony
Showing my age! ;-)
It takes courage to approach people from weak ties sometimes - fear of rejection and ridicule or
being seen as being pushy or arrogant or whatever. Fear of "what people think" is huge. However,
over this week and last week I've pushed myself through these fears and reached out & I've been
overwhelmed at the goodwill, help and support I've had from strangers and from those I have very
little in common with
@Liz only if you've got two keyboards!
I do!

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and a theremin?
twitter afterwards great idea @MT_marshlands
I wish!
*like*
wow - that is great!
Love that quote
@Yvonne - totally agree...fear disempowers potential
Love this quote
This is fantastic quote
I agree - fab quote
that's great news Yvonne - had similar realisation how far i've come speaking to the surgeon who
operated on my hand
I can only do 2 things at once!
2 is good! see you on twitter..

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(@healthynemo)
the extrinsic pacman
Payment by results doesn't drive me.
@lockley_leeanne see you all twitter afterwards
pacman eats everything
Tony, that's lovely, when people relate to each other as people not the barriers society hides us
behind, real magic can happen
Conflicts with my core values
@Yvonne - that's fantastic,
multi-tasking here, reading slides, captions, chat box and taking notes :-D
Thank you Caroline
all work we do in NHS are extrinsic!
show off! ;-)
Thank you Chris

38
in japan doctors are paid by the number of healthy people, not people they treat
I have already used the stages of change model from previous session to help people focus on a
problem at work. V helpful.
love this model, stages 2 and 3 are often missed out in the implementation of a change
I've made this mistake sooooooo many times!
Wow. That is radical @Jo
Ricahrd, isnt that wht we struggle because the 'old power' model assumes no-one will do anything
unless they make them (Extrinsic factors)?
Tell that to President Bush and PM Blaire!
(politics - sorry!)
we often use the term 'business as usual' without ensuring sustainability
To get intrinsic motivation start with a story
@Jo love the concept from Japan. Do wonder if this results in docs for wealthy communities being
paid more than those in disadvantged areas
Laurels are poisonous - so dont rest on them

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haha i like the politics talk @adrian :)
Surviving victory is great, but it's the fear of failure that holds a lot of us back and knowing how to
survive that. This whole Change Agent 5 weeks has really helped me think differently about this
Agreed Yvonne
love that quote Nigal Millar...will borrow that :)
Dont fear failure - but be daunted by success and be ready to do it all again and again
lol @nigel like that one
@Yvonne Its ok to fail. Fail = first attempt in learning. To fail still gives understanding and knowledge
this is SO #CovMindTheGap - we're all fighting against anyone thinking about funding this change
platform
Failure is good, as long as no patients/ people get harmed, and we learn.look at Agile and rapid safe
to fail projects
is this why STPs seem to be failing?
YES!
:(
I would say so

40
Leanne, thank you, I'm learning that, and it's a mindset - because even trying something is a success
whatever the actual outcome of that something!
YES
change is a continual process - not a one-off and left 'til the next time
probably, too rigid
yes mike definetely
Change platforms, excellent description
love this- how I learn, by reading and talking about it
stp's are about maintinance, not change
Give up on the burning platforms and start building fireproof change platforms
stps are about savng money....
Was that passive knowledge
Tacit knowledge is the best kind for me
My line is awful

41
Ok
more paperwork and even more emails
I'm going to share this module with our local group campaining tostop closure of local hospital
Aint that the truth about top down chnage processes
@Mike - I thought the same thing
I love talking to people about what I am and what I do. Tacit knowledge can be two way.
from John Wallace to All Participants:
Does anyone here work in an Agile environment / an Agile way of working? Be interested to share
experiences @johnwalllace
Dont feel bad Helen - I read your toolkits and used them
i alway use tool kits
I would love to hear more @johnwallace
This school for change agents has been the catalyst for me to be bold enough to step outside my
comfort zone, put my head over the parapet, and organise, single handedly, a conference on special
needs children who are violent towards their children. A huge task, but I'm being powered by other
people.s goodwill, kindness and enthusiasm. It's taken on a life of its own and its the connecting with
people module that has been the gamechanger for me in making this happen.
should we be encouraging best practice metholodgies then? i.e: PRINCE2

42
Well done Yvonne
@Yvonne - excellent catharsis
OH NO!!!!!!
Nooooooo. Not the end :-(
Change effected via social knowledge is grassroots driven - we will see more and more of this.
Most of the projects/programmes that are run in the NHS seem to be iterative (i.e: Agile)..
No we have to learrn to fly on our own
Success to all involved for this change, Richard
the end - my only friend, the end.....
Good for you Yvonne
This school has been the best i have attended.
Me too
Thank you xx

43
Its not the end .... this is just the beginning..........
@Yvonne where/when? I work in learning disabilities contact me perhpas at rob.cockburn@nhs.net
Toolkits, data and evidence are a vital part too ... just not the whole picture. Tacit and stories are
essential too
excellent Yvonne, how's everyhting going with that. have you filled all your spaces yet? such an
important subject
Helen - thankyuo for sharing your story
lol @adrian the doors love the track
I will do what I can for you Yvonne
@yvonne - sent someone your way from here, hope the initiative works out. sometimes slower to
move than you may like
Tickets for what?
from Yvonne Newbold to Host & Presenter:
Thank you Tony - thank you Mandy - I'll tweet it after this with the #s4ca hashtag. Hugely grateful.
@ Helen - social story at its best
Thank you Caroline, Sally the conference that this course has inspired me to organise
from Liz Worsam to All Participants:
Great to share this with you - Liz in Bristol!

44
Helen you are our Captain on our ship of change agents
you are on a voyage Helen
You're a sailmaker too, Helen
Yvonne very interested, just following you on twitter
You are helping us set sail
Thank you Jean, I'll follow you after this
You are teaching us to catch the wind in the shoulder of our sails, Helen.
Thank you
Winds of change ...
Helen, you are a navigator, a captain and you manage the rock the boat while keeping it afloat! And
remember St Exupery....
definitely!
from Lisa Holloway to All Participants:
You are!!!
Here is Helen putting the wind in all of our sails - THANKS

45
This has been one of best learning events I have done for ages. I need to immediately go and watch
all five recordings again :-)
Thank you.
Thank you Helen
Thank you Helen and your team.
Beautiful, Helen. Thank you.
Thank you - been very interesting
Thank you so much to everyone involved. I will try to make you proud.
lol @zayna
from pramod kumar to All Participants:
all the five modules have been excellent .Thank you.
The maker movement - we are it! 😍😍
How do we stay connected?
Thanks for the share Helen, you are awesome
Zayna has it

46
It's given me a lot of food for thoyght, thank you so muhc
Can we do it? Yes, we can!
I've shared this across many of my groups outside of work - politics, social change - same lessons -
thanks
Thank you so much for the last five weeks, I've loved it.
and i can't type !
Fabulous! - When is the next set of modules coming out?
from Isabella Davis-Fernandez to All Participants:
Thanks so much!
Really useful - will miss the sessions
@Adrian - must be a rocky place..
school may be out...but never over
I will go forth and rock that boat!!!!
My story - has another chapter to come - inspired by everyone here
from Liz Oddy to All Participants:
Ive really enjoyed and been rejuvenated by these sessions. Thanks for giving me my mojo back.

47
Thank you Helen. I have thoroughly enjoyed being part of this. Rock and Roll!
This has been so motivating, brilliant
i want to help the school expand going forward...
how long will the randomised coffee trials run for?
Joined the NHS to make change and will keep doing so
i'm inspired.
Yes!!
thank you for a great programme - I'm off to riock the boat with a whole lot of new knowlege x
thank you Helen
yes please!
from Alison Mahon to All Participants:
Really appreciated the course!
I'll be back
thank you Helen
thanks Helen!

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thanks !!!!!!!!!!!!!!!!!!!!!!!!!
from Shawn Volk to All Participants:
Wow - thanks so much for everything!
Thank you
Thank you
from Shelley Cornick to All Participants:
Thank you Helen!
thanks everyone
I hope there are more of these before next year
from Christine Clarke to All Participants:
Thank you
from Michelle Grouchy to All Participants:
thank you!
from Erin Brown to All Participants:
Inspirational as always
the school always inspires me, great session thank you helen
Every week each module has been inspiring , thank you
You will definitely see me next year

49
Take Care. Cheers!
Definitely next year, this was the second year for me and it's been great to join in again
next year- yes. THANK YOU ALL
many thanks to the team - briliant
Thanks. Sorry can't make breakout room.
thanks - so inspiring
would love to access more modules
from Angela Rowe to All Participants:
So inspiring Helen - thank you!
from Jennie Huntley to All Participants:
thanks Helen, have loved these sessions
from John Wallace to All Participants:
Thanks Helen!
from Kerry Diamond to All Participants:
Thank you everyone- the shcool has been amazing.
Putting labels and context on my journey in the last decade - was the biggest takeaway from this
School. Thank you to the team!
sailing means we generally have to tack back and forth to make progress. Its not a straightforward
journey
from Laurent Voyer to All Participants:

50
thank you helen
Thank you! I can't stay in the break-out room this week, but really enjoyed the five sessions and
being able to listen in and try and contribute too! :)
I really feel that I have learned some ideas and tools that can help me refocus some of the change
initiatives that I am working on or part of!
Thanks to Helen and the team -all the best
from Achal Gupta to All Participants:
thanks very much for running a wonderful program. I did masters in health care mgmt but must say
learnt more in these five sessions. thanks a mill
Missed the info at the beginning regarding being a certified agent can I have it please
from cathy caple to All Participants:
thank you Helen, the approach to leading change is changing - old power vs new power - and this
has given me so much food for thought in how I approach change, while at the same time confirming
I'm doing quite a bit quite well!
wow @achul
Our thanks and best wishes, happy st. patricks day from the group in the NRH Dublin
Thank you!
Cant stay for breakout rooms however all the best to all my school chums
thanks Jean, and you!

51
School's out for summer! See you next term!
Good bye everyone. Look to speak to all soon on twitter and the facebook page.
Ok thank you
Hi guys, who exactly is here? Caroline from Dublin, Ireland - @soundadvice_pro
My story - I have a profoundly disabled child who was not expected to survive, and he spent most of
his first six years in hospital, with me always with him as a resident parents. The NHS dominated our
lives all the way through his childhood, outpatients, inpatients, therapy appts, A & E, community
team, you name it we used virtually every service the NHS can offer. Against all the odds Toby
survived, and he is now 22. We had a huge party for his 18th, but a couple of weeks later I was
diagnosed with bilateral breast cancer. After a year of treatment, it was discovered that the cancer
had spread to my bones, with a very poor prognosis. That day I decide what I wanted to do with
whatever time I had left - I wanted to make lives easier for families and children with special needs,
and for the staff who work with them. And that's what I've been doing ever since. I wrote a book, I
now am writing two more, I speak at conferences, I run workshops for parents, HCPs and teachers,
life is good
Thank you for making this possible and for making all of us so welcome. Loved every minute
Captions not provided here, thanks Yvonne for sharing your story in text
from Paul Woodley to All Participants:
Hi, certification details will be added to the website following this session so keep an eye on the
school website for details! http://theedge.nhsiq.nhs.uk/school/
Thank you
from Roger Wales to All Participants:
Unable to find words to thank you enough. First met Helen at Health Quality Ontario 2016 as
keynote speaker. Ex-patriot Brit who learned to sail in the tidal mud flats of the River Crouch in
Essex. 'Public School' destroyed my farmer accent. Love the 'sail' metaphor. My 'regulator' College is

52
set to destroy me for trying to practice in accord with changes in peer-reviewed, eight expert
Guidelines published in 2008. I am 78 and not dead yet. My favourite River Pilot uncle Len survived
torpedo sinking in WWII. Wish me luck. Happy St. P's Day!
END OF CHAT BOX

Mod 5 Chat Box - School for Change Agents

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Mod 5 Chat Box - School for Change Agents