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#S4CA @Sch4Change
theedge.nhsiq.nhs.uk/school/
@Sch4Change #S4CA
team
Brought to you by the
http://theedge.nhsiq.nhs.uk/school/
Module two:
The POWER to
Make a DIFFERENCE
#S4CA @Sch4Change
Presenter
Helen Bevan
@helenbevan
Tech Support
Paul Woodley
@PaulWoodley4
Technical
troubleshooter
Olly Benson
@OllyBenson
Chat Monitor
Kate Pound
@kateslater2
Twitter Monitor
Leigh Kendall
@leighakendall
Twitter Monitor
Lynnette Leman
@LynnetteNHS
Chat Monitor
Ian Baines
@ihbaines
Participant
Support
Val Dez-La-Lour
@dezlalour
Presenter support
Kathryn Perera
@kathrynperera
Technical
support
Steve Anglin
#S4CA @Sch4Change
If you’re replying to someone in the chat box, please use
@theirname
#S4CA @Sch4Change#S4CA @Sch4Change
Thursday 22 February
#S4CA @Sch4Change#S4CA @Sch4Change 5
1 none or very limited
2 limited
3 some
4 quite a lot
5 a lot
How much experience, skills
and/or confidence do you have
in leading change?
#S4CA @Sch4Change#S4CA @Sch4Change 6
1 none or very limited
2 limited
3 some
4 quite a lot
5 a lot
How much POWER do you have
to make change happen?
#S4CA @Sch4Change#S4CA @Sch4Change
Change agent perspectives in
module 1
Source of image: thenounproject.com
• Quick recap from module one
• Types of people at work
• Structure vs. agency
• How to build agency
• Theory X and Theory Y for
change
• The ACE design principles for
spreading change
#S4CA @Sch4Change
The School for Change Agents
is about building power
Power is one’s
ability to achieve
goals.
Bertrand Russell
#S4CA @Sch4Change
Change AGENCY definition:
The power, individually and collectively, to make
a positive difference. It is about pushing the
boundaries of what is possible, mobilising
others and making change happen more quickly
Change AGENT definition:
Someone who is actively developing the skills,
confidence, power, relationships and courage to
make a positive difference
#S4CA @Sch4Change#S4CA @Sch4Change
Jeremy Heimens, Henry Timms New Power: How it’s changing the 21st Century and why you
need to know (2018)
new power
Current
Made by many
Pulled in
Shared
Open
Relationship
old power
Currency
Held by a few
Pushed down
Commanded
Closed
Transaction
#S4CA @Sch4Change#S4CA @Sch4Change
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 and standardised
procedures
• Hold back
• Resist change
• Work to a role specification
Adapted from The Emotional Economy http://emotionaleconomy.com.au/papers-articles/why-the-winners-in-
business-are-taking-the-time-to-build-a-positive-kind-social-culture/
The Compliant
#S4CA @Sch4Change
Two kinds of people at work
The Compliant
• Feel disconnected from
purpose
• Controlled & coordinated
through performance
management and standardised
procedures
• Hold back
• Resist change
• Work to a role specification
Adapted from The Emotional Economy http://emotionaleconomy.com.au/papers-articles/why-the-winners-in-
business-are-taking-the-time-to-build-a-positive-kind-social-culture/
#S4CA @Sch4Change#S4CA @Sch4Change
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://emotionaleconomy.com.au/papers-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
http://www.gallup.com/poll/165269/worldwide-
employees-engaged-work.aspx
The Compliant
#S4CA @Sch4Change#S4CA @Sch4Change
A big debate in social science
Structure versus Agency
#S4CA @Sch4Change#S4CA @Sch4Change
The predominant approach in recent years has been STRUCTURE
but globally there is a big shift towards AGENCY
The design dilemma at the heart of
change
Restructuring
Performance goals
Compliance
Regulation
Competition
Programme
Management
Incentive systems
Activation
Ability to make choices
Capability
Leaders everywhere
Social action
Solidarity
Social movements
#S4CA @Sch4Change#S4CA @Sch4Change
Source: @NHSChangeDay
16
#S4CA @Sch4Change#S4CA @Sch4Change
Source: @NHSChangeDay
17
#S4CA @Sch4Change#S4CA @Sch4Change
Source: @NHSChangeDay
Problematic:
changing a
“permission
culture” can
take years
The good news:
we can usually
build agency
much more
quickly
18
#S4CA @Sch4Change#S4CA @Sch4Change
#S4CA @Sch4Change#S4CA @Sch4Change
• Teresa Amabile, Harvard Business School: studied the
"inner work life" diaries of 238 professionals
• Best days were when they were able to move forward
in their work
Source: The Progress Principle: Using Small Wins to
Ignite Joy, Engagement, and Creativity at Work
Emphasise progress
 700 managers were
asked to rank five
employee motivators,
including recognition and
incentives. They ranked
progress last
#S4CA @Sch4Change#S4CA @Sch4Change
Individual AND collective agency
Individual agency:
People get more power
and control in their own
lives: activation, shared
decision-making and self-
care
Collective agency:
People act together,
united by a common
cause, harnessing the
power and influence of
the group and building
mutual trust
#S4CA @Sch4Change#S4CA @Sch4Change
Building agency for large scale change
We do not become transformed alone, we
become transformed when we’re in relationship
with others
Hahrie Han
Source of image: Idahoc Community Action
#S4CA @Sch4Change#S4CA @Sch4Change
http://biggerboat.org/exploring-moodocs/
MOODOCs
(Massive, Online, Open, Disease Oriented Communities)
23
#S4CA @Sch4Change#S4CA @Sch4Change
Big drive to bring social movement thinking
and practice into delivery
24
#S4CA @Sch4Change
As a change agent, are you operating in
a Theory X or Theory Y environment?
Douglas McGregor (1960)
Source of images: pocketbook.co.uk
#S4CA @Sch4Change
People:
• will avoid work if they can
• resist change
• are constantly in need of a
good prod
• prefer to be directed
As a result, leaders must
closely control and use carrots
and sticks to motivate people
to achieve their objectives
Theory
X
Theory
Y
People:
• want to do great work
• seek responsibility
• are vital change agents
• are capable of solving problems
and directing their own work
As a result, leaders should
concentrate on fulfilling the
potential of every worker and
giving them opportunities to
participate
#S4CA @Sch4Change
Extrinsic versus intrinsic motivation
Rewards
Mandated
quality
standards
Incentive
systems
Pressure
to perform
Compliance
Recognition
Awards
Source: adapted from commons.grd.msu.ed
Competition
#S4CA @Sch4Change#S4CA @Sch4Change
“Resources” for change
Economic resources
(structure)
diminish with use
• money
• materials
• technology
Social resources
(agency)
grow with use
• relationships
• commitment
• community
Based on principles from Albert
Hirschman and Marshall Ganz
28
#S4CA @Sch4Change#S4CA @Sch4Change
A challenge
Strategic leaders don’t see the resources
that we see in the system as solutions to
the biggest problems
Don Berwick
29
#S4CA @Sch4Change#S4CA @Sch4Change
Our view of human nature has a
massive impact on the strategies we
choose for change
Read more at Carsten Tamms Everybody is a change agent
Leaders who are sceptical of employee motivations are most
likely stick to traditional, top-down ways to change
Leaders with more faith in people’s agency and
potential will look for new routes
In every setting, there is a massive wealth of human agency.
The questions is: Is this wealth put to good use, or is the
organisation or system sitting on it?
#S4CA @Sch4Change
“When we talk of social change, we talk of
movements, a word that suggest vast
groups of people walking together, leaving
behind one way and travelling towards
another”
Rebecca Solnit
#S4CA @Sch4Change
New Public
Passion:
a growing
global
movement
#S4CA @Sch4Change#S4CA @Sch4Change Source: Jason Leitch and Derek Feeley
#S4CA @Sch4Change
The “pilot and roll-out” model is
increasingly being questioned as a
method for spreading change
Pilot project Rolling out
“If we opened our eyes we would see the wonderful irony. Trying
to manage human change through pilot and roll-out has actually
grown something. A proliferation of project managers”.
John Atkinson
#S4CA @Sch4Change
3 design principles for change agents
spreading change in a new power world
ACTIONABLE: The idea is designed to make you
do something. It might start wit sharing but it’s a
call to action
CONNECTED: The idea promotes a closer
connection with people you care about or share
values with. It makes you feel part of a community
and the network effect creates further spread
EXTENSIBLE: The idea can be easily customised,
remixed, reshaped by people taking part. It’s
structured with a common stem that encourages
communities to alter and extend it
Jeremy Heimens, Henry Timms New Power: How it’s changing the 21st
Century and why you need to know (2018)
#S4CA @Sch4Change
To pimp = to excessively customise
(especially a vehicle)
#S4CA @Sch4Change
#S4CA @Sch4Change
Pimp my zimmer
• Started by Angela
Donlevy, Chalkney House
Care Home, Essex
• Social inclusion
• Personalisation
• Sense of ownership
• Creates joy
• Reduced incidence of falls
by 40-60%
Thanks Brian Dolan @ for the idea
#S4CA @Sch4Change
And then it spread……
#S4CA @Sch4Change
To hospitals, schools and communities
#S4CA @Sch4Change
Connected: #PimpMyZimmer
#S4CA @Sch4Change
Extensible
#S4CA @Sch4Change#S4CA @Sch4Change
For reflection after this session
• Does the ACE framework help you understand
why some of your change ideas have spread
or not?
• How might you use it in the future?
#S4CA @Sch4Change#S4CA @Sch4Change
Thursday 1 March
#S4CA @Sch4Change
Edge Talks – School Edition
Tuesday 27th February. tbc: Transformations through trauma and
choice with Nigel Millar.
Tuesday 6th March, 7pm: The value of diversity in a complex
world with Scott Page and Paul Deemer.
Tuesday 13th March, 6pm: Change on the front line with Hilary
Garratt.
Wednesday 21st March, 6:30pm: Change Agents 2.0: Digital
capabilities with Dominic Cushan, Susan Kennedy and Richard
Price.
Each session has 25 places, and offers the opportunity to
have an interactive conversation.
#S4CA @Sch4Change
• We will randomly match
you with another
participant in the School
for Change Agents from
anywhere in the world
• At some time in the next
four weeks, arrange to
have a conversation over
Skype (or other
communication system)
with a cup of coffee! Image source: Pinterest
Sign up here
http://theedge.nhsiq.nhs.uk/school/2018-resources/
Randomised coffee trial (RCT)

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School for Change Agents Module 2: The power to make a difference

  • 1. #S4CA @Sch4Change theedge.nhsiq.nhs.uk/school/ @Sch4Change #S4CA team Brought to you by the http://theedge.nhsiq.nhs.uk/school/ Module two: The POWER to Make a DIFFERENCE
  • 2. #S4CA @Sch4Change Presenter Helen Bevan @helenbevan Tech Support Paul Woodley @PaulWoodley4 Technical troubleshooter Olly Benson @OllyBenson Chat Monitor Kate Pound @kateslater2 Twitter Monitor Leigh Kendall @leighakendall Twitter Monitor Lynnette Leman @LynnetteNHS Chat Monitor Ian Baines @ihbaines Participant Support Val Dez-La-Lour @dezlalour Presenter support Kathryn Perera @kathrynperera Technical support Steve Anglin
  • 3. #S4CA @Sch4Change If you’re replying to someone in the chat box, please use @theirname
  • 5. #S4CA @Sch4Change#S4CA @Sch4Change 5 1 none or very limited 2 limited 3 some 4 quite a lot 5 a lot How much experience, skills and/or confidence do you have in leading change?
  • 6. #S4CA @Sch4Change#S4CA @Sch4Change 6 1 none or very limited 2 limited 3 some 4 quite a lot 5 a lot How much POWER do you have to make change happen?
  • 7. #S4CA @Sch4Change#S4CA @Sch4Change Change agent perspectives in module 1 Source of image: thenounproject.com • Quick recap from module one • Types of people at work • Structure vs. agency • How to build agency • Theory X and Theory Y for change • The ACE design principles for spreading change
  • 8. #S4CA @Sch4Change The School for Change Agents is about building power Power is one’s ability to achieve goals. Bertrand Russell
  • 9. #S4CA @Sch4Change Change AGENCY definition: The power, individually and collectively, to make a positive difference. It is about pushing the boundaries of what is possible, mobilising others and making change happen more quickly Change AGENT definition: Someone who is actively developing the skills, confidence, power, relationships and courage to make a positive difference
  • 10. #S4CA @Sch4Change#S4CA @Sch4Change Jeremy Heimens, Henry Timms New Power: How it’s changing the 21st Century and why you need to know (2018) new power Current Made by many Pulled in Shared Open Relationship old power Currency Held by a few Pushed down Commanded Closed Transaction
  • 11. #S4CA @Sch4Change#S4CA @Sch4Change 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 and standardised procedures • Hold back • Resist change • Work to a role specification Adapted from The Emotional Economy http://emotionaleconomy.com.au/papers-articles/why-the-winners-in- business-are-taking-the-time-to-build-a-positive-kind-social-culture/ The Compliant
  • 12. #S4CA @Sch4Change Two kinds of people at work The Compliant • Feel disconnected from purpose • Controlled & coordinated through performance management and standardised procedures • Hold back • Resist change • Work to a role specification Adapted from The Emotional Economy http://emotionaleconomy.com.au/papers-articles/why-the-winners-in- business-are-taking-the-time-to-build-a-positive-kind-social-culture/
  • 13. #S4CA @Sch4Change#S4CA @Sch4Change 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://emotionaleconomy.com.au/papers-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 http://www.gallup.com/poll/165269/worldwide- employees-engaged-work.aspx The Compliant
  • 14. #S4CA @Sch4Change#S4CA @Sch4Change A big debate in social science Structure versus Agency
  • 15. #S4CA @Sch4Change#S4CA @Sch4Change The predominant approach in recent years has been STRUCTURE but globally there is a big shift towards AGENCY The design dilemma at the heart of change Restructuring Performance goals Compliance Regulation Competition Programme Management Incentive systems Activation Ability to make choices Capability Leaders everywhere Social action Solidarity Social movements
  • 18. #S4CA @Sch4Change#S4CA @Sch4Change Source: @NHSChangeDay Problematic: changing a “permission culture” can take years The good news: we can usually build agency much more quickly 18
  • 20. #S4CA @Sch4Change#S4CA @Sch4Change • Teresa Amabile, Harvard Business School: studied the "inner work life" diaries of 238 professionals • Best days were when they were able to move forward in their work Source: The Progress Principle: Using Small Wins to Ignite Joy, Engagement, and Creativity at Work Emphasise progress  700 managers were asked to rank five employee motivators, including recognition and incentives. They ranked progress last
  • 21. #S4CA @Sch4Change#S4CA @Sch4Change Individual AND collective agency Individual agency: People get more power and control in their own lives: activation, shared decision-making and self- care Collective agency: People act together, united by a common cause, harnessing the power and influence of the group and building mutual trust
  • 22. #S4CA @Sch4Change#S4CA @Sch4Change Building agency for large scale change We do not become transformed alone, we become transformed when we’re in relationship with others Hahrie Han Source of image: Idahoc Community Action
  • 24. #S4CA @Sch4Change#S4CA @Sch4Change Big drive to bring social movement thinking and practice into delivery 24
  • 25. #S4CA @Sch4Change As a change agent, are you operating in a Theory X or Theory Y environment? Douglas McGregor (1960) Source of images: pocketbook.co.uk
  • 26. #S4CA @Sch4Change People: • will avoid work if they can • resist change • are constantly in need of a good prod • prefer to be directed As a result, leaders must closely control and use carrots and sticks to motivate people to achieve their objectives Theory X Theory Y People: • want to do great work • seek responsibility • are vital change agents • are capable of solving problems and directing their own work As a result, leaders should concentrate on fulfilling the potential of every worker and giving them opportunities to participate
  • 27. #S4CA @Sch4Change Extrinsic versus intrinsic motivation Rewards Mandated quality standards Incentive systems Pressure to perform Compliance Recognition Awards Source: adapted from commons.grd.msu.ed Competition
  • 28. #S4CA @Sch4Change#S4CA @Sch4Change “Resources” for change Economic resources (structure) diminish with use • money • materials • technology Social resources (agency) grow with use • relationships • commitment • community Based on principles from Albert Hirschman and Marshall Ganz 28
  • 29. #S4CA @Sch4Change#S4CA @Sch4Change A challenge Strategic leaders don’t see the resources that we see in the system as solutions to the biggest problems Don Berwick 29
  • 30. #S4CA @Sch4Change#S4CA @Sch4Change Our view of human nature has a massive impact on the strategies we choose for change Read more at Carsten Tamms Everybody is a change agent Leaders who are sceptical of employee motivations are most likely stick to traditional, top-down ways to change Leaders with more faith in people’s agency and potential will look for new routes In every setting, there is a massive wealth of human agency. The questions is: Is this wealth put to good use, or is the organisation or system sitting on it?
  • 31. #S4CA @Sch4Change “When we talk of social change, we talk of movements, a word that suggest vast groups of people walking together, leaving behind one way and travelling towards another” Rebecca Solnit
  • 32. #S4CA @Sch4Change New Public Passion: a growing global movement
  • 33. #S4CA @Sch4Change#S4CA @Sch4Change Source: Jason Leitch and Derek Feeley
  • 34. #S4CA @Sch4Change The “pilot and roll-out” model is increasingly being questioned as a method for spreading change Pilot project Rolling out “If we opened our eyes we would see the wonderful irony. Trying to manage human change through pilot and roll-out has actually grown something. A proliferation of project managers”. John Atkinson
  • 35. #S4CA @Sch4Change 3 design principles for change agents spreading change in a new power world ACTIONABLE: The idea is designed to make you do something. It might start wit sharing but it’s a call to action CONNECTED: The idea promotes a closer connection with people you care about or share values with. It makes you feel part of a community and the network effect creates further spread EXTENSIBLE: The idea can be easily customised, remixed, reshaped by people taking part. It’s structured with a common stem that encourages communities to alter and extend it Jeremy Heimens, Henry Timms New Power: How it’s changing the 21st Century and why you need to know (2018)
  • 36. #S4CA @Sch4Change To pimp = to excessively customise (especially a vehicle)
  • 38. #S4CA @Sch4Change Pimp my zimmer • Started by Angela Donlevy, Chalkney House Care Home, Essex • Social inclusion • Personalisation • Sense of ownership • Creates joy • Reduced incidence of falls by 40-60% Thanks Brian Dolan @ for the idea
  • 39. #S4CA @Sch4Change And then it spread……
  • 40. #S4CA @Sch4Change To hospitals, schools and communities
  • 43. #S4CA @Sch4Change#S4CA @Sch4Change For reflection after this session • Does the ACE framework help you understand why some of your change ideas have spread or not? • How might you use it in the future?
  • 45. #S4CA @Sch4Change Edge Talks – School Edition Tuesday 27th February. tbc: Transformations through trauma and choice with Nigel Millar. Tuesday 6th March, 7pm: The value of diversity in a complex world with Scott Page and Paul Deemer. Tuesday 13th March, 6pm: Change on the front line with Hilary Garratt. Wednesday 21st March, 6:30pm: Change Agents 2.0: Digital capabilities with Dominic Cushan, Susan Kennedy and Richard Price. Each session has 25 places, and offers the opportunity to have an interactive conversation.
  • 46. #S4CA @Sch4Change • We will randomly match you with another participant in the School for Change Agents from anywhere in the world • At some time in the next four weeks, arrange to have a conversation over Skype (or other communication system) with a cup of coffee! Image source: Pinterest Sign up here http://theedge.nhsiq.nhs.uk/school/2018-resources/ Randomised coffee trial (RCT)