Master presentation at the Innovation Scouts: what's the deal? event on Thursday 29 November 2018 at Haydock Park Racecourse.

1. INNOVATION SCOUTS
November 2018, Haydock Park

2. Welcome!
Juliette Kumar, Associate Director for Improvement and Education
Innovation Agency

3. IMPROMPTU NETWORKING
What personal challenge do you
come with today?
What do you hope to get and give
to this community today?

4. MORNING
• Setting the scene
• Where have we been – our journey so far
• Our challenge: the spread and adoption of evidence based innovations
• Developing capabilities for spread and adoption across systems
• Opportunities and challenges
AFTERNOON
• Getting the most out of an innovation community
• Shaping the future
• The four pillars of community
• What do I give and what do I get?
OVERVIEW of TODAY

5. Setting the Scene
Carole Spencer, Director of Transformation
Innovation Agency

6. Our continuing
mission is to find,
develop and
support
healthcare
innovation
Saving
money
Improving
lives
Driving
economic
growth

7. Today’s Purpose:
Looking Back and Looking Ahead
Reflection
Forward View
• The life of the NHS, locally
• The Innovation Agency as an
AHSN since 2013
• The Innovation Agency’s
network of scouts: how it has
developed and where we are
now
• How the system is changing
• Accelerating the uptake of
innovations
• What do we need from each
other in the next five years?
• How do we achieve this
mutual benefit?

8. Looking back to 2013
Additionally:• AHSNs – first 5 year license
• 70 scouts volunteer to become
connectors between their
organisation and the NWC AHSN
• CCGs are born following the Heath
and Social Care Act
• Five-year-forward-view published
in 2014
• New models of care
• New methods of health and social
care delivery
 Hospital activity
increasing yearly
 Knowledge of ageing
population pressures
 Regulatory targets
regard: hospitals ED,
RTT, Cancer
 HEE produces new
strategy in light of
looming ‘workforce cliff’

9. STP
Level
Place /Workstream
Network Level
CCG/Council/Trust/Practice
Organisational Level
Individual Employee Level
Innovation
Agency
must
connect and
create value
at all levels
HOW should we connect and
communicate to add most value
together?
• Spreading best practice and
innovation at increased pace
• Finding existing solutions for
local problems
• Not inventing locally if
unnecessary
• Increasing opportunities for
innovators
• Aligning with system priorities
Creating Value

10. Where have we been?
Juliette Kumar, Associate Director for Improvement and Education
Innovation Agency

11. In the beginning…..
Challenge to increase
capabilities and capacity for
innovation across the whole
system
Develop a vibrant community
of practice to encourage
adoption of innovation using
social movement principles
Create opportunities for
sharing, learning, adoption
and diffusion of innovations

12. Presentation 1
Innovation Scout
Programme
‘An Innovation Scout actively
encourages a culture of innovation within
their organisations by promoting and
encouraging the adoption of evidence-
based innovations, integrating innovation
as a core process and working to embed
innovation in their organisation’s values
and behaviours’.
2015-2018

13. INNOVATION SCOUTS – VALUES AND BEHAVIOURS
• Focused on future possibilities
and imagining better alternatives
• Enjoys trying new things and
champions new ideas and ways
of doing things
• Knows when to fail (and learn
from the experience) after
weighing the importance of the
idea/project and costs of
persevering
• of the idea/project and costs of persevering

14. ‘It is usually only people we
personally know and trust – and who
we know have successfully adopted
the innovation themselves – who can
give us credible reassurances that
our attempts to change wont result in
embarrassment, humiliation, financial
loss or wasted time’
DIFFUSION OF INNOVATIONS – EVRETT ROGERS

15. • Mutual engagement (how and what
people do together as part of practice)
• Joint enterprise (a set of problems
and topics that they care about)
• Shared repertoire (the concepts and
artefacts that they create)
STRUCTURAL ELEMENTS OF COMMUNITIES OF PRACTICE

16. The Nature
of Knowledge
1. Knowledge lives in the human
act of knowing
2. Knowledge is tacit as well as
explicit
3. Knowledge is social as well
as individual
4. Knowledge is dynamic
5. Social structures as a
management tool

17. Personal knowledge
and indwelling
‘Central to Polanyi’s view
of personal knowledge is
the idea of the tacit
component that is a
necessary ingredient of all
knowledge’

18. Co-designed with Innovation Community

20. Driven by a need to understand how to position the community in the new landscape
What is the scout purpose?
Who would benefit this programme most?
Are they representative across our
partners? What are the gaps?
Has the scout role been recognised
internally by host organisations?
Does the purpose need to be agree in
light of new licence and organisation
needs?
66% of scouts had not participated in IA hosted
activities >12 months

21. (n=70) *Active = engaged in events, activities and responded to GDPR survey
 24 NHS Provider organisations – 12 *active
Scouts
 19 Clinical Commissioning Groups – 7 active
Scouts
 9 Universities – 5 active scouts
 2 NHS England Area Teams – 0 active Scouts
 Wirral Council and Liverpool Council – 2 active
scouts (no other council representation)
 Cheshire Fire & Rescue – 1 active scout

22. 1. A contact for every organisation
2. Signposting and navigating internally
3. Creating a pull mechanism in
organisations
4. Capturing learning from implementation
of innovation
5. Space to explore and experiment
6. Understand and work through new
system structures
To meet the challenge of spread and adoption in our systems

23. Q. Is what we are doing now
serving us well?
Do we need to reposition ourselves to meet the challenge of
spread and adoption?

24. Mark Jackson
Director of Research & Innovation
Liverpool Heart and Chest Hospital

25. Creating a System for
Adoption of Innovation
Jenny Dodd & Eleanor Garnett Bentley
Associate Directors of Transformation
Innovation Agency

26. Enterprises
Universities
Industry
Citizens &
3rd Sector
Government
Local
L
G
Innovation Agency
We are the Academic Health
Science Network (AHSN) for
the North West Coast, covering
Cheshire, Merseyside,
Lancashire and South
Cumbria.
Our footprint includes 1 ICS, 1
HCP, 23 NHS providers, 19
CCGs, 14 Places, nine
universities and a large number
of life science industry
partners.
We SPREAD
We CONNECT
We COLLABORATE
Commissioned by NHS
England, NHS Improvement
and the Office for Life
IA Offices in
Daresbury
Liverpool
Preston

27. Mat - Neo
We are commissioned to deliver national programmes for
NHS England and NHS Improvement
AF
PINCEREm LAP
PRECEPT SIM
TCAM
Deterioration
Culture
coming
2019_20

28. And NHS
England fund
us to spread
nationally
selected
products
Non Injectable
Connector
My COPD App
UroLift
Episcissors
Endocuff Vision
Plus Sutures
HeartFlow
FFRCT
SecurAcath
DrDoctor
Innovation Technology Tariff
Products
2017 - 2019
Innovation Technology Payment
Products
2018 - 2019

29. We support the two strategic programmes in our area

30. Landing
innovations
in your
organisation
Gain an
insight into
innovations
becoming
national
priorities
Finding
solutions to
your
everyday
problems
Helping us
to
understand
your top 10
concerns
How can Innovation Scouts be part of this?

31. Designing a system for
spread and adoption
Karla Rimaitis, Improvement and Education Project Manager
Innovation Agency

32. LIBERATING STRUCTURES: MAKING SPACE WITH TRIZ
“Every act of creation is first an act of destruction” – Pablo Picasso
“What must we stop doing to
make progress on our deepest
purpose?”

33. LIBERATING STRUCTURES: MAKING SPACE WITH TRIZ
“Every act of creation is first an act of destruction” – Pablo Picasso
What could we do to create
the worst system for spread
and adoption of innovation?

34. LIBERATING STRUCTURES: MAKING SPACE WITH TRIZ
“Every act of creation is first an act of destruction” – Pablo Picasso
Make a list of all you could do to make sure that you
achieve the worst result imaginable.
(First alone, then with a partner, then as a group)

35. LIBERATING STRUCTURES: MAKING SPACE WITH TRIZ
“Every act of creation is first an act of destruction” – Pablo Picasso
Go through this list item by item and ask
yourselves:
‘Is there anything that we are currently
doing that resembles this item?’
(First alone, then with a partner, then as a group)

36. LIBERATING STRUCTURES: MAKING SPACE WITH TRIZ
Go through the items on your next list and decide:
“What first steps will help you stop what you know
creates undesirable results?”
(First alone, then with a partner, then as a group)

37. What first steps can you
take to enable spread and
adoption of innovation
across the system?
LIBERATING STRUCTURES: MAKING SPACE WITH TRIZ

38. Spread and Adoption:
Practical Steps
Mike Kenny, Associate Commercial Director
Innovation Agency

39. My Background

40. How are we funded? A 5 year license from NHSE
and OLS with project funding from NHSI
OLS : Deliver an
Innovation Exchange
• NHSE…Increase spread
and adoption of
nationally identified
innovations
• Service transformation
in support of integrated
care / STPs
NHSI: Deliver
Patient Safety
Collaborative

41. £140bn total NHS spend
AHSNs: The Adoption Challenge…
& Opportunity!

42. AHSNs – The adoption challenge
• Professor the Lord Darzi of Denham Chair of the
Accelerated Access Collaborative & Chair of surgery at
Imperial College
“Seventeen years ago, I performed the
first operation in the UK using a
surgical robot.
As it happens, that is the average
time it takes for an innovation to
spread around the NHS”

43. AHSNs :
Innovation Exchange Programme
• Identifying need & communicating
demand– Help innovators understand
healthcare demands, evidence
requirements, prepare systems for
promising products
• Signposting –matching innovations to
healthcare, adapting solutions to meet local
needs, finding early adopter regions
• Evaluation in practice – creating evidence
to support adoption & spread
• Spread and adoption of innovation –
locally, regionally and nationally

44. Culture
Intellectual Property
Ideas
Markets
Finance
Clinical Trials
Evaluation
Commercialisation
Adoption
Brokering
Success
Innovation Pathway

45. • Navigation of UK healthcare market
• Access to public sector partners and patients
• Innovation Centres / University access and collaboration
• Jointly funded sector development posts with LCR LEP and STFC
• Showcasing innovation to transformation leads in STPs and GDEs
• International markets
• EIT Health
• ECH and CHC Alliances
• EEN
• DiT
• Associate Director – Partnerships
Markets

46. Finance and funding
• Bid writing support, ‘critical friend’, partnering
• EIT, H2020, SBRI, NIA, Innovate UK, Test beds, ITP
• Over €2m funding for procurement of innovation for local
authority and NHS Trust through H2020 projects
• Secured £3.5m ERDF funding to expand local SME support –
now support circa 100 SMEs per year
• Investor support
• Finance workshops – VCs, Angels, BPIF & BBB
• Supported SMEs to secure £13m from VC and grant funding
over the last 2 Years
• Over £175m investment in infrastructure and inward investment
secured with partners over the last 4 years

47. Evaluation
• Contract with RCP Health Economics team and local university
partners to evaluate (in practice)
• Pathway work
• Impact of locally funded projects
• Provide health economics advice and workshops to innovators
• Patient representatives on panel for Innovation Exchange portal
• Partner with local CLAHRC & NIHR to collaborate on real world
evaluations
• Targeting further ERDF funding to support evaluation of local SME
innovations of interest to regional healthcare provider partners

48. Adoption and Commercialisation
• Business Connect service & ERDF
funded Business Support
programmes
• EIT Accelerator / PM Fit
• Workshops on procurement and
commissioning
• Business case / value proposition
• Competitor analysis and positioning
• Evaluation in practice / early adopter
sites
• Showcase events, case studies and
Innovation Exchange website

49. In the Last 2 years SMEs working with the
IA Team:
• £8.5million of investment funding to SMEs
working with the IA
• £4.2mill of Grant Funding
• 60 Jobs created
• 2 Major Awards
• 18+ Getting orders from the NHS for the
first time.
Innovation Agency were winners of the
‘Bionow Business Services’ Award at the
2017 Bionow Awards
Successes

50. Spread and Adoption
Competencies
Jen Kohan, Head of Coaching Academy
Innovation Agency

51. What skills, behaviours, and attributes do we need?
• Spend TWO minutes
SCANNING the document
• SPEND TWO minutes
discussing “what you notice”
about the framework with a
partner
• Flip over the paper, and
spend FIVE minutes making
notes about what EVIDENCE
might demonstrate the
Innovator’s Mindset at EACH
stage of the scale…

52. Driving Innovation in
Systems: Opportunities
and Challenges
Dave Sweeney, Director of Implementation (or something like that)
Health and Care Partnership – Cheshire and Merseyside
@davesween1969

54. “We cannot solve our problems with
the same thinking we used when we
created them.”
Albert Einstein

61. We are committed to improving the health and well being of the
2.6 million population of Cheshire and Merseyside and creating a
strong, safe and sustainable health and care system that is fit
for the future.
By taking responsibility for the public money allocated annually
to health and social care in our region, we will deliver rapid and
radical improvements over the next 3 years that result in better
care, better value and better quality of services.

62. • Sovereignty
• Place Vs Scale
• Decision making framework/Body
• Centralising/Privatisation
• True Parity of Esteem
• National Uncertainty
A FEW HURDLES TO TAKE…

63. HIDDEN GEMS…
• Transformation Fund/CCG Top Slice
• Additional Primary Care funds
• Shared Care Records/one C&M aligned system
• Prevention at scale
• Population health framework
• Different ways of connecting to our communities
• https://www.youtube.com/watch?v=jICfoDydsoc
• HEE Opportunity
• LEP,LA and NHS growth discussion
• Social Value at scale

64. When leaders open their eyes all
kinds of things can happen
Two campaigns:
• 400,000 views
• 60 days watch time
• 11000 social endorsements on videos alone
• 1000 subscribers
• Local, regional and national press attention
National recognition:
• FAB NHS Rosa Parks
• Chartered Institute of PR & Chartered Institute of Marketing Awards
• NHS Sustainability Awards

65. BRAVE AND CONFIDENT

66. INSERT IMAGE
and ‘Send to Back’
Lunch &
Networking Challenge
SELFIE
“a photograph that one has taken of oneself, typically one taken with a smartphone or
webcam and shared via social media.
During lunch, we would like you to
find someone you don’t know and
take a selfie to celebrate your new
contact here today… be sure to
tag your picture with
#spreadinNWC on twitter.

67. Making the Most of an
Innovation Community
Juliette Kumar, Associate Director for Improvement and Education
Innovation Agency

71.  4 Tables
 15 min at each table
 Facilitators will capture key points of discussion

72.  4 Tables
 15 min at each table
 Facilitators will capture key points of discussion

73.  4 Tables
 15 min at each table
 Facilitators will capture key points of discussion

74. What is our mission?
What measures tell us we are successful?
What is our plan?
Where do we share our lessons?
How do we reward/incentivise efforts?
If we were to develop the community,
what would this look like?

75. What is the role?
Who do we engage with?
How do we understand concerns?
What opportunities are there?
How do we support your development?

76. What is the role?
Who is best placed to do this?
Where do we go to understand needs?
Where else should we be plugged in?
How do we communicate well?
What are less obvious spaces?

77. What is the role?
Who might benefit from this role?
How do we support the development of connectors?
Where might we enable transfer of knowledge to connectors?
How do we engage more junior staff to get involved in innovation?

78. Creating a WIN-WIN for
Spread and Adoption in
Our Community
Karla Rimaitis, Improvement and Education Project Manager
Innovation Agency

79. GIVE AND GET
We would like you to think about one gift you can bring
to the innovation community.
Write this on a post-it
Find someone to share this with
Discuss how your gift would be important to the
community and how can it help to spread and adopt
innovation?

80. Give and Get
We would like you to think about one gift the
community could bring to you/your organisation.
Write this on a post-it
Find someone new to share this with
Discuss why this gift is important to you/organisation
and how can it help you to spread and adopt
innovation

81. What the Innovation Agency will give
Our promise to you:
1. To support you to drive adoption and spread of evidence based
innovations into your organisations & systems, and
2. Be available to work with you in early phases of redesign work so that
you are sighted on possible innovations that help you deliver care better,
faster, safer, and
3. Horizon scan and curate innovations in a meaningful was so that you are
able to navigate what is out there more easily, and
4. Provide access to opportunities for development and growth so that you
are able to put innovation into practice, and
5. Bring opportunities for testing and developing exciting innovations in
your own organisation and systems and showcase your efforts positively
locally, regionally and nationally.

82. What can you give in return
What can YOU offer this community
in return for OUR commitment?

83. Wrap up and next steps
Juliette Kumar, Associate Director for Improvement and Education
Innovation Agency