2. #SHCR @School4Radicals
Welcome to the School for Health and Care
Radicals â a global community of change agents
⢠1,643 registrants for The School for Health and Care
Radicals (as of 29th January)
⢠From 36 countries, including:
Argentina, Australia, Austria, Belgium, Brazil, Canada,
Denmark, England, France, Georgia, Germany, Greece,
India, Ireland (Republic), Italy, Netherlands, New Zealand,
Nigeria, Norway, Northern Ireland, Pakistan, Qatar, Russian
Federation, Saudi Arabia, Scotland, Singapore, Slovenia,
South Africa, Spain, Sweden, Switzerland, Thailand, Tunisia,
Ukraine, USA, Wales
6. #SHCR @School4Radicals
How are you feeling today?
(choose one)
Iâm ready to be
radical
Iâm cautiously
optimistic
I remain
unconvinced or
sceptical
Iâm feeling
positive, letâs see
how I can make
this work
7. #SHCR @School4Radicals
Joining in today and beyond
⢠Please use the chat box to contribute continuously during the
web seminar
⢠Please tweet using hashtag #SHCR and the handle
@School4Radicals
⢠Join our Facebook group School for Health and Care Radicals
⢠We will produce summaries of the discussions on each
module using Storify and Pinterest and put on the website
⢠Join in the Tweetchat each Wednesday at 4-5pm (GMT) using
the hashtag #SHCR
8. #SHCR @School4Radicals
Study guides
Programme Study Guide:
http://www.slideshare.net/NHSIQ/shc
r-ii-study-guide-20150120-final-2
Module 1 Study Guide:
http://www.slideshare.net/NHSI
Q/shcr-module-1-study-guide
9. #SHCR @School4Radicals
The team today
Session lead:
Helen Bevan
@HelenBevan
Learning lead:
Pip Hardy
@PilgrimPip
Case study alumnus:
Daniel Walsh
@dwalsh811
Chat monitor:
Dominic Cushman
@domcushnan
Twitter monitor:
and alumna:
Jodi Brown
@jodimolden
Case study alumna:
Kate Pound
@kateslater2
10. #SHCR @School4Radicals
30th January: Being a health and care radical:
change starts with me
6th February: Building alliances for change
13th February: Rolling with resistance
20th February: Making change happen
27th February: Moving beyond the edge
Modules
11. #SHCR @School4Radicals
⢠Background to The School for Health and Care Radicals
⢠Learning processes
⢠Context: emerging directions in transformation and change
⢠Some challenges for health and care radicals
⢠The difference between a radical and a troublemaker
⢠How to rock the boat AND stay in it
⢠How to thrive and survive as a radical
⢠Questions and call to action
Source of image: www.freshnessmag.com
for
today
12. #SHCR @School4Radicals
The genesis of the
School
2002
2014
2013
2010 2012
2003
NHS Change Day
2013
âA school for
healthcare
radicalsâ
Applying
social movement
thinking to
healthcare
improvement
âThe School for
Health and Care
Radicalsâ
âA one day school
for organisational
radicalsâ
Applying
community organising
principles to
healthcare
improvement
2015
14. #SHCR @School4Radicals
The school is based on two kinds of learning
Transactional learning Transformational learning
A âtoolkitâ of ideas &
approaches
Learning through
motivation, practice &
feedback
Seeks to transfer useful
knowledge
Seeks to transform beliefs
& underlying assumptions
Learning events,
presentations & materials
Experiential, interactive &
action-based
Generates understanding of
âwhat to doâ
Generates increased
capacity in âhow to do itâ
Source: John Wenger https://medium.com/corporate-learning/3deb1bb2e865
15. #SHCR @School4Radicals
âNew truths begin as heresies.â
(Huxley, defending Darwinâs theory of natural selection)
Source of image:
installation by the
artist Adam Katz
www.thisiscolossal.com
Via @NeilPerkin
25. #SHCR @School4Radicals
Leading change in a new era
Dominant approach Emerging direction
Most healthcare
transformation
efforts are driven
from this side
30. #SHCR @School4Radicals
John Kotter: âAccelerate!â
⢠We wonât create big change
through hierarchy on its own
⢠We need hierarchy AND network
⢠Many change agents, not just a
few, with many acts of leadership
⢠At least 50% buy-in required
⢠Changing our mindset
⢠From âhave toâ to âwant toâ
TO
31. #SHCR @School4Radicals
From âhave toâ to âwant toâ
Source of image s:www.slideshare.net/mexicanwave/champions-trolls-10-years-
of-the-cipd-online-community
32. #SHCR @School4Radicals
Managers know how to command obedience
and diligence, but most are clueless when it
comes to galvanizing the sort of volunteerism
that animates life on the social web.
Initiative, imagination and passion canât be
commandedâtheyâre gifts.
Gary Hamel
http://www.mixmashup.org/blog/reinventing-
management-mashup-architecture-ideology
â â
33. #SHCR @School4Radicals
The Network Secrets of Great Change Agents
Julie Battilana &Tiziana Casciaro
1. As a change agent, my centrality in the informal
network is more important than my position in
the formal hierarchy
2. If you want to create small scale change, work
through a cohesive network
If you want to create big change, create
bridge networks between disconnected groups
34. #SHCR @School4Radicals
People who are highly connected
have twice as much power to
influence change as people with
hierarchical power.
Leandro Herrero
http://t.co/Du6zCbrDBC
36. #SHCR @School4Radicals
is the new normal!
âBy questioning existing ideas, by
opening new fields for action, change
agents actually help organisations
survive and adapt to the 21st Century.â
CĂŠline Schillinger
Image by neilperkin.typepad.com
38. #SHCR @School4Radicals
We need rebels!
⢠The principal champion of a change initiative,
cause or action
⢠Rebels donât wait for permission to lead, innovate,
strategise
⢠They are responsible; they do what is right
⢠They name things that others
donât see yet
⢠They point to new horizons
⢠Without rebels, the storyline never
changes
Source : @PeterVan http://t.co/6CQtA4wUv1
43. @helenbevan
We need to be boat rockers!
⢠Walk the fine line between
difference and fit, inside and
outside, rock the boat but
manage to stay in it
⢠Able to challenge the status
quo when we see that there
could be a better way
⢠Conform AND rebel
⢠Capable of working with others
to create success NOT a
destructive troublemaker Source: Debra Meyerson
44. @helenbevan
What are the risks for a boat rocker?
1. Our experiences of âbeing differentâ can be
fundamentally disempowering. This can lead us to
conform because we see no other choice
Source: adapted from Debra E Meyerson
45. @helenbevan
What are the risks for a boat rocker?
1. Our experiences of âbeing differentâ can be
fundamentally disempowering. This can lead us to
conform because we see no other choice
ď§ we surrender a part of ourselves, and silence
our commitment, in order to survive
Source: adapted from Debra E Meyerson
48. @helenbevan
What are the risks for a boat rocker?
1. Our experiences of âbeing differentâ can be
fundamentally disempowering. This can lead us to
conform because we see no other choice
ď§ we surrender a part of ourselves, and silence
our commitment, in order to survive
2. leave the organisation
Source: adapted from Debra E Meyerson
49. @helenbevan
What are the risks for a boat rocker?
1. Our experiences of âbeing differentâ can be
fundamentally disempowering. This can lead us to
conform because we see no other choice
ď§ we surrender a part of ourselves, and silence
our commitment, in order to survive
2. leave the organisation
ď§ we cannot find a way to be true to our values
and commitments and still survive
Source: adapted from Debra E Meyerson
50. @helenbevan
What are the risks for a boat rocker?
1. Our experiences of âbeing differentâ can be
fundamentally disempowering. This can lead us to
conform because we see no other choice
ď§ we surrender a part of ourselves, and silence
our commitment, in order to survive
2. leave the organisation
ď§ we cannot find a way to be true to our values
and commitments and still survive
3. stridently challenge the status quo in a manner
which is increasingly radical and self-defeating
Source: adapted from Debra E Meyerson
51. @helenbevan
What are the risks for a boat rocker?
1. Our experiences of âbeing differentâ can be
fundamentally disempowering. This can lead us to
conform because we see no other choice
ď§ we surrender a part of ourselves, and silence
our commitment, in order to survive
2. leave the organisation
ď§ we cannot find a way to be true to our values
and commitments and still survive
3. stridently challenge the status quo in a manner
which is increasingly radical and self-defeating
ď§ this just confirms what we already know â that
we donât belong Source: adapted from Debra E Meyerson
53. @helenbevan
Reflection
⢠What are your insights around ârebelsâ and
âtroublemakersâ?
⢠What moves people from being ârebelâ to
âtroublemakerâ?
⢠How do we protect against this?
58. @helenbevan
âI do not think you can really deal with
change without a person asking real
questions about who they are and how they
belong in the world.â
David Whyte, The Heart Aroused 1994
Source of image: fistfuloftalent.com
59. @helenbevan
History tells us that personal transformation
comes before organisational or system
transformation
If we want to play our role, we have to focus
deeply on our own perspective and the ways
http://blogs.bmj.com/quality/2013/08/19/a-call-to-action-helen-bevans-blog-2/
we interact with and influence
others. The more that we can
unleash that powerful reservoir
of energy for change, the more
our influence and impact will
grow.
Image from novamagazine.com
60. @helenbevan
1. able to join forces with others to create action
2. able to achieve small wins which create a sense
of hope, possibility and confidence
3. More likely to view obstacles as challenges to
overcome
4. strong sense of âself-efficacyâ
ď§ belief that I am personally able to create the change
Four things we know about successful
boat rockers
Source: adapted from Debra E Meyerson
CHANGE
me
BEGINS WITH
61. @helenbevan
Self-efficacy
There is a positive, significant
relationship between the
self-efficacy beliefs of a
change agent and her/his
ability to facilitate change
and get good outcomes
Source of image:www.h3daily.com
65. @HelenBevan
Building self-efficacy: some tactics
1. Create change one small step at a time
2. Reframe your thinking:
⢠failed attempts are learning opportunities
⢠uncertainty becomes curiousity
3. Make change routine rather than an exceptional
activity
4. Get social support
5. Learn from the best
68. @helenbevan
The most effective change agents:
⢠donât waste their time and energy
blaming and complaining
⢠take calculated risks to achieve the
outcomes they sought
Now is the time to plan steps to keep
moving myself forward, with positive
momentum, as a health and care radical
72. @helenbevan
Calls to action from this module
⢠Take part in a RCT (Randomised Coffee Trial).
⢠Reflect on your own role / knowledge / skills as
a health and care radical and create an action
plan to âstart with meâ.
⢠Discuss tactics for ârocking the boat and staying
in itâ with other radicals.
⢠Identify and support others who are at risk of
crossing the line from âradicalâ to
âtroublemakerâ.
76. @helenbevan
Randomized Coffee Trial!
⢠Instructions in News from Jo later today
⢠Send an email to say you want to take part in the RCT to
radicals@nhsiq.nhs.uk
⢠We will randomly match you with another participant in the
School for Health and Care Radicals 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!
77. @helenbevan
Next opportunities for learning
⢠Next Wednesday 4th February
16:00-17:00 GMT: Tweet chat #SHCR
⢠Next Friday morning 6th February
9.30-11;00 GMT: Module 2:
Building alliances for change
80. @helenbevan
Questions for reflection
1. What are the opportunities for me to build my
perspectives and skills as an agent of change?
2. How can I build self efficacy as a change agent?
3. How do I move beyond skills and knowledge of
change to live and be change?
4. Who can help and support me as a change
agent?
5. What are the implications for the way I work?