How to lead and innovate when the world is collapsing

all around you?

Dave Dawes

1) What do we know about leadership?

Deficit-based approach

Spiky Leadership

"Return on leadership" - McKinsey & Co & Egon Zehnder International

2) What do we know about innovation?

Prizes don’t work

Middle manager problem

How easy to access your Nurse

Director?

How easy to access your Chief

Exec?

How easy to access your

commissioner?

Ideas are worthless

Execution matters

3) What we have learned about

developing innovation

Community nursesCommunity nurses

Find the potential

Start with the problem

Solve real problems

Expose to amazing thinkers

Radical, incremental and

adaptive innovation

The reality of success

What staff sound like

Being needed isn’t Being needed isn’t enoughenough

They don’t care about your pressure

Sleep at nightSleep at night

Opportunity costs - £3.6mOpportunity costs - £3.6m

£20,000 x £20,000 x 180 180

womenwomen

£1,000 x £1,000 x 3680 3680

peoplepeople

Understand how funders

see the world

Don’t present to Don’t present to yourselfyourself

They are peopleThey are people

Limbix vs Cortex

Messiness of execution

Messiness of execution

Emotional resilience

Dealing with obstacles

Dealing with obstacles

4) Making the money work

Money is the Oxygen of the NHS

Create costed business plans

Scissors of Doom

CheaperBetter

CheaperBetter

CheaperWorse

CheaperWorse

Cost moreWorse

Cost moreWorse

Cost moreBetter

Cost moreBetter

4 Pillars of Innovation

Pro

ble

m

Gre

at

Idea

Busi

ness

Mod

el

Execu

tion

Examples of projects

Mental health & diabetes

Older people

•£800,000 on acute admissions

•£280,000 on community admissions

•£400,000 on GP & community services

•New service saved £740,000

100 most vulnerable elderly people used:

NutritionNutrition 12% of residents known to nutrition service

12% of residents known to nutrition service

20% over nutrition

20% over nutrition

22% under nutrition

22% under nutrition

Falls prevention

Palliative careEx offenders

Infection control

Heart disease

Speech and languageMultiple Sclerosis

Epilepsy

COPDAsthma

Wound care

Sexual health

Diabetes

Cancer

Mental health

Carer support

Staff well-being

Social isolation

IncontinenceLymphodema

Drug and alcohol

Mother and baby

£1.2 million savings each£1.2 million savings eachRaised average of £16k eachRaised average of £16k each

£1 million = 1 admission prevented per day

£1 million = 1 admission prevented per day

It’s impossible

It’s impossible

It’s impossible for me

It’s impossible

It’s impossible for me

It’s possible for me

It’s impossible

It’s impossible

It’s impossible for me

Melissa Poe

300,000 members15 countries

1 million trees

300,000 members15 countries

1 million trees

It’s impossible

It’s impossible for me

It’s possible for me

Innovation and Fear

Fail often

Fail oftenFail small

Fail oftenFail smallBe imperfect

Fail oftenFail smallBe imperfectConnect

www.nursefirst.org.uk