Achieving change through networks - NHS Improvement · This is the era of networks We are...
40
Achieving change through networks
Transcript of Achieving change through networks - NHS Improvement · This is the era of networks We are...
Achieving change through networks
Achieving change through networks
23 May
Helen Bevan and Penny Pereira
@HelenBevan @PennyPereira1
What we will cover
• Networks as a force for positive change
• What we know about networks and how they help
• Diverse examples of networks
• Reflecting on your networks
• Q community: enabling better networked change
This is the era of networks
We are witnessing the collapse of expertise and rise of collaborative sensemaking
David Holzmer
Source of image: ACCA
Hierarchy AND network
We still organise the health and care system like the Tabulating Machine Co. of 1917
Source of image: @corp_rebels
The 3% phenomena for change
Just 3% of people in the organisation
typically drive conversations with 90% of the other
people Source: research by IC Kollectif
Jeremy Heimens, Henry Timms This is New Power
old power new power Currency
Held by a few
Pushed down
Commanded
Closed
Transaction
Current
Made by many
Pulled in
Shared
Open
Relationship
@HelenBevan #BPSconf
The Network Secrets of Great Change Agents
Julie Battilana &Tiziana Casciaro
As a change agent, my centrality in the informal network is more important than my
position in the formal hierarchy
A co-operative structure where
interconnected groups or individuals
coalesce around a shared purpose on the
basis of trust and reciprocity
What are networks?
What are networks good for?
Well designed networks can:
• Provide efficient ways of sharing knowledge and innovation,
particularly when the knowledge base of a sector is complex,
dispersed and expanding
• Influence behaviour – shaping the norms and values that guide
decisions and actions, the opportunities available to members, the
constraints on what they do, and the activities they undertake
History of supporting networks
Which networks are you part of that support you in your improvement work?
Designing effective networks
http://www.source4networks.org.uk/
What makes an effective network for improvement?
Networks as an embedded part of an improving system
“Organisations [need to] master the complex
challenges they face by outlearning their
competition, and by applying what they learn
directly to their business. They [need] a culture
where they see, raise and solve problems in
real time, every day.”
Steven Spear
Learning health care systems
Why improvement needs peer networks?
Context
matters
Many complex
challenges
Improvement
can be hard
Our world is
siloed
How do peer networks support
improvement?
Resilience
Shared
know how
Pooled
intelligence
Scaling and
spread
Context
matters
Many complex
challenges
Improvement
can be hard
Our world is
siloed
Resilience
Shared know how
“When QI initiatives work, they often do so
because practical wisdom is deployed both in
the design and running of the programme” Mary Dixon-Woods
“Phronesis: practical and social wisdom, which is the
result of experience and social practice. It is
singular and idiosyncratic, acquired by trial and error,
and cannot be shared easily.” Philippe Baumard
Pooled intelligence
A network’s cooperative,
collegial environment
allows ‘bottom up’ views
to contribute to solving
complex […] problems’
Effective networks for improvement,
Health Foundation 2014
Development phase
Personal
Early scaling phase
Professional
Later scaling phase
Communities
Scaling and spread
Does this reflect what
you get from your
networks?
5 minutes
Discuss with your
neighbours
How peer networks support
improvement
Resilience
Shared
know how
Pooled
intelligence
Scaling and
spread
How could you get
more from your
networks?
System anatomy and physiology
What is Q?
• A connected community working
together to improve health and care
quality across the UK
• Supports people in their existing
improvement work: making it easier
to share ideas, enhance skills and
make changes that benefit patients
29
Designed by you, for you
• Designed with 231 founding members – diverse
cross section of improvers from across the UK
• Members continue to help shape the community
Who’s in Q?
Anticipating 1000s of members from all backgrounds
Applicants need to demonstrate:
• Experience and understanding of improvement
• Thoughtful commitment to Q
Growing Q
Phased opportunities to apply
799 members now
2000+ by end of 2017
What Q offers
Connections at the heart of Q
“Q members […] reported a statistically significant
improvement in their assessment of their skills and knowledge
needed for the quality improvement work that they want to do”
RAND Europe, 2016
Q has reinforced my belief [...] we’re in it together and ‘None of
us knows as much as all of us!’. Q helps with the sharing!
Ashley Gould
Consultant in Public Health, Public Health Wales
Q has offered me opportunities to renew old and create new
connections across the UK. This has been both energising
(sometimes a needed boost to resilience!) and often very practical
for my day-to-day job.
Heather Shearer,
Board & Partnerships QI Development Lead, Scotland
Q improvement lab
Bringing together Q members and others to
understand and make progress on a specific
complex challenge, supported by access to expert
facilitation, analysis and creative design skills
Pilot project starting now:
What would it take for peer support to be available
to everyone who wants it to help manage their long
term health and well-being needs?
Looking forward
By 2020:
• Established large-scale, long-term home for improvers
• Connecting locally, regionally and nationally
• Vibrant community tackling local and cross-system priorities
Achieving change through networks
• Pay attention to human, social connections: critical to change
• Make the most of your networks
• Help your networks make a difference
• Support Q and help join up improvement across the UK
Visit us online: http://q.health.org.uk
Email the team: [email protected]
Follow us on Twitter: @theQCommunity #theqinitiative
