1. Tuesday 7th May 2013 - 1pm – 5pm
Stepping Forward:
Learning from NHS Change Day
Aim of the afternoon:
To look back at NHS Change Day 2013 and build on exploring
the potential of how young clinical leaders can influence
change within the NHS.

3. These were personal
notes for theming and
are not a complete
reflection of the talk
Claire Rees
Natalie Silvey
Kate Pryde
Short Talks
Opportunistic timing
Unknowns – would people be interested?
Engagement will foster understanding
What is the best thing about your job?
What really annoys me?
Easily delivered intervention
FLATHUG
Taken directly to the trust Chief Executive –
“does it depend on engagement?”
Spring Board to change
Empowering people to make change they now
they needed
Time Precious
Gap between juniors and change leaders

4. Short Talks
Tara -Lynn
Louise Towse
Agatha NortleyMeshe
Fiona Rodden
Harassed each other
Littered Facebook
Practicalities of gathering involvement
Time for getting volunteers
Clinical Simulations – incorporated into
curriculum earlier
Patients
Moral – how CAN we improve?
If we want to care for each other we must care
for ourselves

5. Common Themes
1. Engagement – present but often a gap
between juniors and senior leaders
2. Often opportunistic timing or taking forward
ideas which are already in evolution
3. Time is precious and we need to use it wisely

6. Driving Forces for Change
ROLE MODELS and LEADERS
SKILLS and CAPABILITIES
Utilising coaching, the change model
and NHS IQ
PASSION and ENTHUSIASM
Enthusiasm and passions are in
abudance
But could have further support from
educational supervisors, senior
clinicians and senior leaders as well
as peer support
NETWORKS and CONNECTIONS
With an emphasis on relationships
between clinical and non-clinical
staff

7. Barriers to Change
HIERARCHIES
TIME
A silo culture with an aversion to risk
and some poor role models
Both to do the work and find
followers
A culture of
learnt
helplessness
is developing
MINDSET
Too much is ‘not my job’
MEDIA
Little positivity about progress and
change

8. Influencing change in the NHS
– action points
Enablers
• How can we ignite passions?
• How do we activate and use role models?
• How do we build networks?
• How do we maximise skills and capabilities?
Barriers
• How do we breakdown hierarchy?
• Can we reduce people ‘waiting for permission’?
• What happens if your role models aren’t perfect?
• Can we improve mindsets?
• How do we make media a force for support?

9. Key Aims/Strategic Direction
1) Find a balance between celebrating great
practice and challenging resistance to change
2) Reach the non-converts (? Those outside #SoME)
Reach students (National event)
Bring specialties together
3) Change Day Champions
4) Patients and Advocacy Groups (including celebreties)
Note Silos, Hierarchies and ‘standard’ professional management may inhibit these

10. Action Points
• Put on National Event for health care professional
students involving/supported by NHS IQ – with
Julian Hartley (Bruce Keogh promised to speak)
• Integrate Change Day champions into plans for
2014
• Utilise attendees as sounding board/discussion
forum
• Supply Julian Hartley with list of networks of
‘young leader groups (actioned)

11. Off shoot idea
A train-the-trainer “Change Radical” course
Enable a generation of the ‘emerging leaders’ to
create a movement of radicals in their localities