The NHS Transformathon was a 24 hour virtual event to connect people from all over the world who are leading the way in transforming the health and care system. It took place on 27/28 January 2016. The aim of this first talk "Where is chaneg going?" was to set the scene for the following 24 hours and to identify the principles that underpinned many of the talk to come during the Transformathon.
The entire event was a live broadcast on Google hangout. You can watch all of the sessions. Go to http://theedge.nhsiq.nhs.uk/transformathon/ and click on the title of the session you would like to view. The content is free and available to all.
If you tweet about the content of the Transformathon, please use the hashtag #NHSTform
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"Where is change going?" Slides from Helen Bevan's first talk at the NHS Transformathon
1. @HelenBevan #NHSelect15
Source of image:
Buildingchangetrust.org
Helen Bevan
@HelenBevan
#NHSTform
Where is change
going?
(and how you will see many
examples of the new direction in
the next 24 hours)
5. @HelenBevan #NHSelect15
Kinthi Sturtevant, IBM
13th annual Change Management
Conference June 2015
We rarely see two, three or four
year change projects anymore.
Now it’s 30-60-90 day change
projects
11. @HelenBevan #NHSelect15@HelenBevan #NHSTform
Jeremy Heimens TED talk “What new power looks like”
https://www.youtube.com/watch?v=j-S03JfgHEA
old power new power
Currency
Held by a few
Pushed down
Commanded
Closed
Transaction
Current
Made by many
Pulled in
Shared
Open
Relationship
16. @HelenBevan #NHSelect15@HelenBevan #NHSTform
“Change comes naturally when individuals
have a platform that allows them to
identify shared interests and to brainstorm
solutions.”
Gary Hamel & Michele Zanini, 2014
Build a change platform not a change program
17. @HelenBevan #NHSelect15
• systematic “change
management”
• too often, leaders
prescribe outcome
and method of change
in a top-down way
• change is experienced
by people at the front
line as “have to”
(imposed) rather than
“want to” (embraced)
Change
Programmes
• everyone (including
service users and families)
can help tackle the most
challenging issues
• value diversity of thought
• connect people, ideas and
learning
• Role of formal leaders is to
create the conditions and
get out of the way
Change
Platforms
“Tear down the walls”
Cathedral and Bazaar is an essay, then book, by Eric S. Raymond on software engineering methods
Illustrates the struggle between top-down and bottom-up design
The Cathedral model: restricted access to code, code only available with each software release – controlled / limited / restricted / closed
The Bazaar model, in which the code is developed over the Internet in view of the public
Raymond's proposition that "given enough eyeballs, all bugs are shallow" - the more openly and widely available the source code is for public testing, scrutiny, and experimentation, the more rapidly all forms of bugs will be discovered.
Raymond claims that an inordinate amount of time and energy must be spent hunting for bugs in the Cathedral model, since the working version of the code is available only to a few developers.
Social platforms
Social platforms include more tightly defined communities of interest that come together around specific shared interests like certain genres of music, types of sports or academic disciplines like history or economics.
They tend to foster mesh networks of relationships rather than hub and spoke interactions
E.g. Facebook, Twitter,
2. Mobilisation platforms
Mobilization platforms ultimately focus on mobilising participants to engage in some kind of collaborative effort that will take considerable time to accomplish
Because of the need for collaborative action over time, these platforms tend to foster longer-term relationships rather than focusing on isolated and short-term transactions or tasks
3. Learning platforms
Explicit goal to create environments where participants can learn faster and individually achieve higher and higher levels of performance as more and more participants join the platform
E.g. School for Health and Care Radicals, World of Warcraft
4. Aggregation platforms
The basic focus of these platforms is to bring together a broad array of relevant resources and help users of the platform to connect with the most appropriate resources.
E.g. EBay
Transactional & task focussed (Need > response > deal > move on)
Hub & spoke model – all transactions are brokered by platform owner/organiser