1.
@HelenBevan #QIPSF2016
How to be a GREAT change agent
Dr Helen Bevan, OBE
Chief Transformation Officer
NHS England
@HelenBevan
ANDSTAYINGINIT:

2.
@HelenBevan #QIPSF2016

3.
@HelenBevan #QIPSF2016
“New truths begin as heresies”
(Huxley, defending Darwin’s theory of natural selection)
Source of image:
installation by the
artist Adam Katz
www.thisiscolossal.com
Via @NeilPerkin

4.
@HelenBevan #QIPSF2016
WHO makes change happen?
Source: adapted by Helen Bevan
from Leandro Herrera
List A
• The Transformation
Programme Board
• The programme sponsor
• The Programme Management
Office
• The leads of the [insert
number] transformation work
streams
• The Clinical Director
• The Team Leader /Unit
Manager
• The Change Facilitator

5.
@HelenBevan #QIPSF2016
WHO makes change happen?
List A
• The Transformation
Programme Board
• The programme sponsor
• The Programme Management
Office
• The leads of the [insert
number] transformation work
streams
• The Clinical Director
• The Team Leader /Unit
Manager
• The Change Facilitator
List B
• The mavericks and rebels
• The deviants (positive). Who do
things differently and succeed
• The contrarians, because they can
• The nonconformists who see
things through glasses no one else
has
• The hyper-connected. Good or
bad, they spread behaviours, role
model at a scale, set mountains
on fire and multiply anything they
get their hands on
• The hyper-trusted. Multiple
reasons, doesn’t matter which
ones Source: adapted by Helen Bevan
from Leandro Herrera

6.
@HelenBevan #QIPSF2016
WHO makes change happen?
List A
• The Transformation
Programme Board
• The programme sponsor
• The Programme Management
Office
• The leads of the [insert
number] transformation work
streams
• The Project Manager
• The Team Leader /Unit
Manager
• The Change Facilitator
List B
• The mavericks and rebels
• The deviants (positive). Who do
things differently and succeed
• The contrarians, because they can
• The nonconformists who see
things through glasses no one else
has
• The hyper-connected. Good or
bad, they spread behaviours, role
model at a scale, set mountains
on fire and multiply anything they
get their hands on
• The hyper-trusted. Multiple
reasons, doesn’t matter which
ones Source: adapted by Helen Bevan
from Leandro Herrera

7.
@HelenBevan #QIPSF2016
What’s the evidence?
The failure of large scale
transformational change projects is
rarely due to the content or
structure of the plans that are put
into action
To make transformational change
happen we need to connect networks
of people who ‘want’ to contribute
http://iedp.com/articles/vertical-leadership/?utm_source=Sign-Up.to&utm_medium=email&utm_campaign=13787-
257163-Campaign+-+01%2F09%2F2016
Source: David Dinwoodie (2015)
It’s much more about the role
of informal networks in the
organisations/systems affected
by change

8.
@HelenBevan #QIPSF2016
Change is changing

9.
@HelenBevan #QIPSF2016
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

10.
@HelenBevan #QIPSF2016
Source: Bromford P (2015), ”What’s the difference between a test and a pilot?”

11.
@HelenBevan #QIPSF2016
Change is changing

12.
@HelenBevan #QIPSF2016

13.
@HelenBevan #QIPSF2016
Change is changing

14.
@HelenBevan #QIPSF2016

15.
@HelenBevan #QIPSF2016
Change is changing

16.
@HelenBevan #QIPSF2016

17.
@HelenBevan #QIPSF2016

18.
@HelenBevan #QIPSF2016
Change is changing
Change from the edge

19.
@HelenBevan #QIPSF2016
http://www.slideshare.net/Openpolicymaking/policy-lab-slide-
share-introduction-final

20.
@HelenBevan #QIPSF2016##FabChangeDay
Why go to the edge?
“ Leading from the edge brings us
into contact with a far wider range
of relationships, and in turn, this
increases our potential for diversity
in terms of thought, experience
and background. Diversity leads to
more disruptive thinking, faster
change and better outcomes
Aylet Baron

21.
@HelenBevan #QIPSF2016
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

22.
@HelenBevan #QIPSF2016
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

23.
@HelenBevan #QIPSF2016
People who are highly connected
have twice as much power to
influence change as people with
hierarchical power
Leandro Herrero
http://t.co/Du6zCbrDBC

24.
@HelenBevan #QIPSF2016
Is your change process a cathedral or a bazaar?
http://www.unterstein.net/su/docs/CathBaz.pdf

25.
@HelenBevan #QIPSF2016
We have a lot of cathedrals
Source: Sewell (2015) : Stop training our project managers to be process junkies

26.
@HelenBevan #QIPSF2016
“I have some Key
Performance
Indicators
for you”
or
“I have a
dream”
Source: @RobertVarnam

27.
@HelenBevan #QIPSF2016
“Tomorrow’s management systems
will need to value diversity, dissent
and divergence as highly as
conformance, consensus and
cohesion.”
Gary Hamel
Image by neilperkin.typepad.com
is the new normal!

28.
@HelenBevan #QIPSF2016
“Tomorrow’s management systems
will need to value diversity, dissent
and divergence as highly as
conformance, consensus and
cohesion.”
Gary Hamel
Image by neilperkin.typepad.com
“The single biggest mistake to
avoid? Creating disruption at work.
Focus on developing relationships,
not disrupting and alienating
people. Peter Vander Awera on
learning from setbacks and failures
is the new normal!
##FabChangeDay

29.
@HelenBevan #QIPSF2016

30.
#SHCR @HelenBevan#@HelenBevan #ngdpcohort17
What happens to
heretics/radicals/rebels/mavericks
in organisations?

31.
#SHCR @HelenBevan#@HelenBevan #ngdpcohort17

32.
#SHCR @HelenBevan#IQTGOLD#SCHR @HelenBevanSource: Lois Kelly http://www.slideshare.net/Foghound/rocking-the-boat-without-falling-out

33.
#SHCR @HelenBevan#@HelenBevan #ngdpcohort17
We need rebels!
•The principal champion of a change initiative, cause
or action
•Rebels don’t wait for permission to lead, innovate,
strategise
•They are responsible; they do what is right
•They name things that others don’t
see yet
•They point to new horizons
•Without rebels, the storyline never
changes
Source : @PeterVan http://t.co/6CQtA4wUv1

34.
#SHCR @HelenBevan#@HelenBevan #ngdpcohort17
If you put fences around people, you
get sheep. Give people the room they
need
William L McKnight

35.
#SHCR @HelenBevan#@HelenBevan #ngdpcohort17
We need to create more boat rockers!
• Rock the boat but manage to
stay in it
• Walk the fine line between
difference and fit, inside and
outside
• Conform AND rebel
• Capable of working with
others to create success NOT
a destructive troublemaker
Source: Debra Meyerson

36.
#SHCR @HelenBevan
Source : Lois Kelly www.foghound.com
There’s a big difference between a rebel and
a troublemaker
Rebel

37.
#SHCR @HelenBevan#@HelenBevan #ngdpcohort17
Reflection
• What are your insights around “rebels” and
“troublemakers”?
• What moves people from being “rebel” to
“troublemaker”?
• How do we protect against this?

38.
#SHCR @HelenBevan
Source : Lois Kelly www.rebelsatwork.com
There’s a big difference between a
rebel and a troublemaker
Rebel

39.
#SHCR @HelenBevan#@HelenBevan #ngdpcohort17
Change starts with me
Source of image: jasonkeath.com

40.
#SHCR @HelenBevan#@HelenBevan #ngdpcohort17
‘I 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’
David Whyte, The Heart Aroused 1994
Source of image: fistfuloftalent.com

41.
#SHCR @HelenBevan#@HelenBevan #ngdpcohort17
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 “self-efficacy”
 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

42.
#SHCR @HelenBevan#@HelenBevan #ngdpcohort17
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

43.
#SHCR @HelenBevan#@HelenBevan #ngdpcohort17
Source: @NHSChangeDay

44.
#SHCR @HelenBevan#@HelenBevan #ngdpcohort17
Source: @NHSChangeDay
What is the issue here?
“permission” ?
(externally generated)
or
Self efficacy ?
(internally generated)

45.
#SHCR @HelenBevan#@HelenBevan #ngdpcohort17
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

46.
#SHCR @HelenBevanImage copyright: http://13c4.wordpress.com/2007/02/24/50-reasons-not-to-change/

47.
#SHCR @HelenBevan#@HelenBevan #ngdpcohort17

48.
#SHCR @HelenBevan
C http://www.slideshare.net/AndreaWaltz/gfn-slidesharegfnhandling-rejectionpositively

49.
#SHCR @HelenBevan#@HelenBevan #ngdpcohort17Source: http://www.slideshare.net/AndreaWaltz/gfn-slidesharegfnhandling-rejectionpositively

50.
#SHCR @HelenBevan#@HelenBevan #ngdpcohort17Source: http://www.slideshare.net/AndreaWaltz/gfn-slidesharegfnhandling-rejectionpositively

51.
#SHCR @HelenBevan#@HelenBevan #ngdpcohort17Source: http://www.slideshare.net/AndreaWaltz/gfn-slidesharegfnhandling-rejectionpositively

52.
#SHCR @HelenBevan#@HelenBevan #ngdpcohort17Source: http://www.slideshare.net/AndreaWaltz/gfn-slidesharegfnhandling-rejectionpositively

53.
#SHCR @HelenBevan#@HelenBevan #ngdpcohort17Source: http://www.slideshare.net/AndreaWaltz/gfn-slidesharegfnhandling-rejectionpositively
Make it a personal
PERFORMANCE target.

54.
#SHCR @HelenBevan#@HelenBevan #ngdpcohort17Source: http://www.slideshare.net/AndreaWaltz/gfn-slidesharegfnhandling-rejectionpositively

55.
#SHCR @HelenBevan#@HelenBevan #ngdpcohort17
Research from the sales industry:
How many NOs should we be seeking to get?
• 2% of sales are made on the first contact
• 3% of sales are made on the second contact
• 5% of sales are made on the third contact
• 10% of sales are made on the fourth contact
• 80% of sales are made on the fifth to twelfth
contact
Source: http://www.slideshare.net/bryandaly/go-for-no

56.
#SHCR @HelenBevan#@HelenBevan #ngdpcohort17
“Papers that are more likely to contend against
the status quo are more likely to find an
opponent in the review system—and thus be
rejected —but those papers are also more
likely to have an impact on people across the
system, earning them more citations when
finally published”
V. Calcagno et al., “Flows of research manuscripts among
scientific journals reveal hidden submission patterns,”
Science, doi:10.1126/science.1227833, 2012.
—

57.
#SHCR @HelenBevan#@HelenBevan #ngdpcohort17
Being a great change agent is about knowing, doing,
living and being improvement

58.
#SHCR @HelenBevan#@HelenBevan #ngdpcohort17
Avedis Donabedian
“Ultimately, the secret of
quality is love.
…… If you have love, you
can then work backward
to monitor and improve
the system”.

59.
#SHCR @HelenBevan#@HelenBevan #ngdpcohort17
Project Aristotle: http://qz.com/625870/after-years-of-intensive-
analysis-google-discovers-the-key-to-good-teamwork-is-being-nice/
After years of intensive analysis, Google
discovers that the key to high performing,
innovative teams is being nice

60.
#SHCR @HelenBevan#@HelenBevan #ngdpcohort17
Key tactic :
Out-love everyone else
Source of image: Bradley Burgess

61.
#SHCR @HelenBevan#@HelenBevan #ngdpcohort17
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