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IHI Forum 2022
13 December 2022
VW03:
Stories for Change: How Mums Used Their Stories for Change to
Influence Maternity Services
Elaine King
Zoe Lord
Disclosure
No relevant relationships:
None of the planners, presenters, or staff for this educational activity have relevant financial relationship(s) to
disclose with ineligible companies whose primary business is producing, marketing, selling, re-selling, or
distributing healthcare products used by or on patients.
Session Objectives
After attending this session, attendees will be able to:
• Objective 1: * Describe the Stories for Change Framework
• Objective 2: * Identify an example where you have seen Stories for Change in action
• Objective 3: * Construct your Story for Change, demonstrating your passion of
improvement in healthcare and the change you would like to see
How Mums Used
Their Stories for
Change to Influence
Maternity Services
@Elaineking91 @ZoeLord1 @HorizonsNHS
Who we are
Elaine King
Delivery Support Manager
NHS Horizons
NHS England
Zoe Lord
Deputy Director
NHS Horizons
NHS England
@Elaineking91 @ZoeLord1 @HorizonsNHS
By the end of the session participants will be able to…
1. Describe the ‘Stories for Change’ Framework.
2. Identify an example where you have seen ‘Stories
for Change’ in action.
3. Construct your ‘Story for Change’, demonstrating
your passion of improvement in healthcare and the
change you would like to see.
Our aims today
@Elaineking91 @ZoeLord1 @HorizonsNHS
Outline agenda
Agenda Eastern
Standard Time
Brazil
Standard Time
Greenwich
Mean Time
(UK)
East Africa
Time
Welcome and introductions 09:00 11:00 14:00 17:00
Session 1: Public Narrative
with Mums
09:15 11:15 14:15 17:15
Session 2: Self, Us, Now 09:35 11:35 14:35 17:35
Break & write your story 10:10 12:10 15:10 18:10
Session 3: Practice 10:25 12:25 15:25 18:25
Check out 10:50 12:50 15:50 18:50
Close of Session 11:00 13:00 16:00 19:00
@Elaineking91 @ZoeLord1 @HorizonsNHS
Being present
Respect
our
diversity
What do we agree together?
@Elaineking91 @ZoeLord1 @HorizonsNHS
10 |
Poll Questions
Q1. Where are you based geographically? (Town / City &
Country)
Q2. What existing knowledge of Public Narrative do you have?
Q3. How confident do you feel using personal stories to move
others to action with you?
@Elaineking91 @ZoeLord1 @HorizonsNHS
What are
“Stories for Change”
and
Public Narrative?
@Elaineking91 @ZoeLord1 @HorizonsNHS
a skill to motivate others…
…to join you in action
Stories for Change /
Public Narrative is…
@Elaineking91 @ZoeLord1 @HorizonsNHS
If we want people to take action,
we have to connect with their emotions
through values
Source: the work of Marshall Ganz
@Elaineking91 @ZoeLord1 @HorizonsNHS
And it is what we feel – our hopes, our cares,
our obligations – not simply what we know
that can inspire us with the courage to act.
Marshall Ganz
Stories communicate our values through the
language of the heart, our emotions.
@Elaineking91 @ZoeLord1 @HorizonsNHS
South East Maternity Stories for Change
#SEMaternityStoriesForChange
Artwork by Ju – a
mum in the Stories
for Change project
who drew this
reflecting after our
first group session
@Elaineking91 @ZoeLord1 @HorizonsNHS
South East Maternity Stories for Change
• A group of recent maternity service-users, who came together to
learn more about making positive change happen.
• The “design group” (8 mums) led a Learning Event with NHS
Leaders in April 2022 using the Stories for Change method.
• The Learning Event was shaped the around what mattered to the
design group:
• Dignity and respect
• Seeing the whole person
@Elaineking91 @ZoeLord1 @HorizonsNHS
@Elaineking91 @ZoeLord1 @HorizonsNHS
A Summary of the Asks
1. Consent - informed and supported decision-making, respecting and working with
servicer users' decisions
2. Compassion - empathy, recognising triggers or previous traumatic experiences,
and acknowledging birth to be one of the most significant times in a person's life
3. Communication - introduce yourself, compassionate, active, and deep listening,
explain, choice of language, understanding etc.
4. Caring well for the carers (maternity staff) so that they are better placed to care
best for women and families etc.
5. Culture - fostering a consistent culture of recognising each other's humanity,
sharing power, respect, treating all as individuals with personal needs influenced
by culture, custom, beliefs, experiences etc.
#​SEMaternityStoriesForChange
@Elaineking91 @ZoeLord1 @HorizonsNHS
Impact - Shamaila
https://www.england.nhs.uk/sustainableimprovement/change-model/
A framework for any
project or programme that
is seeking to achieve
transformational,
sustainable change
Change Model
@Elaineking91 @ZoeLord1 @HorizonsNHS
https://www.england.nhs.uk/sustainableimprovement/change-model/
A framework for any
project or programme that
is seeking to achieve
transformational,
sustainable change
Change Model
@Elaineking91 @ZoeLord1 @HorizonsNHS
@Elaineking91 @ZoeLord1 @HorizonsNHS #NewPower @jeremyheimans
We do not become transformed alone, we become
transformed when we’re in relationship with others.
Hahrie Han
Sourceof image:IdahocCommunityAction
@Elaineking91 @ZoeLord1 @HorizonsNHS
a skill to motivate others…
…to join you in action
Stories for Change /
Public Narrative is…
@Elaineking91 @ZoeLord1 @HorizonsNHS
Pursuing social change is more of an art than a science.
There is no fixed model. No curricula. No rules. No guarantee.
It’s about reading power. Building relationships. Framing
issues. Honing messages. Mobilising supporters. Bringing
pressure to bear.
All of this in an increasingly complex, networked society in
which assumptions that held even a year ago no longer hold.
Sue Tibballs OBE, Chief Executive, Sheila McKechnie Foundation
@Elaineking91 @ZoeLord1 @HorizonsNHS We change the world, nesta
How does public narrative differ from
simple storytelling?
@Elaineking91 @ZoeLord1 @HorizonsNHS Photo by Wonderlane on Unsplash
Marshall Ganz
Stories not only teach us how to act –
they inspire us to act.
Stories communicate our values through
the language of the heart, our emotions.
And it is what we feel – our hopes, our
cares, our obligations – not simply
what we know that can inspire us with
the courage to act.
TellingYourPublic Story, Marshall Ganz
@Elaineking91 @ZoeLord1 @HorizonsNHS
Source: https://blog.horizonsnhs.com/post/102gnro/the-
power-of-storytelling-and-public-narrative
@Elaineking91 @ZoeLord1 @HorizonsNHS
@Elaineking91 @ZoeLord1 @HorizonsNHS
If we want people to take action,
we have to connect with their emotions through values
Source: the work of Marshall Ganz
Sourceof image:
Dr.Christina WinseyA
TMind-Body Connection
@Elaineking91 @ZoeLord1 @HorizonsNHS
moral
Character Challenge – Choice – Close
@Elaineking91 @ZoeLord1 @HorizonsNHS
Self-Us-Now
Self
My presence on this stage is
pretty unlikely. My father was a foreign student…
My grandfather was a cook, a domestic servant to
the British [who] had larger dreams for his son…
Us
I stand here knowing that my story is part of the
larger American story… and that in no other country
on Earth is my story even possible…
Now
This year, in this election, we are called to reaffirm
our values and our commitments…
Barack Obama
Speechto the 2004 DemocraticConvention
@Elaineking91 @ZoeLord1 @HorizonsNHS
What brings
stories to life?
Sounds,
smells,
feelings...
Narrative top tips
• Keep it short – under 3mins
• Personal not private – this is your public narrative – choose
what you disclose
• Set the scene & describe small details
• Don’t tell, show
• Where to start
• In the breakouts, give it a go – don’t chat about the process of
doing it! ;)
Ijeoma’s story for change
@Elaineking91 @ZoeLord1 @HorizonsNHS
Ijeoma’s story for change
• What did you feel through Ijeoma’s
story?
• What values did she describe?
• What was Ijeoma’s challenge?
• What choices did she make?
@Elaineking91 @ZoeLord1 @HorizonsNHS
Write down YOUR 2 minute public narrative
in the 15 minute break…
• What is the change you want to make in the world: your story of now?
• Why are you called to make that change: what specific experiences
have shaped your story of self?
• What personal story can you tell that will help others understand why
you want to make that change?
• CHALLENGE
• CHOICE
• OUTCOME
@Elaineking91 @ZoeLord1 @HorizonsNHS
@Elaineking91 @ZoeLord1 @HorizonsNHS
Turn off cameras….
• Having a go at writing using the template for 10 minutes and
grab a coffee for 5 minutes
• Return here ready to go into breakout rooms and practice telling
your story and offering feedback to others
@Elaineking91 @ZoeLord1 @HorizonsNHS
Ted’s story
Photo by Nathan Dumlao on Unsplash
Screen break
@Elaineking91 @ZoeLord1 @HorizonsNHS
Feedback and
coaching
Photo by Jon Tyson on Unsplash
Narrative coaching tips
Take the lead in keeping time
Aim for helpful rather than ‘feel good’ coaching
Thank people for their story
Let them know what worked and why – be as specific as possible
Let them know what you think could be improved and why – be as specific as possible
Let them know what was unclear
Ask probing questions
@Elaineking91 @ZoeLord1 @HorizonsNHS
@Elaineking91 @ZoeLord1 @HorizonsNHS
Narrative top tips
• Keep it short – under 2mins
• Personal not private – this is your public narrative – choose
what you disclose
• Set the scene & describe small details
• Give it a go – don’t chat about the process of doing it
• Move quickly to the action element
@Elaineking91 @ZoeLord1 @HorizonsNHS
Photo by LinkedIn Sales Solutions on Unsplash
Feelings
• Urgency & Hope
• Showing values
Sensations
• Specific, present-tense moments
• Details: images, pictures, touch, smell, sound, taste
Action
• Was there a “bigger us”?
• Was there urgency? And an ask (invitation)?
Final Tips
@Elaineking91 @ZoeLord1 @HorizonsNHS
Resources:
• Obama's 2004 DNC keynote speech
• Camp Obama in Burbank, California has videos of campaign volunteers’ stories of self, us, and
now.
• James Croft gave a five-minute speech on bullying and LGBTQ suicide that has a “self, us, now”
framework. Please be aware that this powerful story discusses suicide, and some people may
find this story triggering.
• storytelling-for-systems-change-report.pdf (centreforpublicimpact.org)
• Tom Hanks wrote an op-ed supporting a bill to fund community colleges that tells stories of self, us,
and now. (This is behind a paywall; you can get a certain number of articles free with the New York
Times)
• The art of storytelling | Pixar in a Box | Computing | Khan Academy
Stories are the
emotional resource
that help us meet
uncertainty. Dive deep.
Think intentionally
about your stories.
Practise them. Turn
your experience into a
resource that helps you
inspire, connect and
organise with others.
Photo by SIMON LEE on Unsplash
@Elaineking91 @ZoeLord1 @HorizonsNHS
People who have ideas and drive are on every street, in
every project, every workplace and school, waiting in the
wings, ready to be discovered. Someone has to reach them
and recognize them. Someone has to ask them to step out,
not to be consumers or props or spectators but to be players
in the unfolding drama of public life. And that someone is
what we call a leader or organiser.
Michael Gecan, Going Public
Photo by Priscilla Gyamfi on Unsplash
@Elaineking91 @ZoeLord1 @HorizonsNHS
53 |
Poll Questions
Q4. How confident do you feel using stories to move others to
action with you?
Q5. Further comments on your experience of today’s session.
@Elaineking91 @ZoeLord1 @HorizonsNHS
@Elaineking91 @ZoeLord1 @HorizonsNHS
55 |

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Stories for Change. How Mums used their stories for Change to influence maternity services delegate copy.pptx

  • 1. IHI Forum 2022 13 December 2022 VW03: Stories for Change: How Mums Used Their Stories for Change to Influence Maternity Services Elaine King Zoe Lord
  • 2. Disclosure No relevant relationships: None of the planners, presenters, or staff for this educational activity have relevant financial relationship(s) to disclose with ineligible companies whose primary business is producing, marketing, selling, re-selling, or distributing healthcare products used by or on patients.
  • 3. Session Objectives After attending this session, attendees will be able to: • Objective 1: * Describe the Stories for Change Framework • Objective 2: * Identify an example where you have seen Stories for Change in action • Objective 3: * Construct your Story for Change, demonstrating your passion of improvement in healthcare and the change you would like to see
  • 4. How Mums Used Their Stories for Change to Influence Maternity Services @Elaineking91 @ZoeLord1 @HorizonsNHS
  • 5. Who we are Elaine King Delivery Support Manager NHS Horizons NHS England Zoe Lord Deputy Director NHS Horizons NHS England @Elaineking91 @ZoeLord1 @HorizonsNHS
  • 6. By the end of the session participants will be able to… 1. Describe the ‘Stories for Change’ Framework. 2. Identify an example where you have seen ‘Stories for Change’ in action. 3. Construct your ‘Story for Change’, demonstrating your passion of improvement in healthcare and the change you would like to see. Our aims today @Elaineking91 @ZoeLord1 @HorizonsNHS
  • 7. Outline agenda Agenda Eastern Standard Time Brazil Standard Time Greenwich Mean Time (UK) East Africa Time Welcome and introductions 09:00 11:00 14:00 17:00 Session 1: Public Narrative with Mums 09:15 11:15 14:15 17:15 Session 2: Self, Us, Now 09:35 11:35 14:35 17:35 Break & write your story 10:10 12:10 15:10 18:10 Session 3: Practice 10:25 12:25 15:25 18:25 Check out 10:50 12:50 15:50 18:50 Close of Session 11:00 13:00 16:00 19:00 @Elaineking91 @ZoeLord1 @HorizonsNHS
  • 8. Being present Respect our diversity What do we agree together? @Elaineking91 @ZoeLord1 @HorizonsNHS
  • 9. 10 | Poll Questions Q1. Where are you based geographically? (Town / City & Country) Q2. What existing knowledge of Public Narrative do you have? Q3. How confident do you feel using personal stories to move others to action with you? @Elaineking91 @ZoeLord1 @HorizonsNHS
  • 10. What are “Stories for Change” and Public Narrative? @Elaineking91 @ZoeLord1 @HorizonsNHS
  • 11. a skill to motivate others… …to join you in action Stories for Change / Public Narrative is… @Elaineking91 @ZoeLord1 @HorizonsNHS
  • 12. If we want people to take action, we have to connect with their emotions through values Source: the work of Marshall Ganz @Elaineking91 @ZoeLord1 @HorizonsNHS
  • 13. And it is what we feel – our hopes, our cares, our obligations – not simply what we know that can inspire us with the courage to act. Marshall Ganz Stories communicate our values through the language of the heart, our emotions. @Elaineking91 @ZoeLord1 @HorizonsNHS
  • 14. South East Maternity Stories for Change #SEMaternityStoriesForChange Artwork by Ju – a mum in the Stories for Change project who drew this reflecting after our first group session @Elaineking91 @ZoeLord1 @HorizonsNHS
  • 15. South East Maternity Stories for Change • A group of recent maternity service-users, who came together to learn more about making positive change happen. • The “design group” (8 mums) led a Learning Event with NHS Leaders in April 2022 using the Stories for Change method. • The Learning Event was shaped the around what mattered to the design group: • Dignity and respect • Seeing the whole person @Elaineking91 @ZoeLord1 @HorizonsNHS
  • 17. A Summary of the Asks 1. Consent - informed and supported decision-making, respecting and working with servicer users' decisions 2. Compassion - empathy, recognising triggers or previous traumatic experiences, and acknowledging birth to be one of the most significant times in a person's life 3. Communication - introduce yourself, compassionate, active, and deep listening, explain, choice of language, understanding etc. 4. Caring well for the carers (maternity staff) so that they are better placed to care best for women and families etc. 5. Culture - fostering a consistent culture of recognising each other's humanity, sharing power, respect, treating all as individuals with personal needs influenced by culture, custom, beliefs, experiences etc. #​SEMaternityStoriesForChange @Elaineking91 @ZoeLord1 @HorizonsNHS
  • 19. https://www.england.nhs.uk/sustainableimprovement/change-model/ A framework for any project or programme that is seeking to achieve transformational, sustainable change Change Model @Elaineking91 @ZoeLord1 @HorizonsNHS
  • 20. https://www.england.nhs.uk/sustainableimprovement/change-model/ A framework for any project or programme that is seeking to achieve transformational, sustainable change Change Model @Elaineking91 @ZoeLord1 @HorizonsNHS
  • 21. @Elaineking91 @ZoeLord1 @HorizonsNHS #NewPower @jeremyheimans
  • 22. We do not become transformed alone, we become transformed when we’re in relationship with others. Hahrie Han Sourceof image:IdahocCommunityAction @Elaineking91 @ZoeLord1 @HorizonsNHS
  • 23. a skill to motivate others… …to join you in action Stories for Change / Public Narrative is… @Elaineking91 @ZoeLord1 @HorizonsNHS
  • 24. Pursuing social change is more of an art than a science. There is no fixed model. No curricula. No rules. No guarantee. It’s about reading power. Building relationships. Framing issues. Honing messages. Mobilising supporters. Bringing pressure to bear. All of this in an increasingly complex, networked society in which assumptions that held even a year ago no longer hold. Sue Tibballs OBE, Chief Executive, Sheila McKechnie Foundation @Elaineking91 @ZoeLord1 @HorizonsNHS We change the world, nesta
  • 25. How does public narrative differ from simple storytelling? @Elaineking91 @ZoeLord1 @HorizonsNHS Photo by Wonderlane on Unsplash
  • 26. Marshall Ganz Stories not only teach us how to act – they inspire us to act. Stories communicate our values through the language of the heart, our emotions. And it is what we feel – our hopes, our cares, our obligations – not simply what we know that can inspire us with the courage to act. TellingYourPublic Story, Marshall Ganz @Elaineking91 @ZoeLord1 @HorizonsNHS
  • 29. If we want people to take action, we have to connect with their emotions through values Source: the work of Marshall Ganz
  • 30. Sourceof image: Dr.Christina WinseyA TMind-Body Connection @Elaineking91 @ZoeLord1 @HorizonsNHS
  • 31. moral Character Challenge – Choice – Close @Elaineking91 @ZoeLord1 @HorizonsNHS
  • 32. Self-Us-Now Self My presence on this stage is pretty unlikely. My father was a foreign student… My grandfather was a cook, a domestic servant to the British [who] had larger dreams for his son… Us I stand here knowing that my story is part of the larger American story… and that in no other country on Earth is my story even possible… Now This year, in this election, we are called to reaffirm our values and our commitments… Barack Obama Speechto the 2004 DemocraticConvention @Elaineking91 @ZoeLord1 @HorizonsNHS
  • 33. What brings stories to life? Sounds, smells, feelings...
  • 34. Narrative top tips • Keep it short – under 3mins • Personal not private – this is your public narrative – choose what you disclose • Set the scene & describe small details • Don’t tell, show • Where to start • In the breakouts, give it a go – don’t chat about the process of doing it! ;)
  • 35. Ijeoma’s story for change @Elaineking91 @ZoeLord1 @HorizonsNHS
  • 36. Ijeoma’s story for change • What did you feel through Ijeoma’s story? • What values did she describe? • What was Ijeoma’s challenge? • What choices did she make? @Elaineking91 @ZoeLord1 @HorizonsNHS
  • 37. Write down YOUR 2 minute public narrative in the 15 minute break… • What is the change you want to make in the world: your story of now? • Why are you called to make that change: what specific experiences have shaped your story of self? • What personal story can you tell that will help others understand why you want to make that change? • CHALLENGE • CHOICE • OUTCOME @Elaineking91 @ZoeLord1 @HorizonsNHS
  • 39. Turn off cameras…. • Having a go at writing using the template for 10 minutes and grab a coffee for 5 minutes • Return here ready to go into breakout rooms and practice telling your story and offering feedback to others @Elaineking91 @ZoeLord1 @HorizonsNHS
  • 41. Photo by Nathan Dumlao on Unsplash Screen break @Elaineking91 @ZoeLord1 @HorizonsNHS
  • 42. Feedback and coaching Photo by Jon Tyson on Unsplash
  • 43. Narrative coaching tips Take the lead in keeping time Aim for helpful rather than ‘feel good’ coaching Thank people for their story Let them know what worked and why – be as specific as possible Let them know what you think could be improved and why – be as specific as possible Let them know what was unclear Ask probing questions @Elaineking91 @ZoeLord1 @HorizonsNHS
  • 45. Narrative top tips • Keep it short – under 2mins • Personal not private – this is your public narrative – choose what you disclose • Set the scene & describe small details • Give it a go – don’t chat about the process of doing it • Move quickly to the action element @Elaineking91 @ZoeLord1 @HorizonsNHS
  • 46. Photo by LinkedIn Sales Solutions on Unsplash
  • 47. Feelings • Urgency & Hope • Showing values Sensations • Specific, present-tense moments • Details: images, pictures, touch, smell, sound, taste Action • Was there a “bigger us”? • Was there urgency? And an ask (invitation)? Final Tips @Elaineking91 @ZoeLord1 @HorizonsNHS
  • 48. Resources: • Obama's 2004 DNC keynote speech • Camp Obama in Burbank, California has videos of campaign volunteers’ stories of self, us, and now. • James Croft gave a five-minute speech on bullying and LGBTQ suicide that has a “self, us, now” framework. Please be aware that this powerful story discusses suicide, and some people may find this story triggering. • storytelling-for-systems-change-report.pdf (centreforpublicimpact.org) • Tom Hanks wrote an op-ed supporting a bill to fund community colleges that tells stories of self, us, and now. (This is behind a paywall; you can get a certain number of articles free with the New York Times) • The art of storytelling | Pixar in a Box | Computing | Khan Academy
  • 49. Stories are the emotional resource that help us meet uncertainty. Dive deep. Think intentionally about your stories. Practise them. Turn your experience into a resource that helps you inspire, connect and organise with others. Photo by SIMON LEE on Unsplash @Elaineking91 @ZoeLord1 @HorizonsNHS
  • 50. People who have ideas and drive are on every street, in every project, every workplace and school, waiting in the wings, ready to be discovered. Someone has to reach them and recognize them. Someone has to ask them to step out, not to be consumers or props or spectators but to be players in the unfolding drama of public life. And that someone is what we call a leader or organiser. Michael Gecan, Going Public Photo by Priscilla Gyamfi on Unsplash @Elaineking91 @ZoeLord1 @HorizonsNHS
  • 51. 53 | Poll Questions Q4. How confident do you feel using stories to move others to action with you? Q5. Further comments on your experience of today’s session. @Elaineking91 @ZoeLord1 @HorizonsNHS
  • 53. 55 |