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Advancing transformational change
– real-time learning
Chair: @SteveFairman1, Managing Director (Interim) @NHSIQ
Presenter...
2010 saw a new UK government
and new plan for the NHS in England…
…so we built support for these new organisations
Clinically-led commissioning
• GPs/family doctors given commissioning responsibilities
and resources (£65bn/€90bn in 2015/...
“Investment in building capacity and capability for change is the
most consistent characteristic in high-performing system...
Attributes of our support
Sustainable
- build
capability
Collaborative
– partners and
stakeholders
Practical
- learn and d...
System leaders
• It’s ok (and good!) not to have all the answers
• Collaboration is key and already happening
• Creating t...
Our role
• Helping frame the challenge - the burning platform
and the burning ambition*
• Creating ‘transformational space...
Our core tools
0
5
10
15
20
25
30
35
40
45
Consecutive patients
Days
waiting time
mean
upperprocesslimit
lowerprocesslimit
To see our video, follow this link:
https://www.youtube.com/watch?v=JxgJSc5DKRk
Change Model
Google search ‘NHS change model’
Change Model
• Does this resonate with you?
• Hands up for which
component you like best
• Anything missing?
• Which compo...
Further information
Go to the Transforming Care team pages nhsiq.nhs.uk for
tools, a programme postscript and suite of 18 ...
Advancing transformational change  real time learning
Advancing transformational change  real time learning
Advancing transformational change  real time learning
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Advancing transformational change real time learning

  1. 1. Advancing transformational change – real-time learning Chair: @SteveFairman1, Managing Director (Interim) @NHSIQ Presenters: @CharlieKeeney and @RachelHinde NHS Improving Quality Transforming Care team @TransformCare #qfnhsiq #transformingcare YouTube channel: Transforming Care
  2. 2. 2010 saw a new UK government and new plan for the NHS in England… …so we built support for these new organisations
  3. 3. Clinically-led commissioning • GPs/family doctors given commissioning responsibilities and resources (£65bn/€90bn in 2015/16) • 70% Clinical Commissioning Groups took-up our support (2011-13) to help them become ‘authorised’ • We asked: What are your priorities post-authorisation? • #1 answer: support to deliver large scale change
  4. 4. “Investment in building capacity and capability for change is the most consistent characteristic in high-performing systems globally …… Evidence from high-performing health systems indicates the need to invest significantly in leadership-level skills for large- scale change; [skills] to mobilise for improvement, strategically align goals and create measures and implementation initiatives; to work explicitly with models and theories of large-scale change; and to balance short-term operational results with longer term transformation” ‘The next leg of the journey: how do we make high quality care for all a reality?’ Helen Bevan, Chris Ham, Paul Plsek (2009)
  5. 5. Attributes of our support Sustainable - build capability Collaborative – partners and stakeholders Practical - learn and do Partnering - local and challenging
  6. 6. System leaders • It’s ok (and good!) not to have all the answers • Collaboration is key and already happening • Creating the space to allow frontline staff to create • Provide the ‘air cover’ • Allow experimentation …requires resilience, courage and willingness to be challenged
  7. 7. Our role • Helping frame the challenge - the burning platform and the burning ambition* • Creating ‘transformational space’ • Using evidence-based tools and approaches • Flexibly supporting the local system to deliver their change *Peter Fuda: Leadership Transformed www.peterfuda.com
  8. 8. Our core tools 0 5 10 15 20 25 30 35 40 45 Consecutive patients Days waiting time mean upperprocesslimit lowerprocesslimit
  9. 9. To see our video, follow this link: https://www.youtube.com/watch?v=JxgJSc5DKRk
  10. 10. Change Model Google search ‘NHS change model’
  11. 11. Change Model • Does this resonate with you? • Hands up for which component you like best • Anything missing? • Which components do your teams need help with?
  12. 12. Further information Go to the Transforming Care team pages nhsiq.nhs.uk for tools, a programme postscript and suite of 18 case studies tinyurl.com/own84zy – our YouTube channel packed with online webinars (driver diagrams, measurement, capacity & demand etc), team videos/case studies and Productive General Practice resources Dr David Griffiths, one of our clinical leads, has a poster on our use of driver diagrams in the exhibition area @SteveFairman1 @RachelHinde @CharlieKeeney @NHSIQ @TransformCare

Advancing transformational change real time learning

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