Advancing transformational change real time learning

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. 2010 saw a new UK government
and new plan for the NHS in England…
…so we built support for these new organisations

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

5. “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)

6. Attributes of our support
Sustainable
- build
capability
Collaborative
– partners and
stakeholders
Practical
- learn and do
Partnering
- local and
challenging

9. 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

10. 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

11. Our core tools
0
5
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45
Consecutive patients
Days
waiting time
mean
upperprocesslimit
lowerprocesslimit

12. To see our video, follow this link:
https://www.youtube.com/watch?v=JxgJSc5DKRk

13. Change Model
Google search ‘NHS change model’

14. 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?

15. 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