Advancing transformational

change – stepping-up the

pace

@CharlieKeeney and @RachelHinde

#bigrealchange

• Development for Commissioners (2011-13) - 70% Clinical Commissioning Groups took-up our support to help them become ‘authorised’

• Transforming Care / CCG capability programme (2013-15) – over half the country’s CCGs and local partners took this up

• Improvement partner to Prime Minister’s Challenge Fund sites – 20 pilots (2014/15) and 37 schemes (2015/16)

• Ongoing place-based support

“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)

Commissioning improvement

support

Our role

• Helping to frame the challenge - the burning platform and burning ambition*

• Creating ‘transformational space’ – distinct from business as usual meetings

• Using evidence-based tools and approaches – tested at an unprecedented scale and creating a resource for NHS and its partners

• Flexibly supporting local systems to deliver their change

*Peter Fuda: Leadership Transformed www.peterfuda.com

Our core tools

0

5

10

15

20

25

30

35

40

45

Consecutive patients

Days

waiting time

mean

upper process limit

lower process limit

Models for large scale change

Learning from S Tyneside

• A need to join-up work across health and social care – for patients, carers, staff, better use of resources…

• Frankness and signals from the ‘big 5’ leaders

• Prototyping with permission

• Speed of change, energy generated and wider impact

• See: tinyurl.com/qjdcjkh for a great short film of the people who’ve led integration of community services

Tips for system leaders

• It’s ok (and good!) not to have all the answers

• Collaboration is key and already happening

• Create space to allow frontline staff to innovate

• Provide the ‘air cover’

• Allow experimentation

• …requires resilience, courage and willingness to be challenged

Further information

‘Stepping up the pace…’ – free copy on your seat featuring case studies, insights and tools

nhsiq.nhs.uk – go to the Transforming Care team pages for tools and resources

youtube.com/c/transformingcare – our YouTube channel packed with online webinars (driver diagrams, measurement, capacity & demand etc), team videos/case studies and Productive General Practice resources

Twitter - @RachelHinde @CharlieKeeney

@NHSIQ @TransformCare