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

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 2015/16)

• 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

“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)

Attributes of our support

Sustainable

- build capability

Collaborative

– partners and stakeholders

Practical

- learn and do

Partnering

- local and challenging

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

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

Our core tools

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Consecutive patients

Days

waiting time

mean

upper process limit

lower process limit

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 components do your teams need help with?

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