Advancing transformational change – stepping-up the pace

Welcome and introductions

Chair: @CharlieKeeney - Programme Director at NHS IQ

Presenting: @RachelHinde - Programme Lead at NHS IQ

Dr David Hambleton - Chief Officer at NHS South Tyneside CCG@STyneCCG

The Transforming Care team

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

• Development for Commissioners (2011-13) - 70% Clinical Commissioning Groups took-up our support 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

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

• 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 timemean

upper process limitlower process limit

The South Tyneside story so far

• A need to join-up how we 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 made this happen

My tips for fellow system leaders

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

• Collaboration is key and already happening strategically and operationally

• Create the space to allow frontline staff to innovate

• Provide the ‘air cover’

• Allow experimentation

• …requires resilience, courage and willingness to be challenged

Change Model

Google search ‘NHS change model’

Change Model

• Launched 2012, does it still resonate?

• What should be added, changed, developed?

Further information

‘Stepping up the pace…’ – free copy on your seat featuring case studies, insights and tools http://bit.ly/1GmgXg1

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

tinyurl.com/no3cytz – 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