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Leading change in challenging times
Jackie NicholsonNurse Consultant Vascular Access
St George’s Healthcare NHS Foundation TrustChair National Infusion and Vascular Access Society (NIVAS)
National Infusion and Vascular Access Society
@nicho_j1
The NHS faces unprecedented financial and operational challenges: deficits among NHS providers are large and growing; performance is suffering, with targets for waiting times being missed; and in all areas of the NHS staff are under pressure from rising demand alongside constrained resources.
Tackling the growing crisis in the NHS, an agenda for action : The Kings Fund 7th April 2016
The NHS needs people to think of themselves as leaders not because they are personally exceptional, senior or inspirational to others, but because they can see what needs doing and can work with others to do it. (Turnbull James 2011)
Turnbull James K (2011). Leadership in Context: Lessons from new leadership theory and current leadership development practice [online]. Available at: www. kingsfund.org.uk/leadershipcommission
Seeing what needs doing ‐ Vision
• Fresh eyes•What needs doing•What has been going on• See the detail• See the bigger picture•Know where you are going
Work with others ‐ collaboration
•Help others to see the vision
•Create climate for change• Trust
• Vulnerability
• Encouragement
• Recognition
• Understanding
Understanding responses to change
Join when it’s new
Join when they perceive a benefit
Join when there is a productivity gain
Join when there is plenty of help and support
Join only when they have to
Rogers adoption innovation curve
A tale of two hats
Motivation
•WIIFMs• Significance•Goal participation•Recognition•Clear expectations
A tale of two cats
Culture eats strategy for breakfast
• Diversion
• Distraction
• Dilution
Case study 1 – flexi days
•Culture
• Vision
• What I did
Case study 2 ‐ Ghostbusters
•Culture
• Vision
• What I did
Tough at the top
• Look after yourself•Ask for help•Peer support•Coaching• Training & Education• Support services
Conclusion
•We are the change leaders
•Vision
•Collaboration
