Facilitating Change Ann York Steve Kingsbury

3 STEPS TO CHANGE Intolerable Shared vision Plan

Leadership Effects Intolerable Shared vision Plan Facilitation of…Consensus…Actions…

InnovatorsAdoptersChange MajorityStable MajorityStabilisers Change and Stability

FOCUS group of clinicians in E Herts: We learnt ….  Before starting CAPA, clinicians worried  there were things that helped to get started  It changed the way they practiced  There were some problems  There were things they really liked

And …  Tweaking the system was important!!!!!!!!!!!!!!!!!!!!!!!

Before starting CAPA, what did clinicians worry about?  That it may not work  Adapting to a new way of working  Overload

What helped in getting things started?  Vision  Leadership  Commitment  Planning

Other things clinicians thought…

How did it change clinicians practice?  Working in a more focussed way  Thinking more clearly  Having a more collaborative stance  Developing a shared language with colleagues from other disciplines

What else did clinicians really like?  Pride in having changed to a system that worked  Referrers pleased not a waiting list  Sense of being in control of demand

And what were the problems?  More awareness of how others work and they of you

It was important to tweak the system  Iterative process helped  Flexibility about co-working was good

What was important in making CAPA work?  Monitoring the process  Flexibility and adapting the system  Team discussion  Trust within team