1. Transformative Innovation in Health & Social Care
Scottish Improvement Science
Collaborating Centre
Margaret Hannah, on behalf of:
Thilo Kroll, Huw Davies, Bill Sharpe, Vikki Entwistle, Brendan McCormack, Belinda Dewar, Nicola Gray and around 25 other workshop participants from Scotland and the wider world

2. With support, gratefully acknowledged, from --
Scottish Improvement Science
Collaborating Centre
With support, gratefully acknowledged, from --

3. Health & Social Care
Scottish Improvement Science
Collaborating Centre

4. Humanising Healthcare: Patterns of hope for a system under strain
Scottish Improvement Science
Collaborating Centre
Humanising Healthcare:
Patterns of hope for a system under strain

5. the patternings for the future
Scottish Improvement Science
Collaborating Centre
Weaving new strands…
Envisioning transformative innovation…
Incorporating new waves of public health…
Based around person-centred care…
Emphasising organisational cultures, not organisational structures…
And so devising new creative integrities:
the patternings for the future

6. The “Fifth Wave” of Public Health…
Scottish Improvement Science
Collaborating Centre
The “Fifth Wave” of Public Health…
The Fifth Wave: emphasising salutogenesis, relationships, holism, culture and subjectivity…

7. “Patient-Centredness”
Scottish Improvement Science
Collaborating Centre
“Patient-Centredness”
i.e. not DISEASE or SERVICE-line focused,
Emphasising illness and dysfunction…
…but RELATIONAL, holistic & integrated.
Humanising health care;
building-in compassion;
integrating wellness & wellbeing

8. A cultural view of organisations…
Scottish Improvement Science
Collaborating Centre
A cultural view of organisations…
i.e. not MACHINE metaphors -
Organisations as “rational, instrumental, mechanistic agencies” – ordered, unambiguous, emotionless, arrangements for getting things done…
…but SOCIAL & CULTURAL metaphors -
Organisations as “values-infused mini-societies” – driven by social dynamics, and concerned with meaning, imagination and emotion

9. Three Horizons Framework
VIABILITY
Radically different operating environment
Increasing signs of strain and system failures
new paradigm
fits and takes off
Innovation to transform: H2+
HORIZON 1
less
disruptive change
Innovation to try and keep things going: H2-
Radically new ideas with better fit to new environment
new context for
useful old ways
HORIZON 2
THE TURBULENT TRANSITION
HORIZON 3
NOW
nternationalfuturesforum.com
TIME

10. Scottish Improvement Science
Collaborating Centre
creative integrities

11. Outputs Workshop with Fife IJB – patterning for real
Scottish Improvement Science
Collaborating Centre
Outputs
Workshop with Fife IJB – patterning for real
“The Academy” – a creative integrity to enable the new infrastructure to grow
“Going the last mile” enquiry into large- scale cultural transformation in Fife

12. Thanks to the participants!
Scottish Improvement Science
Collaborating Centre
Thanks to the participants!

13. Scottish Improvement Science
Collaborating Centre
Thank you