1. The Constants
Change
Principles
Choice
(Covey, 2006)

2. Change

3. Challenges to Developing Practice
“The greatest difficulty in the world is not for people to accept new ideas, but to make them forget their old ideas!” John Maynard Keynes
‘Are you kidding? I like it here!’

4. “The one indisputable fact that characterises organisational life, is that CHANGE is inevitable.”
(Alimo-Metcalfe & Alimo-Metcalfe, 2005)

5. Position
Power
Pay
Possessions
People
Prestige  
Privileges
Fear! F

7. The truth is that our finest moments are most likely to occur when we are feeling deeply uncomfortable, unhappy, or unfulfilled M.Scott Peck
For it is only in such moments, propelled by our discomfort, that we are likely to step out of our ruts and start searching for different ways or truer answers.

9. Everyone thinks of changing the world, but no one thinks of changing themselves.
Leo Tolstoy

10. “If you want to see change, be the change you want to see”

12. Ann Lloyd Chief Executive, NHS Wales
As leaders in NHS Wales, our job is to deliver the highest quality healthcare and create the world class services as detailed in:
Ann Lloyd Chief Executive, NHS Wales

13. Delivering this challenging strategy will require the full engagement of clinicians and other professionals…
…leading and shaping services, ensuring that high standards of care will be the key driver for change.

14. at ALL LEVELS in NHS Wales
Improving the health of Wales and securing service improvement depends on EFFECTIVE LEADERSHIP
at ALL LEVELS in NHS Wales

15. Beware of Saboteurs!!

16. Choice

17. Between what happens to us and our response to it….
…..is our freedom to choose our response

18. Everyone has 2 choices: ORGANIZE or ‘go with the flow’
Everyone has 2 choices: ORGANIZE or ‘go with the flow’ (Yoder-Wise, 1999)

20. Principles