1. Facilitating Change Ann York Steve Kingsbury

2. 3 STEPS TO CHANGE Intolerable Shared vision Plan

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

4. InnovatorsAdoptersChange MajorityStable MajorityStabilisers Change and Stability 1 2 3 4 5

5. 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

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

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

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

9. Other things clinicians thought…

10. 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

11. 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

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

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

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