1. How do we create change at scale? Source: Marshall Ganz Shared understanding Narrative heart/why? Strategy head/what?

2. Strategy is the process of resourcesturning the resources we have resources powerinto the resources we need power outcometo get the change we want outcome

3. OVERCOME Action motivators Action inhibitors

4. Mobilising efforts to: create “contagious commitment” to change by identifying and organising front line leaders and activists within the NHS to mobilise their teams and deliver change at scale who commit to delivering a proportion (as they define it) of the QIPP agenda. Enable local NHS change activists to connect with each other across the system and support each other to organise and deliver change

5. Key learning from the work so far 1.We need to broaden the constituency of people who can make decisions and lead change; to shift power and control of change to frontline clinical teams and service users. 2.It will happen more quickly and systematically if we build it on a platform of commitment rather than compliance. 3.We have to make the link between individual mindset and collective transformation. It means that we can call people to action based on their own core values and experiences and a sense of common purpose. 4.We need to identify the passionate individuals to lead the change 5.We can create “contagious commitment” to a bigger purpose

6. From............ Compliance goals States a minimum performance standard that everyone must achieve Uses hierarchy, systems and standard procedures for co-ordination and control Delivered through formal command and control structures Threat of penalties/sanctions/shame creates momentum for delivery Based on organisational accountability (“if I don't deliver this, I fail to meet my performance objectives”)........To Commitment goals States a collective improvement goal that everyone can aspire to Based on shared goals, values and sense of purpose for co-ordination and control Delivered through voluntary connections and teams Commitment to a common purpose creates energy for delivery Based on relational commitment (“If I don’t deliver this, I let the group or community and its purpose down”)

7. Parallel processes Calling change agents to action Building change skills at scale Helping senior leaders to be mobilising leaders

8. Table task: agreeing commitment Identify a “partner” to work with Criteria: someone you met during the day who could help you to deliver your goals for QIPP Not a “usual suspect” Have a conversation: What experiences, values and/or aspirations for QIPP changes do we share? What commitments can we make to each other? Process to follow Make sure that you ASK for commitment from the other person, not just volunteer Agree some specific actions that you will follow up Time allowed: 15 minutes Share your commitments with others on your table

9. How to join the QIPP discussion forum 1.Go to NHS Networks www.networks.nhs.ukwww.networks.nhs.uk 2.Search site: QIPP 3.Click on QIPP discussion forum 4.Click on the conversation for today’s event - A message from Jim Easton 5.Add your comments By registering with NHS Networks, you can join any network on the site.