1. Agency Associates A National Network for Local Change Liz Carter, Director Sean O’Kelly

2. Objectives of the session Tell our story. Share our thoughts and experiences (and tips) on our personal leadership journeys An opportunity to explore your issues Consider how we might engage more staff to participate actively in improving services for patients in times of change

3. Why it all began Less than 15% of NHS staff are actively involved in NHS modernisation How do we increase this to 100%? A typical Trust or community will host up to 40 separate modernisation initiatives. How do we join them up into a coherent local game plan?

4. Mobilisation is the key “If you want to build a ship do not gather men together and assign tasks. Instead teach them the longing for the wide endless sea.” (Saint Exupery, Little Prince) “Leadership is the art of mobilising others to want to struggle for shared aspirations.” (Kouzes & Posner, 1995)

5. How it all began 57 passionate people One passionate clinician One shared vision

6. Not 100, not 1000 but all staff are engaged in improving services for patients

7. What did we do? Contacted and met with SHA leads Agreed ‘engagement’ process Encouraged local models-one size does not fit all Connected successful and first active SHAs to share approaches Target 1000 by April 03

8. How did we do it? Worked in collaboration with SHAs Coordinator and temp contacted nominees Honorary agreements exchanged Associates engaged

9. Where are we now? 2500 associates in scheme new applications daily 35% clinicians External initiatives Special interest groups Non NHS Staff protocol Connected into NHS Live

10. NHS Live 350 teams with Improvement projects Public and patient involvement Staff Involvement Year 2 May 05 SHA Coordinators connected with Associates

11. Ongoing Engagement with SHAs 24 visited, ongoing meetings Local networking events to build local capability and capacity Pilot and refine skills audit

12. What do they get? Monthly newsletter Access to developmental opportunities Connected into other networks and modernisation activity Access to new ways of thinking – H and SC Awards

13. Key success factors: Clinician engagement Face to face Respond to requests Design group principles Its theirs not ours - ownership

14. A Clinicians View An association of many people throughout the country, interested in bringing about service improvement through change that will make the difference between the frustration of attempting to work in isolation and the satisfaction of sharing the load with others. Dr Sean O’Kelly, National Clinical Champion

15. Engaging Clinicians Meeting President Academy of Royal Colleges -Jan 03 Royal College teaching GP Best Practice Forum Special interest groups Maintain focus on patient experience

16. Future Direction Continue links with SHAs - grow local networks Develop collaborative plans for future engagement Integration and alignment with New MA Further development special interest groups Connect in to and with NHS Live

17. “The answer lies within” Questions?

19. DISCUSSION QUESTIONS What can you do? How far has your organisation succeeded in getting the attention of front-line staff, especially clinicians, and are there other ways this might be done more successfully? Who are your ‘change champions’ and ‘natural opinion leaders’, especially clinicians? (list) Where are the gaps (top and bottom)? In what ways could internal and external networks be used more effectively for engaging more people in your efforts to improve services for patients?

21. Challenges and Opportunities What are the challenges facing you as a leader right now? What are the opportunities in the current climate of change?

22. Making it mainstream Seen as highly relevant to the organisation’s long and short term success Powered through the organisation –formal systems –informal systems Specific and generic responsibilities Leaders focus on it

23. Making it mainstream Leaders make space for it Boundaries are blown People are passionate about it Critical mass of staff are capable service improvers

24. Improvement Leaders Guides www.modern.nhs.uk/improvementguides Agency Associates www.modern.nhs.uk/agencyassociates NHS Live www.nhsu.nhs.uk/webportal/nhs-live Liz Carterliz.carter@npat.nhs.uk Sean O’Kellyswokelly@aol.com