Change Day, looking back, looking forward EdgeTalks on 9 September 2016. With Janet Wildman, Gill Phillips, Andy Tysoe and Terri Porrett

1. Change Day
Looking back & looking forward….
Friday 9th September 2016 at 9.30am (GMT+1)
theedge.nhsiq.nhs.uk/edgetalks @theedgenhs #edgetalks
Janet Wildman, Associate, Horizons, NHS England
Gill Phillips, Co-Founder, #MatExp
Andy Tysoe, Dementia Nurse Specialist
Terri Porrett, FabChangeDay, Director
Oliver Benson, Community Mobiliser, Horizons, NHS England

2. • Share insights from the NHS Change Day Re-
Valuation
• Share specific evaluation examples from
#MatExp and #DementiaDo
• Change Day Fab School – what’s happening?
• Looking ahead to Fab Change Day 2016
Aims of the session

3. It is only by holding up the evidence that we
can see what is happening across the UK on
Change Day The Social Innovation Partnership

4. Re-Valuation Report
Difficult to capture all pledge/actions
Compartmentalising and aggregating looses the
benefits of reinforced and integrated change
The more complex the context the less credibility
in looking for simplified approaches
Benefits of Change Day could be ‘crowded out’ by
placing a monetary value on each action
We need a theory on how change happens and a
social metrics to measure the costs/benefits
http://theedge.nhsiq.nhs.uk/nhs-change-day-2015-re-valuation

5. Visible Invisible
Calculate Quantifiable outputs, outcomes
e.g. Milton Keynes Recycling Scheme £40,000
saved via 25 recycled items FT of two staff
supported
#Sepsis Toolkit now used in 8 settings as a
result of Change Day 2015 exposure
Multiplying up – use third party data
Potential (not actual savings)
Staff engagement, staff moral, patient experience
Calibrate Cost benefit assessment through socialising
change
Decision on where to invest effort or take action
The process of weighing up alternatives,
initiating conversations, building support
Socialising indirect benefits/costs of Change Day
Indirect benefits - care pathways re-design
Develop positive working relationships
Permission to self and others
Introduce innovations
Capacitate Building capacity for change
From December 2014 – April 2015, 6 X many
Twitter mentions as Change Day 2014
68% Acute Trusts, 65% Mental Health Trusts,
62% Clinical Commissioning Groups
Highest surge of activity in West Midlands but
increase across the UK
Campaigns #MatEx, #DementiaDo,
#TImetoChange
Key individuals attract high-level Twitter activity
and mentions
Strong hubbie activities – support each other and
generate noise in the system
Build weak ties, networks, connections,
relationships

6. Evidence is
everywhere
you look………
• Individual pledges delivered have a direct
impact on patient care, staff
practice/behaviour/thinking
• Change Day accelerated spread and
adoption of ideas through collective action
• Young clinical leaders are inspired and
engaged to take up the leadership challenge
• Staff feel energised to take action to improve
patent care
• Staff and patients are enabled to co-create,
share ideas and be part of the solution to
quality improvement
How we make change and how we
measure change are interlinked

7. Build your case for CHANGE
Speeches:
Simon Stevens in NHS Expo 2015 highlighted £2.4bn a year productivity loss,
equivalent to £1 in every £40 spent in the NHS
Published reports:
Department of Health 2010 report – NHS organisation with 3,000 staff could
save £235,000 in annual staff costs by improving levels of staff engagement
Change Day Re-Valuation 2015 report- individuals who participate in Change
Day are highly motivated and more productive
Surveys:
NHS Staff Surveys consistently show lack of staff engagement
Never doubt that a small group of thoughtful, committed citizens can change the world, indeed, it
is the only group that ever has.’ (Margaret Mead)

8. Platforms and
Social Change
Why are change platforms so important to large-scale
social movements?
‘Change platforms take advantage of social
technologies that make large-scale collaboration
easy and effective.’
Gary Hamel
#Change Day is a platform of platforms and its
power lies in how it connects people and resources
together, provide spaces for people to meet, make
their actions visible, make valuations of them
together. http://theedge.nhsiq.nhs.uk/nhs-change-day-2015-re-valuation

9. A national conversation
on change
• Provides a space to increase value,
move ideas from intangible to
tangible impact
• Social process used to determine
assess value and potential impact
• Aim to achieve a settled account
• Use social impact measures -
stories, conversations, interactions,
activities
http://theedge.nhsiq.nhs.uk/nhs-change-day-2015-re-valuation

10. Building a discourse on
SOCIAL INTENTIONS

11. A new
epidemic of
ideas
concepts, new
ways of
thinking about
change

12. ‘The idea of a ‘social movement’ was
in part attractive because it was a way
of talking about ‘change’ and
‘mobilisation’ and ‘power’ that did not
feel ‘theoretical.’
Research participant in Change Day Re-Valuation 2015

13. Move from counting
pledges to understanding
networks and interactions

14. On-line
engagement
boost impact in
2015

18. Hubbies are the engine for Change Day
• A mouthpiece for radical change from within
• Make local activity visible to each other e.g. via Twitter
chat sessions, WhatsApp, shooting/posting films
• A strong sense of worker-owned activity: bottom-up
• Involves “massive personal sacrifice” but rewards also
• Maintain a sense of invisibility - working under the radar
• Go for No – and support from each other
• Working inside and outside the hierarchy
• Key to making change happen on the day

19. Use FabChangeDay website to create
greater spread and engagement
• Tell your story – use emotion
and be visible
• Access free resources
• Link to other platforms and
campaigns
• Use Facebook, Twitter,
webpages, blogs, direct
messaging services
• Engage in off line and on-line
conversations
• Engage patients and patient
representatives
• Capture the change you want to
make
• Share third party data to
evidence impact

20. Looking ahead….Change Day 2016
• Use social media to create a space to inspire
change conversations
• Move beyond twitter mentions, signposting and
announcements to meaningful debate
• Use this opportunity to prototype and showcase
your service or innovation
• Get involved and create greater spread
‘We must develop social impact metrics and a system of governing them as if we were
creating a language, not a set of statistics.’ (Seddon 2013)

21. #MatExp and #DementiaDo
Working examples of using evidence
to demonstrate the value of
Change Day
‘Helping the NHS to innovate, be more adaptable to the
unpredictable demands and turbulent environment we operate in’.
(NHS Change Day Revaluation Report 2015)

22. Copyright © Nutshell Communications Ltd. All rights reserved.
Gill Phillips
#MatExp
#WhoseShoes
The Edge webinar
9 September 2016
@WhoseShoes
#MatExp is magic

23. NEAT BOX 1
I am the creator of
Whose Shoes?®
Gill Phillips @WhoseShoes
Neat box evaluation
NEAT BOX 2
I am the co-founder
(with #FabObs Flo*) of
#MatExp
Whose Shoes? maternity sites so far…
London 12 Rest of the country 5
235 people attended the London SCN pilot workshops
93% said it changed the way they viewed maternity
services
* #FabObs Flo a.k.a Florence Wilcock @FWmaternityKHFT,
Consultant Obstetrician at Kingston Hospital
Neat evaluation
#MatExp highly successful social media platform
470 million Twitter impressions
Consistent – one million Twitter impressions a day
Lemons score: Jackpot!
Neat evaluation
Neat line

24. More sophisticated analysis?
Whose Shoes? - impact
Neat line
#MatExp - impact
Gill Phillips @WhoseShoes Via Symplur analytics

25. #Eek – wot, no
neat line?
My evaluation
Gill Phillips @WhoseShoes

26. Social media, connections,
storytelling, leadership, friends,
intrigue, fun, personalities,
empowerment, drawing people in,
drawing people, poems, wacky stuff,
#bakeoff, tour bus, advent, lemons…
and so much more.
Our #NHSChangeDay landscape
‘captured the magic’
Gill Phillips @WhoseShoes

27. 1. Just Do It
2. Then do something else
3 Keep it fresh
4. Have fun
Click on the magic picture
to learn the magic secrets… #MatExp
Gill Phillips @WhoseShoes
Gill’s Top 4 tips

28. Fab Change Day 2016
Gill Phillips @WhoseShoes
More #MatExp magic… And some new stuff… Click on the magic picture
to learn the magic secrets…
#CovMindTheGap

29. Gill Phillips @WhoseShoes nutshellcomms.co.uk matexp.org.uk

30. #DementiaDo
Andy Tysoe
See the PERSON, not the
dementia
• Setting numerical targets do not change hearts and
minds
• Thousands of people have attended Andy’s free
NHS Tier 1 dementia Education session and
committed to #dementiaDO something to support
people affected by dementia
• Not just NHS staff – Police, Tesco, Council, carers,
people with dementia too

31. #DementiaDo
Andy Tysoe
‘I’ve found story telling to be the
most powerful way to get the
message across’
• The need to re-frame dementia and dementia
care services, making reasonable adjustments,
challenging stigma and the actual names of
services
• Dementia causes disability – a cognitive (or
thinking) disability
• You may not be able to ‘see’ a cognitive
disability and therefore you may not be able to
‘see’ the #cognitiveramp that would support
the person

32. Don’t just talk, #DO something!

38. The Academy of FabNHSStuff
We encourage the community to:
• Own the process
• Discover uncommon successful behaviours – be
a rebel
• Design ways in which to share successful
innovations
• JustDoIt! No permission needed in a #JustDoIt
culture

39. Impact - The aggregation of marginal gains
• A recent share on commissioning to
dovetail vaccinations received over 160
emails requesting information as other
commissioners wished to implement the
service redesign 💉
• ⬆️ uptake ⬆️ service user satisfaction ⬇️
cost

40. Impact So Far…….
More than 1200 shares
• Over half a million page views
• 11,000 Twitter followers
• Up to 4000 page views a day
• Small changes, small solutions alongside large-scale
change
• Transferable, with wider application

41. FabChangeDay
• A year of ideas into action
• Electronic pledging
• Ongoing support and advice
to enable completion of
change pledge
• Dissemination of completed
shares
• Benching marking and audit

42. Activists’ school

43. Thank you for joining us today
http://fabchangeday.net/
@jwildman1
@whoseshoes
@dementiaboy
@FABNHSSTUFF