Wednesday 10 Apr | 09:30-16:30

Format: Full-day workshop
Stream: Change
Content filters: Recommended for those new to quality improvement; Recommended for those working at system level in QI

We often hear the mantra that ‘70% of change programmes fail to deliver’. But many change leaders DO achieve their goals. What can we learn from those leaders whose extraordinary thinking, behaviours and practices have enabled them to deliver change at a really large scale? What does it take to create big change in different contexts? In this highly interactive session, we will undertake a process of collective inquiry: we will learn from change practitioners from across the globe who will present their practical learning. In addition, we will benefit from the wisdom of all the people in the room. We will co-create a framework for large scale change.

As a result of this workshop, participants will be able to:

• Appreciate the thinking, behaviours and practices of leaders who deliver big change


• Be part of a unique collective learning system to distil practical wisdom for large scale change


• Take home tacit and explicit knowledge, models, approaches and frameworks for change


• Take inspiration and ambition from other change leaders

Led by:
Helen Bevan NHS Horizons, England
Göran Henriks Qulturum, Sweden
Jodeme Goldhar International Foundation for Integrated Care University of Toronto & Health Leadership Academy, McMaster University (Canada)

Facilitative approach: Liberating Structures – the surprising power of liberating structures to unleash a culture of innovation

Liberating Structures are a powerful and impactful way of involving, engaging and unleashing everyone to contribute ideas and shape the future. They help people connect and work together collaboratively. They are deliberately simple, and anyone can lead them which means they can spread virally in an organisation or group. There are thirty-three different structures, so there is something for almost any context or occasion – everyone will leave with the knowledge and skills to liberate and unleash the energy of small and large groups of people to shape the future.

Zoe Lord NHS Horizons, England

CASE STUDIES

Flanders quality model: thinking, doing and learning in collaboration with flemish hospitals

We have co-developed a conceptual model towards sustainable quality management systems and implemented this model in 23 Flemish hospitals. This model, i.e. Flanders Quality Model, focuses on co-production of healthcare quality with patient, kin and professionals in order to improve benefits for both.

Kris Vanhaecht Leuven Institute for Healthcare Policy, Belgium

Facilitating transformational change in Swedish healthcare – using designed action sampling

Organisations are currently challenged to learn and develop quality at an increasing speed of change, as well as handle complexity. This calls for new approaches to transformational change that invite and involve organisational members and stakeholders at the scale of the whole. This presentation will explore how to establish an arena using systematic reflection with a social media tool in real time, to help organisations understand and facilitate transformational change.

Jonas Boström CGI/Mid Sweden University, Sweden

Delivering change together – our change experiential programme story so far

This work develops change capacity and competency among healthcare leaders to enable change in services to fulfil our populations’ need for access to care in the right place, at the right time, and by the right person. This programme employs a communities of practice model to ensure that change is supported by the HSE’s agreed-upon change framework.

Marie O’Haire HSE Ireland, Republic of Ireland

Lessons from primary care: creating joy, hope and releasing our true potential

The experience of UK General Practice for both patients and staff worsens year after year. How does change and hope emerge? What happens if a GP improves psychological safety, trust, distributed leadership and staff and patient engagement? What could releasing the true potential of individuals and an organisation look like? Dr Ben Allen from Birley Health Centre in Sheffield, England will share the journey of learning and the many stories of establishing new principles.

Ben Allen Birley Health Centre, England

Building a culture of improvement: a decade of sustainability lessons in Jamaica

This case study will share a decade of lessons from the Caribbean Quality Improvement Collaborative (CaReQIC) aiming to improve HIV outcomes.  Whether early or advanced in improvement journeys, participants in this session will explore comprehensive strategies to build a culture of improvement that sustains efforts.

Shay Bluemer Shift, Jamaica

Georgia Simmons Caribbean Training and Education Center for Health, Jamaica