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Thinkful change


Blog headlines

  • Community-Oriented Integrated Care
    18 February 2021

    The blog this week is a short extract from a paper considering an approach primary care networks could use to move towards community-oriented integrated care.

  • Strategy Unit releases opensource model for planning vaccine centre capacity
    11 February 2021

    This week's blog is from The Strategy Unit who are sharing an opensource model to help with vaccine centre capacity planning.

  • Time to talk day
    4 February 2021

    A small conversation about mental health has the power to make a big difference.

  • Supporting Staff: the emergence of ‘long-covid’
    28 January 2021

    As we are now well into a second, or is it now the third, wave of Covid-19 it is becoming apparent that Covid is something we have not experienced before and it has unique implications for staff management. It is not just the possibility that staff may become acutely ill with the virus, but that for some they may go on to develop persistent debilitating symptoms that will affect their ability to go back to work. This article looks at the implications of long-covid for HR and service managers when looking to support health care professionals (HCPs) return to work.

  • Link of the week: Clinically-Led workforce and Activity Redesign (CLEAR)
    21 January 2021

    This week we are sharing a link to the Clinically-Led workforce and Activity Redesign (CLEAR) site that is funded by Health Education England.

  • So much more than an extra pair of hands
    14 January 2021

    The introduction of the additional roles reimbursement scheme for primary care networks has started to grow capacity in general practice to address the unsustainably high workload that has put so much pressure on GPs.

  • Primary Care Networks – how did we get here?
    7 January 2021

    This week we are sharing a blog by PCC’s chairman David Colin-Thomé.

  • A year like no other
    17 December 2020

    On 5 July 1948 the NHS was born, over the last 72 years challenges and changes have been remarkable but the service has probably never been tested as much as in the last nine months. There have previously been numerous re-organisations, multiple changes to hospitals, mental health services and a shift from the family doctor towards more integrated primary care services delivered by a range of professionals. However, rapid transformation of services to embrace digital technologies, and a shift change to work differently has been forced upon all areas of the health service this year.

  • Guest blog: David Hotchin
    11 December 2020

    This week we have a guest blog that was submitted to us by David Hotchin, written by a retired friend....obviously, he's used a little poetic licence.

  • What now for commissioning?
    3 December 2020

    By Professor David Colin-Thomé, OBE, chair of PCC and formerly a GP for 36 years, the National Clinical Director of Primary, Dept of Health England 2001- 10 and visiting Professor Manchester and Durham Universities.

  • What White people don’t see
    26 November 2020

    This year’s Black History Month (BHM) has, unfortunately, in its shadow another example of why campaigns like this exist.

  • Primary Care: Why don’t we talk about Racism?
    20 November 2020

    Rita Symons is an ex NHS leader who is now a leadership consultant, coach and facilitator. Her work is mainly in the NHS and she is an associate for PCC offering facilitation, coaching, strategy development and team development activities. She is a concerned but hopeful world citizen and combines work in the NHS with a board role in a non for profit organisation and an interest in writing.

  • Primary Care and the Health of the Public
    12 November 2020

    By Professor David Colin-Thomé, OBE, chair of PCC and formerly a GP for 36 years, the National Clinical Director of Primary, Dept of Health England 2001- 10 and visiting Professor Manchester and Durham Universities.

  • What now for primary care
    4 November 2020

    By Professor David Colin-Thomé, OBE, chair of PCC and formerly a GP for 36 years, the National Clinical Director of Primary, Dept of Health England 2001- 10 and visiting Professor Manchester and Durham Universities.

  • Boosting your resilience
    30 October 2020

    The last year has been a difficult one, who would have imagined last Christmas that we would have been in lockdown, with the NHS seriously tested by a global pandemic. So much change has happened and the resilience of people working in and with health and care services has been seriously tested. Resilience is our ability to deal with, find strengths in and/or recover from difficult situations. Its sometimes referred to as “bounceabiliy” – but bouncing in what way?

  • Link of the week: National Cholesterol Month
    23 October 2020

    Every month or week of the year seems to be an awareness week, October has more than its fair share.

  • New redeployment service offers talent pool of motivated, work-ready individuals
    15 October 2020

    People 1st International have shared some of the work they are doing to support people displaced from industries due to the Covid-19 pandemic. There is an opportunity for health and care services to benefit from this workforce.

  • Link of the week
    9 October 2020

    Article published in the BMJ looking at the ability of the health service to quickly bounce back to pre-Covid levels of activity and considers if it is desirable.

  • Virtual Consultations– the patient perspective
    2 October 2020

    This week Jessie Cunnett, director of health and social care at Transverse has shared this article.

  • Virtual Consultations– the patient perspective
    1 October 2020

    This week Jessie Cunnett, director of health and social care at Transverse has shared this article - Virtual Consultations– the patient perspective.

Thursday, 3 May 2018

Thinkful change

This week we’ve invited Beverly Heaver, head of disruptive horizon scanning and new futures curation at the Mod Institute to talk to us about change and why it matters

Change, it makes you think. Why don’t we co-think about it?

Is your STP change process a doughnut or a cupcake? Are you a platform or a train? Are you leading from the edge or from a legacy power base such as the middle or the top?

You’re at an unconference on followership: will you face the screen and listen to the speaker or will you embrace a new hearing paradigm and listen collaboratively on social media? Is it still listening or is it something else? Collaboristening? Is this what innovation feels like?

Why do we talk about large-scale change programmes when we could talk about new change? Programmes are expensive, boring and go on for ages. New change projects cost next to nothing and take no more than a few days. Forget conventional notions of evidence, outcomes and return on investment. Embrace new value.

You don’t need experts to run agile change projects. You have an army of unexperts at your disposal, people who bring a completely fresh approach to problems because they’re not encumbered by “knowledge”, “understanding” or “ability”. Together you can turn the old concept of achievement on its head. 

How do we resolve the four paradoxes of inter-system change?

  1. Which activists are best at mobilising change? Squirrels, rabbits or penguins?
  2. Do you know the difference between changing, shifting, modifying and transforming? Does your team know? Do you need to reinvent your team – or the concept of teams? Can you design it together? What would that look like? Funny? Silly? Pointless? How would that feel?
  3. Old power or #newpower? Old power is dominated by men named Ian, Simon or David; it’s “done to”, it’s all about board papers and long meetings in London. #newpower is fun, creative, holding hands, playing, making, sharing, hugging. One is not “better” than the other. We are all on the same journey to simplexity, the simplicity on the other side of complexity.
  4. How do we harness the five types of energy we need to make it happen: pastries, coffee, boiled sweets, infographics and national funding?

Are you a disruptive innovator? Do you change things because they need changing or because it’s better than working? Is change ever finished? What can we do differently? What does different look like? How can we embed it in everything we do?

Change is changing. We are constantly moving beyond the present and into the future. When will we get there? That depends on how much we invest in our social networks and digital skills, but we get closer to the future every day just as we get further from the past.

Think about it for a moment. How does that feel?

Paradigms editor: Julian Patterson


Antony Nelson
Antony Nelson says:
May 04, 2018 06:51 AM

Crying with laughter here, thank you! Reminds me very much of 'Think the Unthinkable' written by James Cary and staring Marcus Brigstocke currently available again on Radio 4 Extra

Ali Chapman
Ali Chapman says:
May 04, 2018 08:16 AM

But where is the irony here? This is exactly how we operate and jolly good too. Pip Pip.

Harry Longman
Harry Longman says:
May 04, 2018 08:26 AM

Writhing, blithering even, on the floor. Typing this comment upside down.

alasdair mcewan
alasdair mcewan says:
May 04, 2018 09:40 AM

I will be co-thinking with my team today on this very topic

Mike Richardson
Mike Richardson says:
May 04, 2018 10:24 AM

LoL. Vintage Patterson. Dynamic equilibrium restored and change en-gine now firing on all cylinders...

Stephen Field
Stephen Field says:
May 04, 2018 01:34 PM

Soft kills make me feel funny.