Why won't my innovation spread
•Download as PPTX, PDF•
0 likes•31 views
Workshop at Health and Care Innovation Expo 2018, in Manchester. It can take up to 20 years for good innovations to be adopted in healthcare. However, the recently published 10 High Impact Actions for general practice are spreading faster than we have ever seen. Why? Learn about what's different, and how you can increase success in your own work. The presentation examines the role of five stages in the innovation journey in determining success: the innovators, the innovation, packaging, spread and adoption. Examples are provided of how each can present a barrier, and how the national Time for Care programme has sought to overcome them.
Report
Share
More Related Content
What's hot
What's hot (9)
Similar to Why won't my innovation spread
Similar to Why won't my innovation spread (20)
More from Robert Varnam Coaching
More from Robert Varnam Coaching (20)
Recently uploaded
Recently uploaded (20)
Why won't my innovation spread
- 1. @robertvarnam #Expo18NHS@robertvarnam #Expo18NHS GENERAL PRACTICE FORWARD VIEW Why won’t my innovation spread? Practical lessons from 5 years in primary care • Dr Robert Varnam Clinical lead, primary care transformation • Sustainable Improvement Team, NHS England @robertvarnam • robert.varnam@nhs.net
- 3. @robertvarnam #Expo18NHS GENERAL PRACTICE FORWARD VIEW The problem of innovation spread Balas, E. A., and S. A. Boren (2000) …but this is probably an underestimate for many innovations in healthcare Westfall, Mold and Lyle (2007) We can’t wait for ‘diffusion’
- 4. @robertvarnam #Expo18NHS GENERAL PRACTICE FORWARD VIEW Our journey: general practice innovations 2013 Call to Action on General Practice: what would it take to spread innovative ways of working? 2014 Prime Minister’s Challenge Fund on GP Access: how to improve access and care in hard-pressed practices? 2016 10 High Impact Actions: suite of innovations to release time for care General Practice Forward View: funding, workforce growth, innovation Adoption support (‘Time for Care’) Now Time for Care programme engaged with 178 CCGs (91%).
- 5. @robertvarnam #Expo18NHS GENERAL PRACTICE FORWARD VIEW Common challenges Innovators Innovations Packaging Spread Adoption
- 6. @robertvarnam #Expo18NHS GENERAL PRACTICE FORWARD VIEW Common challenges Innovators Innovations Packaging Spread Adoption Whacky … Too brainy … Too creative … Too hard working very impressive, but it’s just not me…
- 7. @robertvarnam #Expo18NHS GENERAL PRACTICE FORWARD VIEW Common challenges Innovators Innovations Packaging Spread Adoption Relevance (to need / locality) Fit with existing model Credibility Depth of change required It’s different round here Everything the NHS has asked of us in the past 20 years has been more work. We just can’t do anything new. You simply can’t achieve that much I’m going to have to do what?! That’s just not how things work.
- 8. @robertvarnam #Expo18NHS GENERAL PRACTICE FORWARD VIEW Common challenges Innovators Innovations Packaging Spread Adoption Focus on what was achieved … less on how Reliance on single examples Reliance on written formats I don’t have time to read all that People will say anything in a report Of course, it would work in a place like that How could I be expected to achieve that?
- 9. @robertvarnam #Expo18NHS GENERAL PRACTICE FORWARD VIEW Common challenges Innovators Innovations Packaging Spread Adoption ‘Diffusion’ is slow and random Need to reach v large number of people to achieve nationwide impact Large number of potential channels No single authority has universal credibility I’ve just discovered our neighbouring practice solved this years ago!
- 10. @robertvarnam #Expo18NHS GENERAL PRACTICE FORWARD VIEW Common challenges Innovators Innovations Packaging Spread Adoption Limited capacity / headroom Limited capabilities for improvement & change leadership Environment often not conducive Just as we’re about to embed one thing, the system asks us to do something else. The hospital has a whole team who do this kind of thing. I’ve just got me on a Saturday afternoon. I come across good sounding ideas all the time, but it’s impossible to get anything done.
- 11. @robertvarnam #Expo18NHS@robertvarnam #Expo18NHS GENERAL PRACTICE FORWARD VIEW Common challenges Innovators Innovations Packaging Spread Adoption The ‘Time for Care’ programme National programme to gather and spread actionable learning about practical innovations that release staff capacity and improve patient care, backed up by expert improvement support to implement change. www.england.nhs.uk/gpdp
- 12. @robertvarnam #Expo18NHS@robertvarnam #Expo18NHS GENERAL PRACTICE FORWARD VIEW Common challenges Innovators Innovations Packaging Spread Adoption The ‘Time for Care’ programme www.england.nhs.uk/gpdp Spread and adoption of innovation doesn’t “just happen” Success involves multiple steps, beginning early It’s active, sometimes technical and often about leadership
- 13. @robertvarnam #Expo18NHS Innovations from practices throughout around England that release time and improve care. bit.ly/gpcapacityforum GENERAL PRACTICE FORWARD VIEW 10 High Impact Actions
- 14. @robertvarnam #Expo18NHS Innovations from practices throughout around England that release time and improve care. bit.ly/gpcapacityforum GENERAL PRACTICE FORWARD VIEW 10 High Impact Actions bit.ly/gpcapacityforum Progress so far… • 91% of CCGs engaged in implementation support programme • Innovations featured in conferences, articles, awards • Widely ‘appropriated’ and embedded by local / national organisations • Included in 2018/19 NHS Planning Guidance refresh
- 15. @robertvarnam #Expo18NHS GENERAL PRACTICE FORWARD VIEW Features of our approach Innovators Innovations Packaging Spread Adoption
- 16. @robertvarnam #Expo18NHS GENERAL PRACTICE FORWARD VIEW Features of our approach Innovators Innovations Packaging Spread Adoption • Systematic focus on ‘humanising’ original innovators • Face-to-face / video presentationInformation about ‘how’ • Spotlight on ‘first followers’ Where has this been developed? By whom? With what support?
- 17. @robertvarnam #Expo18NHS GENERAL PRACTICE FORWARD VIEW Features of our approach Innovators Innovations Packaging Spread Adoption • Make it easier for people to do what they care about (pressures & values) • Many are extensions/evolutions to existing models/processes • Menu of options - something for everyone (different scale / speed / ambition) • Grounded in established improvement science principles Why should busy people stop what they’re doing to notice this?
- 18. @robertvarnam #Expo18NHS GENERAL PRACTICE FORWARD VIEW Features of our approach Innovators Innovations Packaging Spread Adoption • “Actionable learning” • clear framing of why this is beneficial, relevant and achievable • how benefits were achieved, not just what they were • anticipate common questions or concerns • Multiple formats • short & long videos. Short & long case studies. • summaries, FAQs, implementation guidance. People want practical insights not just sales or congratulation
- 19. @robertvarnam #Expo18NHS GENERAL PRACTICE FORWARD VIEW Features of our approach Innovators Innovations Packaging Spread Adoption • Multichannel • online forum, blogs, articles. • national & regional conferences, local workshops … >8,000 attendees to date • link with CPD • Use of peers more than authorities • Make it a movement – “we all own this” … spotlight local case studies • Intimate link between spread and adoption support People need to know about it AND think it’s credible
- 20. @robertvarnam #Expo18NHS GENERAL PRACTICE FORWARD VIEW Features of our approach Innovators Innovations Packaging Spread Adoption • Some teams will just do it alone • Expert implementation support from Sustainable Improvement Team • Funding for staff training and software licenses • Capability building for improvement leadership • Alignment of CCG support Implementation is active, involving skills, tools and leadership … and costing money
- 22. @robertvarnam #Expo18NHS@robertvarnam #Expo18NHS GENERAL PRACTICE FORWARD VIEW Innovators Innovations Packaging Spread Adoption Beyond ‘diffusion’ of innovation • @robertvarnam • robert.varnam@nhs.net Spread and adoption of innovation doesn’t “just happen” Success involves multiple steps, beginning early It’s active, sometimes technical and often about leadership bit.ly/rvbib-innovationprimer www.england.nhs.uk/gpdp
Editor's Notes
- We observed reactions like this even to publications of innovations from very well respected authorities
- KAREN MANIFOLD VIDEO