Assessing Culture in your NHS Service

1. Assessing Culture in your NHS Service

2. What is culture?

3. The NHS belongs to the people It is there to improve our health and well-being, supporting us to keep mentally and physically well, to get better when we are ill and, when we cannot fully recover, to stay as well as we can to the end of our lives.

4. It works at the limits of science – bringing the highest levels of human knowledge and skill to save lives and improve health. 2010

5. It touches our lives at times of basic human need, when care and compassion are what matter most.

6. The real world – culture and sub culture

7. Why is it difficult to change?

8. The role of leadership To pay attention To offer support To set culture To deal with disruptive resistance

9. Never Forget the Normal Distribution 1. Carrot 3. Go on then 4. Stick 2. Don’t tell me show me

10. The Challenge of Changing Culture Ability Motivation Why is C-diff horrible and what can I do to change it in my area? = Story telling Make the Undesirable Desirable Surpass Your Limits Personal How good is good enough and how can we help one another? Harness Peer Pressure Find strength in numbers = Measure Social How can we change our focus from focus on failure to celebration of success Design Rewards & Demand Accountability Change the Environment = Reward Structural

11. The story of me The story of us The story of now The importance of story telling Our shared commitment to One another and the mission +

12. Brenda’s Story “To do things differently we must see things differently, when we see things that we haven’t noticed before we can ask questions we didn’t know to ask before”

13. John Kotter on ‘leading change’ Empower Employees Communicate The Change Vision Develop a Vision & Strategy Generate short term wins Consolidate & Amplify Gains Create a Guiding Coalition Anchor New Approaches in Culture Establish a Sense of Urgency

14. Tools and Techniques