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| 7 minutes read

Tweets of the Week, 3 May 2019

The Horizons team features many influential Twitter users. This curates a wealth of insights, knowledge, and information about transformation in health and care from other thought leaders across the world. (Tip: to read an article or watch a video mentioned in a tweet, click on the red text. To view the original tweet, click on the image).

School for Change Agents

The School for Change Agents starts THIS MONTH! Are you as excited as we are? Sign up now!

Over the next six months we will be using Sensemaker to capture the day-to-day experiences of the School community trying to initiate change and improvement. We'd love you to take part! Find out how.

Are you joining the live School sessions - and would like advice about the technology we use? We're running a test session on the 9 May 3-4pm UK time. Not available then? No problem,for more information click here to read Rosie and Paul's post.

A great recommendation from Emanuela who says " I did this and loved it. It has helped me understand more about myself and the way people perceive change and how we can help them go through it with a positive attitude. But being a change agent is so much more than that!" Sign up now.
How does change happen? Read about Cass Sunstein's recent lecture at the RSA here. If you'd like to make change happen, sign up for School for Change Agents here.

Another great recommendation for the School for Change Agents by Roxanne. Sign up here.

School for Change Agents is open to anyone all around the world! Great to see Perle is as excited as we are for the School to start! Join here


Join us for the Ambulance QI Event which will be held in Edinburgh on the 15th May. It's going to be a fantastic day. You can find out more about the event in Lynsey's post. If you would like to attend the event register here.

We'd love to have representation from all UK ambulance services at the event.

Ian was working with The Association of Ambulance Chief Executives NACOM colleagues today whilst he was at the Kia Oval Stadium in London - the wonders of virtual facilitation! They had a great hour showcasing and discussing possibilities.

South East Coast Ambulance Service had an improvement day this week. The day started off very enjoyably with competitive badge making! Asmina was blown away by the amount of people there and the buzz in the room.

Roxanne shared a brilliant picture of some of the game changers reflecting on what made them want to work for the ambulance service and what their motivation is today.

What unites us? Some excellent themes emerged from the transformation cards feedback.

During the event they discussed topics around positive role models, building trust and starting with me as an agent for change.

There was great feedback about how the service wants to take change forward.

Great to see that Emma is motivated to see what the future and has signed up for her second round of School for Change Agents! Join her by signing up here.

Great to see that Gemma enjoyed the day, and left feeling inspired.
The NEAS Improvement network has reached 100 followers in just a couple of weeks! A brilliant development for improving ambulance services.

Great to hear that the Welsh Ambulance have had a total of 26 improvement and innovation ideas submitted from across the organisation for their improvement programme. 

Nursing Now England 

Positive Choices, Positive Commitments is a thriving network, information exchange and social forum. Bev writes more about learning disabilities nurses and people living with learning disabilities.

Virtual working is essential in today's working world. Bev was able to share insights from our Nursing Now England and #ProjectA work to Neil, who works with the Fire & Emergency Services in New Zealand! 

What the team have been doing 

Debbie Sorkin, National Director at The Leadership Centre, presented at the national Personalised Care Collaborative which Kathryn hosted this week: "Personalised Care is not part of the NHS - it IS the NHS"

Zoe facilitated the South West London Social conference along with SWL NHS as well as other Horizons colleagues. 

Facilitating while watching cricket was a different experience for Leigh! She enjoyed facilitating the outpatients focus group at the South West London Clinical Conference.

Helen created a new slide deck on transforming outpatient services and used twitter to get great feedback!


Would you like to be involved with having honest, courageous conversations about the experiences of BAME Midwives & Nurses and create action-based solutions? Join us for an event on 14 June! For more information click here.

"12 tools to foster alignment & collaboration": useful for situations where you're working with mixed groups of people with diverse views & experiences. Part of the fantastic suite of tools & methods for system leaders and facilitators from We Are Co Creative, find out more here.

It's a positive thing that organisations are seeking greater diversity in the workforce. However, it only works if people from diverse backrounds feel included. The Boston Consulting Group has some very good new resources on diversity & inclusion aimed at senior leaders. Click here to read more.

New & free digital book: "The community builder guidebook: practical approaches to building engaged communities" by Julian Stodd you can apply the principles to any kind or size of community. Click here for the book.

Board members have an important role in building inclusive organisations. New research from Deloitte on how boards can move the needle for inclusion that's been advancing too slowly for too long, find out more here.

Social Media 

Helen and Leigh presented a virtual workshop on social leadership this week. Here's their new slide on using Twitter. The first column lists things you can do to attract people to your Twitter feed and the second details actions that repel people from it.

As a great example of social media, Helen & Leigh gained valuable feedback about their slide on twitter attractors (that pull people towards our twitter content) & repellents (that do the opposite). Here is the updated slide.

What type of twitter user are you? Dr. Damara says she used to be a "Lurker" but thanks to leaders like Helen Bevan she's learnt to use twitter to build a network!

As part of the virtual session on being a social leader for Montefiore, Leigh shared that adding a photo to a tweet grabs more attention.

Helen and Leigh's webinar went really well. Leigh loved co-leading the session! We look forward to seeing everyone's #LeadingChangeMHVC tweets.

Social media creates amazing opportunities to have discussions with people across the globe who are total strangers. If we want to protect that space & that conversation, we must learn to be more tolerant of others and check our facts first. Find out more here.


"Rumbling" is what Brene Brown calls the courage to be vulnerable enough to have a difficult conversation. As she says, " If we can't change how we show up for each other, we can't change how we care for patients". Read more

It's crucial to be in the right headspace for challenging conversations and "rumble language". This sketchnote highlights how you know you're ready to rumble... 

A great article from ideo about leadership and emotions at work. Often, we underestimate the profound impact that our own emotional reactions can have on our "reports" (the people in our teams). Read more here.

It's such a sign of progress that the word "love" gets used more & more in the context of organisational life. In terms of building shared purpose, we have to start from a place of love. For our teams we need to build loving connections.


What happens when we have a blame culture? We lose trust and we stop learning. Try out the mini-quiz below which highlights the tendencies of blame culture.
New snapshot report on culture change in healthcare from NEJM catalyst USA. Most leaders see culture change as an organisational priority but the most prevalent way of trying to make culture change happen is by top down, command & control. Read more here.


20,000 people have taken the Pozen personal productivity test. The subsequent research suggests three characteristics of the most productive people. It's nothing to do with working long hours! Find out more here.

We need to break some default practices at work to improve productivity. Stop making everything a meeting. Stop assuming the best interactions are in the same place. Both of these practices waste a great amount of time in our organisations. Read more about this here.
Wonderful image about focusing on being productive rather than simply busy.