This browser is not actively supported anymore. For the best passle experience, we strongly recommend you upgrade your browser.
| 5 minutes read

Tweets of the Week, 31 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 

There was no live module this week due to half term holidays in England, but we will be back next Thursday (6 June). Catch up with Module 2: Resistance is an Act of Defiance presented by Helen & Kathryn by clicking here. You can also catch up, and reflect on your learning on Future Learn too by clicking here.
How can resilience be an act of defiance, and why it is important to build collective resilience? Find out in Leigh's reflections on module 2.

We love to see your views of the School for Change Agents. Thank you for the great feedback from Spain, Nacho Vallejo!

Sarah Bingler thinks that we have asked healthcare providers to distance themselves from the relational aspects of care for too long. She is happy to see it back in the conversation. 

We're glad to see how module 2 resonated with Gemma, thinking about relational language.

Nursing Now England 

Bev joined a 'Lunch & Learn' with one of our Nursing Now  England Ambassadors Dr Marion Lynch who was live from Zambia.


Join us on the 14th June at the Wolverhampton Racecourse where will be holding the 'From surviving to thriving' event aimed at talking about the experiences of nurses and midwives of the Black, Asian, Minority and Ethnic (BAME) heritage across health & care and turning that into action based solutions. Click here to sign up.

Bev is looking forward to a session on inspiring leadership, resilience and new power at Salisbury on 28 June.


"Why settle for being the best Ambulance service in your patch when we could be the best ambulance service in the world".  Read more about the Ambulance QI event held in Edinburgh on the 15th May by clicking here

Diane had a great day at the Edinburgh event, where she shared Horizons' emerging thinking on spread and scale. If you are interested in contributing to the forthcoming White Paper on  #NHSspread contact Diane.
We love to see how the Welsh Falls Framework has helped other Ambulance services around the country. This could be a good initiative for other ambulance and community care providers for collaborative care. Read more.
Want to keep up to date with #ProjectA? Interested in what we have been up to? If so please click here for our recent Newsletter.

Social Media 

This week Horizons made a list of NHS Improvement Influencers, and we are delighted to see the support this list has received! To see the full list of people you might want to follow, click here.

New research from Ashridge demonstrates why every leader should be active on social media. It increases speed & reach of communication & its more interactive & personal exchanges enhance relationships. It's not a fad and it's not going away, find out more here.

On 22 May, Helen participated in an insightful tweet chat on place based health organised by Guy's and St Thomas' Charity. The contributions were curated into a twitter moment, click here to view. This is a great way to get new perspectives from people that you wouldn't normally connect with.
The last #QIhour tweet chat, run by some of the most influential quality improvers in the NHS was great. Helen highly recommends the next one, even if you are a tweet chat novice. Join in on the 19th June, 8pm and follow the hashtag #QIhour. The topic will be improvement focussed on patient experience.


A beautiful sketchnote by Dr Karen Treisman on the power of language. Language can hurt, shame, 'other', make people feel like they don't matter. Negative language can have long-lasting harmful impact. AND Language can inspire, motivate, give hope. Choose your words wisely.

This article is about how graphically illustrating research articles makes them more accessible & representative. Read more here. The same is true for improvement articles, pioneers like Sonia Sparkles & Leigh Kendall lead the way. The future is visual! 

Staff experience and wellbeing  

I've been reading a PWC article this morning saying that Return on Experience (ROX) is THE new performance management metric. It's written in a completely different context but I'm sure we could develop a ROX model based on patient & staff experience. Read more here.

How incivility has a major impact on your colleagues. Incivility is a bug. It's contagious, and we become carriers of it just by being around it. Click here to see the Ted talk.

The top ten things that organisations should be doing to improve people's experience at work, based on research. Helen found it interesting that five of the ten involve people analytics. Read more here.

How to improve people's experience at work: 1) Take care of the basics; 2) Focus on transitions at work; 3) Create personas to break down the problems; 4) Bring new systems in LAST; 5) Reinvent HR. Read more here.

Ideas for progressive organisational structures: 1) inverted pyramid; 2) autonomous teams in the pyramid; 3) flat organisation with autonomous teams; 4) network of teams; 5) ecosystem of small organisations in an open system. Read more.Leadership

Leaders think they know who the informal influencers in their organisation are but most leaders don't. Being able to connect with informal influences is highly important; they're the people who can make or break your change initiative. Click here to find out more.Is it time to abandon the mindset that some employees have more "high potential" than others & that managers can reliably rate the performance of team members? Globally, the radical strengths-based movement in Human Resources is gaining tractions. Read more.
Helen recorded a podcast on what she has learnt about leading and supporting change for the brilliant Dr Jen Frahm. Listen to Helen's podcast interview.

Innovation and Change

A lot of our work processes are designed for complicated situations, based on detailed analysis and planning. But we're increasingly operating in a complex world, needing continuous experimentation & emergence. Click here to read more.
In the improvement world, we often use the terms "capacity building" & "capability building" interchangeably but they mean very different things. Understanding their relationship can help move us forward towards out goals for change. Read more here.
How do you build a digital-ready culture in an organisation that works in traditional ways and is not currently digitally savvy?
How one health system overcame resistance to change using community organising/social movement principles. The specific case study is surgical checklists in a US context but the principles are much more widely applicable. Find out more here.

12 years ago, Helen's team invented "The Productive Ward", plus a whole series of "Productives"; operating theatres, community services, general practice etc. Helen says she's proud that researchers found the legacy of the productive ward in place more than a decade later, seen in this article.