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| 6 minutes read

Tweets of the Week, 7 June 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 

Yesterday (6 June), was Module 3 - Purpose and Power! A huge thank you to everyone who joined us. You can catch up with Module 3 by clicking here.  

Great to see the feedback from this week's session. Thank you for joining and sharing your thoughts Carlos! 

Amazing comment linking the latest session with the Good Witch from Wizard of Oz: " You've always had the power my dear, you just had to learn it for yourself". Thanks for sharing Leanne!  
Great to see another great comparison to the latest School module. This slide reminded Spark GK of the Chinese proverb; " The best time to plant a tree was 20 years ago. The second best time is now."

Fantastic image shared by Laura, "We often involve people too late in change. It ought to be at the moment of working out where to go after the initial idea. It's a journey we should travel together." 

Our theme for the School for Change Agents this week was how to understand AND SHIFT power. Here is an outstanding podcast with campaigns veteran Kristy McNeill (@kristyjmcneill) and Sarah Brown (@SarahBrownUK) full of incredible insights, advice and stories. Click here to listen to the podcast.We hope we see you next week (Thursday 13 June, at 3pm) for module 4: Moving to Action with Kathryn (@KathrynPerera). In the meantime you can reflect on your learning on Future Learn (@FutureLearn) by clicking here.


An exciting third design call took place yesterday for a BAME nursing & midwifery accelerated solutions event. The event will take place next Friday (14 June) at the Wolverhampton Racecourse from 9.30am - 4pm. For more information click here.


Here's the final report from the tweet chat NHS Director for Improvement Hugh McCaughey led on 20 May. There was a great response: 777 participants, 1.23 million people were reached, and in an hour 49 ideas were shared.
You can also view some of the highlights of this event on this Twitter Moment.
The next #Improve4Patients tweet chats with Hugh McCaughey will be held on the 26th June and on 31st July from 7-8pm. All are welcome, just use the hashtag #Improve4Patients.

Nursing Now England 

"Twitter enabled nurses were almost twice as likely to recall successes and information from organisational leaders than those who were not on twitter" Nursing Now England Ambassador Rebecca (@RebeccaBNurse) was mentioned in the School for Change Agents.
The Nursing Now England ambassadors have been catching up with the School for Change Agents sessions on Facebook live. This is a great way to reflect on the previous sessions. To reflect on our second live webinar, have a read of this blog post.
It's volunteer week! Starting as a volunteer can open many opportunities and options for you in a career within nursing. Read this inspirational story about Steph Mohan, a hairdresser who decided it was time for a career change.

Thinking about a return to practice? This week Health Education England (@NHS_HealthEdEng) launches a new campaign to encourage nurses back into the profession. To find out more click here. You can also find out about Bev's (@BevMatthewsRN) experience, click here to read. 


It was Being our Best Welsh Ambulance Day this week. It was organised by James Moore (@MorTawel). Ian was invited to give key note and help facilitate.

Ian gave a talk on change, #ProjectA and the importance of self. 

Ian enjoyed the 300 seconds #WASTWellbeing workshop. B

Jason Killens, CEO of the Welsh Ambulance Service, spoke about his career and vision for the future.
There was great conversation about the gorgeousness of change!

Social Media 

When it comes to Twitter, your staff are the voice of your organisation. Our data shows that NHS staff are often 10 times more influential on social than corporate accounts. Make staff your champions & ambassadors rather than restricting them using social media.  

It's time for many leaders to stop seeing social media as something risky & uncontrollable from a corporate perspective. Your staff are on it anyway, promoting your organisation & behaving responsibly. It makes us feel connected, supported & in touch with the latest knowledge.
Tweet chats are a brilliant way of making connections, learning, and sharing knowledge and ideas. They can be busy... but don't let that put you off. Have a read of this blog by @Leighakendall about tips to help overcome the overwhelm and engage with tweet chats in a way that works for you.
A list created by Lou Waters (@LouWaters_QI) of Health and Care improvement hashtags. Check it out and follow the improvement conversations.


Personalised care for patients is a priority in the NHS Long Term Plan. If we want to recruit/retain staff, we also need personalisation principles for our NHS workforce. Personalisation for staff is a growing trend in organisations globally. Read more.

Helen learnt the new terms "technostress" & "digital roadkill". These relate to the dangers of burnout in a digital age & they present serious health risks for leaders. Read more.
Psychological research has identified three key emotions that make teams more successful & resilient: 1) Gratitude; 2) Compassion; 3) Pride. They are powerful because they make us more willing to cooperate with & invest in others.

Why it's important to have an emotional culture at work: When we feel supported & motivated by colleagues, we're happier, more productive & stay in our jobs. When bosses respond to our mistakes with patience instead of fury, we trust them more. Click here to read more.

Helen shared that lots of people she knows wear pedometers/trackers & aim to cover 10,000 steps a day. The 10,000 step standard came from marketing not science & whilst it is a laudable goal, much smaller goals for daily activity can bring big health benefits. Find out more by clicking here.

Change and Innovation

Increasingly, we make change happen by working through networks & collaborations: these only succeed when they're based on trust. There are three kinds of trust; relational, functional & flow-of-value. High trust collaborations have all three. Read more.

Increasingly, leaders need people to collaborate across boundaries. Yet many cross-functional/cross-organisational teams don't work very well. Three tactics: 1) Find common pain points; 2) Negotiate resources fairly; 3) Seek common ground. Read more.

If you want the culture of your organisation to change, consider designing new "rituals" that help to shift it towards new behaviours & relationships. Here are a number of examples. Helen's favourite is the "humble brag" ritual that helps build teams.

New from @McKinsey: Is your operating model fit to deliver your strategy? Four questions: 1) What must we be able to do to create value? 2) What capabilities to capture the value? 3) Do we have these & where? 4) Implications for operating model design? Read here.

And Finally...

We often have discussions on Twitter about generalists vs. specialists, particularly in the context of clinical roles. Here's a great sketch note, written about design generalists but these attributes could be applied to lots of generalists I know in health & care by Eva-Lotta (@evalottchen)

 How drawing can help focus your mind.