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| 5 minutes read

Tweets of the Week, 16th August 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).


Many "wellbeing at work" programmes don't deliver value, even thought they're well intentioned. Often they only appeal to the people who are already into health & wellness. Here's 4 actions to make workplace wellbeing strategies effective. Click here to read.


Helen has been thinking about how we have to support change in the health and care system according to complexity principles, not linear approaches. People work in complex patterns of multiple teams, not single teams.

Helen has been thinking about where the most useful/important knowledge resides in organisations. We need more ways to share and spread the informal/tacit knowledge that creates breakthroughs.

Helen has been thinking about how we improve performance across a system.

Set of 11 techniques for spreading and sharing knowledge that make up the NHS Health Education England Knowledge Mobilisation Framework. You can download them as a set of postcards here.

Every month the library service team at Musgrove Park Hospital publishes its Improvement Evidence Update on behalf of its local improvement teams. There're always a few gems in it that Helen hasn't seen before. It needs to be read widely, click here to read.

Change Agency

Helen loves the idea of "relational activism"; Activism means being active for a cause that matters. Relational means being part of a community, building power for change collectively & seeing relationships as the locus for change. Read more here.
Helen has been thinking about how being a change agent requires courage to keep challenging the status quo and staying power. We have to create the conditions and get the support around us where we can thrive/survive.When we get a great new idea for change, our first thought may be to get leadership support... it is often best to first share the idea with friends/peers who'll spread it and offer social proof to others.
Helen has been thinking about the importance of service in health and care. It's root is the word "servant", serving the needs of others first.
Helen, Leigh and members of the Horizons team will be guests at the next #QIHour tweet chat, next Wednesday 21st August. The topic of the chat is change agency at work - everyone is welcome to join.


When it comes to leadership and improvement, many people are nervous about the word "love". Yet love is at the heart of what we do as leaders.  It's a positive sign that the Academy of Management (prestigious leadership research body) has picked love as a key theme for its annual meeting.

If you love quality improvement in healthcare, you should read these "6 leadership lessons from around the world" by Peter Lachman. This is pragmatic wisdom from an experienced, successful improvement leader. We need to start from where people are, not force QI methods on them. To read, click here.
Helen has been thinking about how supervisors and middle managers are the key to change and improvement.

Rosie recently started a stretch assignment from Horizons to the Personalised Care Group. She has been working on a fantastic programme called Leadership for Empowered Communities and Personalised Care, which is aimed at senior leaders and clinicians in health, social care and beyond. The aim is to develop leaders who can lead change in co-production with citizens and to embed personalised care across the health and care system. You can find out more about the programme here.

Last Saturday, Helen was in York where she gave a talk at the #AfPPResi19 conference on leadership for the future of the NHS.

Helen has asked NHS colleagues to double check if their CEO's are part of David Foord's Twitter list of NHS CEO's. This is a helpful way to reach out directly to the NHS CEO community. To see the list, click here.


A huge thank you to everyone who joined the second #OurNHSPeople tweet chat, and shared their thoughts about how we can improve how people in the NHS work in teams. It was another energetic chat full of brilliant ideas! We'll be compiling the responses in to a report - and in the meantime, in case you missed it here's the report of the first chat.

We hope you'll be able to join us for the third chat, which will be held on Monday 9 September at 7pm, about leadership.


Thank you to everyone who participated in and contributed to the #ProjectA tweet chat on Wednesday night. It was an excellent chat and there were so many brilliant ideas and suggestions. We will be analysing the data and publishing the report soon.

Dave Morgan, QI Manager North East Ambulance Service will be delivering an improvement presentation via Zoom about North East Ambulance Service (NEAS) Care. NEAS care is an app that focuses on staff well being. Join us Tuesday 20th August 2pm to 3pm - please email for more information and joining details.


The #NursesActive campaign for August continues. Find out how Bev has been getting on by reading her blog  here.

Yesterday was A Level Results Day and as many young adults opened their results, opportunities were made for them to come and join nursing.


"Creative" people really do see things differently; Being open-minded literally changes the way we perceive the world. The good news is that this is something that people can learn, through stretching life experiences & training. Read more here.

And finally...

Tips for what to do when you feel anxious.