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| 4 minutes read

Tweets of the Week, 9th November 2020

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 blue text. To view the original tweet, click on the image).


If you'd like to explore wellbeing even further, do join the next #Caring4NHSPeople session THIS Wednesday, more info here.

School for Change Agents

The School for Change Agents is back in 2021, as Lou says below it's free, easy to access, live or catch up, super exciting and hopes to change the way you think about change forever!!! Sign up here.

20 ways to be a more effective rebel at work by Rebels At Work. "Rebeldom" isn't about creating havoc around the organisation; it is about building relationships & creating allies around shared purpose and following up with action that makes a difference.

International Forum on Quality and Safety in Healthcare

This week the Horizons team were presenting and hosting a number of sessions at the forum, we also had a lot of live tweeting and you can follow the sessions mentioned below:

Creating tomorrow today: a radical manifesto for leaders of health and care 

A provocation for kindness: why the 'soft' stuff is the REAL work 

 "Covid-19 has killed quality impovement" a debate

Helen presented with Goran Henriks (you can read the thread above). Here are the simple rules they have created, although it's taken 34 versions to get there.

Diane really enjoyed the talk on Safety II, including the explanation of the essential role of adaptation (sensitive, intelligent) in a complex adaptive system in healthcare. You can read more about the importance of local adaptation in innovation spread and adoption in this blog.

Leigh logged onto How Unconventional Thinking Led to a Cultural Movement as well as Joy at work , find out how the session went by reading the the threads.

Zarah logged on to Urgent Action on Improving Equity and similarly you can find out how the session went by clicking below.

On Friday, our Horizons colleagues Leigh, Sasha, Dianeand Helen presented on 'Get Safety, Improvement, Transformation out of their boxes'. You can view the slidedeck.

Diversity and Inclusion

Helen shared two pieces around belonging, inclusion and diversity. The first piece is by David Holzmer on why belonging is such a key aspect of a good work experience and the second is by Dr Anita Sands on why belonging counts more than inclusion or diversity.

Leadership and Teams 

Hierarchy often has a bad name. The problem typically isn't hierarchies. It's how leaders lead in them. Here are four keys to healthy hierarchies.

Leaders often silently discourage new insights and ideas from their people. It happens when leaders value pursuing primary objectives over innovation & new goals. Overcome this through stories, finding new ways to connect & promoting leadership flexibility: How Organisations Silently Discourage Their Employees' New Insights.

New @INSEAD research on the impact of #Covid on team connectedness showed a great divide: 45% of respondents said their team connectedness got worse due to virtual working & 31% said it improved. What factors help make virtual teams more connected/coherent? 

Sometimes time is the thing we need most but we have least of. So maybe we need to change our perspective. Here's some wisdom about making the most of our time from Shane Parrish.

Re: "speaking up": we mostly focus on supporting people to speak up when they see bad things happening. Critical but more needed. See this in BMJ Leader: what leaders must do to create a climate where people feel safe to speak up all the time.

"Human learning systems" as a powerful emerging approach to public management theory & practice. Human starts with compassion & co-production; learning is the central focus & systems reflects the complex nature of local changes.


If we spend hour after hour in meetings on Teams/Zoom without breaks, a mental process called "proactive interference” kicks in. It means we find we can't switch topics and gears. Why we need to take a two minute break between virtual meetings.

One drawback of virtual working is that we lose the opportunity of informal knowledge sharing that we get face to face. Research shows that scheduling (virtual) peer to peer conversations between randomly paired up team members can make a big difference.

If you want virtual meetings where people speak up, appoint a Yoda. Yodas watch over what's happening & make sure everyone gets a voice. There's another kind of Yoda who reports back on learning. Last week Horizons used Yoda's for our #Quality2020 huddle meetings.

Helen has been presenting virtually this week as part of #Quality2020. Presenting via Teams/Zoom feels odd as we can't interact with or take signals from our audience. We need to 1) Use the chat box; 2) Pose rhetorical questions; 3) Empathise. Read more about presenting virtually.

And finally... 

What’s psychological capital?  Hope, Self-efficacy, Resilience, Optimism. Leigh shared this brilliant sketch note by Hayley Lewis.

What a great metaphor from @EmmaNeuropsych: "the mental health jam jar".  As those of us in the UK bunker down in our latest period of #Covid19 lockdown, we need to be thinking about our coping strategies to make our jam jar bigger.