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| 4 minutes read

Tweets of the Week 4 March, 2022

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).  


#SolvingTogether is about reducing health inequalities and the recovery of elective care. Everyone is welcome to take part: please add your own idea, or vote and comment on ideas already posted on the platform. Click here to join the crowdsourcing platform and get involved!

The School for Change Agents

In the School for Change Agents @Mymy_DelRos shares her experience and the challenges & opportunities of being an internationally recruited nurse. Find out how you can make a difference by joining the #S4CA! Click here to sign up to the School for Change Agents.

@HorizonsNHS #clinical associate @RNChristinaH shared this fabulous quote from #Matilda on #WorldBookDay. It chimes beautifully with @Sch4Change - sign up here!

There's many ways to build change agency. Read this brilliant blog where @LeighAKendall explores this further. Do you agree with these? Are there any that particularly resonate, or that you don’t recognise?

"We can have so much influence when we are a part of a community."- 💬@Anisah_Majothi. Read the blog linked here, to find out more about what you could gain from the #S4CA!


You're welcome to join us at the next #Caring4NHSPeople event, Wednesday 9th March, 4pm to 5pm which will be about: Supporting our NHS People after distressing events. Click here for the joining details.


The past two years of compounding emotional strain has shown that leaders need to shift their focus - from providing operational tools and resources - to meeting and supporting emotional well-being at work. Click here to read 'How Supportive Leaders Approach Emotional Conversations' from the Harvard Business Review for more information on this.


The accessibility checker in @Office is a great tool that makes sure all your documents are accessible to all. Find out more in the tweet below.


This week Horizons colleague @BevMatthersRN joined @HealthierBCWB @DudleyGroupNHS to share her #ReturnToPractice experience with potential returners. Click here to see her slide deck. 

Come and join #TeamCNO - find out more by clicking here.


This graphic on "rethinking power needs" was designed for educators, reflecting on the power needs of children & young people. Yet looking at it, we could change some words & it would be aimed at leaders, rethinking the power needs of people in their teams. Thank you @kwiens62.

Many organisations use "agile" methods for transformation but 50% of them fail. It's mostly due to leaders focussing more on processes and tools than on people and interactions (psychological safety). Click here to read this Harvard Business Review article, 'Agile Doesn’t Work Without Psychological Safety' to find out more on this topic.

A key criteria for evaluating a transformation/ improvement/ change plan. In reviewing the plan, how does it make you FEEL? Is it: 

  1. Intellectually driven, mechanistic so feels colourless or
  2. Fills you with energy, possibility & hope? 
  3. Gets better results. 

Graphic by @newhappyco.

How do we evaluate large scale improvement work? How do we know if it's delivering the outcomes we seek? Great new report from @DartingtonSDL combines "what works" with "co-production" and "complexity" approaches. Focused on young people but widely relevant. Read the report by clicking here.

The "cobra effect": the more complicated the system, the greater the likelihood of unexpected consequences when system-wide rules are implemented (especially when those making the rules didn't engage enough frontline people). Click here to read the post 'The Cobra Effect: Never Invent Rules From The Ivory Tower' from the Corporate Rebels for more insight on this.

Some reminders for those of us who are leading change. This wisdom is backed up by evidence. Thank you @newhappyco.

Women make up 80% of the NHS workforce, yet NHS structures and systems still benefit men more than women. New research in healthcare and other sectors where women dominate shows how bias against women persists. Click here to read 'How Bias Against Women Persists in Female-Dominated Workplaces' from the Harvard Business Review for more insight.

Jönköping Microsystem Festival

This week Helen has been in Sweden taking part in the Jonkoping clinical microsystem festival, which is a global virtual gathering of 600 people from 30+ countries to think differently about transforming health and healthcare.

Here is a small snippet of some of the content from the festival that Helen shared with us.

Helen also gave a talk at the festival with @goranhenriks at #qmicroon on building agency. Very often in the improvement world, we teach people improvement skills but we:

a) don't create the conditions where people feel the agency/power to use the skills 

b) decide for them what the changes will be

Click here for a link to the slide deck from the talk that Goran Henriks and Helen gave at the Jonkoping Microsystem Festival on Thursday morning. The theme was "How to help people build their agency at every level". We define agency as "the power and ability to make choices and act on them".

The "faster horses" quote, attributed to Henry Ford, is one of the most widely used quotes about innovation. Apparently Ford didn't say it. This is a fantastic graphic for the quote (whoever actually said it). It comes from the keynote that Göran Lindsjö gave at #qmicro on Thursday.


tweets of the week