#WOL #NFTE – Notes from the edge

This is my first note from the edge and sets out my intention to seek, sense and share experiences from my journey across the emerging landscape of healthcare. Along the path there will no doubt be excursions down a different route to explore personal stories unconnected with health, yet important in their own way.  The intersection of diverse sectors and the ability to look beyond and into the future are to my mind what determines innovation value. The edge is a metaphor and I use it to determine a safe place to observe, study, learn and consolidate my thinking.

The notes from the edge will be short and simple.  My aim will be to challenge the norm, post a provocation or two and try in my humble way to hone my writing skills.  There is a risk in writing, but ultimately a risk worth taking as outlined by Seth Godin.  

To sum up my approach I will leave it to Banksy.  Follow your dreams, don’t let them be cancelled.

banks-dreams

It would be great if you could join me on this project sharing your thoughts in the generous community who work ou loud.  The notes from the edge project will ship weekly and be captured under the hashtags #NFTE and #WOL

Citizen power in the social age…..

I am sitting on my sofa typing up my blog whilst hearing that the new president of the USA will be Donald Trump.  A headline not predicted yet again by the polls.  We are starting to see that different power exists which run through formal and informal networks changing the dynamics of politics.  Social collaboration tools help to amplify the narrative for good or bad.  Whilst people connect, debate and challenge the norm.  Julian Stodd illustrates the tension that exists with new and old power in his blog and through this illustration.

power

New communication skills are needed in the 21st century and it is worth reflecting on the leadership styles of Trump and Clinton,  as highlighted within this article by INSEAD Knowledge.  Leaders now more than ever need to engage both hearts and minds in the social age to bring about change and connect.

Putting politics aside what learning can we take from the uprising in citizen power and change.  One learning point for me is that we have to seize the day and explore the opportunity in the moment.  Seth Godin succinctly covers it when he states ‘If not now, when?‘  There is a chance for everyone to stand up and be counted, to embrace co-creation and work generously with others for good.

This is work out loud week and if you follow the hashtag #WOLWeek you will see that all over the world people are connecting to share their learning and co-create projects in a generous way.  My sharing on the hashtag this week has been around the ‘Peoples Transformathon‘ #CoPro16 an event I am curating with colleagues which will share amazing examples of citizens working in co-production with health and social care to develop new ways of working. We are honoured to be the first UK event to be awarded the #EveryoneIncluded trademark and accreditation from Stanford Medicine MedX.   ei

The event was developed in response to a small group of citizens coming together with shared purpose.  The aim to make an event showing how patients, carers, volunteers, relatives, citizens could provide valuable insight for health and social care.  Working in co-production a virtual design team developed every element of the event.  Bringing alive the concepts within the following documents   The Five Year Forward View chapter 2 and the six principles for engaging people and communities.    A real example of Margaret Mead’s quote at the top of this blog.

It would be great if you could join us too on the 28th November 2016 at the People’s Transformation to make a different kind of change where everyone is included!  Why not sign up here today to be part of a fantastic free online event available to anyone across the world.

pt

The tipping point – are we there yet?

Sometimes I close my eyes and imagine how in a perfect world innovation in health and social care would be easy.  Now don’t get me wrong I know how the system is being improved and that it takes time to really make changes.    The NHS is a mighty big ship to turn around in a short time.

I came into nursing to make a difference, to do what other had done for me when I was ill. Nurses that sat with me in the middle of the night, listened to my story and gave me hope.

hope

Being a patient really focusses the brain, you notice things, recognise good and bad care and you understand the things that matter.  There were lots of painful experiences as a patient, too many to mention in a blog post.  Yet simple things such as reducing the times that I needed to have a new cannula needle inserted in my arm would have made a difference.

cannula

I remember the dread that washed over me if my IV fluids stopped flowing, or if someone removed the cannula too early when it was still needed for my treatment.   There were times when the IV would catch on something in the night and that could pull out the cannula, leaving the fluid to flow out over the bedclothes.  The challenge for the clinician was to get another cannula in my arm by hopefully finding a vein in the middle of the night.  It starts to become painful after a while when your veins decide they have had enough.

I started this post with the question – The tipping point, are we there yet?  Much has been written by  Malcolm Gladwell and others about the conditions required to get to the tipping point.  A combination of  factors that swing together as if by magic to make change happen.  John Stepper  work is a great case study for tipping points  covering how he started a work out loud #WOL movement..  Check out his TedTalk for more details.

This week  I started to believe that we have finally reached a tipping point for clinical innovators.  Why do I believe this?  Well,  Monday I was part of a national tribe of innovators, entrepreneurs and the go to team for innovation in the NHS at the launch of the first ever Clinical Entrepreneurs  programme.  The event   was inspirational and no one could doubt the passion for innovation in the room.  Talking with Dr Tony Young on the night I was pleased to hear that the plan is for future programmes to extend beyond a medical model and include other clinical professions and patients.  There is at last a real appetite for innovation in health and social care with a structure in place to support the difficult journey from having an idea to healthcare innovator and entrepreneur.  BBC Click covered more on innovation in health, interviewing Dr Tony Young and showcasing the great projects that are being supported.

To put the national picture in context with what is happening at the frontline I want to zoom down now to my role as Clinical Innovation Lead at Salisbury NHS FT where I manage an innovation portfolio of products.  As an innovator myself I have an understanding of the tenacity and enthusiasm you need to push through the challenges and finally ship a product. This helps me to challenge the status quo in a positive way and mentor other innovators.  I have worked with a brilliant clinical innovator Richard Laughton who has been shortlisted for a patient safety award.  patientsafetyawardsLinking back to my patient experience Richard looked at a real patient concern, safety and cost issue by developing his innovation whilst working on a medical ward.  The innovation called Safebreak, provides a low-cost way to prevent cannula being pulled out as identified in my narrative and ensure patient care not compromised.  I intend to ask Richard to blog on this site about the device in the next few weeks.   The device is incredible and shows that we need to support nurse innovators and give them the head space they need to develop their innovations.                        .

The Safe break device is unique in other ways too.  Normally we would develop a specification for a prototype company,  this would be an expensive and lengthy route to having an actual prototype in our hands to show to companies.  We have a 3d printing company on site and I decided to see if we could disrupt the normal prototype route by printing the device.  This reduced costs, enabled us to produce a prototype in a short time and adjust as necessary.  Real disruptive innovation happening at local level.

To sum up my week in two ways – National and Local innovation has been helpful.  It is my attempt to show that there is now a tangible tipping point with innovation in the NHS.  My challenge to you is to reflect on this blog post and see what you can do to think different!

 

From fear to flying

A joint blog with @JohnWalsh88

“Come to the edge, he said. We are afraid, they said. Come to the edge, he said. They came to the edge, He pushed them and they flew. Come to the edge, Life said. They said: We are afraid. Co…

Source: FROM FEAR TO FLYING