Taking place on July 4th 2008, Design Rules for Large Scale Change is an event where NHS colleagues and SHA representatives worked together to create and test a set of design rules and tangible resources for large scale change implementation.
The event is run by Sarah Fraser and has a wiki which gives more indepth explanations all about the event, the event’s objectives, “Design Rules” and “Large Scale Change”.
What is a design rule??
- Something that suggests a way of doing something
- It is high level, but also gives enough detail
- It can be written or multi-media
- It is inspiring
Can we differentiate the WHAT of a design rule from the HOW it looks and the WHO uses it?
What is large scale change in this context??
- Changes that deliver on strategic goals e.g. Darzi recommendations, World Class Commissioning etc.
- Changes that become the norm across the whole system
- Changes that make a difference to the public and staff - classed as transformational - a paradigm shift - the WOW factor!
- Large scale change is by very definition irreversible
Event Overview
Our patients, our communities and our staff have increasing expectations that are unlikely to be met from small scale plans and current ways of thinking. We need you to help redesign this thinking process, to enable a paradigm shift.
What will it take to deliver the recommendations of Lord Darzi’s Next Stage Review? If you ask local NHS leaders why previous policy initiatives have not resulted in anticipated benefits, they are more likely to pinpoint the failure of implementation than any other cause. It is not a lack of will or a deficit of ideas. In the context of the Next Stage Review, history suggests that the implementation strategy and the mechanisms in turning the strategy into reality is likely to be the weakest link in the improvement framework.
Complexity theory and evidence tells us that it is virtually impossible to achieve intended outcomes through a large scale implementation strategy. The reality is that activities in a human system are complex and messy. The number of variables and how they interact is nearly infinite. Therefore, the best we can hope for is to create an inspiring and motivating set of ‘design rules’ for enabling large scale change and use them in designing implementation initiatives. Implementation needs to be achieved in a way that has never been done before in order to demonstrate results that move individuals, teams and systems beyond today’s norm. “Design rules” are an effective approach to getting us to think and deliver in a new paradigm.
Aim
Facilitated by international expert Dr Sarah Fraser, the SHA and NHS Institute colleagues will work together to create and test a set of design rules and tangible resources for large scale change implementation. The “rules” will be available to support both SHA and the NHS Institute, to guide our thinking and implementation planning and execution for large scale change.
Participants
To agree a powerful set of design rules for large scale change which will be relevant to all aspects of the health care business, it is essential to draw input from a wide range of experiences, roles and personality types. We welcome diversity. We want to include detail-focussed people involved in implementation as well as strategic directors and improvement leaders. Up to 3 delegates per Strategic Health Authority are invited to attend.
