Change leaders know that to succeed, they have to enable people to let go of what has been. This feels scary, and to do this, we sometimes turn to alternative role models. This can in turn feel really risky for leaders.
In positive deviance, change is created by finding what already works and spreading it. Harvard Business School professor Francesca Gino thinks of “positive deviants” as successful non-conformists. Her “aha” moment came when she saw a recipe book that challenged the rules of Italian cooking and asked – “why is it that we always cook that dish in this way?” The book contained recipes such as “the crunchy part of lasagne” that made more of the best bits! Continue reading
I’m writing this as a patient, parent, potential service user and change professional. I wonder anxiously what impact the latest round of NHS and social care reform will deliver, against the current political background.
My biggest anxiety is, will I and my friends and family be understood and actually helped, when we interact with the health and social care system? Can professionals change their behaviour, and win time with patients, to understand and help them help themselves? Continue reading
Awareness of the term “positive deviance” is rising, as a way of solving tough problems by finding what already works. It’s been the topic of seminars for health leaders. It’s been frequently mentioned by Helen Bevan, Chief Transformation Officer, NHS England, as part of a repertoire of approaches to front-line change, and by Jo Bibby in her Health Foundation Blog. It is the subject of a slide show by Bob Sutton, and gets a brief mention as a possible new option in a recent article about the limitations of quality improvement projects in the NHS by Prof Mary Dixon Woods and Graham P Martin.
There is, however, no available comparison of the various interpretations and applications of “positive deviance,” and some authors mix up the various conceptual frameworks. This article aims to put this right, and offer tips to leaders for implementation. Continue reading
Many change models, Hidden Insights included, stress the need for engaging people in change early on. To do this, we need their active co-operation, and involvement, often in focus groups, large-scale events such as Open Space or World Cafe or just in conversations. But you’ve got to get them to turn up in a positive frame of mind, ideally ready to volunteer to get involved….
Here’s a checklist, based on experience of implementing successful employee and community projects. Its parent comes from the successful MRSA reduction project in the USA, recorded in the book, Inviting Everyone, Healing Healthcare Through Positive Deviance, by Arvind Singhal, Prucia Bruscell and Curt Lindberg. We’ve added some learning of our own. Continue reading
Peer pressure is really powerful. The trouble is, it can be used for good or bad. We aim to create positive peer pressure to achieve change, but it’s not always easy. Continue reading
Everyday heroes in a hostile world
There has been a lively twitter conversation about a fascinating interview with Philip Zimbardo, Stanford professor emeritus and author of “the Lucifer Effect“. He explains that society may condition good people to do bad things, such as join gangs and participate in violence. This has been demonstrated in his “prison” experiment, and in the famous “electric shock” experiments of Stanley Milgram. If you put good people in a bad environment, they will do bad things. Philip helps people learn to be ordinary heroes.
Heroes as positive deviants?
Jane Lewis and Dr Joanna Wilde ran a very successful workshop for the British Psychological Society in June. This introduced positive deviance (PD) to a wider audience of accredited occupational and organisational psychologists.
We highlighted the benefits of working in this way at a time when workplaces can feel increasingly pressured and toxic. True to the principles of positive deviance, it was an interactive session where participants worked on their own cases, mainly linked to staff (and volunteer) engagement, leadership and culture change. Jane acted as the “expert non-expert” and Joanna commented on the links between our experience and current thinking and theory. Her review helps to explain why positive deviance does work, and why it is particularly appropriate in the current climate. Continue reading
We’re delighted to be sharing a platform with Dr Joanna Wilde on 3rd June at the British Psychological Society’s training centre in London. We are running a CPD-accredited workshop for practitioners, to demonstrate a practical, evidence-based approach to human management and leadership. Continue reading
Thanks to NHS Elect and South East Employers for spreading the word about Hidden Insights.
NHS Elect, which is itself part of the NHS, supports more than 50 trusts across the county to improve their services and develop their people. We are speaking and running a workshop at their annual members’ conference at the Central Hall, Westminster, on 13th November. This is to show how Hidden Insights gives a new lens for change leaders, offering a different way to get patients taking responsibility for their own health, and to create collaborative relationships, engagement and behaviour change across organisational silos and between patients and professionals. Continue reading
The Department of Communities and Local Government’s Troubled Families Initiative (TFI) was set up to reduce the significant costs to the taxpayer of a minority of deeply complex families. The DCLG has calculated that one family can cost between £40,000 to £400,000 a year in reactive interventions. There have been some great achievements in turning families round. The Initiative is now being extended into phase 2. Continue reading