Improving health and social care systems – are we forgetting something?

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

Contribution to new book – chapter on positive deviance

NEW!!  Read Jane Lewis’s article in the Change Leaders‘ first publication!

The Change Leaders new book
The Change Leaders new book

“The real voyage of discovery consists not in seeking new landscapes, but in having new eyes” – Marcel Proust

The Change Leaders alumni group celebrates 10 years of the Oxford-HEC master’s programme, Coaching and Consulting for Change with their own perspectives on change.  Jane has collaborated with Roberto Saco to tell the story of positive deviance and how it is evolving to help deliver change in the workplace.

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Workshop – optimising social value through PD – 27th March

Southwark Council are kindly hosting a workshop for us on 27th March 2012.

Featuring speakers from recent UK positive deviance exercises in Cambridge and Peckham, this workshop shows how PD works, and optimises the social value of funds invested in it,  to:

  • De-victimise vulnerable people and put them on a path forward
  • Raise community awareness of issues and ignite positive action
  • Give people confidence and hope, and enable them to sustain new behaviours

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UK Government thinking on behaviour change missing something?

The UK Government recognises that pursuing sustainability will require a big change in community behaviour.  A recent House of Lords Round Table identified three approaches:  Nudge, Think and Shove – reported in Involve’s Briefing Paper.

  • “‘Nudge’ is effective for specific, limited shifts in behaviour such as recycling.
  • ‘Think’ is effective at building support and legitimacy for the big,transformational changes that we need in society, such as decarbonising the economy. ‘Think’ can be particularly powerful in building people’s ability and
    motivation to participate in and drive those transformational changes.
  • ‘Shove’ often helps to create the conditions under which ‘nudge’ is most effective.

We have found that the positive deviance approach of acting your way into a new way of thinking is extremely powerful in changing behaviour, in both the community and the agencies that serve them.  We had some very positive feedback from the sponsor of one of the Home Office pilots the other day, as follows:

Without PD, I doubt that the learning and knowledge of our service users would have been sought and collated in such a positive manner and that the value of their experiences would, therefore, not have been recognised.  Therefore, in my opinion, the greatest benefit of engaging with the PD process is to have worked to ‘de-victimise’ our service users, and enable them to feel that they have a great deal to contribute to their county and to others affected by domestic abuse.

This project is still in its early stages – the group will find hidden and effective strategies for surviving abuse and getting help.

So my recommendation to the Government is to add “Try” or “Do” to their list – let the community learn by doing, finding the benefits to them of effective sustainability practices already in the community.