Edge Talk

February 2017: Democracy, Freedom and Work – Enabling Better Health and Care

Collaborating Out Loud believes there are many ways we can create organisations that utilise everyone’s potential.

Claire and Kev will share a way to help organisations begin to craft a different culture. A culture where everyone’s voice is heard and equal; where hierarchies are broken down; and where leaders can still provide direction, but in an enabling and supportive way.

This Edge Talk is for you if you want to explore how we can enable frontline staff to be more innovative, engaged, happy, and productive by creating organisations that are more democratic and based on freedom.

Claire and Kev will be talking about the WorldBlu 10 principles of organisational democracy provide a framework for organisations to begin their exploration and journey:

  1. Purpose and vision
  2. Transparency
  3. Dialogue and listening
  4. Fairness and dignity
  5. Accountability
  6. Individual + Collective
  7. Choice
  8. Integrity
  9. Decentralisation
  10. Reflection and evaluation.


December: Empowering people to be heard and helping leaders to listen as part of creating the #AHPsMandate

Across England, Allied Health Professions have co-created a vision of how, with collective action, our nation will be different if all AHPs are used effectively in the health, social and wider care system.

In England, AHPs comprise 12 professional groups; art therapists, drama therapists, music therapists, chiropodists/podiatrists, dietitians, occupational therapists, orthoptists, prosthetists and orthotists, paramedics, physiotherapists, diagnostic radiographers, therapeutic radiographers, speech and language therapists.

However throughout the development of the mandate it has been recognised that there are other professional groups who regard themselves as allied to health. The mandate is inclusive and reflects how people work together in multi-professional teams. Those who align themselves to it and support it are encouraged to use the mandate’s findings it to continually improve and redesign services.

Our speakers will be sharing the details of how they went about creating this Mandate for Change by empowering people to be heard, and helping leaders to listen.

Please join the webinar if you would like to hear about how such collective engagement was achieved via crowdsourcing and how the mandate will support the delivery of the Five Year Forward View, through the Sustainability and Transformation Plans.

Recording and slides





About Our Speakers

peteDr Peter Thomond is the Managing Director and founder of Clever Together and a founder and Trustee of the charity SportInspired. He has worked with organisations across the world and holds a PhD from Cranfield University in the field of innovation and strategy. Today, Pete supports leaders to transform their outcomes from change and strategic planning, through staff, stakeholder and community engagement – i.e., well-managed open innovation. Given his passion for health and care, Pete likes to focus extensively on the UK healthcare systems and has been listed by the HSJ as a top innovator in the sector.


Dr Joanne Fillingham, PhD, is a Speech and Language Therapist. She qualified in 1998 and completed a PhD in 2005.

Since then she has worked in clinical and leadership roles across primary, community and secondary care settings at a local, regional and national level.  She joined NHS Improvement as the first Clinical Director for Allied Health Professions in December 2016 where she will provide expertise on how NHS Improvement can work to support trusts in the professional development of AHPs.

Joanne, (on Twitter as @jkfillingham) , is passionate about the harnessing the use of social media to transform care and co-founded @WeAHPs with @NaomiMcVey @HelenOwen3 and the support of #WeCommunities.

November 2016: Fixing Patient Flow

Identifying the needs of any given population and creating the capacity to manage is increasingly challenging.  The origins of today’s problems can be traced back to a failure to recognise the pace of change and to respond quickly enough with new ideas and processes.  Creating a clear understanding of what is happening provides a basis for measuring the effectiveness of innovation and transformation.

In November’s #EdgeTalks Sasha Karakusevic, Horizons’ Project Director will offer an overview of hissasha Nuffield publication ‘Understanding patient flow in hospitals’,  and a reflection on the use of data to drive change in complex systems. Sasha started his career in dentistry and maxillofacial surgery. Early in his career he became very interested in service improvement and health system design, focusing on the systems and processes that drive innovation and improvement. He has extensive interest and experience gained nationally and internationally in using information to drive improvement and make health systems work better”

This session is a must for anyone working in, or interested in health and social care. Participants will learn how to use data to better understand patient flow, manage demand – and engage people in translating data in to a meaningful narrative to drive transformation ‘on the ground’.

Now available as podcast

We’re experimenting with making our #EdgeTalks available as podcasts. You can listen here:

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We’d be grateful for any feedback you have about making the EdgeTalks available as podcast.

October 2016: Stories Change the World: the power of public narrative

Public narrative is the “why” of organising—the art of translating values into action through stories.


The #EdgeTalks on 7 October featured Kathryn Perera (Head of Transformation, Horizons) who ran a masterclass in crafting public narrative and its role in leadership development, building capacity and strengthening our own resolve to act effectively with others to drive change.

In preparation for Fab Change Day 2016, Kathryn guided us through developing our own public narrative which can be used to support local Fab Change Day activities. What you learnt about was the power of social movements and how this has supported local and national groups to lead change. We also had the chance to hear Fab Change Day stories as well as having the opportunity to share our own stories and making connections.

To join the conversation and share your stories please post on Twitter using #edgetalks

Recording, Slides and Transcript



September 2016: Change Day, looking back, looking forward

Janet Wildman

On 9 September 2016 Janet Wildman presented a webinar on the lessons learnt from the NHS Change Day Re-valuation which took place earlier this year, the stories of Change Day activists who engaged in the Re-valuation process and the evaluation results of the FabChange Day School.

The time is right for a radical rethink on how we measure the impact and value of large-scale change in the NHS as well as value the role and contribution of change activitists. Change Day provides a unique opportunity to engage in the biggest, most significant collective improvement activity in the history of the NHS. Over the last three years the movement has grown substantially and we are keen to share the research results of our recent report looking at the impact Change Day has made. In-addition Gill Phillips, creator of “Whose Shoes?” and co-founder of “#MatExp” and Andy Tysoe, a Dementia Liaison Nurse Specialist Countess of Chester Hospital NHS Foundation will share their experience of using evidence based approaches to grow their campaigns. An update on the FabChange Day School will be presented by Oliver Benson from Horizons and Terri Porrett Director FabStuff will provide an update on the evaluation plans for FabChange Day 2016.

This was a chance to ask questions and get support on using evidence to support your Change Day proposals and plans.

Recording, Slides and Transcript

August 2016 – Edge Talk: Managing Talent in Health and Social Care

Talent Management in Nursing – why does it matter to frontline staff and managers in the NHS?

Friday 5 August 2016, 09.30-11.00 (GMT+)

edge tSue Haines, Nottingham University Hospital’s Assistant Director of Nursing, will address managing talent in health supported by Dr Joanne Cooper, Head of N&M Research and Kerry Taylor, Shared Governance Facilitator.

This webinar reported on the findings of an exploratory case study of Talent Management In Nursing in one Large Acute NHS Trust. This research examined the views of frontline clinical nurses and executive team members and contributes new knowledge to our understanding of TM in nursing in the NHS. There is transferable learning and opportunities for sharing across the wider healthcare workforce.

The research case study employed focus groups, one to one interviews, documentary sources and wider consultation involving 229 staff nurses.. A thematic analysis of qualitative data was utilised and findings triangulated with other data sources. Three common themes were identified; Nursing as talent, ward leadership and culture, career development.

The findings identified;

  • A lack of clear career pathways in nursing.
  • Concerns that stereotypical perspectives persist in the media about what nursing involves.
  • The influential impact of the local manager on talent development.
  • Talent can be viewed as a disruption and a need to ‘conform’ or be crushed, risk of ‘tall poppy syndrome’.
  • The need for an inclusive approach to talent management in nursing, where nurses feel valued with opportunities for education and development was identified.
  • We will report on specific case examples of actions underway within one organisation to learn and develop a more transparent and inclusive approach to talent management in order to address some of the workforce challenges facing nursing, including recruitment, retention and frontline staff engagement. Specifically this will include implementing shared governance ‘Unit Practice Councils’, work undertaken to map against the American Nurses Credentialing Centre Magnet standards for international excellence and sharing an example of a new career role for aspiring clinical leaders to enable evidence based practice in care.
  • Recommendations include a greater need to make TM important within an organization; for Directors of Nursing/Chief Nurses/Nurse Managers to develop clearer inclusive approaches to TM in nursing as a cyclical organizational process (aligned to organizational TM approaches and strategic objectives).

Edge Talks are your chance to network, up-skill on delivering improvement and support re-validation / other CPD programmes.

To view previous sessions, follow http://theedge.nhsiq.nhs.uk/category/edge-talk/

Stay current on Twitter: @TheEdgeNHS and #EdgeTalks

Edge Talks are produced by Horizons, an NHS England improvement support unit.

Recording and documents can be seen below;


Live Transcript Link shown below:

July 1st Edge Talk: Dr Joyce Lee, The maker movement: a model for healthcare transformation?

The Edge Talk on Friday 1 July 2016 featured Dr Joyce Lee of the University of Michigan who discussed “The maker movement: a model for healthcare transformation?”

The Maker movement is a do it yourself technology-based movement that espouses creativity and tinkering in community settings, and is creating innovative health solutions across the globe, yet most healthcare stakeholders are unaware of “makers” and the maker movement. In this webinar, Joyce Lee, MD, MPH, will talk about the maker movement, its impact inside the health community, and principles that can support the application of this movement to the healthcare enterprise.

Dr. Lee provided a definition for the maker movement and discussed the story of how making has transformed a type 1 diabetes community, by describing the story of the Nightscout Project, which is a do-it-yourself mobile technology system that was created by a father of boy with type 1 diabetes and then scaled through global collaboration and social media. Dr. Lee then spoke about her work leading a collaborative innovation network called HealthDesignBy.Us, which supports patients as experts and “makers” in the creation of tools, technologies, and systems for health, and will discuss challenges and opportunities with this work.

lee joyce

Dr. Joyce Lee, “Doctor as Designer” is an Associate Professor at the University of Michigan Medical School and School of Public Health. She conducts clinical and outcomes research focused on children with obesity and diabetes, leads local and national quality improvement initiatives focused on individuals with type 1 diabetes, provides clinical care for children with diabetes at Mott Children’s Hospital, and applies the methods of design and participatory design through her work with Healthdesignby.us.  She has over 80 peer-reviewed publications, is the recipient of multiple NIH grants and serves as the Social Media/Web Editor for the peer-reviewed journal JAMA Pediatrics. You can follow Joyce on Twitter at @joyclee and find out more about her here: http://www.doctorasdesigner.com/

The following video is also available to view in advance of the session http://ihavefoodallergies.tumblr.com/

Learning outcomes:

  • Learn about the maker movement
  • Learn about how the maker movement has made an impact within the global diabetes community
  • Think about applying the model of the maker movement to support patient-centered participatory design
  • Provide support for the notion that we are all makers of health, particularly patients

Consider why the maker movement is an excellent opportunity for collective learning, collaboration and community building

To view the recording click here

To view the slides click here

To view the transcript click here

June 2016 Edge Talk: Exploring online health communities, with Paul Hodgkin and Ben Metz

Ben and Paul photoFriday 3 June, 9.30 – 11.00 (GMT)

Exploring online health communities, with Paul Hodgkin and Ben Metz

We are witnessing the emergence of a new phenomenon in healthcare: self-organising, online communities of patients, carers, clinicians, researchers, academics and industry, all focused on a particular disease area.

Currently these exist as disparate and loosely bound communities, operating via a variety of niche digital platforms. This ecology is largely evolving outside the world of traditional health policy or formal healthcare organisations.

As yet there is little coordination, theoretical conceptualisation or empirical research into this area. However we know from other digital platforms like KickStarter, 38 Degrees and OpenIDEO just how quickly these platforms can evolve, disrupt old business models and create entirely new businesses.

Paul Hodgkin and Ben Metz interviewed more than 50 actors working with online health communities to map and explore this new and emerging field, to begin to build an on-going community of experts and practitioners who look to understand this new field and accelerate its successful interaction with the NHS and policy makers.

To view the recording and slides please see the links below

Slides slide

Video video

Click here for Transcript

Click here for Chat Box

May 2016 – Edge Talk: The key ingredient to organisational transformation

Edge Talk: The key ingredient to organisational transformation, Dr Irv Rubin and Matt Stone of Temenos.

Photo 2More organisations in and out of the health and care system are reconsidering their approach to improving employee engagement and performance. Organisational transformation is taking on a more employee-as-human focus. Underneath this trend is the realisation that traditional approaches have not worked to create healthy, high-functioning teams that deliver better care. While many attempts at organisational transformation are well-intentioned, they often lack a key ingredient that is necessary for success.

In this talk, Dr Irv Rubin and Matt Stone of Temenos outlined the key (and often missing) ingredient to realising meaningful, sustainable change. They also introduced a specific communication technique that illustrates the ‘secret ingredient’ in action and they discussed effective development interventions for improved performance, engagement and the quality and safety of patient care.

Also featured:

  • the reasons why traditional approaches to improved engagement and performance have failed to deliver sustained progress
  • recent trends around organisational transformation
  • the key missing ingredient for achieving meaningful behavioural and organisational change
  • a specific communication technique for improving influence and helping another person learn and grow
  • an effective behavioural model and tool for improving the relational infrastructure of an organisation.
  • examples of how their work has supported improvements in the quality and safety of patient care.

This talk was originally broadcast on Friday 6 May, 2016.

You can view the slides on SlideShare.

Follow the Edge Talks on Twitter at #EdgeTalks.


Thomas Lee, Co-Founder of Symplur, LLC, provided an overview of the growth and evolution of the healthcare industry’s adoption of social media. He took us on a guided tour of the internationally recognized “Healthcare Hashtag Project” that Symplur curates and he explored the reasons why so many patients have engaged on Twitter to discuss their disease. Lastly, as a backdrop to all this, he discussed the emerging field of social media analytics and what we can learn from the growing amount of digital information generated by these online conversations about our health and well-being.

This Edge Talk was broadcast on 1 April, 2016. You can watch the recording below:

You can view the session slides and read a transcript of the session on SlideShare.

To discuss the Edge Talks on Twitter, use #EdgeTalks.

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