I am going to run a marathon in the Arctic on 24th October 2009. It’s the “one mad thing I’m going to do” before my milestone 50th birthday in January 2010. It is a big undertaking: 42 kilometres through tundra and arctic desert, in temperatures as low as -15, partially on the polar ice cap. I have only two goals: to complete the course in less than seven hours and to get to 24th October without any training injuries.
The training experience makes me reflect on the psychology of large scale change. I know that I can do it but my preparation must be focused and disciplined. It helps that I have a fantastic running trainer, Jon Bell. When Jon says something like “you need to reduce your time per mile by 30 seconds and maintain that pace for five hours in order to achieve your goal” my heart sinks. I question whether I will ever attain that running standard and even doubt my judgement in entering the race. Yet when he says to me “you are really improving, 20 seconds a mile faster than our last session”, I feel so motivated that I could take on Paula Radcliffe.
The same principles apply when engaging people in organisational change. In Rules for Radicals (1971), Saul Alinsky said: “A new idea must be at the least couched in the language of past ideas; often, it must be, at first, diluted with vestiges of the past.” What this means is that people are much more likely to embrace change if it’s presented as something that builds positively on what they are familiar with than as something that seems far away and unachievable.
Nearly 40 years later, McKinsey researchers Leslie, Loch and Schaninger have reached similar conclusions. They say that if we start change from what people are used to (from what they call it “the organisational legacy”) it is likely to motivate them to improve far more than other things that people think of as performance incentives such as key performance indicators or “stick and carrot” approaches.
There is some important learning here in how we engage staff to bridge the looming financial gap in the NHS. The size of the challenge is so large and so unprecedented that it can seem overwhelming or unachievable. We should frame our change strategy as building on what people do already, helping each person to understand what they need to do to improve their current work.
We need to mobilise our entire workforce by getting them to do more of what they already do well rather than constantly reiterating the size of the gap. Paradoxically, we are more likely to create the transformational change we seek by positioning it as an incremental journey from the present than through burning platforms or bold statements about radical change. Just like my running…..
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From The NHS Change Agent
Helen Bevan is chief of service transformation at the NHS Institute for Innovation and Improvement.







Readers' comments (5)
Richard Vize | 22-Jun-2009 5:03 pm
I enjoyed your first blog. The danger of adopting the opposite approach to engaging teams in change was wonderfully illustrated by the recent film The Damned United, when Brian Clough famously told a surly gathering of Leeds players: "You can chuck all your medals and all your caps and all your pots and all your pans into the biggest ******* dustbin you can find." A football fan colleague tells me that, just in case he hadn't made himself clear, Clough dragged the desk of predecessor Don Revie into the car park and set fire to it.
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Bernie Harrison | 23-Jun-2009 6:35 am
Hi Helen, I too enjoyed your first blog fascinating to hear the level of discipline in your training and attention to detail. I concur most individuals respond to positive feed back and a feeling of being valued and appreciated. Building on the journey so far with a clear vision of what success will look like is crucial to keeping engagment. The experience in NSW Australia of jumping from one 'burning platform' to another is exhausting and demoralising. I will take your comments on board and share with my colleagues. Thank you.
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Sarah FRASER | 23-Jun-2009 8:55 pm
Helen, what resonated for me was the way in which you are receiving positive feedback as you progress. I agree that building on the legacy is important, however, linking that to ongoing positive feedback may be crucial.
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Les Bright | 24-Jun-2009 11:58 am
Helen,
Good to see you citing Alinsky: "...stay inside the experience of those you want to influence..." is one of the many Rules that he developed by observing or participating in various struggles. As a community worker in the 70s (and beyond!) I was greatly affected by his wisdom and the ways in which it could be applied to bring about change to real situations. Far too many of those who talk of the need for change/modernisation/transformation seem to have no sense of even recent history and so alienate those whom they hope to influence.
Good luck with the gruelling challenge ahead of you - in the Arctic.
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Anonymous | 28-Jun-2009 9:22 am
Helen,
It is interesting how a life experience such as you training for the Arctic Marathon resonates so well with large scale change efforts across a massive organisation such as the NHS. I think it comes down to the level of the individual and helping them to feel motivated and engaged. This takes time but is absolutely time well spent because it reduces the anxiety of change (which can cause many delays) and it does have a positive impact on the likley sustainability of that change.
Lynne Maher
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