Nesta is pioneering a new approach to accelerate both the pace and achievement of innovation in complex systems.
Why are we doing this?
Frontline practitioners and people who use health and care services have unrivalled expertise in how the system operates, but often have little influence or ownership over change. Our approach empowers and connects those closest to delivery, to drive change over 100 days.
Empowering those on the front line not only brings a renewed energy and power for change across a system, but also brings a detailed level of insight into the real issues and challenges that are faced by a system to inform longer term strategic ambitions and plans.
We think a place-based, people-focused, rapid approach to change has been a missing part of the jigsaw in complex system change, and a reason why top-down reform on its own can often fail to achieve its potential.
What are we doing?
The People Powered Results team provide a structured approach combined with coaching support to enable front line staff from across a system to collaborate and rapidly experiment with new ways of working that achieve real results for people and communities.
Leaders from across a system empower, challenge and support teams of front line practitioners to develop and test innovative ways to improve care for people. Teams tackle and overcome systemic problems and test ideas in real time with real people on a rapid iterative basis.
Key elements of the People Powered Results approach include:
- ‘Unreasonable’ 100-day goals set by each front line team
- A focus on action, experimentation and learning, with team members from across the system - including voluntary sector and people with lived experience, devoting their time and resources to achieving these goals
- Strong leadership and support from leaders across the system, to give permission to innovate, help the teams unblock problems as necessary, and feed the learning and insight back into the system
- Coaching support, to help the teams persist during the 100-days despite inevitable setbacks and challenges
Our work launched in 2015 with a pilot programme taking place across Essex. Since then, we have been working alongside the NHS England Strategy Group to support the Elective Care Development Collaborative and working with the Personalisation and Choice Directorate to support the Integrated Personal Commissioning at sites across England. Together with the Greater Manchester Health and Social Care Partnership, we have also taken a regional approach to scaling person and community centred approaches, in line with the Greater Manchester Population Health Plan.
Our experiences of pathway redesign and whole systems transformation, which mobilises the frontline and service users, provides rich insight into how health and care systems locally and nationally can transform at pace.
If you want to find out more about the method and our work you can contact the team at: [email protected].
Get in touch
For any queries contact [email protected]