"Best practice" doesn't work in most change situations in health & care. Best practice works in simple, stable scenarios but we are mostly working in complex systems. This means that yes, we can learn from the practices of others, but we have to: 1) Bring in a diversity of perspectives and experiences 2) Test out new practices experimentally 3) Create learning loops 4) Push authority down to the people who need to act on the information ("disintermediation") medium.com/topology-insight/… By @jbriselli Graphic adapted from @TheCynefinCo

We can learn a lot from North East & North Cumbria integrated care system @NENC_NHS & their approach to improvement. Their goal isn't to "be the best" but to "be the best at getting better". This helps create a shared mission to build capability for change & to always keep improving. Graphic by @quotedvisually. Inspiration from @samanthallen & @annielaverty.

A thriving community of practice/community of action needs an "architecture of participation". This includes making it easy for people to join in ("easy onboarding")& spaces where they can connect informally ("backchannels & watercoolers") blog.weareopen.coop/quick-wi… V @WeAreOpenCoop

We typically value the skills of visionary, inspirational leaders over the practical skills of good managers. But evidence all around us suggests that what we often denigrate as "mere management" is incredibly difficult & valuable say @kevinkniffin et al: sloanreview.mit.edu/article/…