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Systems convening – the challenges

The challenges for those using systems convening include reliance on others to deliver, difficulty measuring the contribution, potential isolation and vulnerability to leadership changes. There is a need to better understand the skills and attributes required and recognise what support should be provided. Challenges for individuals working in systems convening include: Leading by influence not […]

Key spread and adoption reports

Title Description Lead author Approaches to Spread, Scale-Up, and Sustainability, 2024 [more info] Report THIS Institute Scaling innovation within healthcare systems: practical considerations, 2023 [more info] Guidance NHS Confederation Review of spread and adoption approaches across the AHSN Network. 2021 [more info] Report AHSN Network Enabling innovation and adoption in health and social care: Developing […]

Learning

Topic Title Description Lead author Learning system Learning Systems: Managing Uncertainty in the New Normal of COVID-19 Paper Richard Bohmer and others Human Learning Systems Report and article Toby Lowe and others Going with the flow: A systems approach to how an academic health science centre creates value through collaboration Report Irene Ng and others […]

Leading and connecting across systems

Topic Title Description Lead author Systems convening Systems convening website Overview, resources Bev and Etienne Wenger-Trayner ‘Systems Convening – A crucial form of leadership for the 21st century’ Book Bev and Etienne Wenger-Trayner Finally – I’m Seen! Blog Bev Wenger-Trayner Complexity and System Convening – a lightbulb moment Blog and video Claire Roche and Horizons […]

Spread

Topic Title Description Lead author Methods and levers for spread and scale  Approaches to Spread and Scale Webpages Coordinated by NHS Horizons Different types of scale  Problematizing Scale in the social sector Blog Gord Tulloch Diffusion of innovation model Diffusion of innovations Book and video Everett Rogers Simon Sinek The chasm diffusion model Blog Matty Ford […]

Complexity

Topic Title Description Lead author Understanding complexity Simple/complicated/complex model Video from 14:29 NHS Horizons Understanding and Working with Complexity Blog Horizons and Andrew Singfield Complexity and spread Spread and Complexity in the NHS Blog Diane Ketley   Looking at Spread – Three Helpful Lenses Blog Diane Ketley   Spreading and scaling up innovation and improvement […]

Further resources

These resources, grouped by section, provide more detail so you can learn more and develop a deeper understanding of the topics to help you apply your knowledge to practice. The following resources informed the development of the new spread and adoption mindset, the seven interconnected principles and a way of leading to apply them in […]

Glossary

The core of this glossary was developed by Horizons and AAC based on key reports and references along with information from NHS organisations. We are aware that in practice there are multiple and variable definitions in use which leads to a confusing situation especially as terms are often used interchangeably. Main terms Adoption – to […]

Networks

Content Increasing connections and communication – the importance of networks Applying this principle to practice Networks build communities, energising and connecting individuals Spread is a social process, dependent on both social and technical aspects of change, so increased connectivity leads to increased change and spread which is why networks are so important. Networks enable connections […]