Outline  Why innovate?  What is directed creativity?  How can we ‘direct’ the mind to produce

creative ideas?  Does organisational culture matter to creativity

and innovation?  Application and examples from the NHS  Some questions for the debate

Need to innovate in the NHS

Need to innovate in the NHS

Why innovate?

  Innovation is recognised by leading commercial organisations as being essential for success

 We have innovative approaches within healthcare but these are not always systematically applied

 The current rate of improvement is not likely to achieve the change we want and need

First Order Change

More of, or less of…….the same thing

Second Order Change

Stand back… Reframe… See big picture…

Change a fundamental assumption or mental model

DirectedCreativity™

The purposeful production of creative ideas in a given topic area, followed up by deliberate efforts to

implement some of those ideas.

Creativity... The connecting and rearranging of

knowledge — in the minds of people who will allow themselves to think flexibly — to generate new, often surprising ideas that

others judge to be useful.

Edward deBono’s Mental Valleys Model for Thinking

Streams of thinking Valleys

“Creative thinking involves breaking out of established patterns (valleys) in order to look at

things in a different way.” de Bono Purposeful channel Random jump

Drive-thru flu jabs at the Virginia Mason Medical Center, Seattle, USA

Sarah Garrett Consultant in Improvement & Innovation Bath, England garrett.sarah@gmail.com

Dr. Lynne Maher Head of Innovation Practice, NHS Institute for Innovation and Improvement Warwick, England lynne.maher@institute.nhs.uk

Paul Plsek Consultant in Complex Systems & Innovation Atlanta, US paulplsek@DirectedCreativity.com

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Attention… to mental valleys, assumptions or simple rules… involves looking closely, observing with fresh perspective and really noticing things.

Escape… from the current mental valleys, assumptions or simple rules… often described as “blue sky thinking” or “thinking outside the box”.

Movement… play imaginatively… generate several ideas without judgment or criticism… free association that is allowed to flow in any direction it wishes without constraints for the moment.

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 Think like someone else  Patients and carers  Other industries and professions

 Directly challenge the current paradigm  Break the ‘rules’ (traditions, mental valleys, etc.)  Alternatives from concepts

 Think a level or two up in the system  Whole patient journey  Prevention rather than care only  Coordination of multiple systems

 Who, what, when and where  4Ws table

Understand how to assess the innovativeness of an idea…

Dimensions of innovation culture

•  risk taking •  resources •  knowledge •  goals •  rewards and recognition •  tools and methods •  relationships

Dimensions of innovation culture

Portal Chart Example

Debate…  Can the NHS meet its financial challenge

without creativity?  Onto what opportunities should we direct

our creativity?  Can the NHS truly create a culture for

innovation? Which dimensions might be easiest and hardest?

 ???