Knowledge into Practice:A Strategy and Action Plan for

Embedding Knowledge into Practicein Scotland’s Social Services 2012-15

A Conversation to Plan Implementation 26th February 2013

Overview1. Knowledge as transformational change agent.

2. Enabling better practice and better outcomes at all levels: • System• Team• Practitioner• Service user and carer

3. Practical tools, methods and national support to get knowledge into practice.

4. Telling the story - a continuous narrative of improvement.

2020 Vision

“By 2020 everyone is able to live longer healthier lives at home, or in a homely setting.”

“We will have integrated health and social care, a focus on prevention, anticipation and supported self management. …..Whatever the setting, care will be provided to the highest standards of quality and safety, with the person at the centre of all decisions.”

Drivers for change

• an ageing population • economic climate • increased public expectations• changes in lifestyle• demographic change • widening inequalities• technology and information

More of the same will not work.

“Insanity: doing the same thing over and over again and expecting different results.”

Albert Einstein

Anatomy of transformational change

Technology

ServicesInfrastructure

Impact &

Outcomes

www.ssks.org.uk

Sourcing Presenting

Sharing Knowledge

OrganisationalLeadership

Support Workforce skills

Physiology of transformational change

Energies that drive change:

• Social

• Intellectual

• Psychological

• Spiritual

Communities of practiceSocial networking

Research and practice knowledge

Emotional and experiential knowledge

Making things better for practitioners and service users.

Leadership at all levels

Set direction: Vision and purpose

Knowledge andSkill

Will Execution

Foundations - Infrastructure

Adapted from IHI Leadership for Improvement Framework

Knowledge transfer – Know-Why

Co-CreatingMeaning

&Ideas

Know-who

Wisdom toJudge

Know-What

Power toPerformKnow-How

Knowledge Support – technology, people, processes

Knowledge into Practice for 2020 Leadership1. Networked and distributed

leadership

2. Person-Centred Leadership

3. Permission to take control:• Think• Challenge• Act

4. Knowledge as catalyst for radical change.

Knowledge into Practice Vision

“ High quality social services whose staff and organisations continuously improve and innovate by applying new knowledge to policy, planning and practice, in order to deliver better outcomes for people who use services and for the wider community.”

Approach

Bridging the gap - methods1. Sourcing and combining knowledge from research,

practice, experience.

2. Actionable knowledge – mobile apps, case studies, checklists.

3. Relational knowledge – communities of practice, social networking, action learning, mentoring, coaching, sharing knowledge between practitioners and service users.

4. Building workforce capability and organisational support for finding, sharing and applying knowledge.

Telling the Story

“Storytelling is as important as evidence-based research findings to improvement.”

Plsek, 2007

Service user story

Mrs A referred herself to Community Care services because she was increasingly breathless and reluctant to go out. She was lonely and finding it difficult to motivate herself to cook. She also worried about money.

Knowledge support for personal outcomes:• COPD investigation and medication review.• Support groups – Health in Later Life,

Community Car scheme.• Financial benefits – Pension credit.

Adapted from JIT website – Talking Points

System Story:Changing Lives to 2020 Vision

Continuous Narrative:Embedding Knowledge into Practice:

An age-old story…..

“Knowledge is a treasure, but practice is the key to it.”

Lao Tzu 6th century BC

Summing upTransformational change and leadership at all levels

requires knowledge of:• Innovations (know-what) • System and context (know-where)• Practitioners and service users adopting the innovation

(know-who)• How to create, share and apply knowledge through the

way people interact (know-how).

Knowledge into Practice provides practical tools and support for all these types of knowledge

- to improve frontline practice and outcomes for service users and communities.

Knowledge into Practice:A Strategy and Action Plan for

Embedding Knowledge into Practicein Scotland’s Social Services 2012-15

A Conversation to Plan Implementation 26th February 2013