You Are Not A Frog The Sources of Power That Create Real Change
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Nov 4, 2025 
Join Dr. Richard Moore, a former GP and leadership specialist, as he explores how to effect real change in healthcare. He shares insights on navigating organizational challenges and the importance of choosing battles wisely. Richard discusses the limitations of relying solely on expert power and offers strategies for fostering true engagement among staff. He emphasizes the need for psychological safety and practical first steps for making impactful changes, all while addressing the emotional drivers behind decision-making.
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Expert Power Alone Won’t Change Systems
- Doctors rely heavily on expert power but that rarely changes system behaviour outside the consultation room.
- Recognise other power bases (reward, coercive, charismatic, legitimate) to influence organisational change.
Begin With Tiny, Visible Wins
- Start change extremely small so people experience early success and stay motivated.
- Aim for many one-minute wins that accumulate into meaningful time savings and momentum.
Use 5S To Eliminate Wasted Time
- Use simple improvement tools like 5S to remove waste and standardise where clinicians waste time.
- Translate time savings into concrete benefits (getting home earlier, less stress) to gain buy-in.
