New Horizons : module 4

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Here you find guidance to pre-reading and preparation for Module 4. You can also access the Module 4 materials and resources, and further, optional resources. The learning outcomes state the expected key learning outcomes that, in addition to active participation in Module 4, will require support and opportunities to test and apply learning in the workplace.

The link to Module 4 Feedback is activated for two weeks from the end of the Module. We would highly appreciate your thoughts and suggestions on this pilot to help us continually improve the New Horizons programme, and to evaluate any impact it may have on you, your team and the organisation.  

Pre-reading and preparation for module 4

Preparation for day 1

View the Empowering eLearning module and do the self-assessment at the end.

Read Seven Principles of Knowledge Management (PDF). (Adapted from Cognitive Edge blog by Snowden D. (2008)

Read Ladder of Participation examples (PDF). Where in the Ladder of Participation you would put these? Come prepared to discuss your rationale. 

Ladder of Participation (PDF). Adapted from Arnstein S.R. (1969) A Ladder of Citizen Participation. AIP Journal.

Preparation for day 2 

Complete the eLearning module Why things go wrong and right in complex systems. Please note, you need to be signed in to Turas to access this.

Familirise yourself with the eSEA Conceptual Framework and Significant Event MMR Case Study

Pre-reading for the Book Club: Gawande A. (2015) Being Mortal: Illness, Medicine and What Matters in the End. Profile Books Ltd/Welcome Collection, London.

Consider the following 3 questions for discussion at Book Club:

  1. How have the central issues of Being Mortal (i.e, mortality, end of life care, ageing and death) affected your thinking?
  2. What are the author’s main critiques of nursing homes?  What do you think about the tensions between keeping older adults safe and helping them live their best lives?
  3. Discussing mortality can be uncomfortable.  How has reading Being Mortal changed or redefined your feelings about mortality?  What uncomfortable conversations might you be willing to have now as a person and as an NHS colleague?

We know these topics are sensitive and appreciate that some people may feel unable to contribute to the discussion on the day so there will be no expectation that all participants will do so. We welcome all to the session including those who may wish to listen only.

Download the Significant event MMR worksheet


Module 4 materials and resources
Module 4 key learning outcomes


Reflecting on, understanding and developing yourself as a person and as a leader:

  • Apply strategies from a range of models in communications about varied matters, in a range of situations
  • Reflect on the extent of transparency and fairness in own work practices

Creativity and innovation

Finding different ways of thinking and doing:

  • Think laterally and creatively to resolve problems with transparency
  • Seek opportunities for development in order to achieve desired change


Seeing what is possible for people who use services, carers and communities now and in the future:

  • Demonstrate an understanding of the real, underlying needs of service users and staff


Enabling others to develop and use their own leadership capacity:

  • Demonstrate own, and support others', leadership behaviours

To achieve the learning outcomes requires, in addition to active participation in all Modules, support and opportunities to test and apply learning in the workplace. 

Further resources

Poorkavoos, M. (2016) Compassion in the Workplace: What is it and why do organisations need more of it? Roffey Park Institute.

Collective Leadership Scotland supports and enables the public service workforce to work together to deliver the services that matter to the people of Scotland

West, M. et. al. (2017) Caring to Change: How compassionate leadership can stimulate innovation in health care. The Kings Fund.

West, M. et. al. (2014) Delivering a Collective Leadership Strategy for Health Care. The Kings Fund; Center for Creative Leadership.

Knoco Stories – From the knowledge management front-line (2012) Some Addenda to Snowden’s 7 Principles of Knowledge Management. Some additional practical thoughts on the 7 principles

Bloomfire Blogpost by Dana Youngren on the 5 Ways To Increase Knowledge Sharing In Your Organization

Additional resources for Systems Thinking in Health and Care systems can be found on the NHS Education for Scotland community of practice here

Resources for enhanced significant (learning) event analysis can be found on Turas Learn here

View a short video Systems Thinking A new directon in Healthcare Incident Investigation  (3:55)