Helen Bevan: Change From the Middle. Leadership, Age, and Influence Inside Big Systems
In this week’s 4-Quarter Lives, Avivah Wittenberg-Cox is joined by Helen Bevan, one of the UK’s most respected thinkers on large-scale change inside complex systems.
Drawing on more than 35 years working inside NHS England, Helen explains why lasting change rarely starts at the top. It starts in the middle. With peers. Through relationships. And through informal influence rather than titles.
Helen shares hard-won lessons from cancer care reform, showing how improvement only works when people feel change is done with them, not to them. She unpacks why clinicians resist change when autonomy is…
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