Read the Case Study<\/a><\/div>\n<\/div>\n<\/div><\/div>\n<\/div>\n<\/div>\n<\/div><\/div>\n","protected":false},"excerpt":{"rendered":"SAFe enables transition from waterfall to Agile in a highly regulated environment<\/p>\n","protected":false},"author":2,"featured_media":0,"template":"","meta":{"_acf_changed":false,"_relevanssi_hide_post":"","_relevanssi_hide_content":"","_relevanssi_pin_for_all":"","_relevanssi_pin_keywords":"","_relevanssi_unpin_keywords":"","_relevanssi_related_keywords":"","_relevanssi_related_include_ids":"","_relevanssi_related_exclude_ids":"","_relevanssi_related_no_append":"","_relevanssi_related_not_related":"","_relevanssi_related_posts":"52845,52846,52847,52848,53145,54538","_relevanssi_noindex_reason":"","footnotes":""},"categories":[765,381,754,749,561,774],"tags":[],"industry":[267,270],"role":[],"sizes":[884],"country":[565],"topic":[951,892,897],"region":[877],"class_list":["post-1093","case_study","type-case_study","status-publish","hentry","category-country","category-customer-story","category-government","category-healthcare","category-resources","category-united-kingdom","industry-government","industry-healthcare","size-large-enterprise","country-united-kingdom","topic-business-alignment","topic-early-results","topic-regulated-environment","region-europe"],"acf":{"page_header_background":false,"page_header_title":"NHS Blood and Transplant","page_header_content":"
Agile Transformation in a Highly Regulated Environment<\/p>\n","case_study_content":[{"case_study_content":"
\u201cAdopting SAFe has set in motion the skill development and mindset for successful organizational change even as we scale to new programs, release trains, and people.\u201d<\/em><\/p>\n\u2014Gary Dawson<\/strong>, Assistant Director, Solutions Delivery<\/p>\n \n"},{"case_study_content":"NHS Blood and Transplant (NHSBT) is a joint England and Wales Special Health Authority that provides a blood and transplant service to the National Health Service\u2014supplying blood to hospitals in England, and tissues and solid organs to hospitals across the United Kingdom. Each year, donors give approximately two million donations of blood and 3,500 organs\u2014saving and transforming countless lives.<\/p>\n
Safeguarding the blood supply and increasing the number of donated organs involves collecting, testing, processing, storing, and delivering blood, plasma, and tissue to every NHS Trust in England. NHSBT also matches, allocates, audits, and analyzes organ donations across the whole of the UK.<\/p>\n
With an increased need for its services, the organization recognized that effective technology is crucial to the delivery of safe products and services for patients. While looking ahead to its corporate 2020 vision, NHSBT identified several goals: replace an aging IT infrastructure, migrate to SaaS cloud-based services, and replace the critical operational applications underpinning its activities while ensuring they remain compliant with external regulatory monitoring.<\/p>\n
NHSBT sought to revolutionize the way it interacts with blood donors by taking full advantage of the opportunities afforded by digital technologies. That means careful consideration of the realities of existing interdependencies between the national databases and NHSBT services, systems, data, processes, and people.<\/p>\n
NHSBT identified the need to improve the business processes and the supporting IT environment in two major programs: ODT Hub and Core Systems Modernization.<\/p>\n
\u201cNHSBT was embarking on its most complex transformation program ever, initially focusing on the Organ Donation and Transplantation (ODT) area of its business,\u201d notes Gary Dawson, Assistant Director, Solutions Delivery. \u201cIt needed to modernize a significant percentage of its core systems, platforms, and architecture along with re-aligning the infrastructure to more modern cloud-based technologies. The impact on the current business and practices couldn\u2019t be underestimated across the organization\u2014we were anticipating changes in how we work and how the system worked.\u201d<\/p>\n"},{"case_study_content":"
It\u2019s All About the People<\/h3>\n NHSBT employees truly care about the organization and its work. Dawson, working with the wider NHSBT ICT organization, felt that it was important to correctly evaluate IT needs in line with organizational changes and be able to guide the system changes with the people using them.<\/p>\n
\u201cWe recognized that both the overarching change and the adoption of a new technical platform and architecture\u2014the effects on the culture of the organization\u2014could, if not managed strategically, create a complex management problem and have an impact not only on the core business, but also the working relationships of the people within NHSBT,\u201d Dawson says. \u201cWe needed a system and guidance to adapt and benefit from the changes and we were clear that the waterfall methodology that we had previously relied on wouldn\u2019t support this change. We have dedicated and passionate people who work here, who really care about the cause and want to achieve the goals of the organization, but this change would only work if everyone was on the same page and we could go through the journey together.\u201d<\/p>\n"},{"case_study_content":"
A New Approach to Adopt Change<\/h3>\n The Chief Digital Officer had set the strategy for implementing Agile into NHSBT and brought on Dawson specifically with this in mind. From day one he worked extensively and closely with the Business, IT, and Program Delivery stakeholders to ensure cross-organizational support. After an initial meeting, they knew that an experienced consultancy like Ivar Jacobson International (IJI) would aim to understand NHSBT and work collaboratively to deliver solutions and training so that internal changes were manageable.<\/p>\n
IJI suggested NHSBT use Scaled Agile Framework\u00ae<\/sup> (SAFe\u00ae<\/sup>) to help support the governance and manage both the organizational and technical changes. The ICT Leadership Team immediately took the view that this was the right methodology to achieve NHSBT\u2019s goals and looked for an appropriate vehicle in which to introduce it. They decided the Organ Donation and Transplant (ODT) Hub Program as the most appropriate place to start implementation. ODT was initializing a hands-on software delivery and its timeline aligned well with the cadence of delivery that the framework provided. In addition, funding was in place and all the teams involved were based in one location. It would act as an ideal start and pilot for other elements of the organization to observe.<\/p>\nBecause ODT was the first in a series of transformational changes, it would also be the model that other parts of the organization would take as an example,\u00a0so it was crucial to get it right from the start. \u201cIJI\u2019s expertise with Agile transformation programs was a perfect fit with what we were aiming to do. Because we\u2019d be working with new team groupings, we wanted to assist employees with transitioning to new working relationships and processes and also address the naturally risk-averse elements,\u201d Dawson says. \u201cWe had to stay within regulatory standards. Rapid and vast change, if not done properly, has the potential to be disruptive, and actually hinder advancement. We chose Ivar Jacobsen International to provide company guidance, including coaching and training services, for the implementation of SAFe at NHSBT.\u201d<\/p>\n"},{"case_study_content":"
A Proven Framework in SAFe\u00ae<\/sup><\/h3>\nSAFe offers a broad range of content and phased implementation for organizations looking to increase productivity, change system structures, increase employee training, add solutions-based management and develop greater efficiencies across company platforms and people.<\/p>\n
Because proper preparation is critical to set the stage for smooth adoption, IJI delivered a two-day workshop, \u2018Leading SAFe,\u2019 that engaged managers interactively while explaining what SAFe was and how to implement it properly.<\/p>\n
Meanwhile, Dawson and IJI also began to structure team units. They identified product managers and product owners working collaboratively to define their roles within SAFe and guided them on SAFe practices. Training roll-outs started with 10 or 12 courses, ranging from large-room sessions of 30-40 people for SAFe overviews and discussions of how it could work within NHSBT. These were followed over a two-month period by smaller and more interactively focused sessions for product managers and owners intended to further guide them and increase engagement. Sessions included six to 10 people with the appropriate attendees to maximize the interaction and cross-functional engagement\u2014even at the point of training.<\/p>\n
Meanwhile, program managers, with Dawson, started to work on organizational components, such as planning sessions across the organization (75 \u2013 80 people). Planning included who would be involved, as well as logistical challenges. Dawson spent considerable time explaining the rollout and SAFe implementation to all levels of employees to facilitate understanding and new team groupings. IJI was on hand at all stages of implementation to guide, coach, teach, and assist teams to transition to SAFe, following a strategic Program Increment (PI) cycle that ensured SAFe was adopted by employees with secure checkpoints and feedback along the way.<\/p>\n"},{"case_study_content":"
Building Success<\/h3>\n Over the first Program Increment (PI), NHSBT\u2019s ODT program came through on most of its deliverables. \u201cIt was amazing how much we were able to do in such a short time,\u201d Dawson notes. \u201cNow that we\u2019ve done that, we can see what we need to do for future PIs and are continually able to refine and understand the teams\u2019 velocity; it\u2019s all falling into place and people really are committed.\u201d<\/p>\n
In that first PI, they were able to develop and learn to work effectively as a team and were able to deliver a committed, finite number of product features, as well as prioritize IT operations alongside the business element of the organization.<\/p>\n
During the short introduction phase of three to four months, they were able to not only onboard and train all the teams aligned to the Release Train, they were also able to get the business component of NHSBT aligned with IT. There were challenges\u2014such as integrating business managers into the teams and defining product owners\u2014but \u201cshow and tell\u201d sessions (every two weeks) and then a mid-PI retrospective helped the business see the benefits of the change process and really feel part of it.<\/p>\n
\u201cWe would never have had that level of interaction in a waterfall delivery,\u201d Dawson says. \u201cTo achieve the levels of understanding of both the technology and deliverables\u2014along with all the interdependencies\u2014would have taken months of calls, meetings, and discussions. We planned the next three months in just two days and now we retain that level of engagement on a daily basis.\u201d<\/p>\n
SAFe has become part of everyday procedures at NHSBT, with a series of checkpoints and loops that ensure communication is clear and efficient between teams and individuals. IJI understood that it was important to Dawson and NHSBT that change occurs but not at the cost of quality or control, and that value to the business should be equal to the ability of the organization to cope with the rate of change. NHSBT was able to build Agile confidence across the ODT program\u2014senior stakeholders could support the cultural change because SAFe provides the governance required to build in the needs of Quality Assurance and regulators.<\/p>\n"},{"case_study_content":"
Successfully Scaling to New Programs<\/h3>\n Having delivered the first MVP (Minimum Viable Product) of the ODT Program, it is clear that the introduction and embedding of SAFe within NHSBT has begun to provide early delivery of significant business benefits.<\/p>\n
NHSBT has now run two SAFe big-room planning events for its Core Systems Modernization (CSM) Program, which is potentially a much larger program to replace its core blood offering system relating to blood, blood-derived products and tissues.<\/p>\n
\u201cWe\u2019re definitely not standing still,\u201d Dawson says. \u201cWe are building momentum and will continue to run with the same rhythm that SAFe has provided us with our ODT program. Adopting SAFe has set in motion the skill development and mindset for successful organizational change even as we scale to new programs, release trains, and people.\u201d<\/p>\n"}],"case_study_file":false,"case_study_challenge":"
NHSBT sought to improve the business processes and the supporting IT environment in two major programs, and do so without adversely impacting its core business or service delivery to patients.<\/p>\n","case_study_solution":"
SAFe\u00ae & Consulting and Coaching Service<\/p>\n","case_study_results":"
In the first PI, NHSBT was able to deliver a committed, finite number of product features, as well as prioritize IT operations alongside the business part of the organization.<\/p>\n","case_study_best_practices":"
\nInclude all in the journey<\/strong> \u2014 The mutual understanding between IJI, managers and employee teams was critical. \u201cIt made the difference that we were bringing them on the journey\u2014rather than telling them how we were going to impose something on them. It has been a key element in NHSBT\u2019s success,\u201d Dawson says.\nShow and tell<\/strong> \u2014 \u201cShow and tell\u201d sessions (every two weeks) and then a mid-PI retrospective helped the business see the benefits of the change process and really feel part of it.\n<\/ul>\n","case_study_partner":false,"audio_link":"","video_link":"","related_posts":false,"show_on_blog":true,"customer_logo":false,"is_featured":false,"add_intercom":true},"has_blocks":true,"block_data":[{"blockName":"core\/media-text","attrs":{"align":"","mediaId":115493,"mediaLink":"https:\/\/scaledagile.com\/business-solutions\/industries\/healthcare\/nhs-logo\/","mediaType":"image","mediaWidth":20,"verticalAlignment":"center","imageFill":false,"mediaAlt":"NHS Blood and Transplant \u2013 Adopting SAFe in Healthcare","mediaPosition":"left","mediaUrl":"","linkDestination":"","linkTarget":"","href":"","rel":"","linkClass":"","mediaSizeSlug":"","isStackedOnMobile":true,"focalPoint":[],"allowedBlocks":[],"useFeaturedImage":false,"lock":[],"metadata":[],"className":"","style":[],"backgroundColor":"","textColor":"","gradient":"","fontSize":"","fontFamily":"","borderColor":"","openPopupId":"","anchor":""},"innerBlocks":[{"blockName":"core\/paragraph","attrs":{"placeholder":"Content\u2026","fontSize":"medium","marginLeft":7,"paddingLeft":2,"align":"","content":"\u201cAdopting SAFe has set in motion the skill development and mindset for successful organizational change even as we scale to new programs, release trains, and people.\u201d<\/em>","dropCap":false,"direction":"","lock":[],"metadata":[],"className":"","style":[],"backgroundColor":"","textColor":"","gradient":"","fontFamily":"","borderColor":"","openPopupId":"","anchor":""},"innerBlocks":[],"innerHTML":"\n\u201cAdopting SAFe has set in motion the skill development and mindset for successful organizational change even as we scale to new programs, release trains, and people.\u201d<\/em><\/p>\n","innerContent":["\n\u201cAdopting SAFe has set in motion the skill development and mindset for successful organizational change even as we scale to new programs, release trains, and people.\u201d<\/em><\/p>\n"],"rendered":"\n\u201cAdopting SAFe has set in motion the skill development and mindset for successful organizational change even as we scale to new programs, release trains, and people.\u201d<\/em><\/p>\n"},{"blockName":"core\/paragraph","attrs":{"fontSize":"normal","marginLeft":7,"paddingLeft":2,"align":"","content":"\u2014Gary Dawson<\/strong>, Assistant Director, Solutions Delivery","dropCap":false,"placeholder":"","direction":"","lock":[],"metadata":[],"className":"","style":[],"backgroundColor":"","textColor":"","gradient":"","fontFamily":"","borderColor":"","openPopupId":"","anchor":""},"innerBlocks":[],"innerHTML":"\n\u2014Gary Dawson<\/strong>, Assistant Director, Solutions Delivery<\/p>\n","innerContent":["\n\u2014Gary Dawson<\/strong>, Assistant Director, Solutions Delivery<\/p>\n"],"rendered":"\n\u2014Gary Dawson<\/strong>, Assistant Director, Solutions Delivery<\/p>\n"}],"innerHTML":"\n <\/figure>\n\n<\/div><\/div>\n","innerContent":["\n
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Best Practices:<\/h3>\n<\/div>\n"},{"blockName":"core\/column","attrs":{"verticalAlignment":"top","width":"","allowedBlocks":[],"templateLock":null,"lock":[],"metadata":[],"className":"","style":[],"backgroundColor":"","textColor":"","gradient":"","fontSize":"","fontFamily":"","borderColor":"","layout":[],"openPopupId":"","anchor":""},"innerBlocks":[{"blockName":"core\/list","attrs":{"className":"mb-0","ordered":false,"values":"\n\n","type":"","start":0,"reversed":false,"placeholder":"","lock":[],"metadata":[],"style":[],"backgroundColor":"","textColor":"","gradient":"","fontSize":"","fontFamily":"","borderColor":"","openPopupId":"","anchor":"block-f9117a6b-0f4e-4a33-aef7-cade3bb8add1"},"innerBlocks":[{"blockName":"core\/list-item","attrs":{"placeholder":"","content":"Include all in the journey<\/strong>\u00a0\u2014 The mutual understanding between IJI, managers and employee teams was critical. \u201cIt made the difference that we were bringing them on the journey\u2014rather than telling them how we were going to impose something on them. It has been a key element in NHSBT\u2019s success,\u201d Dawson says.","lock":[],"metadata":[],"className":"","style":[],"backgroundColor":"","textColor":"","gradient":"","fontSize":"","fontFamily":"","borderColor":"","openPopupId":"","anchor":""},"innerBlocks":[],"innerHTML":"\nInclude all in the journey<\/strong> \u2014 The mutual understanding between IJI, managers and employee teams was critical. \u201cIt made the difference that we were bringing them on the journey\u2014rather than telling them how we were going to impose something on them. It has been a key element in NHSBT\u2019s success,\u201d Dawson says.<\/li>\n","innerContent":["\n