Systems Thinking Programme 10 – 11 November 2016 Golden Jubilee Conference Hotel Beardmore Street Clydebank Glasgow G81 4SA 1 Programme Manager: Hazel Mackenzie 0788 400 5492 Admin support: Jennifer Sheen 0131 656 3247 Programme coaches / facilitators: Marilyn Aitkenhead Robin Burgess Lesley Gallagher Malcolm Young Speakers Martin Fischer 2 Cohort 11 Programme participants NAME Angus McKellar BOARD NHS Western Isles TITLE Medical Director Boyd Peters NHS Highland Caroline McQuillian NHS Grampian General Practitioner and Locality Clinical Lead Deputy Nurse Director Christine Hemming NHS Grampian Corinne Love NHS Lothian Dahrlene Tough SAS David Dodds NHS Greater Glasgow and Clyde Elspeth Molony NHS Health Scotland Heather Cameron NHS Greater Clyde Hugh Neill NHS Ayrshire and Arran Janice Alexander NHS Lothian Janie Thomson NHS Lanarkshire Karen Ozden Divisional Clinical Director for Women and Children Clinical Lead Obstetrics Glasgow NHS Tayside Kate Kenmure NHS Shetland Katie Morris NHS Borders Lindsay Bedford NHS Tayside Lynne Ayton GJNH Nicole Hamlet NHS Dumfries Galloway Paul Baughan NHS Forth Valley Rory Mackenzie NHS Lanarkshire Sarah Dickie NHS Forth Valley Seonaid Mccallum NHS Fife Sharon Pfleger NHS Highland Tom Power NES Head of Clinical Governance and Patient Safety Clinical Director Gartnavel Hospital and Organisational Lead for Communications Engagement Chief AHP Regional Services Physiotherapy Pro. Lead NHS GG &C Consultant in Anaesthesia and Intensive Care Medicine General Manager Medicines Services Head of Physiotherapy Services & professional Lead Director of Mental Health Services Associate Nurse Director Child Health Manager and Midwifery Lead General Manager Planned Care and Commissioning Interim Director of Finance Head of Operations Regional & National Medicine General Manager GP Clinical Lead for Cancer and Palliative Care Chief of Medical Services Consultant in Anaesthesia Head of Nursing Associate Medical Director Fife Health and Social Care Partnership Consultant in Pharmaceutical Public Health Head of OD and Learning 3 Martin Fischer Martin is an associate of the Centre for Innovation in Health management and an independent organisational/management development consultant. Current work includes an exceptionally innovative quality programme across the city of Leeds and working with volunteers and services (e.g. 60 General Practices nationally, A&E) to catalyse co-evolution of service provision and usage. As well as development programmes, he is woking with Paediatric services at Imperial, Maternity at GST and elderly services (5 providers delivering an outcomes based service) in Croydon. He worked for Sg2 – an American health intelligence organisation Before joining Sg2, Martin spent 16 years at the Kings Fund. There he worked with health systems around the world, though is experience is primarily the NHS. Working with all elements of the NHS system, his particular expertise is leadership development (for both clinicians and managers) and organisational development. His Executive Leadership programs (including leading groups of CEOs to South Africa, India and Vietnam) are designed around the premise that the most powerful change results when leaders see the whole system differently. He has enormous expertise and experience in developing senior leaders having designed and facilitated programmes for around 100 NHS chief executives (including the Experienced CEO programme for the Modernisation Agency/Institute) and hundreds of NHS directors. He has worked with many organisations to develop strong leadership throughout the organisation. He speaks widely at conferences and publishes intermittently. He is co-author with Becky Malby of Tools for Change: An invitation to dance, a handbook providing background knowledge, tools and techniques for sustaining organisational change in complex systems. He spent a year on secondment to the Performance and Innovation unit in the Cabinet Office. Outside the NHS, he has worked in a range of other contexts ranging from the Probation Service to the Muslim Council of Britain. He has worked with the Boards of Arts organisations (on governance and diversity) and for the World Bank in clarifying their role in sub-Saharan Africa. He has significant experience of working with Local Authorities (both officers and elected members). Common Purpose invited him to design and facilitate their process to grow a civil society network. He enjoys bringing multiple stakeholders together around complex issues and getting all the viewpoints heard so they are enabled to work out what an effective intervention would be and how to bring it about. Martin grew up in South Africa and received his BSc in Mathematics and Economics from the University of Manchester and his MSc in Economics for the London School of Economics. He works with refugee organisations and the Muslim community in his (less than copious) spare time. 4 Thursday 10 November Master class objectives Time to deepen participants' understanding of their own role/possibilities from a system's perspective Understand the fundamental concepts around organizing as a complex adaptive social system (a theory of IT) and an associated theory of change Play with the ideas and explore their possible application locally Theory of networks and associated model of change 10.00: Arrivals – Tea and Coffee 10.30: 'Systems Thinking' (Martin Fischer) Introductions and overview of the day Understanding context: Context is critical when intervening in complex adaptive systems. Putting together your collective understanding of your context and starting to think through its implications for your leadership. 11.30: Tea/Coffee 11.45: Where to start All systems work perfectly, but..... (or) all problems are previous solutions Finding the right issue to intervene on is non trivial. In this session you will separate out the symptoms from the drivers. There is nothing as practical as a good theory (Kurt Lewin) Organisations exist to add value. For a certain class of issues, organizing as a complex adaptive system is appropriate. Martin will offer some of the ideas and theories that shape a complex adaptive social systems approach. 13.15: Lunch 14.15: System ideas continued (plus an associated approach to change). Another way of adding value is to organise as a network. We will surface what makes them work. 5 Mobilising a system In hierarchies, it is often appropriate to use your seniority to do ‘on behalf of others’. In adaptive systems, the leader’s role is more often to mobilise the system to do it for themselves. We will explore the difference and practices that help animate systems. I will share two ‘case studies’ of work I have been involved in that approached system’s change in very different ways. 16.00 Tea and Coffee Break 16.15: Approaches to ‘partnership’ Martin will give an overview of the 4 quadrant model (reference The Landscapes Framework) Group work On the system leader role in a partnership you are currently involved in. 17.15: Reflections and Close (15 mins) 18:30 Pre dinner drinks in bar 19:00 Dinner 6 Friday 11 November 09.00 Plenary 10.00 – 16.30 Action learning sets Tea and Coffee available 12.30 – 13.00 Buffet lunch available in the restaurant 15.00 Tea / coffee available 16.30 Close 7
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