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The Open University
showcases
Systems Thinking in Practice
The Public Sector Challenge
COMPLEXITY
AND
UNCERTAINTY
The Systems Thinking Opportunity
Systemic
(epistemologies)
Systematic
(ontologies)
Start with a Situation? or System?
A choice to be made
Systems Thinking
in Practice
Postgraduate programme
Masters/ Diploma/ Certificate
Managing systemic change:
Inquiry, action and interaction
TU812
30 credits
TU811
30 credits
Thinking strategically:
systems tools for managing
change
1. Complex situations or
Contexts of change
and uncertainty, with appropriate
space for emergence
2. People
or stakeholders as (systems)
practitioners, with appropriate
respect for autonomy
3. Systems and other conceptual Tools for
the purpose of effecting change, with
appropriate imagination for avoiding traps
(iii) reflecting upon limits on boundaries of
interrelationships and perspectives
(i) making sense of interrelationships
(ii) engaging with multiple perspectives
entities activities
Systems of interest perceived as
3.1 actual real world entities – e.g.,
accounting, health, or education
‘system’
(thinking about systems)
and/or
3.2 conceptual constructs for inquiry into
real world entities e.g., learning systems
(systems thinking)
System dynamics
• Understanding interrelationships & interdependencies -1
• Linear vs feedback systems thinking
• Power and modelling
• Causal loop diagramming
• Archetypes
– Fixes that fail
– Shifting the burden
– Limits to growth
– Drifting goals
– Escalation
– Tragedy of the commons
Some systems approaches -1
Viable systems model
• Understanding interrelationships & interdependencies -2
• System and VSM
– System 1 operations
– System 2 coordination
– System 3 delivery
– System 4 development
– System 5 policy
• Variety and recursion
• Systems in areas of practice
• Layered structures
• Management activities
• Viability: environment
Some systems approaches -2
Strategic options development and analysis
• Facilitating multiple perspectives-1
• Cognitive mapping
• Cause maps
• SODA analyses
– Domain
– Central
– Cluster
– Hierarchical
• Effective facilitation
Some systems approaches -3
Soft systems methodology
• Facilitating multiple perspectives-2
• Rich pictures: towards worldviews
• Analyses 1-3: what (intervention),
who (social), why (political)
• Simple systems – PQR
• CATWOE…
• Conceptual modelling
• Taking action
Some systems approaches -4
Critical systems heuristics
• Reference systems and boundary
judgements: ethics/ politics
• Stakeholders and stakeholding
• Boundary reflection: Botswana
• Boundary discourse: Guyana
• Significance in other traditions
Some systems approaches -5
A Model in
STiP –
Masters in
Systems
Thinking
in
Practice
TU812 Managing systemic
change: Inquiry, action
and interaction
TU812: Braiding
strands of inquiry
and linking with
your own
experience
Main traditions of theory and practice of managing systemic change drawn on in
TU812 (for examples of authors’ work mentioned see references)
Tradition Description
Living in
Language
Language affects how individuals understand interact. Social and
political dynamics of explanation become very important (draws on
Postman, Maturana)
Managing in a
climate change, co-
evolutionary world
The backdrop of human-induced climate change acts as a metaphor
for the many uncertain, complex, contested situations where
managing systemic change seems needed. Adaptation is seen a two-
way process between humans and their world
Systems lineages Many different influences have shaped contemporary systems
approaches including: practical holism, general systems theory,
operations research, complexity science, first and second order
cybernetics, interdisciplinary systems sciences
Systems Practice
as Juggling
An ideal type of systems practitioner (SP) is seen as a juggler of
‘being’ ‘engaging’ ‘contextualising’ and ‘managing’. Reflection on
the SP as juggler focuses on being ethical (draws on Open
University module team for T306 – managing complexity: a systems
approach, also Meadows.)
Systemic Inquiry Systemic inquiry is an approach to practice which is adaptive to
changing circumstances and draws on systems thinking (draws on
Churchman, Checkland and SLIM)
Systemic Action
Research
Concerns changing your situation for the better. Associated with
real-life issues. Researcher takes responsibility for their own
epistemology in a second-order cybernetic tradition (draws on Schön,
Ison and Russell)
Social learning
systems – early
traditions
Insights into (i) Government as a learning system, public learning,
how ideas of good currency emerge and the place of policy in a
learning system (ii) appreciative systems and social learning,
institutional and individual roles and the limits of Government
(Draws on Schön, Vickers, Blackmore)
Critical social
learning systems
‘The Hawkesbury tradition’. Developed in rural Australian context
of land and water catchment degradation, desertification, use of
natural resources, failure to manage climate variability.
Distinguished by valuing of epistemology and ethics and systemic
praxis – blending systems theory and practice (Draws on Bawden,
Woodhill)
Communities of
practice
The concept of a community of practice with an identifiable domain,
community and practice is used to consider the world as a learning
system, including design requirements and how learning systems
might be cultivated. Concepts of boundaries, identity, trajectories
and participation are seen as conceptual tools for CoPs. The ‘career’
of the concept is explored: CoPs as social learning systems, CoPs in
social learning systems, and the role of CoPs in developing a social
discipline of learning (Draws on Wenger, Snyder)
P = practitioner
F = framework of
ideas/theory
S = situation
M = method or
methodology
1. Clarify purpose 2. Engage in
conversation
3.Appreciate multiple
perspectives
9. Monitor,
evaluate
7. Design actions
(personal or for policy)
6. Refine
5. Identify emergent issues
and opportunities
4. Introduce new concepts,
experience and evidence
Other likely outputs:
changes in
understanding
changed social relations
changed (new) practices
10. Redesign the
system based on
feedback
Prior
experience
of
participants
valued?
8.
Monitor
& adjust
System
maps…
Learning in Practice
Masters in
Systems Thinking in Practice
Examples from
STiP Alumni and Students
Many in the Public Sector
Systems thinking to improve
wellbeing and health
interdependencies
complexity
uncertainty
controversy
A big challenge
to improve
Systems thinking helps because it emphasises connections,
relationships and importance of appreciating multiple perspectives.
multiple stakeholders with
different perspectives and
interests.
Wellbeing and Health
Characterised
by
Involves
Study
Fellow
(2012):
Helen
Wilding
Many people already think
systemically
But the quality of that thinking can
be improved through awareness of
the concepts, approaches and tools
of systems
There's always,
always
another
perspective
Quite complex
multi-factorial
problems
Study
Fellow
(2012):
Helen
Wilding
We need ways of working that release the
systems thinking capacity within us
Constraints to
systems thinking
 Target driven
performance
 Standard project
methodologies
 Instrumental policy
approaches
 Debate and
conflictual
communication
Release our systems
thinking
 Purposeful concerted
action
 Contextualising systems
approaches to the task
 Intelligent, social
learning based policy
approaches
 Dialogue and inquiry
focussed
communication
Study Fellow (2012): Helen Wilding
Helping an organisation to avoid
frequent unnecessary restructuring
Action
Research
Introduce PVSM
&
Collaborative
Inquiry
Frequent Restructuring
• does more harm
than good
• reduces productivity
and profitability
• worsens employee
health and well
being
• decreases
motivation and staff
burn-out
Introduce
Staff to a
Personal VSM
Viable System
Model (VSM)
to appreciate the
complexity of an
organisation as a
system and potential
systemic failure
• Not used in
mainstream
• Not known or seen
as too complex
Robinson, D., Introducing Managers to the VSM using a personal
VSM, Kybernetes, 2013, Vol 42, Issue 1
• a gentle way to introduce a new model
• increases management buy-in to its
benefits
• appreciate organisational viability
• obviate a need for unnecessary
restructuring and reorganisation
Introduce Staff to a
Study Fellow (2012):
David Robinson
APPLYING STIP LEARNING IN THE NHS
TO FORM STRATEGIC PLANS FOR DISCHARGING ADULT ACUTE
PATIENTS FROM HOSPITAL.
Rich Picture
P (What) – Co-ordinate
& improve health and
social care support
Q (How) – By forming
joint strategic plans
R (Why) – To improve
outcomes and
reduce delays
Purpose (PQR)
Study Fellow (2012): Pauline Roberts
APPLYING STIP LEARNING IN THE NHS
TO FORM STRATEGIC PLANS FOR DISCHARGING ADULT ACUTE
PATIENTS FROM HOSPITAL.
 Efficacy – Reduced
incidents and
complaints
 Efficiency –
Reduced delays
 Effectiveness –
CQC and Scrutiny
feedback
Conceptual Map Outcomes
Study Fellow (2012): Pauline Roberts
MUNRO REVIEW
Our Strategic Partner Organisations
My Organisation
Systemic
Inquiry
Viable
System
Model
Soft
Systems
Methodology
ICT Provision
Enterprise
Architecture
New ICT
ProjectsNew Proje
EA Frameworks
New ICT
Actions
Strategic
Planning
TU812
TU811
Buss
UnitsBusiness
Units
Systems Practice as an Enterprise Architect in a
Telecommunications Company
Making
changes for
better
outcomes
Describing the
context
Investigating options
and moving forward?
Study Fellow
(2012):
Russell
Plummer
Using systems thinking in agricultural
biodiversity research for development
A Rich Picture An influence Diagram
Getting to grips with the
Study Fellow (2012): Arwen
Bailey
1. Identify and
map ABD and
poverty
hotspots
7. Improve
capacity at all
levels to plan,
implement and
incorporate in situ
strategies
8. Engage
donors in
dialogue about a
global strategic
approach
6. Generate
evidence,
knowledge
products, decision-
support tools and
recommendations
2. Identify
strategic
conservation
portfolios for
selected PGR in
target areas
3. Assess
current status
of prioritised
PGR...
4. Synthesize existing
evidence/lessons
regarding
instruments,
incentives and
interventions
5. Conduct case
studies in target
areas, for
portfolio for
testing of
instruments, etc.
Define measures
of performance
(3 or 5 Es)
Adapt
strategy
Monitor and
evaluate
1. to 8.
Using systems thinking in agricultural biodiversity
research for development
An example a system of
interacting activities with
the emergent property of
the change we aim to see
Study Fellow
(2012): Arwen
Bailey
Study Fellow (2012): Bryan Hopkins
Collaboration in the Public Sector – A Rich Picture
Drawn using feedback from an Appreciative Inquiry (Vickers,1968).
Individual stakeholders described drivers and experiences of collaborative work, thus
enabling understanding of different ‘worldviews’.
Interpretation
• The left hand side depicts
statutory organisations and
their processes. It illuminates
the service ‘design mess’
described by ALL
stakeholders.
• All suggested incongruent
use of information
(computers), resulting in an
inability to see the ‘whole
picture’ and use resources
(money bags) effectively.
• the right shows the
community, including
voluntary sector.
• The gaps in the wall
represent opportunities to
engage, which were
described as being ‘by invite’
to tick boxes.
Study Fellow (2012): Bridget Brickley
System 5
(Governance)
System 4
(Intelligence)
System 3 (Management
and Delivery)
System 1
Delivery
System2
Monitoring
System2
Co-ordination
E
N
V
I
O
R
O
M
E
N
T
HardData
and
National
frameworks
andPolicy
Local
information
And
Tacit
knowledge
Viable Systems Methodology
Diagnostic of Commissioning Adult Social Care in a Local Authority
Analysis of Dialogue between system 3 and 4
• System 4 – Primary intelligence used is hard
‘summative’ health data.
• System 3 – procurement decisions are
primarily made using ‘soft’ local information.
• There is no real mechanism for feeding this
up to System 4
Suggestions
1. Develop a more holistic approach to feeding
up ‘soft’ (system 2) intelligence gained in
system 1 to system 4 .
2. Develop role of provider forums,
• widening the membership,
• to enable them to identify more creative
solutions to ‘gaps’, ‘changes’ and ‘challenges’.
• Thus being better able to meet the needs of
service users.
Study Fellow (2012): Bridget Brickley
Local Government
Community Engagement Workshop
• Community engagement for a shadow health
and well-being Board (HWB)
- why?; how? ; with whom?; when? what?
• Systemic and systematic approach
• Conversation mapping, starting with a proposition
• Internal discussions enriched through external perspectives
• Managed process in order to generate a range of ideas
Ison, R (2010)
Harnessing
community engagement to give the
general public influence
over decisions affecting the provision
and quality of health and care
services ….?
Study Fellow
(2012): Anne
Brinkhoff
Generating Ideas – Group 1
Transformation From dictating to working with
Weltanschauung
(Worldview)
Need public ownership in order to achieve real
change
Owner HWB members – personal responsibility
Customers Council X Public and Partners
Actors Everyone! Overseen by Healthwatch
Guardians HWB Members, MP, Press, Stakeholders
Environment Financial Resources, Human Resources
Time Constraints, Complexity
Sub-Systems
Purpose (PQR): A system to achieve effective dialogue with the public and partners (P)
by interactive, varied and consistent mean (Q) in order to achieve a joint understanding
with public and partners of the health and well-being needs of the population and what
needs to be done to address these (R)
Study Fellow (2012): Anne Brinkhoff
Transformation The public is not involved -> will be involved in developing the JSNA and
JHWS
Weltanschauung
(Worldview)
Such strategies work better if publicly owned
Owner HWB and constituent organisations
Customers The communities and stakeholders
Actors Partners (agencies- CCG/Las) and community (self help)
Guardians Healthwatch; HOSC
Environment Inadequate knowledge of target community
Resources: physical and financial
Sub-Systems Joint consultation between CCG/HWB
Written communication/on-line communication
Public meetings
Surveys
Using existing structures PPE groups
Social media
Purpose (PQR): A system to involve/engage with public (P) by various means (Q) in
order to enable them to contribute to creating conditions for people and their
communities to thrive and reach their health and well-being potential (R)
Generating Ideas – Group 2
Study Fellow (2012): Anne Brinkhoff
Systems Innovation

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Systems Thinking Masters in Practice

  • 2. The Public Sector Challenge COMPLEXITY AND UNCERTAINTY
  • 3. The Systems Thinking Opportunity
  • 4. Systemic (epistemologies) Systematic (ontologies) Start with a Situation? or System? A choice to be made
  • 5. Systems Thinking in Practice Postgraduate programme Masters/ Diploma/ Certificate Managing systemic change: Inquiry, action and interaction TU812 30 credits TU811 30 credits Thinking strategically: systems tools for managing change
  • 6. 1. Complex situations or Contexts of change and uncertainty, with appropriate space for emergence 2. People or stakeholders as (systems) practitioners, with appropriate respect for autonomy 3. Systems and other conceptual Tools for the purpose of effecting change, with appropriate imagination for avoiding traps (iii) reflecting upon limits on boundaries of interrelationships and perspectives (i) making sense of interrelationships (ii) engaging with multiple perspectives entities activities Systems of interest perceived as 3.1 actual real world entities – e.g., accounting, health, or education ‘system’ (thinking about systems) and/or 3.2 conceptual constructs for inquiry into real world entities e.g., learning systems (systems thinking)
  • 7. System dynamics • Understanding interrelationships & interdependencies -1 • Linear vs feedback systems thinking • Power and modelling • Causal loop diagramming • Archetypes – Fixes that fail – Shifting the burden – Limits to growth – Drifting goals – Escalation – Tragedy of the commons Some systems approaches -1
  • 8. Viable systems model • Understanding interrelationships & interdependencies -2 • System and VSM – System 1 operations – System 2 coordination – System 3 delivery – System 4 development – System 5 policy • Variety and recursion • Systems in areas of practice • Layered structures • Management activities • Viability: environment Some systems approaches -2
  • 9. Strategic options development and analysis • Facilitating multiple perspectives-1 • Cognitive mapping • Cause maps • SODA analyses – Domain – Central – Cluster – Hierarchical • Effective facilitation Some systems approaches -3
  • 10. Soft systems methodology • Facilitating multiple perspectives-2 • Rich pictures: towards worldviews • Analyses 1-3: what (intervention), who (social), why (political) • Simple systems – PQR • CATWOE… • Conceptual modelling • Taking action Some systems approaches -4
  • 11. Critical systems heuristics • Reference systems and boundary judgements: ethics/ politics • Stakeholders and stakeholding • Boundary reflection: Botswana • Boundary discourse: Guyana • Significance in other traditions Some systems approaches -5
  • 12. A Model in STiP – Masters in Systems Thinking in Practice
  • 13. TU812 Managing systemic change: Inquiry, action and interaction
  • 14. TU812: Braiding strands of inquiry and linking with your own experience
  • 15. Main traditions of theory and practice of managing systemic change drawn on in TU812 (for examples of authors’ work mentioned see references) Tradition Description Living in Language Language affects how individuals understand interact. Social and political dynamics of explanation become very important (draws on Postman, Maturana) Managing in a climate change, co- evolutionary world The backdrop of human-induced climate change acts as a metaphor for the many uncertain, complex, contested situations where managing systemic change seems needed. Adaptation is seen a two- way process between humans and their world Systems lineages Many different influences have shaped contemporary systems approaches including: practical holism, general systems theory, operations research, complexity science, first and second order cybernetics, interdisciplinary systems sciences
  • 16. Systems Practice as Juggling An ideal type of systems practitioner (SP) is seen as a juggler of ‘being’ ‘engaging’ ‘contextualising’ and ‘managing’. Reflection on the SP as juggler focuses on being ethical (draws on Open University module team for T306 – managing complexity: a systems approach, also Meadows.) Systemic Inquiry Systemic inquiry is an approach to practice which is adaptive to changing circumstances and draws on systems thinking (draws on Churchman, Checkland and SLIM) Systemic Action Research Concerns changing your situation for the better. Associated with real-life issues. Researcher takes responsibility for their own epistemology in a second-order cybernetic tradition (draws on Schön, Ison and Russell)
  • 17. Social learning systems – early traditions Insights into (i) Government as a learning system, public learning, how ideas of good currency emerge and the place of policy in a learning system (ii) appreciative systems and social learning, institutional and individual roles and the limits of Government (Draws on Schön, Vickers, Blackmore) Critical social learning systems ‘The Hawkesbury tradition’. Developed in rural Australian context of land and water catchment degradation, desertification, use of natural resources, failure to manage climate variability. Distinguished by valuing of epistemology and ethics and systemic praxis – blending systems theory and practice (Draws on Bawden, Woodhill) Communities of practice The concept of a community of practice with an identifiable domain, community and practice is used to consider the world as a learning system, including design requirements and how learning systems might be cultivated. Concepts of boundaries, identity, trajectories and participation are seen as conceptual tools for CoPs. The ‘career’ of the concept is explored: CoPs as social learning systems, CoPs in social learning systems, and the role of CoPs in developing a social discipline of learning (Draws on Wenger, Snyder)
  • 18. P = practitioner F = framework of ideas/theory S = situation M = method or methodology
  • 19. 1. Clarify purpose 2. Engage in conversation 3.Appreciate multiple perspectives 9. Monitor, evaluate 7. Design actions (personal or for policy) 6. Refine 5. Identify emergent issues and opportunities 4. Introduce new concepts, experience and evidence Other likely outputs: changes in understanding changed social relations changed (new) practices 10. Redesign the system based on feedback Prior experience of participants valued? 8. Monitor & adjust System maps… Learning in Practice
  • 20. Masters in Systems Thinking in Practice Examples from STiP Alumni and Students Many in the Public Sector
  • 21. Systems thinking to improve wellbeing and health interdependencies complexity uncertainty controversy A big challenge to improve Systems thinking helps because it emphasises connections, relationships and importance of appreciating multiple perspectives. multiple stakeholders with different perspectives and interests. Wellbeing and Health Characterised by Involves Study Fellow (2012): Helen Wilding
  • 22. Many people already think systemically But the quality of that thinking can be improved through awareness of the concepts, approaches and tools of systems There's always, always another perspective Quite complex multi-factorial problems Study Fellow (2012): Helen Wilding
  • 23. We need ways of working that release the systems thinking capacity within us Constraints to systems thinking  Target driven performance  Standard project methodologies  Instrumental policy approaches  Debate and conflictual communication Release our systems thinking  Purposeful concerted action  Contextualising systems approaches to the task  Intelligent, social learning based policy approaches  Dialogue and inquiry focussed communication Study Fellow (2012): Helen Wilding
  • 24. Helping an organisation to avoid frequent unnecessary restructuring Action Research Introduce PVSM & Collaborative Inquiry Frequent Restructuring • does more harm than good • reduces productivity and profitability • worsens employee health and well being • decreases motivation and staff burn-out Introduce Staff to a Personal VSM Viable System Model (VSM) to appreciate the complexity of an organisation as a system and potential systemic failure • Not used in mainstream • Not known or seen as too complex Robinson, D., Introducing Managers to the VSM using a personal VSM, Kybernetes, 2013, Vol 42, Issue 1 • a gentle way to introduce a new model • increases management buy-in to its benefits • appreciate organisational viability • obviate a need for unnecessary restructuring and reorganisation Introduce Staff to a Study Fellow (2012): David Robinson
  • 25. APPLYING STIP LEARNING IN THE NHS TO FORM STRATEGIC PLANS FOR DISCHARGING ADULT ACUTE PATIENTS FROM HOSPITAL. Rich Picture P (What) – Co-ordinate & improve health and social care support Q (How) – By forming joint strategic plans R (Why) – To improve outcomes and reduce delays Purpose (PQR) Study Fellow (2012): Pauline Roberts
  • 26. APPLYING STIP LEARNING IN THE NHS TO FORM STRATEGIC PLANS FOR DISCHARGING ADULT ACUTE PATIENTS FROM HOSPITAL.  Efficacy – Reduced incidents and complaints  Efficiency – Reduced delays  Effectiveness – CQC and Scrutiny feedback Conceptual Map Outcomes Study Fellow (2012): Pauline Roberts
  • 28. Our Strategic Partner Organisations My Organisation Systemic Inquiry Viable System Model Soft Systems Methodology ICT Provision Enterprise Architecture New ICT ProjectsNew Proje EA Frameworks New ICT Actions Strategic Planning TU812 TU811 Buss UnitsBusiness Units Systems Practice as an Enterprise Architect in a Telecommunications Company Making changes for better outcomes Describing the context Investigating options and moving forward? Study Fellow (2012): Russell Plummer
  • 29. Using systems thinking in agricultural biodiversity research for development A Rich Picture An influence Diagram Getting to grips with the Study Fellow (2012): Arwen Bailey
  • 30. 1. Identify and map ABD and poverty hotspots 7. Improve capacity at all levels to plan, implement and incorporate in situ strategies 8. Engage donors in dialogue about a global strategic approach 6. Generate evidence, knowledge products, decision- support tools and recommendations 2. Identify strategic conservation portfolios for selected PGR in target areas 3. Assess current status of prioritised PGR... 4. Synthesize existing evidence/lessons regarding instruments, incentives and interventions 5. Conduct case studies in target areas, for portfolio for testing of instruments, etc. Define measures of performance (3 or 5 Es) Adapt strategy Monitor and evaluate 1. to 8. Using systems thinking in agricultural biodiversity research for development An example a system of interacting activities with the emergent property of the change we aim to see Study Fellow (2012): Arwen Bailey
  • 31. Study Fellow (2012): Bryan Hopkins
  • 32. Collaboration in the Public Sector – A Rich Picture Drawn using feedback from an Appreciative Inquiry (Vickers,1968). Individual stakeholders described drivers and experiences of collaborative work, thus enabling understanding of different ‘worldviews’. Interpretation • The left hand side depicts statutory organisations and their processes. It illuminates the service ‘design mess’ described by ALL stakeholders. • All suggested incongruent use of information (computers), resulting in an inability to see the ‘whole picture’ and use resources (money bags) effectively. • the right shows the community, including voluntary sector. • The gaps in the wall represent opportunities to engage, which were described as being ‘by invite’ to tick boxes. Study Fellow (2012): Bridget Brickley
  • 33. System 5 (Governance) System 4 (Intelligence) System 3 (Management and Delivery) System 1 Delivery System2 Monitoring System2 Co-ordination E N V I O R O M E N T HardData and National frameworks andPolicy Local information And Tacit knowledge Viable Systems Methodology Diagnostic of Commissioning Adult Social Care in a Local Authority Analysis of Dialogue between system 3 and 4 • System 4 – Primary intelligence used is hard ‘summative’ health data. • System 3 – procurement decisions are primarily made using ‘soft’ local information. • There is no real mechanism for feeding this up to System 4 Suggestions 1. Develop a more holistic approach to feeding up ‘soft’ (system 2) intelligence gained in system 1 to system 4 . 2. Develop role of provider forums, • widening the membership, • to enable them to identify more creative solutions to ‘gaps’, ‘changes’ and ‘challenges’. • Thus being better able to meet the needs of service users. Study Fellow (2012): Bridget Brickley
  • 34. Local Government Community Engagement Workshop • Community engagement for a shadow health and well-being Board (HWB) - why?; how? ; with whom?; when? what? • Systemic and systematic approach • Conversation mapping, starting with a proposition • Internal discussions enriched through external perspectives • Managed process in order to generate a range of ideas Ison, R (2010) Harnessing community engagement to give the general public influence over decisions affecting the provision and quality of health and care services ….? Study Fellow (2012): Anne Brinkhoff
  • 35. Generating Ideas – Group 1 Transformation From dictating to working with Weltanschauung (Worldview) Need public ownership in order to achieve real change Owner HWB members – personal responsibility Customers Council X Public and Partners Actors Everyone! Overseen by Healthwatch Guardians HWB Members, MP, Press, Stakeholders Environment Financial Resources, Human Resources Time Constraints, Complexity Sub-Systems Purpose (PQR): A system to achieve effective dialogue with the public and partners (P) by interactive, varied and consistent mean (Q) in order to achieve a joint understanding with public and partners of the health and well-being needs of the population and what needs to be done to address these (R) Study Fellow (2012): Anne Brinkhoff
  • 36. Transformation The public is not involved -> will be involved in developing the JSNA and JHWS Weltanschauung (Worldview) Such strategies work better if publicly owned Owner HWB and constituent organisations Customers The communities and stakeholders Actors Partners (agencies- CCG/Las) and community (self help) Guardians Healthwatch; HOSC Environment Inadequate knowledge of target community Resources: physical and financial Sub-Systems Joint consultation between CCG/HWB Written communication/on-line communication Public meetings Surveys Using existing structures PPE groups Social media Purpose (PQR): A system to involve/engage with public (P) by various means (Q) in order to enable them to contribute to creating conditions for people and their communities to thrive and reach their health and well-being potential (R) Generating Ideas – Group 2 Study Fellow (2012): Anne Brinkhoff

Hinweis der Redaktion

  1. Then did conceptual map and comparison with reality to form strategic plans.
  2. 19 An alternative and complementary way to see them like a system. We can see them as a system of interacting activities with the emergent property of the change we want to see. This is one I put together with Adam to express the activities in the in situ theme. It allows also for checks, indicators to see if we are delivering what we expected. These are 3 Es – effectiveness, efficiency, efficacy – or as i prefer 5Es, adding also elegance and ethics