I ran a workshop today for several NHS groups in Leatherhead. It was a basic introduction to complexity theory and examples of health projects using SenseMaker®. I alway enjoy teaching professional groups who have passion, and probably learn more from the conversations than they do from my teaching! With our increasing involvement in the development sector and health I am discovering that there is a lot of that passion but also a lot of frustration with the overall management framework and resourcing within which they work.
Some of that is resourcing and restrictions, but there is a lot of waste at the same time. Now to be clear I mean waste here in the sense that Lean (properly understood) is about eliminating waste created by techniques such as sick stigma. The irony there is that lean six sigma is one of the fashion items at the moment in the NHS; the desire for order is understandable but also scary. Complexity offers the possibility of changing some of that, and more importantly allowing locally contextual solutions to evolve/emerge rather than be engineered.
I made three polemical points up front. &nbsnbsp;To be clear there is nothing wrong with a polemical statement, but it is always qualified by the need to say that it is polemical, which means it is not universal. Polemical statements are a way of making a point that a pendulum has swung too far. So what were they?
So a brief reminder, these are polemical statements; I reserver the right to be more reasonable under challenge!
I chose the the Fildes picture deliberately. Painted in 1887 it is a somewhat idealistic picture of the relationship between Doctor and patient that does not reflect Victorian practice (a good article on it here by the way). But it does represent a direction we need to travel, the current alternative would seem to have us all taking the Blue Pill as we would then be easier to manage. I always try and play in red …..
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