A jam-packed session chaired by Julian Stodd (@julianstodd) focused on tacit knowledge in our organisations, how we share it and how we collaborate to create it and create change. Both presentations were from the medical sector, one, Astra Zeneca operating in a highly regulated manufacturing environment and the second, the NHS IQ team (@NHSIQ)
First up was Roy Davis from Astra Zeneca. Roy described a complex transfer of the manufacturing process of an accentuated influenza vaccine from AZ offices in California to Liverpool. His case study illustrated at a really granular level the difficulties of transferring tacit knowledge, of making visible ‘hidden factories’ which our teams use day in day out to complete their work but may never have shared with anyone. Tacit knowledge and expertise is built over years of doing something, but if that person leaves or the job has to shift to another site/team the lack of explicit, shared knowledge becomes business critical.
Key challenges included the lack of tangible knowledge or training for the team from LiVerpool, the sensitivities of established scientists letting go of a process they had developed and owned for a long time and importantly making that process and knowledge visible. Roy showed lots of the research models and process analysis that was needed to make this knowledge visible but what struck me was how integral the emotional contract was to the success of this project. Getting buy in from the scientists with the knowledge and making sure all of the project team understood the emotional sensitivities of taking over that process was key. And it all had to be focused on the importance (that word purpose came up again 😉) of everyone understanding why doing the project well was critical to the ability of the organisation to achieve its goals of providing safe, live vaccines to those in need of them. Lots of mind sets needed changing her alongside the careful and precise documentation and exposing if core processes. And I liked the stress on the fact that none of this was accidental and it all hinged on recognition and appreciation being paid to those who were undertaking the work and handing over the knowledge.
The next speakers were Carol Read (@CarolLRead) and Kate Pound (@KateSlater2) both Transformation Fellows of the NHS Horizons Group @NHSIQ. I agree with Julian that some of the most radical OD and change work is being done in the NHS at the moment, some of it by this team. It was a really good presentation.
They described their work creating the School for Health and Care Radicals MOOC, a five week programme, and their new open access The Edge (@theEdgeNHS) collaborative curation platform for encouraging connections, sharing of knowledge and most importantly, change. I loved their description of their goals as a team including activating the radicals, giving staff permission to change and innovate, and to attempt to jump the gap by skipping five years forward, not going through each stage of innovation but jumping to where you want to be now. Central to the whole project was creating a bottom up drive for change & innovation, empowering staff across the NHS to make a difference and improve patient care. There were five key planks to their strategy (and you can read more about the wider strategy here in this White Paper http://media.nhsiq.nhs.uk/whitepaper/html5/index.html?page=1):
- activate disrupters, heretics radicals and mavericks
- lead transformation from the edge
- change your story
- curate rather than create knowledge
- build bridges to connect the disconnected.
Really passionate and great stuff being done using lots of new approaches, including encouraging people to tell their digital stories.
Attending the MOOC along side NHS staff at all levels and in different clinical and non clinical functions has given people permission to make change and created a culture of permission for innovation. The #NHSChangeDay has been a great demonstration and beacon for this. Change becomes everyone’s job, not something done to you but something you shape. And what was completely critical to this was creating a community of participants, talking to each other, social and emotional ties and beliefs that unite teams however big in a common purpose. Yes please lots more of this. What a lovely way to end my time at this year’s show, inspired and full of ideas, just how it should be. Fabulous.