It had probably always been there, a curiosity for the truth, but I didn't really know it until the autumn of 1988. I had enrolled in the Welsh School of Architecture. A venerable old institution based along the grandiose Portland Stone parade that the Marquis of Bute wedged into the centre of Cardiff. There I... Continue Reading →
I’ve completely rewritten this follow up to the first blog on Representation, four times already. Each attempt, despite my different initial approaches, has ended up in a petulant performance by Captain Rantypants. Here I go again, trying to stay objective and polite. Breathe and relax … Diagrams. There are a whole world of different things... Continue Reading →
I've been threatening to do this for ages. Occasionally, it has been known for me to get, as my Grandmother would put it "arsey", about how people represent things and ideas. Typically, the arseyness emerges as a result of some bewildered enthusiast taking a list of their favourite trendy words - drawing boxes around the words,... Continue Reading →
For more years than I care to mention, I've been embroiled in a long term programme of work exploring flows in healthcare. In simple terms, how the work and the patients move around the system. For the past two years it's gone onto the back burner. Actually the instruction from the then Leadershipper was to... Continue Reading →
I'm fed up of all the bull being peddled about innovation. There's a particular type of proselytism that has emerged from the open collared, soft shoed, jacket juxtaposing, ikea-esque, media trained, expensive lack of haircut, i-everything, shiny-grinned consultancy brigade. These Innovatists pepperpot their well coiffured zoomy presentation thingy, with phrases like "socio-technical" and "prefix-leadership" and an... Continue Reading →
One of my favourite party pieces (keynote presentations) is to poke fun at the way organisations typically go about trying to change something. I usually ask permission from my audience first, so that formerly the more delicate little dispositions don't get in a lather; and latterly, so that I get to peddle out the world's... Continue Reading →
Three ways of thinking that it's definitely worth getting your head around. Not the best descriptions of each I've ever read, but conveniently, all three on one Wikipedia page: Deductive reasoning (deduction) allows deriving b from a only where b is a formal logical consequence of a. In other words, deduction derives the consequences of... Continue Reading →
An absolutely excellent resource for anyone with a penchant for mashing up some systems theory, healthcare and “how to work in a way that is more congruent with the people and communities you are actually a small part of”. That last bit is mine.
I certainly wouldn’t put my own contributions in the same category as those giant shoulders listed in the blog, however, if you’d like to see what some of the ideas look like, when you sneak them into practice in one small corner of the world, take a look here:
We believe the following ten resources to be great systems thinking and complexity in health resources for health professionals in all fields seeking to apply these ideas to their work.
1. No list of systems thinking resources would be complete without includingSystems thinking for Health Systems Strengthening by the Alliance for Health Systems Research and WHO Geneva. This is the third in a series of flagship reports by the Alliance for Health Systems Research and has had a widespread, and increasing influence. This Report provides a realistic understanding of effective approaches to strengthening systems, especially in low-income countries and global health initiatives. The report also outlines simple steps to take when seeking to apply the often-elusive systems thinking. The ten steps it gives to applying systems thinking to a health system are (1) convene stakeholders, (2) collectively brainstorm, (3) conceptualize effects (4) adapt and redesign, (5) determine…
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You'll have to excuse me, I'm just stretching the WordPress muscles for the first time, so I thought that it would be best to set the tone ... Philosophically Speaking! We are taught that to make a decision we must gather all of the available evidence and then rationally and objectively calculate the correct answer.... Continue Reading →