Liberating Structures Zoe Lord Senior Transformation Lead NHS

Liberating Structures Zoe Lord Senior Transformation Lead NHS Horizons @Zoe. Lord 1 @Horizons. NHS Sept 2018

What are Liberating Structures?

Liberating Structures Simple rules that includes everyone in shaping the future

Rooted in complexity theory

You gain from control You gain from disorder • Calm things down to promote predictability • Stir things up to promote anti-fragility & creative adaptability

How did I get interested in them?

Where and when do I use them?

How are other Qs using them?

Liberating Structures How Q members are using LS… 25/10 Crowdsourcing: for ‘Ideas for embedding patient safety cultures in our organisations’ – Cleo Butterworth (Health Innovation Network/S London AHSN) Ecocycle Planning: planning to review all the projects of the Oxford Patient Safety Collaborative – Jo Murray (Oxford AHSN)

Liberating Structures How Q members are using LS… 25/10 Crowdsourcing: for ideas to move staff culture forward (on AHSN away-day) – Ursula Clarke Ecocycle Planning: with an Executive team which needed the headspace to develop new work – Jane Pightling

Liberating Structures Using more than one LS in a string… Longer LS string: Impromptu networking; 1 -2 -4 -all; 25/10 crowdsourcing for Sepsis Patient engagement – Jo Murray Also considering using Wise Crowds and Discovery and Action Dialogue Short LS string: Impromptu networking and 25/10 Crowdsourcing at Polypharmacy Workshop – Cleo Butterworth

Liberating Structures Using more than one LS in a string… Short LS string: Generative Relationships STAR and Discovery and Action Dialogue to help two parts of adult services dept better work as one whole team – Esther Hall

How are other Qs using them?

Attributes

Attributes of Liberating Structures

Attributes of Liberating Structures Expert-less

Attributes of Liberating Structures Expert-less Results-focused Rapid cycling

Attributes of Liberating Structures Expert-less Results-focused Rapid cycling Seriously fun Inclusive Multi-scale

Attributes of Liberating Structures Expert-less Results-focused Rapid cycling Seriously fun Inclusive Multi-scale Self-spreading

Attributes of Liberating Structures Expert-less Results-focused Rapid cycling Seriously fun Inclusive Multi-scale Self-spreading Modular

Henri Lipmanowicz Keith Mc. Candless Who seems more serious and more playful? LIBERATING STRUCTURES CO-DEVELOPERS

Made available through a Creative Commons Non. Commercial, Attribution, Share-and-Share Alike License You can use ‘em, you can share ‘em, but you can’t sell ‘em Slide content adapted from materials developed by Keith Mc. Candless Most photographs by Keith Mc. Candless, others as noted

Today: Liberating Structures taster

Liberating Structures Our plan 1. Triz [18 m] 2. 25/10 Crowd sourcing [10 m] 3. Troika consulting [15 m] 4. Debrief 1 -2 -4 -All [5 m] 5. Matchmaker [to take away]

TRIZ Stop Counterproductive Activities and Behaviours to Make Space for Innovation (18 mins)

TRIZ How can we create a change programme that completely fails and is detrimental to patients and staff? TRIZ

Step 1 As a table group make a list of “to-dos” on the first paper sheet in answer to the question: How can we create a change programme that completely fails and is detrimental to patients and staff? Go wild! 5 minutes Use post it notes (1 idea per post it!) TRIZ

Step 2 As a table group, go down your first list and ask: ‘Is there anything that we are currently doing that in any way, shape or form resembles any of the items on list one? ’ Mark the items from list one that apply Be unforgiving about these items and talk about their impact 4 minutes TRIZ

Usually…Step 3 As a table group, go down your second list from step 2 and ask: “what are the first steps that will help us stop getting undesirable results? ” Make a list of actions on another sheet Identify one big idea for action Time available: 5 minutes TRIZ

Instead… 15% solutions Discover and focus on what each person has the freedom and resources to do now

Think about your own work again. What is your 15 percent? Where do you have discretion and freedom to act? What can you do without more resources or authority? Make your own list [2 minutes]

Usually - In pairs or 3 s, share your ideas and help each other to refine them [5 mins] - Can the action step be more specific? - Could the person be bolder? - Is there more that’s within their power?

Microstructural Debrief: Pairs What did you notice about the structure? What was made possible or liberated?

25/10 crowd sourcing Rapidly generate and sift a group’s most powerful actionable ideas

Usually… Volunteer needed! Who has a problem or challenge for which they would like to tap the wisdom and knowledge of the whole group?

What would you love the Q Community to do next?

If you were ten times bolder, what big idea would you recommend? Write your bold idea and first step clearly on the card.

Scoring 1 = huh? 5 = woweee! This is a brilliant idea and I would be willing to get involved and help make this happen

Microstructural Debrief : : Pairs What did you notice about the structure? What was made possible or liberated?

Troika Consulting Get practical and imaginative help from colleagues immediately

Select a challenge or situation that you would like to get imaginative help around.

This will be a chance to tap into the imaginations of your colleagues, so be bold!

What is your challenge? What kind of help do you need?

Get into groups of 3 Everyone thinks of a challenge they’d like help with [1 minute]

In turn each person plays the client while the others act as consultants, so three times: 1. Client explains problem [1 min] 2. Clarifying questions [2 mins] 3. Client turns their back around and listens 4. Consultants discuss problem [4 mins] 5. Client turns around and debriefs [1 min]

Microstructural Debrief : : Pairs What did you notice about the structure? What was made possible or liberated?

1 -2 -4 -all Engage everyone simultaneously in generating questions, ideas and suggestions

What did you notice about liberating structures? What was structured? What was liberated?

1. In silence, think about your own answer [1 minute] 2. Now discuss with your neighbour [2 minutes] a. What’s in common, what’s different? b. Are there any patterns emerging? 3. Now each pair finds another pair and discusses again [4 minutes] 4. Each group in turn, what stood out that the rest of the group needs to hear? [5 minutes]

Matchmaker Select & Sequence LS for a Specific Purpose

Thank you

Liberating Structures Stay in touch Zoe Lord Senior Transformation Lead NHS Horizons @Zoe. Lord 1 Website: http: //www. liberatingstructures. com/ Book: Amazon link here App: Available on i. Phone & Android