Making a difference WORKSHOP 2

• Introduction and welcome to our new Action Researchers

• A Reminder of our agreed ways of working together that support the values of Compassionate, Collaborative, Accountable and Inclusive.

• Purpose of the day and agenda – The Action Learning Cycle of PLAN, ACT, OBSERVE, REFLECT informs the work we do together and when apart.

• The Set Up Event was all about the PLAN and this workshop is about bringing in the results of our ACTIONS of gathering stories of best practice of integrated working across the system. We are going to share our OBSERVATIONS from immersing ourselves in the stories and we are going to then REFLECT on those so that we might PLAN to continue our Action Research in a more focussed way as we leave today.

Phase I - Immersion in the stories was achieved through working in small groups and watching a video, listening to an audio tape, sharing through story telling circles, and reading records of discussions and some editorial of great practice. Everyone spent the morning moving around the different tables to access all of these stories.

PHASE II REFLECT - Responding to our observations on those stories through a Café exercise where thoughts were captured on the various tablecloths. The questions asked were:

Q 1. What did you notice about the behaviours and feelings that emerged from the stories?

  • Celebrating success and giving feedback
  • MDT work with the right people making themselves available when needed

Availability, Accessibility, no barriers

  • Passion, Shared vision – all singing from the same hymn-sheet
  • Praise, recognition
  • Initiative, Creativity
  • Going the extra mile
  • A medical to a problem solving mind-set

Q 2. What made for effective relationships in integrated working?

• Shared aims and values

• Understanding each others roles

• Effective multidisciplinary meetings with good communication

• Getting to know your partners

• Person-centred

• Commitment to shared work

• Personalisation of referrals to particular agencies: face to face, no forms

• DOS- knowledge, effectiveness, seamless, quality

• Professional support with multi-disciplinary working

Q3. What are the conditions for great integrated working?

• Understanding each others roles

• A history/timeline of the relationship gives understanding

• Good relationships: know each others names, face to face not faceless

• Understanding their context – our colleagues

• Hard to say know to someone you know

• Individuals create their own conditions – not necessarily direction from managers

• Patience, perseverance

• Management support

• Knowing each other

• Support and protection to enable people to integrate

PHASE III – REFLECT AND PLAN The next session was working in pairs, walking about the room and sharing thinking on what this might all mean to us as Action Researchers as we go back out into the system? What worked well? What might we need to do differently, What might we need to do more of?

PHASE IV – PLAN Making sense in the whole group through a discussion in a large circle. Developing our shared thinking and refining our focus, our questions and our reach. Change our focus from integrated TEAM working to integrated working as sometimes this working is virtual or a series of linear connections and conversations – a pathway.

QUESTIONS to be asking our colleagues and ourselves:

• Is there something extra in the relationships beyond all that we have captured that enables best practice in integrated working?

• Is there a common attitude, or something about how trust is created?

• Is a shared person-centred vision worth exploring further?

• Very importantly, how do we support some of those amazing change agents? Those that are great connectors, networkers, the fully engaged?

• How might we get managers involved without diluting the focus of this work on those who are actually doing it? How do we include others in these conversations?

• What are the mechanisms for feedback for learning in the system and for recognition and for valuing and saying Thank You?

• Who are the key strategic players for enabling this work to continue and become embedded (invite them to workshop 3)

• How do we embed the learning from this AR we are doing?

• We do not want this to be just another initiative amongst so many but something that lasts?

• How do we make this sustainable?

• How do we keep morale going?

• How do we build on relationships?

• What makes for better management of integrated working?

• What makes for better management of integrated working? How do we move from exceptional cases to a more inclusive collective powerful way of working?

PHASE V – ACTION Everyone made individual commitments to ACTION and these were captured on post-its and collated on a Flipchart

Next steps... WORKSHOP 3 - PLAN

  • There was a brief discussion about Workshop 3. A suggestion that we might film parts of it
  • Invite in those strategic players and get them involved and committed
  • How can they support this work so that it is shared and embedded?
  • Capture best practice on the THT website
  • Document what works well

Report Abuse

If you feel that this video content violates the Adobe Terms of Use, you may report this content by filling out this quick form.

To report a Copyright Violation, please follow Section 17 in the Terms of Use.