Big Do OD

Roadmap for action

September 2016

Three

We are Do OD

Our goal is to help the NHS deliver the safest, highest quality care to patients by enabling people to transform systems.

Our work is underpinned by principles of Co-production, Curiosity, Creativity & Courage.

Only got a minute? Here’s the headlines!

We had three conversations with our NHS OD community on our three big topics. There were some pertinent messages, often consistent across all three conversations. •  Connecting across the system is a key requirement for OD practice, and we can also mirror that by connecting the

community to our partners in ALBs working on improvement and development activities. •  Our roles are complex and can sometimes feel overwhelming. Mining the rich field of OD theory and the behavioural science evidence base can help to improve our practice and maximise our impact. •  Maintaining and increasing the pace of change is important and so are opportunities to pause and reflect. Without both we risk burn out or paralysis. •  Sharing OD success stories is powerful and we could be doing more of that as well as looking at our collective learning

across the OD community.

Actions to take forward include… 1.  A national Do OD event in November focusing on OD, STPs, Complexity. 2.  Bringing a group together to steer the ‘Role of OD in the NHS’ inquiry 3.  Testing a new set of principles for OD Development, Learning & Education 4.  Building a resource to help navigate the range of Culture Change tools available 5.  Working on the concept of “Place Based OD” and how OD theory could help 6.  Training a second cohort of OD Virtual Mentors in collaboration with regional LDP OD Networks 7.  Connecting with clinicians and managers to identify OD skills & tools that could be diffused across roles. 8.  Identifying what “Strategic OD” means and how to shape impactful OD strategies. 9.  Building an “OD Essentials” resource for the community, including Organisational Design. 10.  Looking into models of OD Supervision and testing out practical options 11.  A national Do OD event in the spring focusing on People Transforming Systems 12.  OD in the NHS V next summer – opening the doors to partners in the health & social care system and beyond.

September2016Hieveryone,We’dliketothankthosewhotookpartinourrecentcommunityconversa9ons.Thesetookplaceviawebinar,crea9ngaspaceforthinkingandplanning.Werantheconversa9onthree9mes,oneforeachofour‘bigthree’areas.Thisdocumentsummarisesthethemesandoutcomesfromtheconversa9ons,se@ngoutaroadmapforthenextsixmonthsofDoOD(andbeyond).Asalways,weworkusingprinciplesofco-crea9on,curiosity,crea9vityandcouragesowefeelpar9cularlyexcitedaboutwhatmightemergefromthisnextphaseofourworktogether.Connec9ngacrosssystemsisakeyelementofODprac9ceandwearekeentokeeprolemodelingthatbehaviour.DoODisafantas9cpartnershipbetweenNHSEandLeadershipAcademyandwe’redelightedtocon9nueworkingincollabora9onwiththeregionalLDPsandODNetworksaswellasotherpartnersinthesystemsuchasNHSI,HEE&NHSEEngland.Wehavebuiltgoodconnec9onswithpartnersoutsidetheNHSlikeCIPD&ODNwhichwewillcon9nuetostrengthen.Ourworkisonlysuccessfulbecauseoftheinvolvementofyou,ouramazingODcolleaguesintheNHS.We’rereallylookingforwardtoworkingtogetherontheseexci9ngnewprojects.We’dlovetohearyourthoughtsonthedocumentandideas.Emailusatdo.od@nhsemployers.orgSeeyousoon!Paul&Karen

Pu@ngtheoryintoprac9ceWeraneachofourthreecommunityconversa9onsinthespiritofDialogicOD.Par9cipantsself-selectedwhichsessiontobepartof,andweusedgenera9veques9onsthroughoutthediscussions.SomeweretakenfromNancySouthern’s“FramingInquiry”chapterinDialogicOrganiza9onDevelopment(Eds:Bushe&Marshak,2015)includingthisfantas9cques9onthatkickedoffeachsession:“Whatconversa-onscanwestarttodaythatwillcreateagroundswellofexcitement,newthinkingandnewpossibili-esforac-on?”

Ourconversa9onsbeganwithanacknowledgementofourchangingcontextandtheBackdropagainstwhichwearedoingOD.TheForwardViewhasclearaimsofnarrowingthegapsbetweenhealth&wellbeing,care&qualityandfunding&efficiency.HowcouldourworkinODcontributetothosegoals?WealsodiscussedthefluidsystemarchitectureofSTPsandVanguardscrea9ngnewrela9onshipsacrosssystems.Allofthisworkcon9nuestobeunderimmensepublicandmediascru9ny.

Sowhat’sourcontribu7on?

ThesearetheBigThree

1 2 3

1.Workingincomplexcontexts•  Whatdoes‘placebased’ODlooklike?•  Howcantheprac9ceofODcontributetoefficiencyandproduc9vity

challenges?•  Howdoweshapehealthyandsafecultures?2.Peopletransformingsystems•  CanwedesignanddeliverODstrategieswithimpact?•  What’stheroleofODinthecurrentandfutureNHS?3.Buildingcapacityandcapability•  Whathelpdoweneedsowecanbemorereflexiveprac99oners?•  HowcanwediffuseODcapabilityacrosscliniciansandmanagers?•  WhataretheODessen9alsweneedtodemonstrateourvalue?

Wefocusedontheselinesofinquiry

1.WorkingincomplexcontextsColleaguessharedtheirstoriesofworkinginemergingand

complexcontextsincludingSTPfootprints,Vanguards.organisa9onalmergersandacquisi9ons.Weno9cedthatthere’sarangeoflevelsofODinvolvementintheseneworganisa9onalformswithsomethereatthebeginningandotherswithminimalcontactsofar.Keyissuesraised:workingacrossboundaries;rela9onships;powerdynamics;purpose;workingatpace;preoccupa9onwithstructuralchange;TherewasdiscussionabouthowODtheory(Dialogic/Complexity/TheoryU/Humansystemdynamics/Apprecia9veInquiry)couldbeusedinprac9cetosupportourworkinthesenewcontexts.

2.PeopleTransformingSystemsWebeganwithanacknowledgementthattheappe9teforODishuge

andthere’sanopportunityforustoreallymakeadifference.However,wemightneedtostopdoingsomeofmoretransac9onalstuffwedoinordertomakespaceforthestrategicandtransforma9onalwork.Weno9cedthatthere’sabroadspectrumofODroles,withliileConsistencyacrossthesystem.SomearefindingithardtorecruitTalentedapplicants.Othersarecrea9ngnewtypesofroleslikeAssistantODPrac99oners.Wediscusseddifferentmodels(consultant;prac99oner;businesspartner;manager)andwhetherthey’rewellunderstood.PeoplecoulddowithhelponmakingODmorestrategicaswellascrea9ngODstrategiesatdifferentlevelsofthesystem.Keyissuesraised:workingatsystemlevel;buildingrela9onships;whereareweposi9oningourselves?workingwithambiguity;mo9va9ontodoOD;developingcapability;increasingcapacity;modelsofOD–longtermcondi9onsmodel;strategy;metrics;ROI.

3.BuildingCapacity&CapabilityTheconversa9onstartedwithreflec9onsontheamountofgoodworkalreadydoneonODcapability.WhatdoesODneedtolookinforthefutureshouldshapehowwedevelopourselves.TheDoODCapabilityModelisavailableforself-assessment.ThenewODNGlobalPrac9ceFrameworkiscominginOctober.Weno9cedthatwecansome9mesbeeverythingtoeveryoneandhowimportantitistoclarifyourrolesandskills.Wewanttoaddvaluewhichinvolvesbeingabletomeasureourimpact.SomefindingithardtorecruitgoodODprac99oners.Importanceofgrowingourown.Keyissuesraised:whataretheessen9althingsweneedasprac99oners;sharingprac9ceisreallyhelpful;wheredonewtothefieldpeoplelookforhelp;managers,HRprofessionals,L&Dprac99onersandclinicianscoulddevelopODskillsandincreasecapacity;protec9ngoursafespacetostaysharp.

Roadmap of actvity

ComplexContextsTransformingSystems Capacity&Capability

SeptemberOctoberNovemberDecemberJanuaryFebruaryMarchAprilBeyond

Taskgroup:RoleofODInquiry

Na9onalevent:ComplexContexts

Na9onalevent:PeopleTransforming

Systems

Taskgroup:PlaceBasedOD

Taskgroup:OD&Strategy

Taskgroup:ODEssen9als

Taskgroup:PrinciplesofODDevelopment

Virtualmentoring:Cohotrt2

ODSupervision

Taskgroup:DiffusingCapabilityacrossotherprofessions

Na9onalevent:ODintheNHSV

Taskgroup:CultureChangeNavigator

PrinciplesofODprac99onerDevelopment,Learning&Educa9on:tobetested

Knowingourprofession

Buildingourcapability

Demonstra9ngourcompetence

DevelopingourreflexivityEvidencingour

impact

SharingourExperience&skills

DoODcapabilitymodel

Ac9onlearning

ODNGlobalPrac9ceFramework

ClaimingCompetenceMentoring

Developmentcentres

Reflec9vejournalProfessionalporoolio

ODsupervision

VirtualMentoring

Books&JournalsCourses&Qualifica9ons

Professionalmembership Conferences&

Workshops

Publishingar9cles

CaseStudies

Blogging

Twee9ng

ODNetworks

Ac9onResearchCoaching

DoODprojects

Pu@ngtheoryintoprac9ce

ODEssen9als

PeopleTransforming

Systems

Stay connected

www.nhsemployers.org/OD LinkedIn: NHS Organisational Development Do.OD@nhsemployers.org @NHSE_DoOD