testing the big idea. today’s presentation is brought to you by: david waller bsc mba mbcs ceng...

Testing the Big Idea

Today’s presentation is brought to you by: David Waller BSc MBA MBCS CEng CITP

NHS Benefits AssignmentsElectronic Patient RecordPACS networked storageDiabetes Contact CentreChoose & Book (ERS)ePrescribingSummary Care RecordOutpatient AccessOrder CommsElective CareMental HealthTelecareIMT National HelpdeskAmbulance Service RestructureDiagnosticsLong Term ConditionsTheatre ManagementWorking Time DirectiveChild HealthGP ServicesPalliative CarePayment by Results

Over 250 NHS people introduced to Benefits Management Resources Created

Benefits Management ManualTraining courses from Introduction to Train the TrainerTools and templatesWorked examples300+ Benefits Dependency Network diagrams1Gb library of reference material

NetworkRun NHS Networks BM group (200+ members)Facilitator LGA Knowledge Hub PPM group (1600+ members)Mentor Yorkshire BM Network since 2006

My Job

• Benefits Management is the best application of scarce resources to select and deliver appropriate benefits to identified stakeholders

“It’s not rocket science…”

Idea Test

1. Set the scene 2. Choose to change

3. First filter - test the Hypothesis

4. Turn the Hypothesis into a Goal5. Optimise the value of the Goal

6. Second filter - test the Goal against the benefits

7. Plan to realise the Ends

8. Third filter - test the Benefits against the plan

Start with the end in mind

Why did Nye Bevan create the NHS?

It’s not only what you do, it’s also why you choose to do it

B) Ensure a healthy workforce for the nationalised industries

A) A comprehensive health service designed to secure improvement in the physical and mental health of the people

C) Find his indolent nephew a job

Answer: A (if you didn’t pick A you are not taking this seriously)

Endgame

• The game ends when:

a) You are checkmated, or

b) My King is in g3, my Queen is in c5, etc….

Which Direction?

• Patients• Partnership• Pride• Performance

ENDS (what we

want)

• Clinical Effectiveness• Clinical Efficiency• Start / Stop / Improve Processes

WAYS (what we

do)

• Scheduling• Record to hand• Standard Forms• …

MEANS (what we

have)

STRATEGICTop-down

TACTICALBottom-up

Idea Test

1. Set the scene 2. Choose to change

3. First filter - test the Hypothesis

4. Turn the Hypothesis into a Goal5. Optimise the value of the Goal

6. Second filter - test the Goal against the benefits

7. Plan to realise the Ends

8. Third filter - test the Benefits against the plan

The measurable improvement resulting from an outcome perceived as an advantage by one or more stakeholders, which contributes towards one or more organisational objective(s).

APMG Managing Benefits 2012

A benefit is a result that a stakeholder perceives to be of value.

What is a benefit?

• Improve• Increase• Reduce• Eliminate• Stop

Features, Outcomes and Benefits

• Feature - my car is painted ‘Police Car’ white

• Outcome - people move over for me on the motorway so I get home for 6 pm

• Benefit - I get to watch The Simpsons on TV

Means – what you useWays – what you doEnds – What you want

Benefits Dependency

Picking the right benefits

Tactical benefits – getting the donkey to move

Picking the right benefitsStrategic benefits – a cart full of valuable cargo

Key stakeholders’ benefits

Same project, different intentions

POWER, CONTROL!

LOOT, DRINK!

This is manageable

This is not

Idea Test

1. Set the scene 2. Choose to change

3. First filter - test the Hypothesis

4. Turn the Hypothesis into a Goal5. Optimise the value of the Goal

6. Second filter - test the Goal against the benefits

7. Plan to realise the Ends

8. Third filter - test the Benefits against the plan

Pre-Mortem

A way to assess your risks• Set the scene, “It’s a year from now, we

ran the project and it all went wrong”.• Describe how and why it went wrong• See what you can do now to prevent this

happening.

Original idea by Gary Klein, quoted in Thinking Fast and Slow, Daniel Kahneman

Call to Action

• What’s pushing you to change?• What do you want to achieve?• What must you fix?

• How will you measure your progress?

Yorks BM Network

Two requests• Send your people to the Network• Listen to them when they come back

To join the Network please contact:

Ruth Evans - Teaching Fellow, Yorkshire Centre for Health Informatics R.P.Evans@leeds.ac.uk  

David Waller - Managing Director, Keldale Business Services Ltd david.waller@keldale.com

Benefits Management – why bother?

“What is becoming clear however is that we have found a robust, rational framework for setting objectives, managing projects, shaping communications and defining success that works for us. Furthermore it is an approach which, once mastered, can be applied to almost any key business decision, giving us the benefit of foresight rather than hindsight.”

• Bob Sunley Yorkshire Ambulance Service (HSJ Good Management Oct 07)

David Waller

david.waller@keldale.com

07780 533876

www.keldale.com

www.goalmodelling.com

www.hivemindnetwork.com