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The past is an increasingly unreliable guide to the future
Globalisation
Demographics
Productivity
Employment
Working life
Climate Change
Technology
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Beyond the fragments
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Workplace Partnership Shared leadership
Employee voice Openness & transparency
Shared Learning, Reflection & Improvement
Continuous improvement Participative innovation
Collaborative change
Structures & Systems Enabling structure
Developmental appraisal Trust-based procedures
Work Organisation Empowering jobs
Self-organised teams Devolved decisions
ENHANCED INNOVATION,
PERFORMANCE & WORKING LIFE
THE FIFTH ELEMENT
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Work Organisation Empowering jobs
Self-organised teams Devolved decisions
Job Design
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Work Organisation Empowering jobs
Self-organised teams Devolved decisions
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Structures & Systems Enabling structure
Developmental appraisal Trust-based procedures
Work Organisation Empowering jobs
Self-organised teams Devolved decisions
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Breaking down barriers
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Structures & Systems Enabling structure
Developmental appraisal Trust-based procedures
Work Organisation Empowering jobs
Self-organised teams Devolved decisions
Shared Learning, Reflection & Improvement
Continuous improvement Participative innovation
Collaborative change
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Co-created innovation
Facilitators and
Guerrillas
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Workplace Partnership Shared leadership
Employee voice Openness & transparency
Structures & Systems Enabling structure
Developmental appraisal Trust-based procedures
Work Organisation Empowering jobs
Self-organised teams Devolved decisions
Shared Learning, Reflection & Improvement
Continuous improvement Participative innovation
Collaborative change
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MANAGEMENT-UNION PARTNERSHIP
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MANAGEMENT-UNION PARTNERSHIP
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Co-created leadership . . .
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Workplace Partnership Shared leadership
Employee voice Openness & transparency
Shared Learning, Reflection & Improvement
Continuous improvement Participative innovation
Collaborative change
Structures & Systems Enabling structure
Developmental appraisal Trust-based procedures
Work Organisation Empowering jobs
Self-organised teams Devolved decisions
ENHANCED INNOVATION,
PERFORMANCE & WORKING LIFE
THE FIFTH ELEMENT
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So if it works . . .
. . . why isn’t everyone doing it?
The long tail
Companies adopting workplace innovation
practices systematically
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Workplace Partnership
Structures & Systems
Work Organisation
Shared Learning, Reflection &
Improvement
DISTANCE DENIAL OF
OPPORTUNITY
MOBILISATION OF BIAS
DISENGAGEMENT
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Keeping control
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Workplace Partnership
Shared Learning, Reflection &
Improvement
Structures & Systems
Work Organisation
ENHANCED INNOVATION,
PERFORMANCE & WORKING LIFE
THE FIFTH ELEMENT
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THE FIFTH ELEMENT
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Case Study
• Maternity service on two hospital sites
• 350 clinical and support staff including midwives, obstetric doctors and consultants, and midwifery support workers
• Patchy relationships between doctors and other professionals
• Highest Caesarian Section rate in Europe
• High risk: fear of raising concerns and poor communication
THE FIFTH ELEMENT
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THE FIFTH ELEMENT
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Few multidisciplinary spaces for dialogue
Senior midwives lacked team leadership skills
Lack of co-operative working at the frontline
Work Organisation
THE FIFTH ELEMENT
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Procedures reflect low trust
Strong vertical and horizontal boundaries
Blame culture
Structures & Systems
THE FIFTH ELEMENT
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Focus on ‘the way it’s always been done’
Staff suggestions seen as criticism
Caesarian rate seen as ‘the elephant in the room’
Shared Learning, Reflection &
Improvement
THE FIFTH ELEMENT
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Board / senior management remote from frontline
Frontline staff not represented in strategic or clinical policy decisions
Dysfunctional relations between consultants and management
Workplace Partnership
THE FIFTH ELEMENT
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What could be done?
THE FIFTH ELEMENT
From “consultation” to collaborative decision-making
Reflection and improvement as part of the day job
More coaching, less regulation
Real multidisciplinary teamworking
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WOMAN
Multi Disciplinary Teamworking in Maternity
Staff Voice
Risk
Reporting
Feedback
Shared Learning, Reflection &
Improvement
Quality improvement
Cost effectiveness
Staff engagement
Multi Disciplinary Meetings
Quality
Managing risk
Problem solving
Coaching Culture & Co-operative
Working
Quality
Safety
Working life
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Work Organisation Empowering jobs
Self-organised teams Devolved decisions
Workplace Partnership Shared leadership
Employee voice Openness & transparency
Shared Learning, Reflection & Improvement
Continuous improvement Participative innovation
Collaborative change
Structures & Systems Enabling structure
Developmental appraisal Trust-based procedures
ENHANCED INNOVATION,
PERFORMANCE & WORKING LIFE
THE FIFTH ELEMENT
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Combine strategic insight and tacit knowledge
Trust your workforce with openness and transparency
Champion the force of the better argument
Build inclusive vision and values
Workplace Partnership
THE FIFTH ELEMENT
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Break down silos, enhance productivity & innovation
Managing performance through coaching
Design procedures based on trust, not control
Structures & Systems
THE FIFTH ELEMENT
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Shared Learning, Reflection &
Improvement
Make productive reflection and improvement part of the day job
Create a guerrilla movement
Bring unusual combinations of people together
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Job design maximises use & development of skills
Self-organisation enhances health & performance
Real teams build skills, versatility & well-being
Work Organisation
THE FIFTH ELEMENT
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THE FIFTH ELEMENT
An organisation-wide culture based on openness, trust, dialogue
and productive reflection.
A culture in which leaders believe that the better argument should prevail, not matter who makes it.
A workplace in which people at all levels use their full range of skill,
knowledge, experience and creativity to perform functional
tasks in the best possible way and to improve the business.
ENHANCED INNOVATION,
PERFORMANCE & WORKING LIFE