Exploring Liberating Structures for Innovative Transformation in Healthcare
Liberating Structures are simple rules that engage everyone in shaping the future, rooted in complexity theory. They promote creativity, adaptability, and anti-fragility by alternating between control and disorder. Discover how healthcare professionals like Zoe Lord and others utilize Liberating Structures for patient safety, project reviews, and culture enhancement.
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Liberating Structures Zoe Lord Senior Transformation Lead NHS Horizons @ZoeLord1 @HorizonsNHS Sept 2018
Liberating Structures Simple rules that includes everyone in shaping the future
You gain from control You gain from disorder Calm things down to promote predictability Stir things up to promote anti-fragility & creative adaptability
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 Ecocycle Planning: with an Executive team which needed the headspace to develop new work Jane Pightling 25/10 Crowdsourcing: for ideas to move staff culture forward (on AHSN away-day) Ursula Clarke
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
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 McCandless 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 McCandless Most photographs by Keith McCandless, others as noted
Liberating Structures Our plan 1. 2. 3. 4. 5. Triz [18m] 25/10 Crowd sourcing [10m] Troika consulting [15m] Debrief 1-2-4-All [5m] Matchmaker [to take away]
TRIZ Stop Counterproductive Activities and Behaviours to Make Space for Innovation (18mins)
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
UsuallyStep 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 3s, 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?
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
