Liberating Structures Zoe Lord Senior Transformation Lead NHS Horizons @ZoeLord1 @HorizonsNHS Sept 2018

What are Liberating Structures?

Simple rules that includes everyone in shaping the future Liberating Structures Simple rules that includes everyone in shaping the future Use the increase/decrease list level buttons on the Home/Paragraph tab to toggle between the predefined font styles This will ensure consistency in font size, spacing and bullet styles.

Rooted in complexity theory

You gain from control You gain from disorder Calm things down to promote predictability You gain from disorder Stir things up to promote anti-fragility & creative adaptability Option: You gain from Confusiasm Only those who risk going too far can possibly know how far one can actually go. T.S. Eliot

How did I get interested in them?

Where and when do I use them?

How are other Qs using them?

How Q members are using LS… 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)

How Q members are using LS… Liberating Structures How Q members are using LS… 25/10 Crowdsourcing: for ideas to move staff culture forward (on AHSN away-day) – Ursula Clarke Ecocycle Planning: with an Executive team which needed the headspace to develop new work – Jane Pightling

Using more than one LS in a string… 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

Using more than one LS in a string… 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

How are other Qs using them?

Attributes

Attributes of Liberating Structures

Attributes of Liberating Structures Expert-less requires only a few minutes to introduce; novices can succeed after a first experience

Attributes of Liberating Structures Expert-less Results-focused Rapid cycling fast iterative rounds are very productive

Attributes of Liberating Structures Expert-less Results-focused Rapid cycling Seriously fun Inclusive Multi-scale works for everyday solutions, projects, strategy, movements

Attributes of Liberating Structures Expert-less Results-focused Rapid cycling Seriously fun Inclusive Multi-scale Self-spreading simple to copy without formal training

Attributes of Liberating Structures Expert-less Results-focused Rapid cycling Seriously fun Inclusive Multi-scale Self-spreading Modular the parts can be combined & recombined endlessly

LIBERATING STRUCTURES CO-DEVELOPERS Henri Lipmanowicz Keith McCandless Who seems more serious and more playful? LIBERATING STRUCTURES CO-DEVELOPERS

You can use ‘em, you can share ‘em, but you can’t sell ‘em 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

Today: Liberating Structures taster

Our plan Triz [18m] 25/10 Crowd sourcing [10m] Troika consulting [15m] Liberating Structures Our plan 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 Zoe implemented/used

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 Zoe

Usually…Step 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 Zoe

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] What first steps will help you stop what you know creates undesirable results? What action would you take or would you recommend an organisation to do stop the behaviours on your list.

Can the action step be more specific? Could the person be bolder? 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? What first steps will help you stop what you know creates undesirable results? What action would you take or would you recommend an organisation to do stop the behaviours on your list.

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? Invite participants to reflect on the consulting question (the challenge and the help needed) they plan to ask when they are the clients. 1 min. Groups have first client share his or her question. 1-2 min. Consultants ask the client clarifying questions. 1-2 min. Client turns around with his or her back facing the consultants Together, the consultants generate ideas, suggestions, coaching advice. 4-5 min. Client turns around and shares what was most valuable about the experience. 1-2 min. Groups switch to next person and repeat steps.

What would you love the Q Community to do next?

If you were ten times bolder, what big idea would you recommend? Write your bold idea and first step clearly on the card. Invite participants to reflect on the consulting question (the challenge and the help needed) they plan to ask when they are the clients. 1 min. Groups have first client share his or her question. 1-2 min. Consultants ask the client clarifying questions. 1-2 min. Client turns around with his or her back facing the consultants Together, the consultants generate ideas, suggestions, coaching advice. 4-5 min. Client turns around and shares what was most valuable about the experience. 1-2 min. Groups switch to next person and repeat steps.

Scoring 1 = huh? 5 = woweee! This is a brilliant idea and I would be willing to get involved and help make this happen Invite participants to reflect on the consulting question (the challenge and the help needed) they plan to ask when they are the clients. 1 min. Groups have first client share his or her question. 1-2 min. Consultants ask the client clarifying questions. 1-2 min. Client turns around with his or her back facing the consultants Together, the consultants generate ideas, suggestions, coaching advice. 4-5 min. Client turns around and shares what was most valuable about the experience. 1-2 min. Groups switch to next person and repeat steps.

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 kind of help do you need? What is your challenge? What kind of help do you need? Invite participants to reflect on the consulting question (the challenge and the help needed) they plan to ask when they are the clients. 1 min. Groups have first client share his or her question. 1-2 min. Consultants ask the client clarifying questions. 1-2 min. Client turns around with his or her back facing the consultants Together, the consultants generate ideas, suggestions, coaching advice. 4-5 min. Client turns around and shares what was most valuable about the experience. 1-2 min. Groups switch to next person and repeat steps.

Everyone thinks of a challenge they’d like help with [1 minute] Get into groups of 3 Everyone thinks of a challenge they’d like help with [1 minute] Invite participants to reflect on the consulting question (the challenge and the help needed) they plan to ask when they are the clients. 1 min. Groups have first client share his or her question. 1-2 min. Consultants ask the client clarifying questions. 1-2 min. Client turns around with his or her back facing the consultants Together, the consultants generate ideas, suggestions, coaching advice. 4-5 min. Client turns around and shares what was most valuable about the experience. 1-2 min. Groups switch to next person and repeat steps.

Client explains problem [1 min] Clarifying questions [2 mins] In turn each person plays the client while the others act as consultants, so three times: Client explains problem [1 min] Clarifying questions [2 mins] Client turns their back around and listens Consultants discuss problem [4 mins] Client turns around and debriefs [1 min] Invite participants to reflect on the consulting question (the challenge and the help needed) they plan to ask when they are the clients. 1 min. Groups have first client share his or her question. 1-2 min. Consultants ask the client clarifying questions. 1-2 min. Client turns around with his or her back facing the consultants Together, the consultants generate ideas, suggestions, coaching advice. 4-5 min. Client turns around and shares what was most valuable about the experience. 1-2 min. Groups switch to next person and repeat steps.

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? Alone, then in pairs Limited public sharing, no recording

In silence, think about your own answer [1 minute] Now discuss with your neighbour [2 minutes] What’s in common, what’s different? Are there any patterns emerging? Now each pair finds another pair and discusses again [4 minutes] Each group in turn, what stood out that the rest of the group needs to hear? [5 minutes] Alone, then in pairs Limited public sharing, no recording

Matchmaker Select & Sequence LS for a Specific Purpose

Senior Transformation Lead NHS Horizons @ZoeLord1 Liberating Structures Zoe Lord Senior Transformation Lead NHS Horizons @ZoeLord1 Website: http://www.liberatingstructures.com/ Book: Amazon link here App: Available on iPhone & Android