OK, so we were a little lazy this week. We arrived at yesterday’s session with several of us feeling under the weather and most with our lunchtime sandwiches in hand. Rather than dragging everyone down to business, we allowed some lunchtime conversation to flow, and flow and flow. It was a good conversation, largely focussed on systemic views of the health service both locally and nationally. It was too sprawling and free flowing to make much of a blog post from though, so I won’t even try to do so.
So, we had a little bit of a lull in terms of both our sessions and this blog. Apologies if you came looking forward to your weekly update.
Don’t worry though, it’s only a sort of a lull. In fact, there is lots of tip-top stuff going on and winging its way to the blog soon. Our good friend and regular commenter/contributor Julian Johnson and I have exchanged a few emails recently. He has been illuminating the similarities and differences between Rich Pictures and Systemigrams and how the Systemigram we produced of the canteen is actually more a standard “Information Model” than a true Systemigram. We’ll work this up into a blog post. It’ll be a good one. Julian’s insights and contributions are always super helpful.
Secondly, I had a bit of an insight of my own this week when thinking about how one would put a strategy together for major service transformations. I think I’ve come up with a practical approach for highly complex, uncertain and ambiguous environments (i.e. NHS at the moment), where top down reorganisations are the default, but often unhelpful, preference. It combines the good stuff Jean Boulton has to say about a “complexity view” of strategy, Charles Lindblom had to say about “Muddling Through” and the “Last Responsible Moment” approach to making design decisions in large complex technical projects, such as the Heathrow T5 build where I learned about it. It may not be an original idea, but then again it just might be. It’ll take me a couple of weeks to develop and write up my thoughts, but I think it’s going to be an interesting and hopefully useful approach and I look forward to sounding you out.
Enjoy the weekend,