Developing & SustainingDeveloping & Sustaining EffectiveTeamsEffectiveTeams

WelcomeWelcome

CroesoCroeso

Developing & Sustaining Developing & Sustaining

Effective Effective Teams Teams

Ian Govier Ian Govier (Facilitator)(Facilitator)

Gwent Women and Children's Services

opportunitynowhereopportunitynowhere

Are we thinking Are we thinking the same the same

thing?thing?

Getting to Getting to know each other know each other

(a little better)(a little better)

• When I was a child I wanted to….When I was a child I wanted to….

• I came into the health service I came into the health service because:because:

• If I wasn’t working in my current If I wasn’t working in my current position, I’d like to:position, I’d like to:

• When I retire, I plan to:When I retire, I plan to:

Workshop Aim:Workshop Aim:WW

to explore how to explore how we can develop we can develop & sustain an & sustain an

Effective Team Effective Team

In terms of In terms of developing & sustaining developing & sustaining

EFFECTIVE TEAMS:EFFECTIVE TEAMS:

what do you want to what do you want to ACHIEVEACHIEVE or or CHANGECHANGE as a result of today? as a result of today?

Seeing the Seeing the Bigger Bigger

PicturePicture

BP

Time for Time for

a a BreakBreak

Healthcare Healthcare

in 2008 in 2008

The The ChallengeChallenge

Permanent White Water Permanent White Water (Vaill, 1996)(Vaill, 1996)

The ConstantsThe Constants

ChangeChange PrinciplesPrinciples ChoiceChoice

(Covey, 2006)

Developing Developing & Sustaining & Sustaining

Effective Effective Teams Teams

- principles- principles

Leadership in the new millennium Leadership in the new millennium has comprehensively come of age. has comprehensively come of age.

Where once leaders were aloof Where once leaders were aloof decision-makers, today they decision-makers, today they

are dedicated collaborators are dedicated collaborators whose role is to whose role is to give power give power

to their to their TEAMTEAM rather than rather than wield power to their own ends. wield power to their own ends.

Leaders on Leadership– an intimate view of life at the top of Europe plcLeaders on Leadership– an intimate view of life at the top of Europe plc

Development Dimensions International (DDI) Research Report, January 2006Development Dimensions International (DDI) Research Report, January 2006

What is What is a team?a team?

A team is more than just a group of A team is more than just a group of individuals who work together. individuals who work together.

A team is a small number of A team is a small number of individuals with complementary skills individuals with complementary skills

committed to a common purpose, committed to a common purpose, common performance goals and common performance goals and

an approach for which they hold an approach for which they hold themselves collectively accountable. themselves collectively accountable.

(2007)

A team is a group of individuals who work A team is a group of individuals who work together to produce products or deliver services together to produce products or deliver services

for which they are mutually accountable. for which they are mutually accountable.

Team members share goals and are Team members share goals and are mutually held accountable for meeting them, mutually held accountable for meeting them,

they are interdependent in their they are interdependent in their accomplishment, and they affect the accomplishment, and they affect the

results through their interactions with results through their interactions with one another. one another.

Because the team is held collectively Because the team is held collectively accountable, the work of integrating accountable, the work of integrating

with one another is included in the with one another is included in the responsibilities of each member.responsibilities of each member.

(Mohrman and Cohen, 1995)

Defend Defend or or Destroy!Destroy!

Team Exercise

TeamsTeams

– when things go wrong!– when things go wrong!

The same 5 common themes The same 5 common themes emerge from each emerge from each

inquiry.inquiry.

Since the inception of the NHS, Since the inception of the NHS, more than 50 NHS public inquiries more than 50 NHS public inquiries have been conducted to address have been conducted to address

catastrophic failures in patient care. catastrophic failures in patient care.

Walshe & Higgins (2002)Walshe & Higgins (2002)

Disempowerment of Disempowerment of staff and patients staff and patients

Disempowerment of Disempowerment of staff and patients staff and patients

IsolationIsolationIsolationIsolation

Poor Poor communicationcommunication

Poor Poor communicationcommunication

Inadequate Inadequate leadership / leadership /

managementmanagement

Inadequate Inadequate leadership / leadership /

managementmanagement

Failure of Failure of systems systems

and and processesprocesses

Failure of Failure of systems systems

and and processesprocesses

The Five The Five Dysfunctions Dysfunctions

of a Teamof a Team(Lencioni, 2002)

Absence of Absence of TRUSTTRUST

Fear of Fear of CONFLICTCONFLICT

Lack of Lack of COMMITMENTCOMMITMENT

Avoidance of Avoidance of ACCOUNTABILITYACCOUNTABILITY

Inattention to Inattention to RESULTSRESULTS

The Five The Five ‘Functions’ ‘Functions’ of a Teamof a Team

(Lencioni, 2002)

Evidence of Evidence of TRUSTTRUST

Acceptance ofAcceptance ofCONFLICTCONFLICT

IncreasedIncreasedCOMMITMENTCOMMITMENT

Clear Clear ACCOUNTABILITYACCOUNTABILITY

Attention to Attention to RESULTSRESULTS

An exercise in An exercise in

TrustTrust

Lunch Lunch TimeTime

         

            

What are some of the What are some of the

characteristics of an characteristics of an EFFECTIVE EFFECTIVE

TEAMTEAM??

Group Work

In health care terms, In health care terms, what difference what difference does does

effective team working effective team working really make?really make?

Teams possessing the followingTeams possessing the followingcharacteristics are more effective characteristics are more effective

in delivering high quality care: in delivering high quality care:

• clarity of team objectivesclarity of team objectives

• high levels of participation high levels of participation from all team membersfrom all team members

• high emphasis on qualityhigh emphasis on quality

• high support for innovationhigh support for innovationHealth Care Team Effectiveness Project (Borrill and West ,2002)

Borrill & West (2002) also found that:

individuals who worked in well functioning or effective teams had lower levels of

stress and better mental health.

Their research demonstrated a significant relationship between the percentage of staff working in teams and patient mortality.

Where more people work in teams, the death

rate among patients is significantly lower. There is much to be gained by enhancing

team functioning and effectiveness!

Time Time for for a Breaka Break

It Takes It Takes a Team a Team

Coming together is a beginningComing together is a beginning

Keeping together is progressKeeping together is progress

Working together is successWorking together is success

John C. Maxwell

                                                                                                        

Let’s Let’s Nail It!Nail It!

Team Exercise

What are the What are the underpinning underpinning

Values & Values & PrinciplesPrinciples

that exist in our team? that exist in our team?

WofL

EFFECTIVE EFFECTIVE TEAMS TEAMS - a ‘vehicle’ for - a ‘vehicle’ for service delivery service delivery and improving and improving

patient care patient care

Where are we with our Where are we with our team at the moment?team at the moment?

Choosing Choosing our ‘team’ our ‘team’

vehiclevehicle

What vehicle represents our team, & why?What vehicle represents our team, & why?

Is it a +ve or -ve image?Is it a +ve or -ve image?

How do you think others perceive you and How do you think others perceive you and your team in terms of your vehicle?your team in terms of your vehicle?

Who drives this vehicle? Who drives this vehicle?

Who else sits in this vehicle?Who else sits in this vehicle?

Do you want to change your vehicle?Do you want to change your vehicle?

Do you change position? How comfortable are you?Do you change position? How comfortable are you?

Real teams do not develop Real teams do not develop until the people in them work until the people in them work hard to overcome the barriers hard to overcome the barriers

of collective performance. of collective performance.

Overcoming barriers to Overcoming barriers to performance is how performance is how

groups become teams.groups become teams.Katzenbach (1993)

‘‘Number Number Cruncher’Cruncher’

Team Exercise

““That which we persist in That which we persist in doing becomes easier -doing becomes easier -

- not that the nature of the - not that the nature of the task has changed, but our task has changed, but our

ability to do has increased.”ability to do has increased.”

Ralph Waldo Emerson

Final Final

ThoughtsThoughts

The ConstantsThe Constants

ChangeChange PrinciplesPrinciples ChoiceChoice

(Covey, 2006)

If we always do If we always do what we’ve what we’ve

always done… always done…

……we’ll always we’ll always get what we’ve get what we’ve

always got!always got!

Everyone thinks Everyone thinks of changing the of changing the

world, but no world, but no one thinks of one thinks of

changing changing themselves.themselves.

Leo TolstoyLeo Tolstoy

What am I What am I (are we)(are we)

going to going to dodo differently differently

after today?after today?

The The ‘Trim Tab’‘Trim Tab’ effect effect

‘‘Trim Tab’Trim Tab’

HMS GwentHMS Gwent

Be a TRIM TABBER!Be a TRIM TABBER!

The world is moved along, not only The world is moved along, not only by the mighty shoves of its heroes, by the mighty shoves of its heroes, but also by the aggregate of tiny but also by the aggregate of tiny

pushes of each honest worker. pushes of each honest worker. Helen Keller

and and finally…finally…

……I’ll probably I’ll probably

do nothing about it!do nothing about it!

If I do nothing If I do nothing about it in 24 hours… about it in 24 hours…

Thank YouThank You

DiolchDiolchWebsite: www.ctrtraining.co.ukWebsite: www.ctrtraining.co.uk

http://www.ctrtraining.co.uk/resources.phphttp://www.ctrtraining.co.uk/resources.php