Tag Archives: risk

Podcast Episode 052: Transformation

TheStrengthsRevolution_albumart_2-2We shouldn’t be happy just being critics; do so with constructive responses, so you are always being helpful in your role of criticising others. I have been a critic of the management culture in general in recent episodes of this show, but also need to stand up and be counted in my response alongside my criticism.

I have chosen a process of transformation of my own recent work, particularly positive risk-taking and risk decision-making, to align it more with the needs of more senior managers and business leaders. These are people who are continually making high risk decisions, but in my experience in health and social care they commission me to work with their practitioners and teams, but don’t take part in any of the work. It is my intention to refocus my work through the EPIC Program of online marketing and coaching, into a transformation statement directed to my new ideal client avatar through a new webinar that can lead some people through strategy sessions into my signature programme.

It is my intention to offer a high degree of transformation for senior people experiencing difficulties or fears in relation to their decision-making. Michelle Mone is a lingerie tycoon who has recently publicly spoken about her daily fears about these decisions, despite being a very successful entrepreneur, so Michelle helps me to identify the type of people I would ideally want to be working with.

Steve realised he misread the idea of a Google Hangout when nobody turned up to the venue he booked!
Steve realised he misread the idea of a Google Hangout when nobody turned up to the venue he booked!

For the full content of this episode click on the links to iTunes and Sound Cloud (or go to Stitcher Radio):

https://itunes.apple.com/gb/podcast/strengths-revolution-steve/id867043694

https://itunes.apple.com/gb/podcast/052-transformation/id867043694?i=338824801&mt=2

“Advice is what we ask for when we already know the answer but wish we didn’t.” [Erica Jong].

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Playing with numbers

I am often mindful of the need to criticize the quality of leadership and management in health and social care services; particularly the obsession with numbers, the tick-box mentality, and the blind faith placed in targets for driving change and daily practice across services. I am surely not a lone voice in this critique, but is it valid or just a reaction against the sound of the pips squeaking?

I do believe that an absence of targets or defined outcomes, and a failure to establish high standards for provision of services only leads to inconsistencies between practitioners and teams… what is often referred to as a postcode lottery. Service users don’t deserve to be on the receiving end of either stressed out practitioners fearful of constant criticism, or laid-back practitioners doing their own thing. Audit and regulation have a place, but surely they need to be clearly joined up to practice, not existing in a vacuum somewhat disconnected from the realities within which good practice has to operate.

The ever-growing chasm between person-centred practice and business-focused managerialism does little to promote a culture of organizational collaboration that may encourage a more engaging form of audit and regulation across services. My solution would be to eliminate most of the current audit requirements imposed on practitioners and teams, particularly that which they experience as wholly time-consuming and unhelpful. So far so good, say the practitioners amongst you; please do share your thoughts, but read on before you do…

Over the last 12 years, through the Practice Based Evidence initiative, I have been developing tools designed specifically for use by practitioners and teams. These tools have flexible uses: personal reflection, individual supervision, team development and team evaluation. Used diligently they should be able to provide a host of qualitative and quantitative data, which in turn should offer useful feedback to practitioners and teams for practice development purposes.

Updated Risk Resource (2013)
Updated Risk Resource (2013)

The Risk Decision-Making publication includes examples of these tools, and a specific example of data emerging from their use in a specific organization to help identify good practice and priorities for further development.

So, the sting in this tail is that practitioners and teams need to own the processes of audit and regulation if they are to reflect and develop good practice. For those auditors and managers fearful of losing their jobs if Practice Based Evidence emerged as the norm, you could always make use of the data to tick your boxes; better still, you could prioritise your time more effectively by getting in and alongside practitioners and teams to support a quality revolution. You might then be in a stronger position to challenge and inform the thinking of the inter-galactic warlords from distant planets a.k.a. commissioners, Department of Health, Care Quality Commission.

Do what you say on your tin

Canadian Falls 3Are you taking the risk? It is something we all do, but why do we confuse and complicate it by our lackadaisical use of language? We take risks in order to gain something for ourselves, and occasionally others. We weigh up the options available to us, and make a decision based on what we compute to be the most beneficial course of action. It is called positive risk-taking not because we are trying to find a ‘positive risk’ (whatever that is), but because we are taking the risk in order to achieve a positive outcome (the gain or benefit). So, the word positive is about the outcome not about the risk! I am also not talking about ‘positive risk management’, which sounds too general and like unnecessary window-dressing of a process more often seen as negative or risk-averse. The word positive is being added to risk-taking, in my context, in order to bring some clarity and specific detail to your thinking.

We revere risk-takers in the worlds of sport, entertainment and business, tending to attribute degrees of awe to their decision-making and achievements. Do you think Ayrton Senna planned his route, speed and overtaking manoeuvres around the race-track because he thought the risk would be nice? Does Warren Buffett make his financial decisions based on a spin of his favourite coin? It is more than likely that both of these people employed complex ways of weighing up the pros and cons of choices facing them, sometimes with careful thought and consideration, and sometimes distilling a lifetime of experience into a split second. So do we, in our own personal circumstances.

Risk Decision-MakingSo, next time you are leaning on a bar deciding whether to have that extra Babycham, remember that positive risk-taking is weighing up the pros and cons of your particular set of circumstances at that time. Whereas the positive risk is simply the chance that they might taste better the more you have; and the positive risk management is the hope that those around you will help you home instead of tying you to a lamp-post at the end of the night. These concepts mean different things, so be clear when you use language, only positive risk-taking is thoughtful and considered. But… what do you think?

http://www.pavpub.com/risk-decision-making/

“Words are how people think. When you misuse words, you diminish your ability to think clearly and truthfully.” [Margaret Heffernan].

Podcast Episode 043: Suicide Risk [2]

IMAG1511What role does positive risk-taking have to play when someone is experiencing and expressing serious suicidal thoughts? Firstly, we have a duty to take such expressions very seriously, but the language of suicide risk can often appear overwhelming to others, and generate great fears of what might be.

Do we respond in a way that manages the other person, manages the situation, and ultimately takes over through assuming control over and for the person? Do we really take that step backwards, and give ourselves whatever time is available to listen to the person and help them explore their options in a supported relationship? We cannot eliminate risk, but do we become overwhelmed by a fear of engaging in the real conversation?

There is no such thing as a risk-free option, and in this episode I outline a case example from my own practice that illustrates how positive risk-taking was put in place through listening and acting on what the individual has to say, identifying alternatives, and exploring strengths and potential protective factors alongside the serious expression of risk.

For the full content of this episode click on the links for iTunes and Sound Cloud (or go to Stitcher Radio):

https://itunes.apple.com/gb/podcast/strengths-revolution-steve/id867043694

https://itunes.apple.com/gb/podcast/043-suicide-risk-2/id867043694?i=333467695&mt=2

“If it wasn’t for the possibility of suicide I would have killed myself a long time ago.” [Unknown source].

Podcast Episode 015: Positive Risk-Taking

TheStrengthsRevolution_albumart_2-2We live and work to varying degrees in a blame culture, which can drive us unintentionally to make more risk averse decisions on occasions. But taking risks is an essential part of a healthy life. The questions that we need to address are why we take risks, and then to consider how we go about taking risks.

The concept of Positive Risk-Taking is discussed in this episode, as something that emerged in the thinking relating to mental health services, but is equally applicable to everyone’s lives. The concept is firmly based in strengths-thinking, because we gain confidence in taking risks if we are more aware of our or others strengths. The discussion highlights the importance of clearer use of language in order to communicate more precisely what we mean.

A further message is that a risk averse option is not a risk-free option. Quotes are used to illustrate the importance of taking risks in our lives.

For the full content of this episode click on the links to iTunes and Sound Cloud (or go to Stitcher Radio):

https://itunes.apple.com/gb/podcast/strengths-revolution-steve/id867043694

https://itunes.apple.com/gb/podcast/015-positive-risk-taking/id867043694?i=316182597&mt=2

“Only those who risk going too far can possibly find out how far one can go.” [T. S. Eliot].