Weird

primary_care_training_women_voting

News and Comment from Roy Lilley.

It's been a special time.  Remembering the travails of women's suffrage and interesting to see how much of it was tangled up in the development of nursing.  

Overcoming an injustice.  Yup, but there's more to it than that.

This was major change.  Structural change.  Change that couldn't have happened unless people altered how they looked at life.  Really altered thinking.  It took people with more than vision. 

Vision is the same future but some women voting.  Seeing the same future but women doing things in hosptials.  So what?  

It took people who didn't just want to change the future but who could reimagine the future.  Real change is reimagining... 

People who were prepared to take a leap of faith and reimagine an entirely different future.  Not, what we are doing today with a bit of a twist. 

Change is the most worn-out over-used, devalued word in the lexicon of management.  It's a word that is used by purveyors of the status quo to hide their real intent.  A word that is used to disguise serving up the left-over breakfast as a reheated dinner.

No one can predict the future.  We have experts and forecasters and people with big brains, but when it comes down to it, no one knows.

Bitcoins.. what's going to happen.  The banks can't imagine what is going to happen so they will make it difficult for us to buy them. 

We don't know.  We don't know about the economy, Brexit, industry, labour movements, the future of public services.   The experts don't know it's too volatile.  

Everyone is winging it.  It's a perfect storm of demand, no money, uncertainty and political guess work.  There are no experts, there are guessworkers.

The environment in which we work and live is stacked against us.  Most people doing admin jobs will be replaced by a thirty quid chunk of artificial intelligence in the next ten years.  No, make that seven years.... maybe five.

There are still people writing strategic plans, they can't even tell you if the bus home will be on time.  

The best strategy we can have is to get out there and do things.

As the great Tom Peters says; weird wins in the end.  He's right.  

It was weird to think women could ever vote.  Weird that nurses could ever give injections, prescribe and become specialists.  

It's weird to think I have a £99 bit of kit that I can talk to, turn on the lights, sort out the heating, play music, flip the telly, let me see what's happening when I'm away and boils a kettle.  What will it do next year?  It's too weird to reimagine.

We are who we hang out with.  We need to spend more time with weird people, awkward customers, stroppy staff.  That is where the future is.

We want to find out what good looks like and do it better.  Why would any Trust aspire to be like any hospital rated outstanding by the CQC.  It simply means you'll be like they were months, even years ago.  Think weird and reimagine.

Isn't it weird that very few boards look like the communities they serve.  The nearer you get to the top the whiter, older and more male it becomes.  That's weird.  

Isn't it weird that managers still don't listen to staff and weirder still that politicians pretend everything is Ok when, patently it is not. 

We don't want visions, empowerment, or missions we need lifelong quests to find the weird, ask ourselves why we think it's weird and go and do it.

It's not that women got to vote, it's that we thought it was weird.

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roy.lilley@nhsmanagers.net 

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Reproduced at TrainingPrimaryCare.com by kind permission of Roy Lilley.