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This document explores the transformative potential of Systems Thinking within the health and social care sectors. It highlights key concepts of System Dynamics, emphasizing integrated service planning that addresses cross-organizational issues. By utilizing a conceptual toolkit of stocks, flows, and feedback loops, this approach fosters participative methodologies to enhance strategic decision-making. As the landscape shifts towards integrated health and social care, there are significant business opportunities for practitioners to leverage Systems Thinking for efficient resource management and impactful interventions.
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The Business Opportunity for Systems Thinking Douglas McKelvie The Symmetric Partnership LLP douglas.mckelvie@symmetricpartnership.co.uk
The Business Opportunity for Systems Thinking • System Dynamics Key Concepts • Systems Thinking combined withComputer Simulation multiple applications in Health and Social Care • Applies an operational understanding of things to strategic thinking • “Whole system” strategic service planning • Problems that cross organisational or functional boundaries • Interconnections between population need, a presenting problem, an intervention, its impact on the whole (e.g. cost) • Conceptual toolkit of stocks, flows, causal relationships, feedback loops, “change over time”, “system as cause” explanations (not always) • Methodology, lends itself to participative approaches such as Group Modelling Building using iterative learning cycle • Advances in computer technology make “productisation” of SD models more possible
The Business Opportunity for Systems Thinking • Opportunities • Changing landscape of commissioning, SD provides a means of facilitating discussion / negotiation between commissioners and providers • Renewed emphasis on Public Health • “Integration” agenda between health and social care • Need to build bridges with “health economics” approaches • Challenges • Nobody is required to have a “model”; most organisations choose to plan without a formal model • Supply of practitioners is limited (hence need for Cumberland Initiative); what would happen if everyone suddenly wanted a model?
The Business Opportunity for Systems Thinking innovation potential adopters adopters ex-users + hundreds tens ??? • Government Departments • Clinical Commissioning Groups (212)and clusters • Health and Wellbeing Boards (152 LA’s) • “commissioning support” • Providers too • And that is just England + - practitioners more detail N = ? + + word of mouth pressure on capacity + - - quality
Supporting Practice: Some Challenges for the Cumberland Initiative The Business Opportunity for Systems Thinking How to get OR graduates to follow a career in Health / Care Sector Support for existing practitioners to ensure retention How can experienced people effect a career change? How to get interest of people from the domain Models of delivery of simulation and modelling How to identify and work with the facilitators and translators