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Business Should Learn From The NHS

There are many occasions when I observe teams that are dysfunctional and not producing the results anticipated. So it was a delight to have experienced first hand a team that through great management, understanding of what needed to be done and an ability, of the whole team, to explain to outsiders what was happening.

A Great Team

Not for the first time (Two years ago I dislocated my shoulder) I find myself in complete admiration for the doctors, nurses and assistants in the UK’s National Health Service. Last week my Mother suffered a heart attack and had to be rushed into hospital. For relatives under such circumstances it’s a frightening time for the patient and an anxious time for relatives.

From the motorbike paramedic to arrive first, to the ambulance crew, A&E staff and cardiac recovery team at the Royal Glamorgan Hosptal everyone worked in calm, professional and well rehearsed precision. As a result my Mother is still poorly but out of danger.

Business could profit from studying the technique
Business could profit from taking lessons in the training, management and delivery of the service that our professional medical teams deliver to their customers.
So it’s a Thank You from me 

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Just adjust the angle of the golf club

In the past few days I’ve heard of a sales team that’s finding things difficult after a restructure. The restructure slimmed the team, redistributed clients and rationalised the workload but they seem to be failing.

HOW *!* MUCH
Actually, that’s not unusual because my research and other statistics show that 42% of all restructured teams fail to deliver the anticipated results. The problem for the company is the cost in lost opportunities. Brad Smart in his book Topgrading estimated that failed teams cost between 8 and 24 times the salary.

Change needed for success can be very small
The change required to move from failure to success is, in my opinion, very small and a slight adjustment in in team actions could well change things around. But then that’s so often the case. As most of the team play golf they will understand that a slight adjustment in club face can be the difference to a great round and playing like a crab! Perhaps this clip of Tony Robbins explaining why he plays golf, badly, might help!

Tony Robbins – Tiny Changes Mean Huge Results

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Why is “Out of sight defintely out of mind”?

Ten days ago I was talking to Carl, a good friend of mine, who’s “Ticked off” with the co-operation he’s getting from superiors and colleagues. Now those very people may have to work that bit harder! 

A trail-blazing project
Carl, together with his management team and staff of two hundred, have spent the past year leading a trailblazing project that saves huge amounts of money and delivers enhanced service to the local community. People have said to him “What would we do without you?” and “What you’ve achieved is brilliant”. To achieve these plaudits he’s had to work long hours, hiring a large team and creating process, systems and culture and often without a “model” to follow.

As is usual there has been criticism from other areas of the business that feels overshadowed and exposed. As a result Carl’s team have felt pressured and unappreciated by the very people they are helping to do a better job.

A well earned holiday
A few weeks ago he went on holiday with various senior people and colleagues promising to deliver work whilst he was away ringing in his ears
…was it done when he got back?…daft question…because out of sight was definitely out of mind!

The result is that he’s even more tired than he was before his holiday. Now he’s updated his CV (Resume), bought a new interview suit and is looking for a job and has some interviews even before he’s formally applied for a position. I wonder how the people who’ve said “What would we do without you” will cope when he’s gone!

Cost of replacement and restructure…could be huge!

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“Not my fault…blame him”

Last Saturday I visited my Mother and little did I realise that I would have a lesson in how embarrass customers, employees and in poor management.

An outing for Mother
My Mother has just broken her arm and is feeing very sorry for herself. So I decided to take her to a hotel for a favourite outing of afternoon tea. With great anticipation we drove up the long hotel drive in Miskin, South Wales, for a relaxing afternoon overlooking the large gardens to find that there was just one other couple in the lounge.

To say that the meal of sandwiches, cakes, scones and even the service was disappointing would be an understatement.  On leaving my Mother, an excellent cook in her time, caught sight of the manager and mentioned the fact and said that at £25 ($32) she considered the meal overpriced and lacked value.

The person responsible
The manager asked us to wait a minute. I wondered if some adjustment was about to be made to the bill. To my surprise he reappeared with the chef saying, “This is the person responsible, make your complaints to him” and then without waiting to hear what we had to say ran off on another errand. My Mother was at a loss to know how to handle this unusual situation and I outlined the problem in the gentlest terms to an embarrassed and petrified member of staff.

“The scones had been freeze-chilled and therefore had a consistency of being stale, the profiterole was similar and lacked any taste in the filling such as vanilla and the bread on the sandwiches was too thick to be able to taste the fillings…”. By this time I began to feel extremely sorry for the chef who was looking quite helpless. I end his torment I smiled and described the meal as “uninspiring”.

Not a customer’s job
We left vowing never to return. Not because of the poor tea but because, as customers, it was not our job to instruct the staff, that’s the manager’s job. It’s also not the kitchen staff’s job to be appraised of a “poor job” by customers, that again is the management’s job. I also attached the chef’s poor performance on lack of training and expectation by the management.

My offering of help!
However, as I love to cook cakes, pastries and have a wide collection of Indian, Chinese and Japanese teas I would be delighted to offer to show the manager how he could instruct his kitchen team and waiting staff to deliver a fresh, great tasting and perfectly served afternoon tea. That way he can manage to do his job!

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“Don’t delegate if you want it done properly”

A few days ago I answered a question on delegation on LinkedIn and then on Friday was having a robust discussion on delegation with a friend in my network and thought I would share the discussion with you.

“Delegating could harm a career and promotion prospects”
Was the statement made by the senior manager in my network. He reasoned that obvious errors cost the business money and impacted on mission critical outcomes. Then with the time taken to recover from from errors delegating tasks took up valuable management time and could “harm his career and promotion prospects”.

“Management style didn’t encourage mistakes”
It seemed that his “management style”, and that of the business, didn’t tollerate mistakes. I pointed out that if the management don’t tollerate mistakes then there will be little room for experimentation. If people can’t experiment then, those that use experimentation to learn, will become frustrated and tend to leave to businesses that will allow it.

Experimentation is healthy. It’s how we learn to improve at any hobby, computer programme and game, even how to socialise and make friends. But, it seems that when people become managers they often have to be trained in how to encourage and manage it.

In any event lack of experimentation, from my experience, only helps competitors forge ahead with more efficient processes, products and customer focussed thinking.

The process
I explained the process my mentors showed me and which I’ve have adopted and train:

a) Discuss the subordinate’s idea with them. Be open minded, highlight potential problems as you see them, business issues and consequences of success and failure.

b) If the subordinate still wants to proceed then discuss the process they will be using and then provide support (physical as well as verbal) and have a plan to pick up the pieces.

c) If the subordinate is successful. congratulate and say how delighted you are and tell everyoneone else what a success it’s been. If it’s not a success then discuss the reasons with the person, then ask how they intend to recover the situation. Again provide increased support but don’t blame, chastise or bad mouth to others – (after all you made the decision to allow the experimentation and would have looked good if it had succeeded).

d) Turn the entire process, success or failure, into a learning situation by analysing what went right / wrong with the subordinate and what could be done differently next time. Either way make the subordinate “feel good” about the process and your support.

I’m not sure my friend was convinced by my arguments. Then I must admit he’s been secure in his current job for the past twelve years, despite higher than average team turnover and mediocre company results and doubtless will be there for a good while longer!

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