A gun and bullet: : vimeo.com/943283319 In 3 minutes.

Systems change looks like this: vimeo.com/943283319 If you don't change mgt thinking, where do you go from there?

I spent my frustration writing The Whitehall Effect. My 'Dear John' to the people who didn't want to listen. I take solace from the countless practitioners of my work. Anyway, fuck 'em.

Nah. You increase capacity by improving effectiveness. See this: vimeo.com/943283319

A joyous morning in Bromley #rethinkingregulation Next stop Cardiff.

Deming: a target is a goal without a method. Any arbitrary measure, forced down a hierarchy will distort the system.

But any target, being arbitrary, fails my test of a good measure: Can you use it to understand and improve performance?

Then you need to read Deming again.

Nah. The 'canary' is that a small proportion of patients consume disproportionate amount of capacity; caused by specialisation, standardisation, lack of continuity and no focus on what matters. If only they knew.

Correct. Were targets a solution or did they mask the problem?

Minister requires local authorities to show how they will use technology to improve productivity (it won’t) and asks them to identify the barriers preventing progress. Top barrier = method of regulation. #rethinkingregulation. What does he know?

A fine example of normative change from back in the day

In his dreams. But it is plausible to the gullible.

That's a larf. Mark uses the redesign principles from the Vanguard Method and badges it as his own.

Balls. I taught you a method for efficacy that focuses on what matters, which requires better relationships. tVM is system change. You only use principles for redesign in 'greenfield' site. Where can we go from there? Ignore all leaders?

Er... I didn't start this. "really thought".. "respectful option".. "alpha option".. and you don't want a spat? and I agreed to a chat too!

Why do we believe in inspection?

Nah. Hamel is wrong. Stratification, standardisation and specialisation always create failure demand in service organisations. Economy of scale is a costly myth.

Came upon a blogger describing how managers teach each other how to cheat their numbers. The author seeks other's stories of the like. See here: tinyurl.com/yjr7hwhz

NHS doesn't need 10 years, important changes can be achieved in more like 10 weeks. Eg health and care for the elderly. See this 10-minute summary from a client (speaking in Sweden where politicians listen): vimeo.com/943283319