11:49:05 From Maria Dorthea Skov, Q Community Convener To Everyone: https://survey.eu.qualtrics.com/jfe/form/SV_42s3XgUuRFCwBWS 11:50:36 From Maria Dorthea Skov, Q Community Convener To Everyone: https://q.health.org.uk/community/groups/liberating-structures-in-healthcare/ 11:51:19 From Maria Dorthea Skov, Q Community Convener To Everyone: https://q.health.org.uk/event/q-liberating-structures-user-group-18/ 11:55:42 From Lyse Edwards To Everyone: https://app.sessionlab.com/sessions/XBBJUn/?t=1mpz2lYnRyzpPMRfAWmA5g 12:02:36 From Lyse Edwards To Everyone: Hi I'm Lyse Edwards, Head of Ops for MPFT in damp Lichfield Staffordshire 12:02:40 From Lucy Johnson To Everyone: East London (with a tornado warning out apparently!!) 12:02:40 From Jo Kitchen To Everyone: Hi, I’m in Truro UK- very stormy this morning but settling down now 12:02:45 From Jane Whitehouse To Everyone: Hi everyone, I’m joining from a very wet South London 🙂 12:02:47 From Alys Kay To Everyone: Hi everyone, Im Alys based in Manchester 12:02:53 From Suzy Ning To Everyone: Good morning - I'm in (not so) sunny Southport - rainy here too! 12:03:00 From Alys Kay To Everyone: drizzly Manchester too 12:03:02 From Pete Vesey To Everyone: I'm down on the south coast in Bournemouth. Started raining again. Strong winds overnight 12:03:03 From Peter Smith To Everyone: Hello! Peter Smith, Improvement Advisor at CNWL, dialling in from a (for now) dry West London 12:03:14 From Libby Keck To Everyone: Hi, I'm Libby, in a very wet South London also... 12:03:23 From Hilda Campbell To Everyone: Hi Hilda from Perthshire Scotland, so far weather okay, curious about todays session 12:03:34 From Jana Witt To Everyone: Hi everyone, another South Londoner here lookign out at the rain... :) 12:03:41 From Ian Merrick To Everyone: Hi I'm Ian Merrick professional lead for OT and Head of the VRS for the community - also lead for QI in the community service line in West London NHS Trust. 12:04:22 From Ian Merrick To Everyone: It's very wet here, but not too windy! 12:04:59 From Farah Jameel To Everyone: Hi, Farah here, in North London, standard British weather here. 12:05:13 From Rob Cunney To Everyone: Replying to "It's very wet here, ..." Other way around in Dublin: windy, but not too wet! 12:05:24 From Laura West To Everyone: Hello, I'm Laura West from Portsmouth Hospital. 12:05:33 From Louise - Q To Everyone: Hi everyone - Louise, joining from the Q team today (in rainy SW London!) 12:05:45 From Matthew Mezey (Q team) To Everyone: Matthew Mezey (Q team) - I'm in Ealing, West London. Just realised that one of our presenters works nearby ;-) 12:09:05 From Maria Dorthea Skov, Q Community Convener To Matthew Mezey (Q team)(Privately): Forgot to say the thing about staying past 1 (will say in the chat now) and I also butchered Lyse’s name 😬 12:10:37 From Maria Dorthea Skov, Q Community Convener To Matthew Mezey (Q team)(Privately): Ooo she beat me to it 12:11:21 From Matthew Mezey (Q team) To Maria Dorthea Skov, Q Community Convener(Privately): Yes, it's an unusual name! ;-) 12:12:45 From Louise Patmore To Everyone: Louise middle of eye of storm in Brighton 12:12:47 From Lyse Edwards To Everyone: I believe that to change culture you must... 12:13:26 From Peter Smith To Everyone: change mindsets 12:13:32 From Gill Phillips To Everyone: Listen! 12:13:32 From Prakash Pote To Everyone: understand it first 12:13:32 From Farah Jameel To Everyone: Speak up. 12:13:32 From Jane Whitehouse To Everyone: Replying to "Louise middle of eye..." Walk the walk 12:13:32 From Laura West To Everyone: change leadership styles 12:13:32 From Rob Cunney To Everyone: ...involve everyone in the change process 12:13:32 From Pete Vesey To Everyone: lead by example 12:13:32 From Lucy Johnson To Everyone: be at the top of an organisation 12:13:32 From Suzy Ning To Everyone: I believe that to change culture you must start with addressing leadership behaviours 12:13:33 From Alys Kay - University of Liverpool To Everyone: ...deeply explore different perspectives and validate your assumptions 12:13:33 From Liz Watson To Everyone: show vunerability 12:13:33 From Louise - Q To Everyone: set an example of what 'good' is 12:13:33 From Libby Keck To Everyone: I believe that to change culture you must involve peoples hearts and minds 12:13:33 From Maria Dorthea Skov, Q Community Convener To Everyone: …Be willing to change yourself 12:13:33 From Hilda Campbell To Everyone: Understand how it evolved in the first place 12:13:33 From Louise Patmore To Everyone: you must have trust and a willingness to sit withuncertainly 12:13:33 From Sophia Mody To Everyone: I believe that to change culture you must... open to change 12:13:34 From Matthew Mezey (Q team) To Everyone: Have top and bottom buy-in 12:13:34 From Jana Witt To Everyone: ...engage with all relevant stakeholders 12:13:36 From Jo Murray Health Innovation Wessex (formerly AHSN) To Everyone: ...have consistent messaging and demonstrate the expected culture change from top to bottom/bottom to top 12:13:40 From julie Hancock To Everyone: i believe to change culture you must be a role model 12:13:49 From Lyse Edwards To Everyone: I believe people are most productive when.... 12:14:03 From Hilda Campbell To Everyone: They live their values 12:14:06 From Matthew Mezey (Q team) To Everyone: They have a passionate purpose! 12:14:06 From Farah Jameel To Everyone: They feel valued. 12:14:06 From Gill Phillips To Everyone: They are happy 12:14:06 From Louise Patmore To Everyone: they are listened to and given autonomy and respected 12:14:06 From Peter Smith To Everyone: they are supported to be their genuine self 12:14:07 From Lucy Johnson To Everyone: they are happy 12:14:07 From Suzy Ning To Everyone: I believe people are most productive when they have purpose and are happy 12:14:07 From Louise - Q To Everyone: They feel valued, supported and have the tools they need to succeed 12:14:07 From Laura West To Everyone: they enjoy what they're doing 12:14:07 From Rob Cunney To Everyone: ....they have a sense of ownership of what they're doing 12:14:08 From Sophia Mody To Everyone: I believe people are most productive when....given the space 12:14:08 From julie Hancock To Everyone: i beleive people are most productive when they are happy/content 12:14:08 From Pete Vesey To Everyone: they feel valued and trusted 12:14:09 From Jo Kitchen To Everyone: …they are happy 12:14:10 From Jana Witt To Everyone: ...they feel trusted and secure and valued 12:14:11 From Maria Dorthea Skov, Q Community Convener To Everyone: They are connected to meaning and joy and community 12:14:12 From Jo Murray Health Innovation Wessex (formerly AHSN) To Everyone: they clearly understand the ask and the required deadline and have hearts and mids bought in 12:14:12 From Alys Kay - University of Liverpool To Everyone: the team is socially perceptive 12:14:12 From Libby Keck To Everyone: … they are engaged 12:14:13 From Liz Watson To Everyone: they have the right systems in place to support them 12:14:22 From Jane Whitehouse To Everyone: Replying to "I believe people are..." They are not at 100”% capacity 12:14:24 From Lyse Edwards To Everyone: I believe working with groups is... 12:14:46 From Laura West To Everyone: energising 12:14:49 From Prakash Pote To Everyone: occasionally not productive 12:14:49 From Farah Jameel To Everyone: Fun, challenging, difficult, rewarding. 12:14:49 From Alys Kay - University of Liverpool To Everyone: delightful and challenging in equal measure 12:14:49 From Jane Whitehouse To Everyone: Replying to "I believe working wi..." Productive 12:14:49 From Peter Smith To Everyone: great when it has psychological safety 12:14:49 From Rob Cunney To Everyone: ...the only way to get things done 12:14:49 From Sophia Mody To Everyone: fun and motivating 12:14:50 From Matthew Mezey (Q team) To Everyone: The best way forward.... 12:14:50 From Lucy Johnson To Everyone: difficult but ultimately rewarding 12:14:50 From julie Hancock To Everyone: I believe working with groups is a real opportunity to challenge your perspective 12:14:50 From Hilda Campbell To Everyone: Hard work 12:14:50 From Maria Dorthea Skov, Q Community Convener To Everyone: If peer-to-peer, a container for change 12:14:50 From Louise Patmore To Everyone: imaginative and fun 12:14:52 From Gill Phillips To Everyone: It depends on the group - empowering ... to stultifying 12:14:52 From Jana Witt To Everyone: ...more challenging than working with individuals, but also more impactful 12:14:53 From Liz Watson To Everyone: hard work but usually worth it 12:14:53 From Suzy Ning To Everyone: I believe working with groups is challenging but effective 12:14:57 From Jo Kitchen To Everyone: Essential for sucess 12:14:57 From Pete Vesey To Everyone: challenging 12:14:57 From Libby Keck To Everyone: ... essential to deliver any change (and energising) 12:14:58 From Jo Murray Health Innovation Wessex (formerly AHSN) To Everyone: beneficial to check challenge and adds more value 12:15:06 From Lyse Edwards To Everyone: I believe quality improvement is... 12:15:23 From Pete Vesey To Everyone: about culture and how we approach change 12:15:23 From Gill Phillips To Everyone: Often too much overthinking and systems 12:15:23 From Jo Kitchen To Everyone: The everyday work of making positive change 12:15:23 From Jane Whitehouse To Everyone: Replying to "I believe quality im..." Worth persevering for 12:15:23 From Louise Patmore To Everyone: iterative and locally owned 12:15:24 From Farah Jameel To Everyone: Continuous and necessary. 12:15:24 From Hilda Campbell To Everyone: A driver for living your values 12:15:24 From Laura West To Everyone: the best way to make changes if done in theright way 12:15:24 From Libby Keck To Everyone: ... different to different people 12:15:25 From Suzy Ning To Everyone: I believe quality improvement should be at the heart of any transformational change 12:15:25 From Lucy Johnson To Everyone: central to promoting health equity 12:15:25 From Peter Smith To Everyone: the past, present and future 12:15:26 From Maria Dorthea Skov, Q Community Convener To Everyone: Confusing… 12:15:26 From Rob Cunney To Everyone: ....the new religion 12:15:27 From Liz Watson To Everyone: essential 12:15:27 From Matthew Mezey (Q team) To Everyone: An approach that can be too technical... 12:15:27 From Jana Witt To Everyone: ...about an ongoing effort to improve care 12:15:28 From Sophia Mody To Everyone: Everyone's buisiness 12:15:31 From Alys Kay - University of Liverpool To Everyone: deep thinking brought into tangible action 12:15:31 From Jo Murray Health Innovation Wessex (formerly AHSN) To Everyone: a key methodology (when done properly) to make the changes the NHS (and wider systems) need 12:15:34 From julie Hancock To Everyone: i believe Quality Improvement is a continuos process 12:15:41 From Lyse Edwards To Everyone: I believe that meetings must .... 12:15:44 From Louise Patmore To Everyone: you can see the lag lol 12:15:54 From Ian Merrick To Everyone: Reacted to "you can see the lag ..." with 👏 12:16:02 From Rob Cunney To Everyone: ...involve everyone at the table 12:16:03 From Prakash Pote To Everyone: have some point to them 12:16:03 From Pete Vesey To Everyone: have a clear purpose and be inclusive 12:16:03 From Laura West To Everyone: have an agenda 12:16:03 From Alys Kay - University of Liverpool To Everyone: be concise! and action orientated! 12:16:03 From Farah Jameel To Everyone: Be shorter and have clear purpose 12:16:03 From Gill Phillips To Everyone: Achieve something!! Not be an end in themselves! #Eeek! 12:16:03 From Lucy Johnson To Everyone: be engaging and purposeful 12:16:04 From Suzy Ning To Everyone: I believe that meetings must only be held when they are essential 12:16:04 From Louise - Q To Everyone: Have a clear goal and bring purpose 12:16:04 From Matthew Mezey (Q team) To Everyone: Have a clear goal.... 12:16:04 From Louise Patmore To Everyone: be inclusive and vertical as well as horizontal 12:16:05 From Jo Kitchen To Everyone: Consider if they could be an email 12:16:06 From Jana Witt To Everyone: ...have a clear purpose to be useful 12:16:06 From Libby Keck To Everyone: ... be designed well 12:16:07 From Peter Smith To Everyone: have true purpose 12:16:08 From Maria Dorthea Skov, Q Community Convener To Everyone: Be clear in purpose 12:16:09 From Jane Whitehouse To Everyone: Replying to "be inclusive and ver..." Have actions 12:16:10 From Hilda Campbell To Everyone: Have some value to those attending or those they serve 12:16:11 From Jo Murray Health Innovation Wessex (formerly AHSN) To Everyone: be purposeful 12:16:12 From Sophia Mody To Everyone: clear purpose 12:16:18 From julie Hancock To Everyone: I beleieve that meetings must contibute toward outcomes i.e. improve relations or more tangible then that... 12:16:20 From Lyse Edwards To Everyone: I believe the NHS is.... 12:16:35 From Pete Vesey To Everyone: slow to change 12:16:36 From Jo Murray Health Innovation Wessex (formerly AHSN) To Everyone: worth holding on to! 12:16:36 From Prakash Pote To Everyone: the best system in the world 12:16:36 From Farah Jameel To Everyone: Wonderful force for good. 12:16:36 From Louise Patmore To Everyone: in freefall 12:16:37 From Rob Cunney To Everyone: ....wounded 12:16:37 From Jana Witt To Everyone: ...facing very chalenging times 12:16:37 From Hilda Campbell To Everyone: Amazing but struggling 12:16:38 From Gill Phillips To Everyone: Wonderful - on a good day 12:16:39 From Liz Watson To Everyone: full or wonderful people 12:16:39 From Laura West To Everyone: crucial 12:16:40 From Sophia Mody To Everyone: Amazing 12:16:40 From Suzy Ning To Everyone: I believe the NHS is the most amazing thing in Britain! 12:16:41 From Jane Whitehouse To Everyone: Replying to "I believe the NHS is..." Essential 12:16:41 From Libby Keck To Everyone: ... unwieldy 12:16:42 From Alys Kay - University of Liverpool To Everyone: an ancient elephant 12:16:43 From Lucy Johnson To Everyone: central to society 12:16:46 From julie Hancock To Everyone: I beleive the NHS is a gift 12:16:46 From Peter Smith To Everyone: being privatised / a national treasure worth defending 12:16:49 From Matthew Mezey (Q team) To Everyone: … needing to move away from being a National Disease Service 12:16:50 From Jo Kitchen To Everyone: Overwhelmed 12:17:15 From Jana Witt To Everyone: Reacted to "being privatised /..." with ❤️ 12:18:45 From Lyse Edwards To Everyone: “What is a belief or an assumption that has shaped or guided you in your professional journey, but that you are starting to question, may be a false notion or may be holding you back?”. Make sure it is a belief you still hold. Select one belief that you are willing to question, making sure to state it as “I believe that 12:19:04 From Suzy Ning To Everyone: I'm happy on my own 12:19:13 From Libby Keck To Everyone: 1 more min on own would be useful 12:19:19 From Louise Patmore To Everyone: Reacted to "being privatised /..." with 👍 12:19:56 From Lyse Edwards To Everyone: Wheels are here for the next step 12:19:57 From Lyse Edwards To Everyone: Room 1 https://wheelofnames.com/srm-exx Room 2 https://wheelofnames.com/vgu-q9x Room 3 https://wheelofnames.com/3ee-7r3 Room 4 https://wheelofnames.com/p8m-x9n Room 5 https://wheelofnames.com/z9v-pz7 12:20:02 From Jo Murray Health Innovation Wessex (formerly AHSN) To Everyone: I believe that quality improvement is a key methodology (when done properly) to make the changes the NHS (and wider systems) need 12:20:21 From Libby Keck To Everyone: This is hard! 12:20:33 From Jana Witt To Everyone: I believe that there needs to be senior leadership support to plan, implement and sustain improvements within organisations. 12:20:37 From Matthew Mezey (Q team) To Everyone: Reacted to "I believe that there..." with 😯 12:20:38 From Louise Patmore To Everyone: managers are all aligned with sharing new power and transformation procecces 12:21:05 From Suzy Ning To Everyone: I believe that to change culture you must start with addressing executive behaviours 12:21:12 From Alys Kay - University of Liverpool To Everyone: I believe that working hard is the most important thing to do to be successful 12:21:16 From Hilda Campbell To Everyone: Everyone working in health and social care, cares 12:21:44 From Jana Witt To Everyone: Reacted to "Everyone working i..." with ❤️ 12:21:46 From Libby Keck To Everyone: I believe that if you have a team of committed, talented and supportive people you will establish a positive culture 12:21:46 From Gill Phillips To Everyone: I believe that too much focus on 'measuring and monitoring' can get in the way of innovation 12:21:58 From Jo Kitchen To Everyone: I believe that in order for culture to change you need support from the whole team 12:23:55 From Maria Dorthea Skov, Q Community Convener To Everyone: Room 1 https://wheelofnames.com/srm-exx Room 2 https://wheelofnames.com/vgu-q9x Room 3 https://wheelofnames.com/3ee-7r3 Room 4 https://wheelofnames.com/p8m-x9n Room 5 https://wheelofnames.com/z9v-pz7 12:24:19 From Lyse Edwards To Everyone: We will create breakout rooms of 5 Find the Wheel that corresponds to your room number (otherwise chaos will ensue!) One person will stand in the centre of the imaginary circle (maybe put up your digital hand?) You will state your belief to the group “I believe that …” [1 min] Other participants will take it in turns to spin the wheel of names and pose the question that ‘pops up’ to the person who has stated their myth. The question should be responded to by the ‘myth holder’ as quickly as possible. This is not a conversation or a debate. Pass on the wheel by saying ‘I pass to’ x Repeat about until about 5 minutes is up Repeat this for other people in the group, each ‘moving to the [imaginary] middle’ ~ 5 minutes per person 12:24:26 From Suzy Ning To Everyone: will we have access to the wheels when we got breakout rooms? 12:56:24 From Pete Vesey To Everyone: @lyse where did you get the questions from? 12:56:28 From Louise - Q To Everyone: got out of that one @Matthew Mezey 12:56:39 From Matthew Mezey (Q team) To Everyone: Reacted to "got out of that one ..." with 😂 12:57:25 From Jana Witt To Everyone: Thanks @Room1, what an interesting exercise. I wasn't able to unmute at the end to chime in! 12:59:46 From Farah Jameel To Everyone: Reacted to "Thanks @Room1, what ..." with 👍🏼 12:59:51 From Lyse Edwards To Everyone: Instructions and questions came from this article https://medium.com/the-liberators/challenge-beliefs-and-open-new-perspectives-with-myth-turning-df1ea9178929 13:00:03 From Jana Witt To Everyone: Reacted to "Instructions and q..." with ❤️ 13:00:10 From Louise Patmore To Everyone: calrity 13:00:11 From Lyse Edwards To Everyone: Myth turning enabled..... 13:00:14 From Louise Patmore To Everyone: clarity 13:00:18 From Jane Whitehouse To Everyone: Thoughtful introspection 13:00:25 From Lucy Johnson To Everyone: freer thought 13:00:28 From Suzy Ning To Everyone: exploring a perceived barrier in different ways 13:00:29 From Pete Vesey To Everyone: reflective space 13:00:29 From Libby Keck To Everyone: Reacted to "Thoughtful introspec..." with 👍 13:00:35 From Rob Cunney To Everyone: Helped to shift my point of view and provide time for reflection 13:00:40 From Ian Merrick To Everyone: Understanding of what I truly believe about this myth 13:00:41 From Maria Dorthea Skov, Q Community Convener To Everyone: Feedback survey: https://survey.eu.qualtrics.com/jfe/form/SV_42s3XgUuRFCwBWS Liberating Structure SIG: https://q.health.org.uk/community/groups/liberating-structures-in-healthcare/ Next user group session: https://q.health.org.uk/event/q-liberating-structures-user-group-18/ 13:00:47 From Peter Smith To Everyone: challenging my own thinking 13:00:51 From Jo Murray Health Innovation Wessex (formerly AHSN) To Everyone: created safe space to explore. Reminded me of coaching technique Katy Byron testing beliefs. 13:01:01 From Gill Phillips To Everyone: Myth turning enabled us to hear what others take as 'given' as well as exploring the topics. 13:01:03 From Prakash Pote To Everyone: Thank you, this was great 13:01:30 From Jana Witt To Everyone: The questions are fantastic for relfective practice 13:01:33 From Louise Patmore To Everyone: wonderful that was really useful. 13:01:41 From Matthew Mezey (Q team) To Everyone: Myth Turning enabled us to have a really good discussion on some sometimes tricky and unspoken issues. Great! 13:01:44 From Jana Witt To Everyone: Thanks so much! 13:01:45 From Pete Vesey To Everyone: well done Lyse and Ian - great session 13:01:47 From Lucy Johnson To Everyone: Thanks very much! 13:01:59 From Ian Merrick To Everyone: Reacted to "well done Lyse and I..." with 👍 13:02:09 From Maria Dorthea Skov, Q Community Convener To Everyone: Feedback survey: https://survey.eu.qualtrics.com/jfe/form/SV_42s3XgUuRFCwBWS Liberating Structure SIG: https://q.health.org.uk/community/groups/liberating-structures-in-healthcare/ Next user group session: https://q.health.org.uk/event/q-liberating-structures-user-group-18/ 13:02:12 From Gill Phillips To Everyone: Enjoyed the wheel - great questions 13:02:54 From Suzy Ning To Everyone: Thanks for today's session - really interesting and lots to take away 13:03:13 From Laura West To Everyone: Thank you! 13:03:16 From Alys Kay - University of Liverpool To Everyone: Myth turning let me hear some interesting insights from the others about their environments, it was a good way to talk about deeper topics without jargon or professional identity getting in the was 13:03:19 From Alys Kay - University of Liverpool To Everyone: thanks 13:03:19 From Libby Keck To Everyone: How big was your group Peter? We ended up with 4 people which seemed a good size 13:03:31 From Pete Vesey To Everyone: Thank you and good bye :-) 13:03:46 From Liz Watson To Everyone: Thank you - it was a really interesting session 13:03:49 From Matthew Mezey (Q team) To Everyone: I've actually done another LS in development where a different person spoke into each ear **at the same time**. Boy was that difficult! Missed so many gems of insight... 13:03:59 From Louise - Q To Everyone: I need to dash off before another meeting - but thank you for having me all :) 13:04:06 From Lyse Edwards To Everyone: Replying to "I've actually done a..." That's 'talking with Pixies - hard to do online 13:04:07 From Libby Keck To Everyone: Reacted to "I've actually done a..." with 😂 13:04:07 From Louise - Q To Everyone: Was v interesting 13:04:10 From Matthew Mezey (Q team) To Everyone: Reacted to "Was v interesting" with 👍 13:04:21 From Jane Whitehouse To Everyone: Leaving now but thank you so much - I personally appreciated the time and space to think 13:04:32 From Libby Keck To Everyone: I'll head off shortly if that's ok - really enjoyed the session - thank you v much! 13:04:37 From Peter Smith To Everyone: sorry need to go - great session! 13:13:45 From Louise Patmore To Everyone: I need to go sorry bye everyone 13:13:56 From Lyse Edwards To Everyone: Thanks @Louise 13:18:41 From Lyse Edwards To Everyone: Combinations with other Liberating Structures Nine Whys can be used to identify beliefs that people have about themselves. Questions like “Why is that important you, personally” can help to identify underlying beliefs about that work; After Myth Turning, a more thorough debrief with What, So What, Now What is helpful when you do it with groups and the beliefs they share; 15% Solutions seems like a good follow-up to help people identify next steps to gently let go of beliefs that they are ready to let go of; 13:21:50 From Lyse Edwards To Everyone: Questions for Myth Turning Myth Turning invites participants to ask powerful, open questions to challenge a belief of a person or a representative of a group willing to do so. We provided the following questions to the groups (taken from Fisher Qua and anja ebers ): What would need to happen for you to stop thinking this was true? Where do you see the assumption or belief confirmed? What is a sign that others are questioning the belief? When did you start shaping this assumption/belief? Who else believes in this? Who lends this belief their authority? How does this belief serve you? What are you getting out of this belief or assumption? What if you are wrong and the belief is no longer relevant? What have you done to reinforce the belief? What have you done to debunk the belief? We printed the questions on cards, each card holding one of them, effectively creating ‘question decks’. We asked everyone in the group to randomly pick a number of questions to maximize randomness.