A vision of where the practice is going: common goals.
Notes on the learning organisation

The ideal learning practice

The blameless society

Use this as a basis for appraisal

Developing the learning practice

The "A" vision

The "B" vision

Area   Measures
A learning environment Resources
  • People
    • Skills
    • Numbers
  • Buildings, equipment, info systems
  • Skills
    • Defined needs addressed
Common goals (shared ownership) Commitment
Quality service
  • Access
  • Delivery

EBM guidelines

  • Access
    • Appt waiting times
    • Access to PHCT
    • Repeat prescriptions
    • Access to deliverers by consumers
  • Delivery
    • Quality measures
    • Targets/chronic disease
    • Screening
    • Protocol review
    • Clinical audit
    • Managerial audit
    • Prescribing
    • Appropriate referral
    • Teamwork
A culture of managed change Critical appraisal
Feedback > evaluation > redirect
  • Critical appraisal
    • Management/information/systems review
Mutual support Sharing knowledge
  • Meeting attendance
  • Dealing with problems
  • Investors in people
Individuals are valued and their opinions Listening

Additions to the learning environment for the GP registrar

A further example (collated) for a 2 year vision of the learning environment

Forcefield analysis

Negative Positive
  • Lack of appraisal skills
  • Resistance to change
  • Skills in influencing
  • External goals
  • Fear and anxiety
  • Personal agenda
  • Losses
  • Defence
  • Instability
  • Sabotage
  • Work to start
  • Learning new skills
  • Complexity
  • Multiple change
  • Uncharted territory
  • Poor leadership
  • Appraisal skills
  • Desire for change
  • Desire for quality service
  • External goals
  • Control of own destiny
  • Control of change that is already happening
  • Improved job satisfaction
  • Money
  • Uncharted territory
  • Strong leadership

Possible roles for a trainers group

Source: group work with Peter Havelock 1997