Our Way Of Working

We are proud of the unique reputation we have developed with our partners and clients since 2011.
We are privileged to be considered the leading organisation nationally and internationally in the field of recovery, ably steered by global leaders such as Dr Julie Repper, Dr Rachel Perkins and Professor Geoff Shepherd.

We are proud of the unique reputation we have developed with our partners and clients since 2011.
We are privileged to be considered the leading organisation nationally and internationally in the field of recovery, ably steered by global leaders such as Dr Julie Repper, Dr Rachel Perkins and Professor Geoff Shepherd.

Less well known is that our success in supporting services and communities to transform ‘on the ground’ is based on a methodology which has its roots in improvement science, in particular large scale change. Any system or organisation seeking to transform the way it works needs to equip itself effectively for the challenge. We understand that ideas alone are not enough, not matter how great and inspiring they are. Improvement becomes possible only when the idea is combined with both will and execution.

So when we work on a bespoke consultancy basis with our clients, we co-produce a proposal with each client, ensuring we have understood the brief and gauged how best we can add value. Each lead consultant adopts a common approach which we have adapted from the NHS Institute for Innovation and Improvement’s Emerging Model of Large Scale Change (2011)

 

Phase 1 – Co-produce A Compelling Vision

We work with you to articulate your vision and to define what you want to improve. This phase is about taking a broad aim and then thinking more specifically about what you are going to focus on. For example changing the nature of day-to-day frontline interactions through team based training and coaching. This involves an iterative process of framing and reframing the issues, developing the narrative in ways which matter to people, as a means of engaging hearts and minds. This is a vital step in securing the commitment and ownership of the improvement effort that will nourish the work in later stages. Starting as you mean to continue, we encourage you to co-produce this phase with the people who are most affected by it.

Phase 2 – Build A Community of Interest

We understand that many recovery journeys begin with a small number of people who act as passionate champions but who sometimes struggle to find traction in their organisation or system. Most of us have been there ourselves. We help you to identify key supporters, spread your message, raise the profile of your vision, facilitate broader engagement both vertically and horizontally, and build a community of interest. This doesn’t mean you have to wait for all stakeholders to be ‘ready’. Consensus is not a pre-requisite. Rather you need your community of interest to be sufficient in size and mix to get your work off the ground. We help you to gauge when you have reached that point, and how to tackle the obstacles you may face in getting there.

Phase 3 – Implement The 10 Key Organisational Challenge

…not all at once, although we do encourage you to try multiple manageable changes in processes and practice rather than relying on a single challenge. This helps you to engage a wide range of people in the effort, embed it in multiple parts of the organisation or system, and give it a broad-reaching relevance and profile which can’t be achieved through a ‘niche’ approach. Successes achieved in this phase through multiple cycles of small tests of change (PDSA) will help to sustain and grow momentum as well as the community of interest, and thus enable the work to spread and the cultural impact to be felt more rapidly. The Key Challenges have been compiled using the best available evidence about what works in helping people to recover a life beyond illness. The evidence base is developing all the time. The Key Challenges strike a careful balance between steering teams towards best practice while leaving sufficient room to explore new ways of working. Curiosity is a vital asset in any improvement effort and we seek to encourage that, not constrain it.

Phase 4 – Expand The Community of Interest

This is about using the successes of the earlier phases to engage more people in the effort. By this point, you are moving beyond the passionate appeal for hope in a better future, because you are able to provide tangible evidence of improvement and learning. The more supporters you have, the greater the potential for profound and sustainable change. We help you to think about how and where you share your learning and success, how your narrative might evolve and how you reinforce the commitment of your existing group of supporters. Phase 5 & Beyond – Sustaining The Impact Like recovery, a journey of improvement never reaches its end. We work with you throughout the process and aim to transfer skills and expertise that help you to sustain your effort. Some clients choose to extend our involvement into this fifth phase, as the work moves from innovation to ‘business as usual’. This is a critical stage in the journey, in which most change projects plateau or fizzle out. We provide ongoing support, facilitation and coaching to help you sustain your impact and ‘hold the gains’. While we have outlined key phases of this methodology for simplicity, it would be misleading to think of this as a linear model. Like recovery itself, there are many iterations, twists and turns in these phases and the iterative nature of the methodology is what makes it work. It is essential to spend time ‘looping the loop’, learning and adapting along the way.

Phase 5 & Beyond – Sustaining The Impact

Like recovery, a journey of improvement never reaches its end. We work with you throughout the process and aim to transfer skills and expertise that help you to sustain your effort. Some clients choose to extend our involvement into this fifth phase, as the work moves from innovation to ‘business as usual’. This is a critical stage in the journey, in which most change projects plateau or fizzle out. We provide ongoing support, facilitation and coaching to help you sustain your impact and ‘hold the gains’. While we have outlined key phases of this methodology for simplicity, it would be misleading to think of this as a linear model. Like recovery itself, there are many iterations, twists and turns in these phases and the iterative nature of the methodology is what makes it work. It is essential to spend time ‘looping the loop’, learning and adapting along the way.

While we have outlined key phases of this methodology for simplicity, it would be misleading to think of this as a linear model. Like recovery itself, there are many iterations, twists and turns in these phases and the iterative nature of the methodology is what makes it work. It is essential to spend time ‘looping the loop’, learning and adapting along the way.

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