1. Building, Maintaining and Developing the Team Karen Stubbs and Gillian Borrie Corelli Consulting Ltd September 06

2. How team/groups develop Woodcock (1979) and Tuckman (1965) identified certain characteristics which a team will exhibit at different stages in its development not every team will display every characteristic the type of team and its tasks and responsibilities will affect its tendency to have particular characteristics

3. Forming; the undeveloped team relying on the leader finding out about tasks, rules and methods of working acquiring information and resources Drawings by Dr. George Kouloumas c. 1991

4. Storming: the experimenting team internal conflict members resist tasks at the emotional level

5. Norming; the consolidating team conflict is settled cooperation develops views exchanged new norms/ standards of behaviour established

6. Performing; the mature team teamwork is achieved roles are flexible solutions are found and implemented

7. Recognising the Effective Team informal relaxed atmosphere highly participative discussion group task clearly understood members listen to each other decisions made by general consensus ideas expressed freely Leadership shared appropriately McGregor “The Human Side of Enterprise” 1961

8. ……and the Ineffective Team bored and tense discussion dominated by one or two no clear common objectives no real listening to each other decisions made by majority rule, rather than consensus no criticism, no personal feelings leadership not shared McGregor “The Human Side of Enterprise” 1961

9. Meredith Belbin - “nobody’s perfect but a team can be” This Cambridge psychologist/management consultant devised the classic exercise in defining and identifying team roles – A Self-Perception Inventory – in 1981. It is still widely used. We will look at it now; please spend approx. 15 minutes completing it, and assessing your own team role Can you identify other roles played by other members of your practice?

10. Balancing needs in teams Group Task Needs Other interested groups/teams Group Maintenance (Other Team members’ needs) Full Team Individual Needs

11. McGregor on Motivation Theory Y states that the average human: does not inherently dislike work will exercise control and self- direction learns to accept responsibility more people can contribute creatively than do so

12. Motivation Maslow’s Hierarchy of Need: people are motivated by desire to satisfy specific groups of needs people satisfy these needs systematically, moving up the hierarchy useful framework for discussing variety of human needs people experience at work

13. Maslow Hierarchy of need Self-actualisation Self-Esteem Love, Affection, Belonging Emotional Safety Physiological

14. The 7s Framework A good manager/ team leader pays attention to: StrategySystems Structure Style StaffSkills Shared Values Peters and Waterman, McKinsey & Co, 1992

15. Looking after your team understand what motivates staff use meetings effectively define and agree your objectives see the need for value and appreciation – and show it! put in place effective appraisal identify team’s strengths and weaknesses

16. and more…………… encouraging informal feedback promoting professional development seeking opportunities for training/ mentoring/coaching developing written procedures to help things work communicating effectively

17. What can you see?

18. A small group exercise What sort of team do you work with? - describe it in 3 words What could you do to improve, encourage and develop it? - outline in 3 sentences

19. Recognising challenges to the team Challenge new tasks new roles new responsibilities new opportunities Example please!

20. Kubler-Ross Change Curve Integration Shock Denial Decisions Frustration Experiments Depression

21. A last group exercise What is the major challenge to your practice over the next 12 months? Can your team cope with it? Yes / No If not, why not? If so, why?

22. A short course in leadership – John Adair The six most important words...“I admit I made a mistake” The five most important words...“I am proud of you.” The four most important words...“What is your opinion?” The three most important words...“If you please.” The two most important words...“Thank you.” The one most important word...“We” And the least most important word…...“I”.

23. A brief bibliography The Good Manager’s Guide, 2 nd ed.,Trevor Boutall, MCI, London, 1997 The Toolbox for Portfolio Development, a practical guide for the primary health care team, Roger Pietroni, Radcliffe Medical Press, 2001

24. So, in summary……… In this session, we have looked what teams are and how they behave strategies for strengthening teams how change in health care policy and practice might impact on our primary health care teams’ behaviour