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Action Learning across the Decades: Case Studies in Health and Social Care Settings 1966 & 2016

Comparison of the Hospital Internal Communications (HIC) project of the 1960s with the Better Outcomes for People with Learning Disabilities (BOLDTC) project in 2016 and their use of action learning approaches

Purpose – The purpose of this paper is to explore how action learning concepts were used in two healthcare projects undertaken many decades apart. The specific purpose in both cases was to examine how action learning can contribute to shared learning across key stakeholders in a complex socio-technical system. In each case study, action learning supported joint design programmes and the sharing of perspectives about the complex system under investigation.

Design/methodology/approach – Two action learning projects are described: first, the Hospital Internal Communications (HIC) project led by Reg Revans in the 1960s. Senior staff in ten London hospitals formed action learning teams to address communication issues. Second, in the Better Outcomes for People with Learning Disabilities: Transforming Care (BOLDTC) project, videoconferencing equipment enabled people with learning disabilities to increase their opportunities to communicate. A mutual learning process was established to enable stakeholders to explore the potential of the technical system to improve individual care.

Findings – The HIC project demonstrated the importance of evidence being shared between team members and that action had to engage the larger healthcare system outside the hospital. The BOLDTC project concerned the continuing relevance of action learning to healthcare today. Mutual learning was achieved between health and social care specialists and technologists.

Originality/value – This work draws together the socio-technical systems tradition (considering both social and technical issues in organisations) and action learning to demonstrate that complex systems development needs to be undertaken as a learning process in which action provides the fuel for learning and design.

Action Learning across the Decades: Case Studies in Health and Social Care Settings 1966 & 2016 HIC BOLDTC Ken Eason

Emerald Insight Link

Eason K. D. Action learning across the decades: case studies in health and social care settings 1966 and 2016 Leadership in the Health Services, 30(2) 118-128
https://doi.org/10.1108/LHS-11-2016-0057

Better Outcomes for People with Learning Disabilities – Transforming Care

Better Outcomes for People With Learning Disabilities Transforming Care Using Communication Technology Adam Hoare

 A project exploring the use of communication technology in support of person-centred care for people with learning disabilities

A collaboration with people, their families, carers, practitioners, technologists, academics and charities in pursuit of new models of care that utilise communication technology. Taking a practice-led approach to the development of the technology and considering the evidence required to demonstrate outcomes. The goal-to produce a transferable approach to evolving practice in cooperation with technology as a continuous learning process.

This was a £1m project funded by the Small Business Research Initiative in health administered by InnovateUK and Health Enterprise East.

SBRI Health

The project brought together a wide range of stakeholders in the support and care of people with learning disabilities to see how technology could form part of a person-centred approach to care provision.

Project Partners

Project Lead: Red Embedded Systems Ltd – provides v-connect, a video communications service. www.v-connect.co.uk

The v-connect service

Technology Partner: Rescon Ltd – provides Lincus, a data capture, storage and analytics tool.

Rescon Technologies

Care Provider: Hft – a charity supporting people with learning disabilities and their families.

Hft

Commissioner of Social Services: Sandwell Metropolitan Borough Council – a local authority covering 310,000 people in the West Midlands.

Sandwell Metropolitan Borough Council

Health Commissioner: Sandwell and West Birmingham CCG – Sandwell and West Birmingham Clinical Commissioning Group is a membership organisation involving 100 GP practices serving around 547,400 patients across the Sandwell and West Birmingham area. www.sandwellandwestbhamccg.nhs.uk

Sandwell and West Birmingham CCG

Service Development and Transformation: Changing Our Lives – a charity working with disabled people of all ages and backgrounds to deliver solutions to each particular need, and strive to achieve positive, individual-focused outcomes around rights, health and social inclusion.

Changing Our Lives

National Disabilities Charity: The DLF at Shaw Trust – The DLF brings together comprehensive knowledge of assistive technology with expertise of practitioners to provide information, advice, training and business tools. Working within the Shaw Trust, one of the largest, national third sector providers of welfare to work and social care programmes, the DLF can draw on the direct experience of people with learning disabilities and their community supporters.

Disability Living Foundation at Shaw Trust

Evaluation and Action Research Partner: The Bayswater Institute seeks to help organisations integrate human and social considerations with economic, structural and technical ones in the design and development of organisations and work.

Bayswater Institute

This project followed several years of developing communication technology in collaboration with practice and developing an approach to evaluation and evidence generation that would support its continued sustainable use. An example publication:

A Socio-technical approach to Evidence Generation in the Use of Video Conferencing in Care Delivery

Expert Support

Janet Cobb – an independent health consultant with considerable experience in learning disabilities.

David Atkinson – an independent consultant nurse and co-developer of the Health Equalities Framework.

Better Outcomes for People with Learning Disabilities – Transforming Care Project Overview

BOLD-TC Project Overview (PDF Link)

DOI 10.13140/RG.2.2.29687.52647