RIPPLE Video – patient experiences

Hot off the press, here is a twenty minute video of the University Hospital Coventry and Warwickshire NHS Trust RIPPLE Project, introduced by Colin Gelder (who specialises in Asthma, COPD and other Airway Diseases. He also runs the new Community COPD Team.) and nurse Charlotte.

I was lucky enough to be invited to facilitate the early workshops from which emerged the ideas for this project.

The RIPPLE Project is a study we have put together looking at the effects of using Asset based Community Development to address anxiety and social isolation in chronic obstructive pulmonary diseases (COPD). – Dr Colin Gelder – Consultant

RIPPLE is an acronym meaning

Respiratory

Innovation

Promoting a

Positive

Life

Experience for COPD patients

After the first five minutes of the video you will hear, first-hand, the personal experiences of some of the community members.

While you watch these amazing accounts of just what the project has done for them, imagine each short story as a narrative fragment, signified (indexed against an appropriate set of parameters) by the teller and plotted on a sensemaker narrative landscape so that you could see the patterns across the community/county/society and drop in on any aspect that attracts your interest.

Three acres, a cow and feeding the 500

On Sunday 20th September I had the great pleasure to be invited to be a part of Harvest in the centre of Peterborough – A 70 x 7 Meal-Act XXXIX by Lucy and Jorge Orta and made to happen by Metal of Peterborough.

I don’t think I have ever (knowingly) been part of an art installation before. Here is the official video of the day.

The plates were a creation of real beauty in themselves. The colour duality representing the equinox when day & night/light and dark are in equal balance.plate

Mabon, the holiday of the autumn equinox, is associated with the Pagan ritual of thanksgiving for the fruits of the earth, these include: cereal grains, honey suckle, pomegranate, pine cones, acorns and passion fruit, which have been depicted on the design.

It was an amazing experience, good food, good music, good conversation and good weather which has never made Peterborough look so inviting.

I will end with a few lines from an unattributed ballad from the late 1800’s sung fantastically by Robin Grey and just about everyone in Cathedral Square.

If all the land in England was divided up quite fair.

There would be work for every man to earn an honest share.

Well some have thousand acre farms which they have got somehow.

But I’ll be satisfied to get three acres and a cow

Alicia Juarrero on Constraints that enable #innovation

I have heard Alicia mentioned many times before but have never seen her present and this short 27 minute video is a must watch. This is from the recent Lean Agile conference (but don’t let that put you off) in the US back in April  and I notice that last years video of Alicia is also available here.

Alicia is a professor of Philosophy and when she speaks you can hear the perfect insightful explanations just click into place without any visible signs of notes or cues.

The study of living systems (and especially of ecosystems) has taught us that nature and evolution do not favour stability and equilibrium: instead, natural processes select for resilience and adaptability—for characteristics that foster evolvability. Living things learn from the past and anticipate the future – and then modify themselves to handle ambiguity, uncertainty, and unwelcome perturbations. Handle and manage, not avoid and eliminate ambiguity and uncertainty.

I have also found, on Google books, what looks to be a terrific read in a book entitled ‘Mind, Brain and the Elusive Soul from which this is a brief extract:

alicia juarrero quote

Your warm but complex embrace

Here is a recent keynote by Dave Snowden giving a thorough overview and introduction to  cynefin and sensemaker, which is packed full of thought provoking insights.

Highly recommended and lasting just over an hour my three favourite quotes are:

(In a complex system) Manage the evolutionary potential of a moment in time and adjust as you go. Manage beneficial coherence within attractors within boundaries.

There is an opportunity between free market capitalism and state planning for locally contextualised initiatives that can emerge at significantly lower cost than either of the other mechanisms.

(In a complex system) measure Vector not Velocity; success is right direction not order; otherwise an unachievable end point is always going to fail.

I had not heard this ‘Vector not Velocity’ before but it reminded me of a story from Nick Owen’s book ‘The Salmon of Knowledge’ about the wise fool:

The wise fool takes the whole context into consideration and looks at every issue from every conceivable angle. Ask him, ‘Which is better, a fast horse or a slow one?’ He will say, it depends. ‘it depends whether you and your horse are going in the right direction