Random key thoughts ① Series of Gatherings – changes ② What does ‘professional’ look like? ③ Pain of learning ④ Whole system re-‐design ⑤ EvaluaFon-‐ quality assurance-‐ fidelity
A rock or a bird?
(Jake Chapman 2002/2004 Demos)
• If you want to throw an object to land in a particular place you can use Newton’s laws of motion to calculate how to do so – this works well for things like rocks
• But it utterly fails if you are throwing a bird – A bird is a complex, adaptive system
Homework Task: Talk to neighbour for 5 minutes: “What homework can you do in the next 2-‐4 days to help you capture and remember the points from this conference that are parFcularly valuable to you?”
An example • Challenger disaster 1986 • What was known • What was believed • Why?
Reason’s Swiss cheese model
A safe culture • What is the dominant message – keeping families together or protecFng children beZer? • Managing the pressure to save money • Team level – how to talk of worries and possible failure to make a family safe enough without reinforcing any sense of personal failure?