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Taking a Privileged View

At a Morecambe Bay OD and Improvement (OD&I) Practitioner Workshop in 2017, participants were reminded of the “privileged” system-view afforded through their work with diverse stakeholders. Hindsight is also a ‘privileged view’ that helps us better understand how past actions and ambitions have influenced where we are today. Here, with the distance of hindsight, we reflect on the impact of this workshop, an intervention funded by an NHS NWLA OD&I Grant.


The two-day residential programme brought together OD&I practitioners from across the twelve organisations making up the Bay Health and Care Partners (BH&CP). At the time, BH&CP were moving towards becoming an accountable care system, supported by the Bay Learning and Improvement Collaborative (BLIC) to deliver against the ‘Better Care Together’ strategy. The workshop aimed to initiate and strengthen system collaboration between OD&I practitioners working within organisational boundaries. Practitioners were given space to network, talk openly about concerns for the future, and identify priority areas for collaboration. They were also supported in aligning organisational OD&I strategies to the Developing People – Improving Care Framework (DPIC).

A significant outcome of the workshop was an understanding that it was “too early to collaborate”, and to wait until the opportunity arose to work together. Participants, instead, clarified their distinct organisational roles and responsibilities which “liberated their time and energy” so that Trusts could concentrate on organisational OD and BLIC could focus on supporting the wider integration of services.


Today, the system has changed. BH&CP is an Integrated Care Partnership, BLIC’s remit has been absorbed into the University Hospitals of Morecambe Bay NHS Foundation Trust’s (UHMB) OD&I team, and acute and community services have been integrated across South Cumbria. From our current vantage point, it is clear that the workshop was effective in “laying the ground for future working”.

Matthew France, Deputy Director of OD&I at UHMB and BH&CP, reflects that the workshop helped staff to see themselves as “part of the bigger picture”, readying them for working within a systems context, whilst the alignment to DPIC enabled a more “seamless” organisational integration. Workforce planning across BH&CP is now taking place with Cumbria County Council colleagues – practitioners initially brought together at the 2017 workshop. For Matthew, it is these relationships that have been invaluable in “making things work”.

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