The National Leadership Unit in NHS Scotland works to develop and improve leadership in the public health sector. It aims to build leadership capacity and capabilities, support current and future leaders, evaluate leadership programs, and collaborate across public services. It offers various leadership development programs, resources, and frameworks to nurture strategic, clinical, and frontline leadership skills.
10. Kantor 4 Player Model advocacy advocacy inquiry inquiry Adapted from David Kantor's work, Kantor Institute Move Intent: Direction Follow Intent: Completion Oppose Intent: Correction Bystand Intent: Perspective
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Editor's Notes
Welcome Focus of this session -Transforming Quality through Leadership/Bringing Quality Alive through quality conversations What they can expect - interactive session to illustrate how we might improve quality through improving the quality of our conversations.
The National Leadership Unit is responsible for developing and implementing leadership development policy for NHSScotland, to help improve leadership capacity and capability in order to deliver the goals of NHSScotland. The National Leadership Unit is based within the NES Educational Development Directorate and is responsible for delivering national leadership interventions to take forward the commitments of Delivering Quality Through Leadership (the NHS Scotland Leadership Development Strategy) in support of service delivery.
Don’t intend to go through all of this – Too small to read – handout on your tables Put it up to show the range and breath of our work – all of which is aligned with Health Board leadership development strategies to support senior leaders achieve three quality ambitions for NHSScotland. 5 Objectives Work with partners to drive cultural change Build OD capability and capacity Develop current leaders and teams Nurture the supply of future leaders Evaluate the impact
It’s all about relationships and relationships rely on conversations
Hand over to Sharon
In a moment we are going to role play a couple of conversations for you. The quality of the conversations depends on the degree of balance between advocacy and inquiry Advocacy is taking a position, speaking what you think, speaking your point of view Inquiry is seeking information by asking questions to look into what you don’t yet know, what you don’t yet understand, to understand your own and others views We are going to role play a conversation which you might be familiar with. While watching it: Focus on the pattern in the conversation rather than the content – watch for advocacy and inquiry Notice the “tone” of the conversation Look for the dynamics between people
Then you can discuss what you noticed at your tables. Hand over to Allan or Emma Invite participants to discuss at their tables Take 2 or 3 reflections from the floor Introduce the Kantor model
David Kantor is a dialogue practitioner and family systems therapist. He developed the Four Player Model from research into effective communication of a family system. Kantor builds on the key dimensions of advocacy and inquiry and extend them by suggesting a productive conversation balances the four speech actions of Move, oppose, follow and bystand. Two are an aspect of advocacy (making a point) and two are an aspect of inquiry. Kantor suggests that in conversation, some people move – they initiate and provide Direction e.g. through making a point, a suggestion, giving their opinion. Others will oppose – they challenge what is being said, making a counter point or probing, clarifying or providing correction to what has been said Other people follow – they complete what is said and support what is happening, perhaps by building on what someone has said. and still others bystand – they observe and provide perspective on what is happening. To make a bystand, the person acts as a mirror to the proceedings. E.g. why something is said or not (elephant in the room scenario), who is speaking and who is silent. To illustrate the speech actions we are going to run the role play again. Re run role play highlight advocacy pattern - results in stuck conversations Lets see what happens with a little more balance in the conversation. This time look for: Changes in patterns, behaviour and tone Run script 2