This document provides an overview of a presentation on building resilience and promoting wellbeing. The presentation covers topics such as resilience and wellbeing, understanding yourself, communication skills, managing stress, being a resilience champion, and resilience tools. It is intended to help participants define resilience, understand its importance, learn about their personality preferences, identify stress symptoms, and develop a personal development plan for building resilience. Various models and strategies are presented to provide knowledge and skills for improving resilience on personal, situational, and organizational levels.

1. Building resilience,
promoting wellbeing
Andy Anderson

2. Session Format
• Background
• Resilience and Wellbeing
• Why, what and how of resilience
• The foundation – knowing yourself
• Communication Skills
• Managing stress
• Being a resilience champion
• Resilience tools
• Summary and Close

3. The Brain is
Amazing
I awlyas tghuhot slpeling was
ipmorantt. i cdnuolt blveiee taht I
cluod aulaclty uesdnatnrd waht I
was rdanieg. The phaonmneal
pweor of the hmuan mnid,
aoccdrnig to a rscheearch at
Cmabrigde Uinervtisy, it dseno’t
mtaetr in waht oerdr the ltteres in
a wrod are, the olny iproamtnt
tihng is taht the frsit and lsat ltteer
be in the rghi t pclae. The rset can
be a taotl mses and you can sitll
raed it whotuit a pboerlm. Tihs is
bcuseae the huamn mnid deos not
raed ervey lteter by istlef, but the
wrod as a wlohe. Azanmig huh?

4. © Andy Anderson Consulting 2018
My Background
1999 to 2017 medical education and simulation products
distribution/consultancy – first VR products sold in the UK
2 Years Business Manager, TEAMS Training Centre,
Queen Alexandra Hospital, Portsmouth NHS Trust
Qualified Myers Briggs Practitioner – Foundation
Programme Work Place Assessments Programme
Member of Health Education England Horizons Scanning
Group
From 2012 to December 2017 CEO ASPiH
10 years as a school governor, including Chair of Board
at a large secondary school

6. The Mobius Model is a roadmap for creating conversations that help the caring process.
Worry
Negative
Possibility
The
Mistakes
Fault
Blame
Understanding
Acknowledge
Responsibility
Plan and
Commit
Possibility

7. You
Confidentiality Respect
Openness and
Honesty
Involvement

8. © Mobius Training 2018
When asking for help did not feel
understood or listened to by consultants.
Persistently being on the end of grievances
against the team.
It can also be stressful when dealing with
certain patients ie end of life and their
family members at times.
Severely unwell patients who have
deteriorated due to poor communication
Extreme pressures ….means I’m seeing
multiple patients at once. I find this really
difficult and can take it out on my
colleagues.
Too many things to do / too little time
Lack of direction from above
Difference of opinion on the team's
priorities
I have reached my limit in terms
of stress.
friction between staff members

9. Measurable Outcomes
• To be able to define resilience in your own words and
understand why it is important to develop it in today’s NHS
• To know your personality preferences and how these can be
used as a platform for improving your resilience,
communications and team working
• To identify physical, emotional, behavioural and cognitive
symptoms of stress
• To be aware of and use the key ingredients for developing
resilience and identify when the skills have a positive impact
on your work in the NHS
• To develop a personal development plan for the future

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Some people seem naturally more resilient than others, but it is important to
realise that resilience is not genetically encoded – resilience can be
learned.
The brain activity of resilient people differs from that of non-resilient people
Accept that some days you're the pigeon,
and some days you're the statue.

11. What does resilience look like?
• Describe someone who you think is resilient
and/or you admire?
• What characteristics do they have that make
them resilient or admirable?

12. The Resilient Person
• Ability to engage with and utilise others for
own support and development
• Managing negative emotions
• Asserts influence but accepts external
controls
• Learns from experience
• Copes well with disruptive change
• Sustains good health and energy when
under constant pressure

13. Everything can be taken from a person,
but one thing. The last of human
freedoms, “…to choose one’s attitude in
any set of circumstances, to choose one’s
own way”
-Victor Frankl, “Man’s Search for
Meaning”.
Resilience is not something
you have it is what you do.

14. © Andy Anderson Consulting 2018
Resilience
Personal resilience – bouncing back from adversity
Situational resilience – practice, nerves and performance
Organisational resilience – supportive cultures, planning
The NHS is a unique environment
It suffers from a blame culture
It is a high-profile profession
Mistakes happen every day
Developing personal
resilience helps cope

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1. Keep a rational mindset
2. Get a mentor/coach
3. Learn your blind spots
4. Give yourself a break
5. Ask for help
6. Take control
7. Manage stress
8. Get fit
9. Be mindful
10. Help others

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19. Break

21. ResilienceinHealthcare
Understandingselfandothers

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I work as a biochemist. My superior
regularly places notes in my in tray that I
find critical and hurtful.When I challenge
him he just says “They’re only ideas for
you to consider”.
I get performance reviews from
one senior manager that go into all
this detail about personal
circumstances.There is a real lack
of objective assessment of
performance
She gave me so many optional
treatments and told me what
leading hospitals are using
now. She seemed more
interested in the research than
in me.
I would like time to digest the
word cancer and think about
implications for me and my
family. Be honest and
competent

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• Self appreciate differences
• approach to
more effective team working
• Jung’s
• reliability validity
• Each individual owns their data and can choose to share
it or not as they wish.

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tool framework
• It is an indicator not a test so there are no right or
wrong answers
•
• preferences
Remember…there is no better or worse PersonalityType

29. The concept of ‘preference’
“Natural”
“Easy”
“Quick”
“Comfortable”
“Effortless”
“Unnatural”
“Difficult”
“Slower”
“Awkward”
“Took more Energy”

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Basic Assumptions ofTypeTheory
• preferences
• everyone uses all eight.
• not abilities
• all types have potential!
• best judges own type

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32. PJ
FT
NS
IE
Source of energy
Extraversion Introversion
Way of gathering information
Sensing iNtuition
Decision making
Thinking Feeling
How you relate to the external world
Judgment Perception

33. ISTJ ISFJ INFJ INTJ
ISTP ISFP INFP INTP
ESTP ESFP ENFP ENTP
ESTJ ESFJ ENFJ ENTJ

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•
•

35. Extraversion E Introversion I

36. Extraversion Introversion IE

38. What was happening?
How many dogs in the picture?
How many breeds?
What card was the bulldog holding below
the table?
What time was it?
How many dogs were smoking?
What was the atmosphere in the room?
What was the situation?

39. Sensing Intuition NS

40. Sensing Intuition
NS

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•
•

43. Thinking Feeling FT

44. Thinking Feeling
FT

45. Thinking Feeling

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•
•

48. Lunch

49. Judging Perceiving PJ

50. Judging vs
vs
vs
vs
vs
vs
Perceiving

52. PJ
FT
NS
IE
Source of energy
Extraversion Introversion
Way of gathering information
Sensing iNtuition
Decision making
Thinking Feeling
How you relate to the external world
Judgment Perception
E
N
T
J

53. I wish they’d shut up and let me
think
ESTJ
INFP
ESTJ
ENTJ

55. ENTJs

56. E
Thinks out loud
Interrupts
Louder voice
I
Pauses
Shorter sentences
Quiet voice
S
Step by step information
Asks “What” and “How”
Precise and detailed
N
Wants current and long term implications
Asks “Why”
Talks in general terms
T
Tests you on your knowledge
Weighs objective evidence
Not impressed that others have chosen your product
F
Strives for harmony
Talks about their values
Asks about how others reacted/resolved issues
J
Impatient with long descriptions
Early decisions
Tone of “let’s get it done”
P
Meandering conversation
Put off by early closure
Decisions at the last minute or in their time

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..when I visit the doctor I
just want information
about my problem and
what can be done about
it.
..I want prefer a kindly
approach. I feel hurt by
blunt comments and a
factual approach.
“it is likely that a person with a judging preference will want to
know precisely how long their relative will live for and be
annoyed if the estimate turns out to be inaccurate.”

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Initial
Interaction
Needs and
Actions
Next Steps or
Closing
E or I SF/ST
NF/NT
J or P

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E or I
Think it
through or
talk it out

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ST
NT
SF
NF

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ST Sensing with Thinking NT iNtuition with Thinking
Factual in a logical order Will ask for logical options
Practical “let’s get it done”approach Tests your competence
Clear hard facts with explanation Irritated by waffle and woolly answers
Tried and trusted methods with data back up Interested in cutting edge methods
SF Sensing with Feeling NF iNtuition with Feeling
Seek a personal, caring approach Sees their situation as unique
Want facts not theories Needs to be valued as a person
Needs a warm, friendly approach New ideas focusing on the whole person
Interested in what works for others Need to identify areas of distress

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Breaking bad news
ST Sensing with Thinking SF Sensing with Feeling
Honest Soften the blow, friendly
Truthful Understandable language
Clear hard facts with explanation Council and support
Don’t go round and round Listened to and with full attention
NF iNtuition with Feeling NT iNtuition with Thinking
Quietly, sitting down Full information, don’t patronise
No details – the big picture Competence with focus on me – eye contact
Treated as a person, empathetic Effective response to questions
Allow time for reflection Practical discussion on options

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J or P
Joy of closure or
joy of processing
Judging Moves towards closure and next steps.
Irritated by waiting.
Perceiving Process focused, spontaneous, may go off track,
delayed decisions

68. Wellbeing Game

70. Challenges for health and care professionals
• Excessive workload
• Dealing with suffering
• Dealing with constant demands
• Dealing with uncertainty about future
• Dealing with one’s own mistakes or fear of them
• Lack of professional support
• Externally imposed change/managers
• Boredom
• Reluctance to seek help
• Changing role in society
• Social media

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Intuitive types Sensing types
Bring up new possibilities Bring up pertinent facts
Anticipate future Realities of situation
Apply insight Apply experience
Focus on long-term Focus on what needs doing now
Feeling types Thinking types
Assess how others will react Analyse implications
Make exceptions for individuals Be consistent
Attach importance to values Attach importance to principles
Aim for harmony Create logical systems

72. Managing
Stress
http://www.workingstress.co.uk/index.html
Andy Yeoman <Andy@focusgames.com>

73. Instant mindfulness
https://www.youtube.com/watch?v=ad7HqXEc2Sc

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OBJECTIVE
STRATEGY
PRODUCT (Your skills, attributes)
PROMOTION (CVs, Self-Talk, Positive thinking)
PRICE (What are you prepared to pay)
PEOPLE (Who do you have or need around you)
PLACE (Where will you focus your attention)

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Normal mood
fluctuations, calm and
takes things in stride
Irritable/impatient,
nervous or
overwhelmed
Angry, Anxious,
pervasively sad
Angry
outbursts/aggression
Panic attacks,
depressed with suicidal
thoughts
Good sense of humour,
in control mentally
Displaced sarcasm
Procrastination
Forgetfulness
Negative attitude, poor
performance,
workaholic
Poor concentration and
decisions
Overt insubordination
Can’t perform duties,
control behaviour or
concentrate
Normal sleep patterns Trouble sleeping
Intrusive thoughts
Nightmares
Restless disturbed sleep
Recurrent
images/nightmares
Can’t fall or stay asleep
Sleep too much or too
little
Good energy and
physically well
Muscle tension
Low energy
Headaches
Increased aches and
pains and/or fatigue
Physical illness,
constant fatigue
Physically and socially
active
Decreased
activity/socialising
Avoidance
Withdrawal
Not going out or
answering phone
Limited
alcohol/gambling use
Regular but controlled
alcohol use/gambling
Increased or above
average
alcohol/gambling
Addiction to
alcohol/gambling or
other things
HEALTHY REACTING INJURED ILL

80. © Mobius Training 2018