1. Moving veterinary from the service
business to the development
business
24 February 2016
Sheraton Hotel, Athlone
Geoff Dooley & Denise Duggan
2. Start with WHY
1. Build interconnection within veterinary and
(later) between veterinary & farming.
2. Consistently deliver the highest standards of
animal care & health management through
veterinary excellence.
3. Be a Change Agent by moving veterinary
from a service function to a development
function.
3. Background
Winter 2009 – 3 practices with an idea
September 2010 – XLVets Ireland
June 2011 – XLVets Skillnet
2015 – 24 practices (110 vets) & 973 farm
businesses
5. Start with WHY
1. Build interconnection within veterinary and
(later) between veterinary & farming.
2. Consistently deliver the highest standards of
animal care & health management through
veterinary excellence.
3. Be a Change Agent by moving veterinary
from a service function to a development
function.
6. Why being a Change Agent matters:
Anti – microbial resistance in humans
Food safety
Animal welfare
Greenhouse gas emissions/climate change
Food security
Deregulation
Herd expansion
Synthetic biology
Feminisation
7. Why being a Change Agent matters:
Anti – microbial resistance in humans
Food safety
Animal welfare
Greenhouse gas emissions
Food security
Deregulation and market volatility
Herd expansion
Synthetic biology
Feminisation
8. Why being a Change Agent is hard:
Veterinary sector
Reactive culture
State work
“Inflexible” business
structures
Lack of specialisation
9. Why being a Change Agent is hard:
Veterinary sector
Service mentality
State work
Inflexible business
structures
Lack of specialisation
Farming sector
Pull towards status quo
Low “HR Flow”
Focus on immediate
problems
Won’t pay for training
Information overload
Poor execution
10. HOW
1. Upskill vets with best clinical education
2. Train vets to be trainers & training designers
3. Sub-committees create program content
4. Tap the supply chain for resources
5. Pilot initiatives (everything is learning)
6. Leverage the existing vet-farmer
relationship
11. HOW We Operate
Inspire through our “Story of Why”
and then use the network as a lever
for large-scale change
16. Why is execution so difficult?
1. Farmers don’t know the most important
risks of the business
2. Farmers don’t know what to do to manage
the most important risks.
3. Farmers don’t keep score & they don’t know
how to measure success
4. Farmers are not held accountable for results
McChesney et al, 2012
17. Why is execution so difficult?
1. Farmers don’t know the most important
risks of the business
2. Farmers don’t know what to do manage the
most risks
3. Farmers don’t keep score & they don’t know
how to measure success
4. Farmers are not held accountable for results
McChesney et al, 2012
18. Why is execution so difficult?
1. Farmers don’t know the most important
risks of the business
2. Farmers don’t know what to do manage the
most important risks
3. Farmers don’t keep score & they don’t know
how to measure success
4. Farmers are not held accountable for results
McChesney et al, 2012
19. Addressing the Execution Problem
Introduced DairyMentor in 2015:
Surveillance program
Herd health planning program
20. Addressing the Execution Problem
Introduced DairyMentor in 2015:
Surveillance program
Herd health planning program
+ Coaching program
21. Addressing the Execution Problem
Introduced DairyMentor in 2015:
Surveillance program
Herd health planning program
+ Coaching program
22. Addressing the Execution Problem
Introduced DairyMentor in 2015:
Surveillance program
Herd health planning program
+ Coaching program
30. Next Steps
1. Use scoreboard data to set performance
benchmarks
2. Calculate impacts in € and productivity terms
3. Use data to inform increasingly compelling stories
about XLVets Skillnet
4. Global scoreboard to calculate tons of CO2e, Kgs of
anti-microbials not used etc….
5. Contribute to the “farm food story”
31. Next Steps
1. Use scoreboard data to set performance
benchmarks
2. Calculate impacts in € and productivity terms
3. Use data to inform increasingly compelling stories
about XLVets Skillnet
4. Global scoreboard to calculate tons of CO2e, Kgs of
anti-microbials not used etc….
5. Contribute to the “farm food story”
Fuelling change…
Initially wanted to foster cooperation in the veterinary sector
Launched XLVets Skillnet to address need for clinical training
Then, the knowledge that we were building was not being disseminated….
Hence, we broadened out XLVets Skillnet to foster interconnection between the veterinary and farming sectors
Could also be Vision – Strategy – Tactics - Impact
The first two ‘Whys’ are the reasons for our existence.
The third Why is what drives us.
Further restrictions on antibiotic use in food production inevitable
Exporting to high value markets (e.g. baby food) demands having a very compelling ‘food story’ with regard to animal welfare and food safety
GHG emission reduction targets (and climate change) both putting pressure on how food is produced (efficiency is critical)
Food security even in developed markets is a growing concern
Deregulation (e.g. milk production quota removal) is driving price volatility
Deregulation also leading to herd expansion; increased risks at farm level
Syn Bio has the potential to be an Uber or an AirBnB to traditional farming
>75% of veterinary students are female; this is changing the way veterinary services are being delivered – more planned work/less reactive
Everything points to adopting a preventative approach that addresses (pre-clinical) risks AS OPPOSED to a curative approach that addresses (clinical) problems
Tradition of waiting for work to come: as opposed to actively selling management services
State work may be a barrier to innovation
Business structures makes it is challenging to offer a 24/7 on-call service and a routine/planned service side-by-side
Small practices → more generalists who can do a bit of everything
Social support through the CAP for agri slows change
Farmers tend to have a long tenure 50 years +
Always at the coalface: immediate problems swallow focus
No culture of paying for training
TtT important for self-awareness and awareness of others re learning styles
Use our Story of Why to engage with various stakeholders for financial support or knowledge resources….
FarmSkills Suite of programs:
Information seminars = town hall style
FarmSkills – practical, on farm, 1 day, small groups
Surveillance – HerdChecks/farm risk assessments
Risk management plans tailored to the farm
There is a funnelling/hierarchy effect running through with the most committed and engaged staying the course…
Feedback/testimonials is positive…..
But execution at farm level remains haphazard.
We are contributing to the dissemination of knowledge BUT are we enabling changed behaviour at farm level?
What happens after the programs end seems to be a lottery.
Looked at the issue in the context of obstacles to ‘execution’
We are happy we are meeting the first two criteria through our surveillance programs and herd health planning programs
However, we can do more to support farmers in measuring progress (scoreboard) and bringing accountability into the vet/trainer – farmer relationship (vet as coach/mentor).
Similar to the HerdCheck programs
Overlaid/integrated with a coaching program
Informed by the GROW model
And the “4 disciplines of execution”.
As mentioned; we had programs for (1) identification of key risks AND for developing (2) management plans that addressed those risks.
After that we were losing control of what was happening.
Used coaching principles to introduce (3) a scoreboard and (4) create accountability
Knowing the score while you are playing the game influences behaviour
Scoreboards must be easy to read.
They must be updated regularly (ticking over!)
They must tell you the score within 5 seconds. No spreadsheets!
Using scoreboards in conjunction with accountability
Leverage the vet – farmer relationship
Vets using new behaviours to interact with farmers
We have established there is a lot of interest in this approach
Tommy Heffernan of XLVets and Avondale Vets profiled two weeks ago.
What we are doing is a work in progress…it always will be
Being a change agent and moving veterinary from a traditional service function to a 21st century development function
Couldn’t do this without a very engaged steering group!