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Understanding Service Needs. Objectives. To examine the context of service delivery in local government To examine how we can understand service needs To look at techniques for understanding service costs and demand patterns
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Objectives • To examine the context of service delivery in local government • To examine how we can understand service needs • To look at techniques for understanding service costs and demand patterns • To revisit stakeholder consultation in the light of political initiatives such as Localism and the Big Society • To examine stools for service delivery optimisation
Links to other procurement programmes • This programme is the 1st Module in a series covering every aspect of the Do Buy Share approach • Completion of all the modules will provide the knowledge required for the ILM Level 3 Award in Service Improvement • A work based assignment is required to be awarded the qualification • Further details will be available on the Do Buy Share website • A link will be mailed to you shortly
Contract Relationship Management Contracting Solution Provision Commercial Assessment Identity Service Need 5 Modules Benchmarked to: National Occupational Standards for Purchasing Full attendance plus completion of assessment leads to ILM Level 3 Award in Service Improvement Learning Materials Programme supported by Workbooks and elearning via iLearn Dedicated Client service manager
Change Evolution? Revolution? Adaption?
Machiavelli “There is nothing more difficult to take in hand, more perilous to conduct, or more uncertain in its success, than to take the lead in the introduction of a new order of things”
Sir Winston Churchill “To improve is to change; to be perfect is to change often”
Where are we now? SPECTRE ANALYSIS • Social • Political • Economic • Customer • Technological • Regulatory • Environmental
Caius Petronius AD 66 “We trained hard, but it seemed that every time we were beginning to form up into teams we would be reorganised. I was to learn later in life that we tend to meet any new situation by reorganising, and a wonderful method it can be for creating the illusion of progress, while producing confusion, inefficiency and demoralisation.”
Demand Mapping How can we make the service fit the demand? Understanding patterns in demand SMART resourcing Thinking outside the square
RUN chart or Time series analysis Use to examine patterns in a a service or process and play back to the delivery team to identity frequency, scale, trends and ownership.
Business Process Mapping What does the service look like? What happens first, what happens next? From the providers view From the Customers view Get input from all and get people to draw simple flow charts Compare them, discuss the differences Decide what it needs to be against what it is now (Gap analysis) Draw the improved process
The Kano Questionnaire What value is added at each stage of the process?
Triaging work • Cost of 5 minute interview with middle manager in an interview room • Cost of dealing with transaction by email • Cost of dealing with transaction by phone • Cost of dealing transaction by website +COST- -SPEED+
The Pareto Principle 80% of queries handled at 1st point of contact20% escalated
The Concept of Fast Fixes Organisations may have several departments that have direct interaction with the customer. These include : Those on the front line - 1st level support Those who try to fix the problem initially – 2nd level support Those to whom the problem is sent if it can't be fixed- 3rd level support Managers who may get involved if the customer is irate Design for minimum customer handling – Why can’t the first point of contact fix the problem ?
Golden rules of Focus or User Groups Make sure group is representative Convenient venue for the participants Ideally around 10 – 12 Around 90 minutes long You’ll need a facilitator and note taker Open questions – one at a time to speak Around 6 topics- let participants know what they are in advance Send copies of notes and thanks afterwards
Make sure sample is representative One side of A4 printed on yellow paper Minimum questions to increase response, ideally 10 Measure degrees of satisfaction and dissatisfaction (disagree strongly/disagree/agree/agree strongly) Use 4 tick boxes per question - simple language Allow room for comment Design for easy compilation of results Golden Rules of Surveys
A Questionable Questionnaire Suppose that a summer camp director had prepared the following questionnaire to use in interviewing the parents of prospective campers. 1. What is your income to the nearest £100 ? People don’t usually know their income to the nearest 100 nor do they want to reveal their income that closely. Moreover, a researcher should never open a questionnaire with such a personal question. 2. Are you a strong or weak supporter of overnight summer camping for your children ? What do strong and weak mean ? 23
A Questionable Questionnaire 2 3. Do your children behave themselves well at summer camp? Yes ( ) No ( ) • Behave is a relative term. Furthermore, are ‘yes’ and ‘no’ the best responses to allow for this question? Besides, will people want to • answer this? Why ask the question in the first place? • 4. How many camps mailed literature to you last April ? • This April ? • Who can remember this? • 5. What are the most salient and determinant attributes in your evaluation of summer camps ? • What are ‘salient’ and ‘determinant’ attributes? Don’t use big words • 6. Do you think it is right to deprive your child of the opportunity • to grow into a mature person through experience of • summer camping? • A loaded question. Given the bias, how can any parent answer ‘yes’ 24
Impressions About your organisation What would you like your customers to say about your organisation and the way it deals with them ? About You What would you like your customers to say about you and the way you deal with them ?
Behavioural Standards for Barpersons Acknowledges customers arriving at the bar within 30 seconds Smiles and greets in a polite and friendly manner Serves customers in strict order of arrival Works from left to right in each segment of the bar Serves right drink with right change in 3-4 minutes
Why do customers leave?–What the research says 14% are dissatisfied with the service itself Sources : British Quality Foundation Institute for Customer Service 68% are dissatisfied with the indifferent attitude of just one member of staff 14% are attracted by other suppliers (where they have a choice)
Individual behaviour makes the difference! þ Every individual makes a significant impact customer experience & on the organisations service reputation ý It is a myth that service quality is the major influence on customer satisfaction – it’s just one!
Why are people and organisations often resistant to change?
NEW BEHAVIOUR 7. Incorporate meanings into new behaviours FALSE HOPE 2. Temporary retreat Disbelief NEW MODELS 6. FRUSTRATION Internalisation 3. Seeking understanding why things are different Not until people get out of activity Awareness that change is necessary do they understand their lives better Frustration phase How to deal with change EXPERIMENTATION 5. SHOCK New behaviours, new approaches 1. Tendency here to stereotype i.e. the way things should be done Lot of energy Shock overwhelmed mismatch between Begin to deal with new reality LETTING GO Lot of anger and frustration high expectations and reality 4. Beginning of transition Time "Letting go of past" comfortable attitudes and behaviours The Transition Curve
Understanding how some senior managers feel • It’s best not to give information about ‘work in progress’ • It’s best not to say, “I don’t know”. • Don’t be the bearer of bad news. • Don’t give information unless absolutely necessary. • Secrets must be guarded • The average employee cannot handle difficult information. • Information should be dispensed on a “need to know” basis
Transition Period Issues • Uncertainty and anxiety felt about the eventual outcome of the change • People asking questions to which managers do not have the answers • Resistance if the change seems threatening • Rumour • Uncertainty and ambiguity about roles and responsibilities Maintaining the initial surge of energy and enthusiasm for change • Constant re-appraisal of objectives and priorities • People looking for opportunities & advantages • Planning the desired future state • Difficulty maintaining morale and commitment • Physical upheaval • Maintaining comfort zones
Understanding Driving & Restraining Forces Force Field Analysis - Lewin RESTRAINING FORCES DESIRED STATE PRESENT STATE UNDESIRED STATE DRIVING FORCES
Cues trigger behaviour leads to Pay-Offs What's in it for me? Pay-Offs The behaviourist approach - Skinner
Freeze/Unfreeze/Refreeze Understanding how it feels If you were a water molecule......
Where are we now? Where do we need to be? SPECTRE (Pestle) STAKEHOLDER Analysis & Research GAP analysis SWOT Using a practical model to drive change External trends and drivers Moving from the Present state to the Desired state through empowerment. External & Internal Research and feedback Present state – Desired future state
Where Are We Now ?Using SWOT Analysis dynamically to plan the change
The Moebus Strip – puts us all on the same side ‘People do not resist their own ideas’ - Rowley & Rogers
The ADKAR Model – shifting to fast download for maximum speed of adoption The components • Awareness of the need for change • Desire to support and participate in the change • Knowledge of how to change • Ability to implement new skills & behaviours • Reinforcement to sustain the change Fast Download gets 50% speed up in adoption (Prosci Consulting study of 1600 companies in 20 countries)
“Our ongoing mission, to seek out new worlds and new civilisations. To boldly go where no one has gone before!” Where Are We Going?
Tools for Change – Lean Six Sigma Lean Born out of manufacturing but applicable to service delivery, processes and systems Coined in 90’s Mostly derived from the Toyota production system Focuses on eliminating the 7 wastes Six Sigma Developed by Motorola in 1986 but drawing on many other established approaches from the previous 50 years Can be applied to manufacturing or service industries Designed to reduce error and waste, improve service and reduce cost Involves all stakeholders
Inspired by the work of Dr Deming • The PDCA cycle • Plan • Do • Check • Act
Define Measure Analyse Improve Control DMAIC – Improving existing processes or services Develop problem description and project goals Collect customer data Review historical data Map the current process Set up a team and define its remit Identify critical quality requirements Evaluate current measurement system Develop a better one if found wanting Collect data Identify process steps that add value Identify root cause for problem areas Target waste Prioritize root causes Map the future state Develop potential solutions Review best practice and adopt if sound Set criteria for selecting solutions Pilot solutions Roll out solutions Document the new process Map the process Set up monitoring & review Train staff Identify lessons learned.
Poor quality • = • Defects • In service • More supply than demand • Cost of delivery • - Reduce • Idle stock, • Kit, or space • Internal • Or external delay • Dead time • - • Reduce • Complex • Not needed • Use triage to fix Rework Travel Over supply Access Waiting Inventory Complexity The 7 Wastes
The 5 ‘whys’ An example: My car will not start. (the problem) Why? - The battery is dead. (first why) Why? - The alternator is not functioning. (second why) Why? - The alternator belt has broken. (third why) Why? - The alternator belt was well beyond its useful service life and has never been replaced. (fourth why) Why? - I have not been maintaining my car according to the recommended service schedule. (fifth why, root cause)
Case study – Practice Nurses • 12 Nurses from 12 practices buy 3 brands of dressings Their combined stock takes up 500 square feet of storageAnnual wastage runs at 15%How could they use a Six Sigma approach to improve efficiency and save money
CTQ Tree – Critical to Quality Happy Patients Short waits Friendly staff Easy access Get Well Cared for Good Coms..
The Fishbone or Ishikawa Diagram Staff Resources Measures Workplace Problem Methods Materials Maps cause and effect