A Regenerated World

Kate Raworth’s work on the Doughnut Economy over the last few years has been nothing short of extraordinary. She has torn up the economic text books of the last 150 years and asked some much better and kinder questions about the future we need. It is so exciting to read that in collaboration with Janine Benyus, using biomimicry, the model is now being implemented in the City of Amsterdam. It opens up a world of possibility for a reimagined future, in which our world becomes regenerated for both people and the planet itself.

 

Kate’s book and then her blog deserve serious attention and, in my opinion, a Nobel Prize! There is no way in this short blog that I can even begin to explore the exponential potential of the work, but I do want to highlight some of the key issues. So many people are saying that we simply can’t go back to how things were prior to Covid-19. If we’re serious about that statement then we need to begin thinking about how we will experiment with alternative models and ways of being together that will be good for the future of the environment and create a much more socially just framework for the global family of humanity. I love this model that Kate offers in thinking about what is important for a place – it contains four key aspects. Local/Global – Social/Ecological.

 

We can apply this model to any city or given area, and it allows the people of that place to work with the uniqueness of their geography and demography. I believe it is a really helpful and holistic model when thinking about population and planetary health.

 

There are then several aspects if a group wish to move from understanding their region to bringing about transformative action. Kate calls these the 8 M’s.

 

 

The model then includes 4 really helpful sets deeper questions to create the framework around the local/global – social/ecological foundations.

 

Firstly – what does it mean for people to thrive within their own Geography?

 

 

Secondly, what does it mean for the local environment/ecology to thrive and regenerate?

 

Thirdly, how do the local people contribute to the wellbeing of the wider family of humanity? How can they ensure they are good global citizens?

 

 

Fourthly, how does the locality contribute to the wellbeing of the whole planet, by how it behaves?

 

 

This way of working takes serious collaboration, co-production and real change-making. I love the way that Kate illustrates this:

Here in Morecambe Bay, we would employ things like ‘The Poverty Truth Commission’ and ‘The Art of Hosting’ to ensure that every voice is heard and we embrace ‘otherness’. It will involve partnership with the team at ImaginationLancaster, The Social Inequalities Research Centre and the Health Innovation Campus at Lancaster University, Cumbria University, The Eden Project and anchor institutions like our District Councils, County Councils, the NHS, BAE, EDF, School Federations, the CVFS and the network of SMEs. It will also mean developing the kind of culture I talk about here.

 

Out of the ashes of this devastating time, a phoenix can rise of a regenerated society and ecology. Are we up for it? I sincerely hope so and I wonder in how many places this can become possible. We need to create online and then, once lockdown is over, more real, radical spaces of hospitality and collaboration as we work together for the future that is calling us.

Share This:

Share

The Transformative Power of Listening

One of the hats I wear is to be the Clinical Lead Commissioner for Maternity Services in North Lancashire and I chair the Maternity Commissioning Group for Morecambe Bay. iu-1Over the last few years, Morecambe Bay has been under huge public and governmental scrutiny due to some sad and significant failings at UHMBFT, our acute NHS Trust. This lead to the in-depth and wide-ranging “Kirkup Review” through which we have learned together some sobering and important lessons.

 

In 2013, we carried out what is called a ‘Picker Survey’ in the Bay and had a startling reality check. 44% of the women we aimed to care for told us that they did not feel treated with kindness or respect. It was a devastating figure for us to hear. So, learning from the ‘Leeds Poverty Truth Challenge’, we learned that we needed to allow ourselves to really listen to what women were saying to us, to hear their stories and let the impact of those stories begin to change us. One of the great advocates for women, compassionate care, kind listening and careful communication in this area is Mel Gard, a Doula, who facilitates our ‘Maternity Services Liaison Committee’ (MSLC) around the Bay. The MSLC is a group of women and men who use our services, which Julia Westaway must be credited for facilitating so well. Over the last three years in particular, they have taken the time to build relationships with those of us whoiu-4 commission and provide services and in effect ‘speak truth to power’. Mel and many others have brought to us stories of times when listening and communication skills have been excellent within our maternity service and times when they have been clumsy at best and detrimental or abusive at worst. This has begun a culture change and a survey carried out in 2015 has seen this startling figure reduce to 26% (we know this is still far too high, but it is a vast improvement).

 

It is only in encountering the ‘other’ that we are really changed. Alan Alda says this, “Listening is being able to be changed by the other person.” There is no point in hearing the stories and impact of poor communication on our patients if it does not fundamentally change us and our practice. In the NHS, we’re so used to being the experts that we sometimes think we have the right to tell people what they should do, rather than really listening to them and understanding what is important to them, the person who is the expert in their own life and situation. It is partnership and not dictatorship that we need. It is a willingness to learn together rather than an arrogance that knows how to ‘fix’ things that we must develop. So, together with the MSLC we have devised an entire learning exercise for all those who work within our maternity service. We are going to allow ourselves to encounter the ‘other’, on their terms, not ours, and let the impact of their stories transform us. So, in the next couple of weeks, women from around the Bay are going to film and tell their stories in a variety of ways and this film will then be used as a learning tool for every person who works in our service around the Bay, including cleaners, the nursing auxiliary team, midwives, obstetricians of all grades etc in some wide-ranging attitudinal and communication training. Amazingly, we have just won a national grant of £65000 to help us do this really well, thanks to the exceptional work of Lindsay Lewis, our lead manager and Sascha Wells, our Head of Midwifery.

 

NAWIFUThe idea is straight forward. By hearing the real life stories from around the Bay and allowing ourselves to be impacted by them, we will then use some reflective conversations, and techniques from the ‘Art of Hosting’, to allow the power of real listening to change us and transform our practices. I am so grateful for the women and men who have been brave enough to tell their stories. I am grateful to our senior team that we have bimgreseen willing to be humble and be impacted by these stories. I am grateful for relationships and partnerships that are being established between those of us who provide services and those who use them. I am grateful for the tenacity of people who want to see our cultures change. I am grateful for ‘The Leeds Poverty Truth Challenge’ and its far reaching consequences. I am grateful for the opportunity to break down barriers and find positive ways forward. I am grateful for the transformative power of listening and the change that can happen when we really encounter another human being. Better Care Together is so much better when we work together with those we are trying to serve.

 

Stanley Hauerwas said this: “I was smart, but I had not yet learned to listen.” The NHS is full of really smart people. When we learn to listen, our ‘smartness’ will become real wisdom, and with wisdom, we can bring real, lasting change.

 

 

 

Share This:

Share