I have not been able to attend any of the meetings so far, but was hugely
encouraged by the conference in Exeter. The idea of a co-operative enquiry
sounds like en excellent idea, and the ability to contribute via the e-mail
discussion group will broaden the range of shared experiences to people like
myself, who will not often be able to get the the meetings in London at the
moment.
It would be happy to contribute, but am relatively new to the area of
complexity, and am still trying to develop my understanding of what is
involved ... I look forward to seeing some of the contributions, and adding
my own experiences to the debate ...
Many thanks
Rod Lambert
Primary Care Researcher
School of Occupational Therapy & Physiotherapy
University of East Anglia
Norwich NR4 7TJ
Tel: 01603 593096
Fax: 01603 593166
-----Original Message-----
From: Complexity and chaos theories applied to primary medical and
social care [mailto:[log in to unmask]]On Behalf Of
Dr. Paul Hodgkin
Sent: 30 November 2001 09:09
To: [log in to unmask]
Subject: Co-operative inquiry
Great to meet everyone on Wednesday. For those who could no attend the
afternoon was devoted to thinking about how the Tufton group could
progress. Having been a place where people with a general interest in
complexity could meet, present ideas, discuss there was a feeling at Exeter
that it needed to grow and move on.
We talked through the idea of forming a co-operative inquiry to explore
complexity and primary care in deeper ways. This would not replace all of
the previous kinds of events but would be a means to deepen our
understanding of the issues.
The idea would be that at each meeting we would agree a number of things
that some or all of us would do, in our everyday working or personal lives,
to test out some aspect of complexity. Such a change might be small or
large but we would deliberately seek to be open and reflective about all
the things that flow from the change - what it felt like, unexpected
consequences, what colleagues or patients felt about it, why it seemed to
work in some ways or times and not others etc. The stories and information
flowing from this would a. be discussed here on the e-group and b. be
discussed at the next meeting in Tufton St.
Clearly to do this process justice will take time at Tufton meetings -
however there was also a strong feeling that the co-operative inquiry
(however it turns out) should not take up all the time of hte group. It
was also strongly felt that those who were not at the meeting on 28th
should be completely included and begin participating in the inquiry as
and when they wanted to.
There are lots of things that you could call this process - going round the
Kolb learning cycle for example - and co-operative inquiry may not be the
right frame in which to progress - however the overall feeling was strong
desire to find ways to deepen our understanding of and skills in using
complexity.
We split into three groups to consider different possible areas for
experimentation: the doctor-patient interaction, organisations and research
- and each came up with some proto- possibilities of things they might try
out doing. Given the time constraints these may well need further tweaking
and development via the e-group, but they represent an encouraging start.
Each group undertook to report these suggestions via this discussion
group and I will report the suggestions from the doctor-patient group in a
separate email.
For myself this feels like an interesting and important departure - whether
it is right for us will no doubt emerge!
Paul
Paul Hodgkin
Primary Care Futures
21 Briar Rd, Sheffield S7 1SA
tel: 079 46463698
email: [log in to unmask]
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