Just a reminder
A Vanguard novice was putting together a system picture for adult social care. She observed that they had all the things that would get you ticks from the Audit Commission but, as ever, the performance was dire. Compliance leads to a de-facto purpose. In her words, the system pictures reveals:
Putting People First = putting people last (record keeping and meeting targets come first)
Carefirst = data entry first, care last
Single Assessment Process = extra assessment process on top of existing assessment processes
Personalisation = help us meet our targets
Probophilia
and uses these as his focus for justification of activity, ...
Probophilia
In much the same vein: ‘Probophilia’, a doctor writes, ‘is a pathological love of verification over achievement’. Ivan Tyrell, a leader in the Human Givens movement (a profoundly constructive and efficacious approach to mental health), described the same phenomenon as ‘obsessive target disorder’. The point being made is that those who suffer from this disorder are mad but they don’t know it.
The probophiles create their own disconnected world, the doctor writes. It is so true. Some fledgling systems thinkers in the NHS who have tried to get a dialogue going with managers about the need to study the system and then change the measures etc find themselves ostracised and vilified. It is like something out of a Dilbert cartoon. The mind-blocked probophiles cannot even connect, to do so would disturb their psychological edifice, so they attack instead. We should worry, over the last ten years the NHS has created a monstrous management culture. If this continues in the new structures we can only expect more of the same.
You can read the doctor’s paper here:
http://www.civitas.org.uk/nhs/
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