“Culture eats strategy for breakfast” is a famous quote from legendary management consultant and writer Peter Drucker. To be clear he didn’t mean that strategy was unimportant – rather that a powerful and empowering culture was a surer route to organisational success.
One of the key goals in organisational development in the last 10-15 years in both business and not for profit world has been to find a way of creating cultures that are flexible and innovative and where individuals take responsibility for results – moving away from bureaucratic silos where formulaic approaches dominate.
At =mc we’ve worked with a number of organisations on transforming their culture including Marie Curie Cancer Care, Amnesty International, the International Red Cross and Red Crescent Federation, and Diabetes UK.
The challenge is how to first describe the culture, and then challenge two is how to change it. There have been, over the years, a number of models developed to help map culture. Harrison and Handy, for example, have developed similar models based around the idea of four frameworks or Greek gods. You can find out about that approach here: 8 Gods of Management by Harrison and Handy. The drawback with the Harrison/Handy model, however, is that maybe it’s a little too simple and even if it’s simple it’s hard to decide how and where to change.
One of the most powerful and effective models, however, is the one developed by two UK academics Johnson and Scholes. This model is called the cultural web, and it’s the one we use most commonly in The Management Centre when working with customers on culture change.
Johnson and Scholes identified a number of linked elements that make up culture. Importantly, they didn’t try and specify any one best culture. Instead they argue that by analysing each element you can decide if the current approach helps to deliver your vision and mission or hinder it.
Diagram adapted from “Fundamentals of Strategy” by G. Johnson, R. Whittington, and K. Scholes. Published by Pearson Education, 2012.
The six elements they defined are:
At the centre of the web sits the summary of these – the culture paradigm. (Johnston and Scholes call this ‘the paradigm’ or ‘the recipe’ – the summary of how these elements interconnect.
One of the key elements of the web model is that all the above issues interact and even overlap. (So, for example, many elements are expressed in the symbols element)
The illustration below shows a cultural web drawn up by managers in one part of the UK’s National Health Service. In our experience it would be similar to many state-managed health care systems in other countries. Note, however, that the view expressed below is primarily that of managers. Clinicians or nursing staff might well have quite different view. And so might you!
Many hospitals have routines for consultation and prescribing drugs. Rituals have to do with what the managers described as “infantilising.” These processes “sorted patients out” – putting them to bed and waking them up at certain times, addressing them informally, having fixed mealtimes/menus and so on. The subservience of patients was further emphasised by the role of clinicians with ritual-type consultation ceremonies and ward rounds. These routines and rituals emphasise it is the professionals who are in control.
Many stories in the groups engaged concern ‘cures’ – particularly from serious illnesses. (Notice many TV medical shows involve the A and E role.) So the heroes of the health service are not so much in caring, which is maybe where the focus should be. There are also constant stories about villainous politicians trying to change the system, and of heroic acts by the medical staff defending the system against the ‘bean counting bureaucrats.’ There is often a reference to a ‘golden age’ when the service was great – but no-one knows exactly when it was.
Symbols reflect the various roles in the service. So uniforms are a key part of the role for some clinical and nursing staff. Senior clinicians have status symbols such as their own office or diary secretary. Many have their certificates displayed. Outside the building senior staff have designated parking places by name. Very senior clinicians even lose the ‘Doctor’ title and become plain but prestigious ‘Mr.’ The soubriquet ‘teaching hospital’ attached to an organisation makes it much more prestigious.
Power is seen as fragmented between clinicians, nurses and administrators and managers. Historically, senior clinicians were the most powerful and managers were seen as “admin” or “bureaucrats.” But as with other organisations, there was also a strong informal network of individuals and groups that coalesced around specific issues. Trades unions, for example, were at one time powerful, but their power has been in decline. Patient power is talked about but is really non existent.
Many services were organised by diseases or even body “bits’: so ENT or oncology. Structures were seen as hierarchical and mechanistic. There was a clear pecking order between services, with the “caring” services low down the list – for example, community health professionals. Mental health was seen as well outside the mainstream. At the informal level there was lots of “tribalism” between functions and professional groups. So different groupings would go to different pubs after work. Organograms were complex with lots of matrix reporting.
In hospitals the key measure has historically been “completed clinical episodes”, i.e. activity, such as operations completed, rather than results. There has also latterly been an obsessive focus on targets – especially for waiting times. Control over staff is exerted by managers based around these targets. Worse still there is pressure to be ‘seen’ to make these targets – despite possible negative impact on other aspects of care. At the same time budget targets are often ignored – leading to huge overspends and losses in specific trusts.
So the assumptions which constitute the culture paradigm in the example above reflect the common public perception in the UK that the NHS is a “good thing” and public service which should be provided equally, free of charge at the point of delivery. (Though almost everyone agrees that it’s too expensive to run.)
However, in our experience and from the case above, there is an emerging tension between a culture where medical values are central so the dominant view that “medics know best” and managers and patients need to ‘fit in.’ On the other hand there is an emerging view that the culture is changing to one where the obsession is with meeting bureaucratic targets set by managers or worse still politicians. Sadly in both these cultures ‘patient need’ is secondary.
Regardless of the overall power dynamic the NHS is an organisation concerned with curing illness rather than preventing it. For example, pregnancy is not an illness, but pregnant women often argue that hospitals treat them as though they are ill. Overall, the NHS is seen as belonging to those who provide or manage the service.
Of course the NHS isn’t the only sector in transition. In many charities fundraising is seen as almost ‘dirty,’ a necessary evil. This culture has prevailed in the UK arts and culture until recently – but cutbacks in state funding mean that this is changing. In many development charities there is a move to a more ‘development in partnership with local people’ culture away from a simple ‘emergency relief/foreign experts know best’ culture.
Is your paradigm changing? Do you want it to change? Does a change in your environment mean you have to change?
Understanding culture is not enough. The point is to change it. And to do this you need to follow five steps.
Job one is to sit down and work out accurately what the culture is now. There are a number of ways to do this. Focus groups, especially externally facilitated ones, can be a great way to get a real handle on this. You also might want to run an anonymous survey monkey study. (See below for suitable questions to ask.) It’s essential that this is a candid ‘warts and all’ approach. You can map the results using the web model.
With the picture of your current cultural web complete, think next about how you would like things to be – ideally. (It will never be perfect in action.)
In the case of the NHS example above, we might suggest putting the patient literally at the centre of the culture to change the mindset.
Starting from your organisation’s strategy, think about how you want your culture to work, if everything was correctly aligned. To make it concrete we often then list the key stakeholders and describe how things will be better for them in the new culture. These stakeholders could include: staff, beneficiaries, service users, donors and others.
Now compare your two cultural web diagrams, and identify the differences between them. Considering your vision, mission and values:
You need an action plan to make sure that the culture change actually takes place. This plan should establish:
This plan should ideally be published and available to everyone. (Provided transparency is a part of your culture!)
You need track that your approach was actually implemented and that it has had the desired effect. (So what you do may not have had the impact you hoped for.)
To undertake the mapping of the actual and desired culture it can help to have some questions to focus your thinking. Start by looking at each element separately, and ask yourself other questions that help you determine the dominant factors in each.
Example of an environmental campaigning charity:
Example of an environmental campaigning charity:
Example of an environmental campaigning charity:
Example of an environmental campaigning charity:
Example of an environmental campaigning charity:
Example of an environmental campaigning charity:
(This article draws on material from www.mindtools.com/pages/article/newSTR_90.htm)
If you’ve found this article interesting and want to talk to us about transforming the culture at your organisation, visit our Management Consultancy pages, contact us online, or call 020 7978 1516.
