Viren Patel – R.I.P.

I was saddened to receive this today, Viren was a lovely man and will be missed by everyone who knew him.

My sympathies go to his family.

Dear BOS member
VIREN PATEL
It was with sadness, surprise and shock that we learned of the death of Viren Patel last Thursday.
Viren was such a bouyant, outgoing and engaging person and, although the past few years had not been easy for him, his sudden death is difficult to absorb.
I have spoken to his wife, Clare, and passed on the Society’s heartfelt condolences at this traumatic time.  If you knew Viren at all, I would urge you to contact Clare to help her and their four children through this difficult time.
The funeral will be on Wednesday 22 September starting with a Service at Llandaff Cathedral in Cardiff at 12.00 noon.
Viren will then be cremated at 1.45 at Coychurch Crematorium in Bridgend.
All those who knew Viren are invited to attend both the Memorial Service and the cremation.


The Monday Morning Quote

“There is nothing either good or bad, but thinking makes it so”.

Hamlet (Act II, Scene II)

(With thanks to John Seymour)

Kolbe Wisdom™ and Leadership

This is the most recent article for Apex.  I have borrowed and quoted heavily from Kathy Kolbe’s book “Pure Instinct” which is available from Kolbe Corporation through their website www.kolbe.com. It is possible that some of the concepts I discuss will not be clear to the reader who has not read the earlier articles, I am more than happy to let you have copies of the pieces if you email me.

The definition of leadership that I shall use comes from the 1935 book “the art of leadership” by Ordway Tead. He says that: “leadership is the activity of influencing people to cooperate toward some goal which they come to find desirable.”

Leadership is an activity. That means it is neither a skill, nor an attitude, but conative.  A leader’s actions are directly tied to identifying team members’ instinctive capabilities and finding ways of putting them to productive use.   A leader is both an influencer and an enabler, and such qualities were rare in 1935 and remain rare today.

Depending upon their MO, every leader will have a different way of working. Every conative method can be used to influence others, but the most effective approach is when the leader is true to their own instincts. Trust develops between leader and team members when neither with holes the instinctive self. When leaders use their own instinct is to gain the commitment of other people’s instincts, goals become more attainable.

Leaders act as a catalyst for freely given cognitive commitments and give direction the variety of problem solving methods that a conatively synergistic group will suggest. And they managed to do this without inhibiting anyone’s participation. They bring out the best in people, drawing forth and focusing instinctive energy toward cooperative efforts.

The difference between a leader and a star is that the leader strives to increase others’ performances toward group goals, and the star strives towards individual achievement. We are all capable of being stars. It only takes a situation where one’s conative talents are most necessary for the star to initiate activity. A leader on the other hand uses all three zones of instinctive energy to help group succeed.

Perseverance is an essential characteristic of leadership. It takes backbone, great, and strength of mind to influence the goal setting process and to gain the cooperation of others. A common trait among leaders is their decisiveness. Their tenacity singles them out.

I tend to see two extremes in my work with dental practices. There is a lack of leadership either:

1) Because of an abdication by the practice owner or owners who are seeking to have equality within their practice and fail to take responsibility.

2) No regard is given to the team members’ instincts and therefore they are forced into roles where they are the least productive.

In neither case does the practice get the best out of their teams. Frustration ensues resulting in high turnover of staff, low productivity, and poor service being given to patients with a resulting drop in business profitability.

As an aside, I see a great many dentists who initiate in Implementor, presume that their staff know their jobs, like to believe that because someone has the title “practice manager” they know what they’re doing and therefore ignore what is going on around. On the other hand I also frequently encounter insistent Fact Finder who will not allow anybody any space and persist in micro-management. Both these scenarios produce unhappy practices.

Leadership is a responsibility, not a prize. It ought not to be given as a reward to individual achievement unless the person expresses a determination to fight for the will of the group. If leadership were merely a matter of making demands, of telling people what to do and rewarding them when they did it, then oppressors would rule, and ultimately fail.

Leaders in the workplace who nurture employees’ instinctive strengths are awarded with high employee job satisfaction and high productivity. Team members are pleased when leadership intervenes in, conatively stressful situations, whether they be conflicts, cloning, unrealistic self-expectations or misguided requirements.

It is important to select and train people for most suited roles on a team that is balanced to achieve conative synergy. However, every team needs a leader to take responsibility for influencing its members to strive towards achieving common goals. Every team needs a person or people who are willing to contribute instinctive energy toward leadership efforts, often forsaking the opportunity to use their personal resources in ways that are more likely to make them star performers. That’s the sacrifice of leadership. The benefit of leadership is in helping a team reach its greatest potential.

The Monday Morning Quote

“As our circle of knowledge expands,

so does the circumference of darkness surrounding it.”

Albert Einstein

KPIs

I was asked to contribute 150 words for an article on Key Performance Indicators in Dentistry, as I was addressed (probably tongue in cheek) as a “thought leader in dentistry” I wrote this opinion piece only to have it “spiked” as the editor wanted my “top” 3-6 KPIs – that will follow. I was happy enough with what I had written so I thought I would share it here.

The acronym KPIs has only drifted into view for many dentists with the recent imposition of the “PDS plus” contracts under the watchful eye of Dr Mike Warburton who is seeking to bring the same harmony to GDPs that he has to their medical colleagues.

A part of Peter Drucker’s philosophy of management by objectives, KPIs arrived along with the mantra “no management without measurement”. I firmly believe that there are certain basic parameters that must be measured and monitored in order that the performance of the business can be assured.

However, I know that measuring everything without regard for quality, the individuals involved and their understanding of the systems in which they work can lead to a target driven environment. This can rob the organisation of leadership, remove its flexibility and its ability to adapt to a changing environment.

So KPIs are important as a tool and a means to an end but not an end in themselves.

The Monday Morning Quote

“Between Stimulus and Response there is a space.

In that space lies our freedom and power to choose our response.

In our response lies our growth and our happiness.”

Victor Frankl

The 2010 Social Networking Map

From Flowtown an up to date “map” of social networking sites.

Funding for NHS dentistry – draw your own conclusions

From today’s BDA Executive Update

Figures highlight mounting expenses of dental practice warns BDA

New figures published by the NHS Information Centre today highlight the increasing expense of providing dental care, the British Dental Association (BDA) has warned. The Information Centre’s report, Dental Earnings and Expenses, England and Wales 2008/09, shows expenses borne by dental practices escalating at a faster rate than incomes were increasing during the period it details. It also highlights an increase in the average self-employed dentist’s taxable income of just £500 during the year.
The average taxable income for all self-employed primary care dentists in England and Wales in 2008/09 was £89,600, compared to £89,100 in 2007/08, according to the report.
The expenses borne by dentists – the costs of providing the building, equipment, staff and materials necessary to provide patient care – increased rapidly during 2008/09. Practice principals saw their expenses rocket by 7.6 per cent from £218,000 in 2007/08 to £235,500 in 2008/09.
John Milne, Chair of the BDA’s General Dental Practice Committee, said:
“These figures underline what the BDA knows from its own research and talking to members: that the costs associated with providing high street dentistry have risen dramatically. Changes in the exchange rate have had a pronounced impact on the costs of equipment imported from overseas and costs associated with compliance with a variety of regulatory requirements.
“Trends in expenses will need to be monitored carefully to ensure that dental practices are properly supported and are able to provide the resources they need to continue providing high-quality care to patients. The Doctors’ and Dentists’ Review Body will clearly need to consider the issue of expenses carefully this year and the BDA will be requesting it does so.”
Notes to editors
1. The report is available at: www.ic.nhs.uk/statistics-and-data-collections/primary-care/dentistry/dental-earnings-and-expenses-england-and-wales-2008-09

DDRB role on GDP pay in England suspended

The Doctors’ and Dentists’ Review Body (DDRB) will play no role in determining the remuneration of independent contractor general dental practitioners (GDPs) and general medical practitioners (GMPs) in England for the financial years 2011/12 and 2012/13, it has been announced. The decision has been taken in light of the current financial climate and the previously announced pay freeze that will affect public sectors workers earning over £21,000 a year.
Instead, the government will determine any gross uplift for GDPs and GMPs directly. It is understood that any uplift will be determined based on the efficiency assumptions government wishes to apply and evidence on non-staff expenses. The government has said it will enter into dialogue with relevant professional bodies about expenses. The BDA will be contacting the Government to take forward that dialogue.
At the time of writing, it is unclear whether the governments in Northern, Scotland and Wales will mirror the decision made by the administration at Westminster.
The announcement comes just days after an NHS information Centre report showing that the 2008/09 financial year witnessed an average 7.6 per cent increase in practice principals’ expenses across England and Wales.



The Monday Morning Quote

“All problems exist in the absence of a good conversation.”

Thomas Leonard

The Monday Morning Quote

“Pain is temporary, quitting lasts forever.”

Lance Armstrong