Targets can seriously damage your health

FIRST THERE were the truly gruesome events at Maidstone and Tunbridge Wells hospitals where, according to an official report, at least 90 patients died of the superbug Clostridium difficile because of deficiencies in the cleaning regime. Second was the strange embarrassment of the Surrey police chief at his force’s top place in the performance league tables – an achievement, he confessed, that was undeserved. Third, the saga of the National Treatment Agency, which has been rewarding drug addicts who present clean urine samples with bonus drugs, and which last week revealed that a pounds 130m budget increase had resulted in just 70 extra patients kicking the habit.

What do these cases have in common? While the consequences were unintended, they were also no accident. Each was the unerring product of the management regime that ministers have propagated throughout the public services – and for which they, as much as the executives involved, should be in the dock.

At Maidstone, a report by the Health Commission said that the trust had been under such pressure to cut costs and waiting times that it took its eye off the job of cleaning. The drug administration regime is driven by the need to demonstrate that it is getting addicts into treatment, rather than getting results.

Most tellingly, Surrey’s chief constable explained that, to meet government objectives to boost numbers of offenders brought to justice, his coppers were focusing on soft targets such as handing out warnings to shoplifters, instead of more serious and difficult cases. The result, the chief constable said, was that ‘we are at risk of claiming statistical success when real operational issues remain to be addressed’.

Together these cases illustrate once more just why and how top-down target regimes have such baleful effects.

Targets, claim their defenders, are simple, they provide focus, and they work. Yes, they do. Unfortunately, these are also their fatal flaws. The simplicity is a delusion. As Russ Ackoff put it: ‘The only problems that have simple solutions are simple problems. The only managers with simple problems are those with simple minds. Problems that arise in organisations are almost always the product of interactions of parts, never the action of a simple part.’

To focus on the individual parts and ignore the whole always makes things function worse at a system-wide level. Thus, to meet financial and waiting-time targets, Maidstone drove up bed occupancy rates. But that compromised cleaning. At the system-wide level, the cost was making the hospital more dangerous to patients than staying at home.

And if enough pressure is applied, people will meet targets – even if they destroy the organisation in doing so. As quality guru W Edwards Deming put it: ‘What do ‘targets’ accomplish? Nothing. Wrong: their accomplishment is negative.’

These are systemic faults, which is why such regimes can’t be refined by setting ‘better’ or fewer targets. Deming added: ‘Management by numerical goal is an attempt to manage without knowledge of what to do’. This is what makes it so attractive to bad managers. Unfortunately, in absolving them from the effort of thought, it is also junk management, which has the same effect on the consumer as junk food: obesity, flatulence, discontent and demoralisation.

Lack of method explains why the public sector absorbs so much resource for so little return. It also explains the stop-go, curiously disembodied experience of engaging with it: it’s not reacting directly to you, the individual citizen, but to management’s abstraction of you, as embod ied in the target. Hence the obsession with ‘choice’, which simply transfers the question of method to you.

Here’s what I mean. On holiday near Aix-en-Provence in September, my mother had a fall. At the small, busy local hospital she was seen, X-rayed and discharged within two hours.

One phone call produced home visits by a local doctor and a nurse to administer a daily injection. On the last day, she showed my mother how to inject herself – a smart move, because the logistical feat of getting a nurse out for an immobile 90-year-old in Primrose Hill subsequently proved beyond the NHS. She also needed a blood test. Several days after the request, a nurse turned up without tourniquet, cotton wool or plaster. She severely bruised the arm, failed to take any blood and said someone would return with a ‘longer needle’. Several weeks later, still no test.

So when Camden Primary Care Trust sends out a document on ‘Improving Health in Camden’ and asks for feedback, this is my reply. Stuff the targets and fancy extra services. I don’t want ‘choice’. I want competent professionals to give objective advice based on medical, not financial, considerations. What use is a health service that isn’t personalised? If it functions properly, as in the wilds of Provence, it doesn’t need personalising. If it works there, why not here?

The Observer, 4 November 2007

Strong leadership? That’s the last thing we need

FOR MORE than a decade, BP was Britain’s proudest corporate monument – a financial colossus with global reach and brand, which yet managed to be the first oil company with credible green credentials. Its CEO, Lord Browne, was the UK’s most respected businessman.

All that changed overnight with an explosion at a US oil refinery. BP wasn’t a great company, after all: in fact, it was a very bad one. Browne’s achievement likewise went up in the smoke of the accident, and he left in unfortunate circumstances. The transformation was completed last week when Tony Hayward, Browne’s successor, said in an interview that (in effect) the company was a bloated, overcomplicated mess in need of a root-and-branch makeover that would take years.

This extraordinary turnabout needs explanation. How does a company go from great to gruesome overnight? And if it wasn’t overnight, why didn’t anyone step in to stop it? Of course, the company was probably never as good as the hype made out, just as it is now not as bad. Both company and CEO were to some extent victims of a ‘halo effect’ – financial excellence imparted a rosy glow to its management processes up to the refinery accident the same processes are now made self-evidently awful by the bad news. Even so, a central question remains: why even at ‘excellent’ companies – think Marks & Spencer, IBM and Sainsbury as well as BP – does it take a crisis to provoke change? Why can’t firms adjust incrementally, avoiding the need for the trauma, job loss and all-round heartache?

The conventional answer is it’s a failure of leadership. While true, the implication drawn from it (find better leaders) is diametrically wrong. The underlying truth is that the current management model makes failure inevitable.

As management thinker Gary Hamel recently noted, ‘Few people would want to live in a planned economy, but almost all of us work in one’. Corporate dictatorships (as 99.9 per cent of companies are in the last resort) are quite good at getting people to carry out orders. The downside is that the dictator, however brilliant, is too far removed from what’s happening at ground level for the orders to be reliably timely or right: 99.9 per cent of what we call management (planning and scheduling, budgeting, market research, performance management) consists of measures to compensate for this basic connection failure, with results that can never be better than mediocre.

Companies, perversely, compound the inbuilt shortcomings of central planning by their much vaunted alignment arrangements. While CEOs boast of their alignment with shareholders, notes Hamel, this is exactly the wrong way round. It’s not shareholders who create shareholder value but customers buying products and services. Alignment should logically go the other way. This is why progressive companies put employees first (because it is they who perform the all-important contact with customers) customers second and shareholders third. ‘To be sure, shareholders have residual rights,’ says Hamel, ‘but to put those first runs the danger of mistaking the scorecard for the game.’

The real enemy of timely corporate change is therefore not poor leadership, but poor design. The corporate change dilemma is not, or shouldn’t be, about finding a superhuman leader with perfect foresight (there is no such thing) but designing an organisation that is capable of thriving without perfect leadership, harnessing instead leadership distributed around the organisation. As another guru, Warren Bennis, wisely put it: ‘None of us is as smart as all of us.’

Averting the need for palace coups and disruptive 180-degree change is in part a matter of setting up feedback loops that allow corporate ecologies to adapt automatically to changes in the environment. Former Intel CEO Andy Grove recounts how when the firm’s top brass were agonising over whether to phase out production of memory chips in favour of the newer microprocessors, he was astonished to find that salespeople dealing with customers had already anticipated the decision. With US memory prices being undercut by Japanese manufacturers, they had had no option but to switch to processors.

Another strategy, suggested by intriguing long-term research undertaken at the Advanced Institute of Management Research, may be tolerance – or even fomentation – of alternative power coalitions to the dominant one at the top, allowing for the emergence and airing of different scenarios and strategies.

The ideal changeover at the top, of course, is one that is so seamless that no one even notices. One study of the motor industry found that the only manufacturer where a change in CEO had no effect on performance was, as you will probably have guessed, Toyota. Its system is so robust and so focused on continuous improvement that appointing a charismatic individual is not only unnecessary: it would wreck it.

The Observer, 21 October 2007

Internet could put the boss class out of a job

YOU WAIT years for a chink of light in the management gloom, and suddenly flashes of illumination go off all over the place. After From Higher Aims to Hired Hands (reviewed last week), Rakesh Khurana’s magisterial survey of how management drove itself into its gloomy cul-de-sac, strategy guru Gary Hamel starts waving a sat-nav showing the way out.

As one of the most influential of today’s globetrotting academic consultant-thinkers, Hamel is a guide who commands respect. He describes his new book, The Future of Management , as an attempt to ‘speed up’ the discipline’s snail-like evolution, and, not coincidentally, he is also a leading light in London Business School’s pioneering ‘M Lab’, or management labs, a kind of incubator for new management breakthroughs.

Direct action of this kind is a novel ploy for management researchers. They generally think of their job as firstly describing what currently passes for best practice and then teaching it to executives. ‘We rarely challenge the underlying paradigm or world view, and we don’t do practice either. Too often we’re stuck in the middle, neither profound nor practical,’ Hamel notes. His book is, therefore, to be seen as ‘a call to arms’: a double challenge to managers to dispense with the obstructive baggage of the past, and to the research community to engage with something that matters: devising methods of amplifying and aggregating effort for the internet age.

Hamel’s core contention is that ‘you can’t solve new problems with old principles’. Industrial-age management, designed 100 years ago to socialise docile employees and tame problems of repeatability and control, doesn’t cut it with today’s issues of resilience and adaptability: in short, innovation.

The achievements of ‘management 1.0’ are considerable but, Hamel points out, its cost is high and getting higher. The overhead of control, planning, specification, standardisation, and motivation by material reward is not just an increasing financial burden. Far more serious is the cost in terms of demotivation and disengagement, critical disablers of innovation and creativity. Equally crippling is the deficit in resilience and adaptability. The more decision-making power is concentrated, the less adaptable the organisation. This explains why corporate change can often only be accomplished by crisis and palace coup, as in a dictatorship – which most companies are.

In short: attempts to make today’s management paradigm work better are just ‘putting lipstick on the pig’. Management is a drag on success – the problem, not the solution. But ‘management’ in itself is not inevitable. It is a creation of the industrial age, engendered by the need to control the new class of employees who made scale possible. Yet ‘human beings weren’t born to be employees’, Hamel reasons. ‘If we invented management, we can reinvent it’.

This is a profoundly liberating thought. And Hamel’s book suggests that a new technology of co-ordination is out there. In conventional theory, there are two means of achieving co-ordination: hierarchies and markets. Markets are good at competition and resource allocation but don’t do innovation; hierarchies are fine for control and planning but poor at nimble adaptation.

But internet-enabled networks offer a credible third way, Hamel believes. The prime exemplar is Linux, the open-source operating system developed by a self-selecting band of volunteers linked only by the web and their motivation to contribute. There are now 150,000 open-source projects using the freely given energy and initia tive of 1.6 million people, according to estimates. While many of these are not-for-profit enterprises, the lessons that they embody have wide application, Hamel argues. They use peer review by many rather than control of the few, the intrinsic motivation of work rather than monetary reward, self-selection rather than fiat for resource allocation, and perpetual, continuous improvement. ‘The internet is the most important new social technology since writing, perhaps ever,’ he says. ‘The idea that it will change everything else but not management is simply naive.’

Even if the shortcomings of management 1.0 are glaring, however, getting to version 2.0 will be anything but easy. The inertia of today’s vested interests is huge. And the consequences will be momentous – particularly for those in power. ‘It’s hard to stand up and say that ideas can come from anywhere, that leadership must be distributed, that accountability flows downward, and then justify paying one person 400 times more than another,’ Hamel points out.

Yet while the full paradigm will take time to configure, companies like W L Gore, Whole Foods, Semco and Google, as described in the book, are already successfully trying parts of it. And the agenda for action is clear, as laid out in this essential and timely manifesto. So what are we waiting for?

The Observer, 14 October 2007

X factor meant business schools were sure to fail

BY WHAT right do managers run companies? Daft question: because they have the knowledge and skills to do it. That’s the accepted line – managers are the visible hand that takes over where the writ of the market doesn’t run, using the technologies of organisation to gain economies of scale that the market can’t match. This version is now so taken for granted that it is effectively ‘invisible’.

But in the late 19th and early 20th centuries, as Rakesh Khurana shows in a masterly new survey, conquest of the industrialising economies was as bloody as that of the Wild West. That large companies and managers came out on top was not inevitable or ‘natural’, but the result of a fierce institutional battle largely decided in favour of the winners by a marriage of convenience between management and business schools.

From Higher Aims to Hired Hands (Princeton) charts in compelling detail a symbiotic and often perverse relationship in which management and business schools decisively shaped the purpose of the corporation, which has then fed back to alter the theory and practice of management. It’s a remarkable and uncomfortable story.

As suggested by the subtitle – The Social Transformation of American Business Schools and the Unfulfilled Promise of Management as a Profession – Khurana, a Harvard academic, views management as not only an unfinished but a crippled project. His case is that having failed to establish a ‘grand narrative’ of management as a profession with a claim to moral leadership, business schools were an easy prey for outside influences that bounced them into adopting a much narrower role. First supplying technocratic organisation men to run the conglomerates of the Fifties and Sixties and, latterly, even further from the founding ambitions, simply supercharging the career prospects of their graduates.

By a supreme irony, the theories currently elaborated and taught in business schools, notably agency theory and transaction cost economics, de-skill and de-legitimise management by turning managers into the hired hands of the title. They exactly reverse the professionalisation project. Small wonder that those taught that self-interest drives everything take the doctrine at its word. As Khurana notes, the corporate scandals of the past few years are ‘bitter fruits’ of business school developments in the Seventies and Eighties.

Now, while apparently at the peak of their power, business schools find themselves in full existential crisis, impaled on a painful prong of their own making. If management is not a profession but sim ply a means of amassing private wealth if, as the theory suggests, management gets in the way of the efficient functioning of markets and is thus the problem rather than the solution – what are business schools for? And why should management studies be taught in publicly funded universities?

How did it happen? Khurana leads us through the institutional twists and turns with nary a false step. He shows that, subverted both from without and within, the professionalisation project – ‘so to broaden the minds and raise the ideals of its graduates that it will do something to elevate the business community above the plane of mere money-getting’, as the Tuck School put it – never even approached completion. Lacking a critical mass of moral or factual authority, management has never defined itself in the terms called for by an early Harvard dean: ‘While 2+2 in mathematics may always be 4, 2+2+ the X of human relations… is never 4… A new conceptual framework was required.’ With business academics beavering away in deep furrows increasingly unconnected with actual business practice, it still is. The mission of instilling ‘leadership’, now desperately invoked as a new business-school role, is also undermined by the glaring lack of an accepted fact base.

Meanwhile, theoretically and in practice, business schools are in the grip of a market logic which, as Khurana points out, doesn’t even allow consideration of the questions being asked of them. The interests of academics, students and business continue to diverge, and MBA grades are on the decline. Why should students work when the point of an elite degree is not to gain practical knowledge (unnecessary for a career in financial engineering) but access to networks and to signal to employers that they are the elite? Maybe Oxford’s long resistance to a business school wasn’t so unreasonable.

Khurana’s meticulously researched account ends with a call for renewal of the idea of management as a profession – otherwise, it will find its privileges regulated or forcibly wrenched away. Coming as it does out of Harvard, the most iconic of business schools, From Higher Aims… could hardly be a more provocative and timely intervention. It’s no beach read (500 pages, 100 of them notes), but anyone remotely interested in management and its future should get hold of it – and ignore its lessons at their peril.

The Observer, 7 October 2007

Take note: fortunes can go down as well as up

WHEN AS a young journalist I first started writing about business, my total lack of experience was saved by two pieces of advice that I have blessed ever since. Robert Heller, my first editor, dispatched me on an initial assignment for Management Today with the words: ‘Don’t believe anything until you see it with your own eyes.’

And a shrewd City PR punctured any remaining gullibility by pointing out that whatever people like him said for public consumption, there was little in business that hadn’t been seen before. Wait long enough and the cycle will come around: what goes up almost always ends by coming down. As well as sparing me acute personal embarrassment (well, mostly), these common-sense lessons have a wider application to business generally – as events of the past few weeks demonstrate. If companies had paid more attention to such hoary basics and less to the blandishments of City and Wall Street slickers, the world economy wouldn’t be in the mire it is wading through now.

The visibility test ought to be a basic one for any investor or manager, particularly when bubbles are in the air. In the internet boom of the late Nineties, the inflated valuation of web start-ups was the direct result of investors taking the business model – how they would make any money – on trust. Not trusting their own eyesight, they allowed the internet emperors to convince them that virtual clothes were the same as real ones.

That seems inconceivable now: yet the hedge fund and private equity-fuelled binge just ending was similarly based on an optical illusion. As Warren Buffett, the undisputed Olympic champion of investors, points out, extracting more from the economy than its constituent companies create in value is a logical, physical and financial impossibility.

Yet that’s what the purveyors of today’s modish financial instruments wanted us to believe, and they found many willing buyers who have come to count the cost. The frictional costs charged by financial intermediaries are now a burden of 20 per cent on corporate income, Buffett says – income that otherwise would come straight through to investors and pension funds. One more time: if you can’t see it, you can’t weigh it and you can’t trace an owner, it probably doesn’t exist.

Northern Rock is a good example of what happens when a company succumbs to this kind of voodoo economics, precisely because it is a company that wanted to be, and by its own lights was, ‘good’. Firmly identified with its northeast roots, it is devoted to its community and full of philanthropic and cultural good works. It gained much respect during the miners’ strike of 1984-85 by declining to repossess the houses of strikers unable to pay their mortgages.

Alas (another useful lesson), social responsibility doth not on its own sustainable corporations make. Dazzled by the promise of outsize returns from the thin-air economy, Northern Rock turned itself from a boring old bank lender, requiring a deep knowledge of creditworthiness and asset values, to a trendy retailer of securitised loans and mortgages to hedge funds and CDOs (collateralised debt obligations), requiring a deep knowledge of opaque and arcane financial markets. It wasn’t borrowers that tripped Northern Rock, whether sub-prime or not: it was its own unbounded faith in what it couldn’t see.

Of course, everything is made worse by the failure to remember lesson No 2. Previous cycles have amply demonstrated that borrowing short to lend long can look smart in the short term, but can also turn you into a penniless idiot in the long. Similarly with debt in general. An ‘efficient’ balance sheet in the short term does not necessarily equip a company for success in the long term and, indeed, it may make success more difficult if it squeezes out the resources to innovate and grow. We shall certainly see this point underlined in the near future as one or more debt-heavy private equity chickens comes crashing home to roost.

Of course it’s easy to be wise after the event. But that is exactly what the two precepts are designed to avoid – particularly in financial services, whose products, although companies appear to have forgotten it, were meant to provide security rather than heart attacks. Whatever happened to banking prudence? The queues besieging Northern Rock branches in the first UK bank run for a century and a half tell a visible story of devastating loss of trust: an unfortunately deserved result for an industry that has steadfastly ignored the truism – and its own statutory advice – that what goes up can equally well come down.

It’s no excuse either that when gravity finally reasserts itself, as it always does, the pieces don’t always land in the original location. We ought to know by now that history is cleverer than that. Here’s a third piece of advice for the next time the financial cycle turns around. In Mark Twain’s words: ‘History doesn’t repeat itself, but it does rhyme.’

The Observer, 30 September 2007

Many happy socio-technical returns, Tavistock

ACCORDING TO some conspiracy theorists, the Tavistock Institute of Human Relations is part of a sinister cabal aiming at world domination. ‘If only,’ sighs institute director Phil Swann. After a decade in which it has had to work hard to survive, the Tavistock, one of the UK’s most original and fertile contributors to organisational theory and practice, last week celebrated its 60th anniversary. It has a new website, a new look, and new confidence that its accumulated strengths are more than ever relevant to the thornier problems of today.

In truth, the Tavistock has always been a high-wire act. Never more than 25 or 30 strong, its influence has been out of proportion to its size, and it has often found itself honoured more in other parts of the world, where a diaspora has founded many offshoots, than at home.

As with other pioneers, its discoveries and diagnoses – self-regulating teams, culture change, networks, selection processes, policy evaluation – have sometimes been so ahead of their time that ‘the answer from the field was silence’, in the words of one of its most distinguished alumni, Elliott Jaques.

This was the case with its remarkable investigations of culture and teams at Glacier Metal and the NCB respectively in the late 1940s and 1950s. Indeed, it didn’t always recognise what it had come across itself. Later, when the concepts reappeared as mainstream consultancy products, it found itself dwarfed by competitors with less rigour but larger marketing departments. Business process re-engineering, empowerment and forms of teamworking can all trace their lineage back to work done at Tavistock.

The institute, a spin-off from the psychoanalytically oriented Tavistock Clinic, was established in 1947. The aim was to apply wartime breakthroughs in large-scale social psychiatry, pioneered in the army, to peacetime issues – notably the effectiveness of organisations. It invented an approach later known as ‘action research’ – generating new theory by using interdisciplinary teams to investigate problems, bringing to the surface the hidden, sometimes unconscious forces that lurk in all organisations, and empowering clients to take on social-science capabilities. Much of the research found its way into its academic journal, Human Relations

The institute’s earliest strand of work was around individuals, groups and organisations in relation to their immediate environment. The second, best known and probably most influential, was in ‘socio-technical systems’, the relationship of individuals and groups with technology. Sociotech grew out of the startling observation that in the 1950s, mechanisation was decreasing productivity in UK pits. Tavistock researchers posited that organisations consisted of closely linked technical and human systems, neither of which could be optimised at the expense of the other. The relationship had to be optimised, not the individual elements. This strand pointed to new forms of work organisation, including self-regulating teams.

The third thread of work – socio-ecological – developed out of the more turbulent, interlinked world of the 1970s. The Tavistock’s challenge now, says Swann, is to develop a fourth strand relating its own strengths to the distinctive issues organisations face today. There is no shortage of candidates: individual choice and dealing with variety the dynamics of partnership and inter-organisational working and the tensions between global or national and local, and centre and periphery, to name three.

The institute has had to confront many of these pressures itself. A body that is about organisational democracy and work-group autonomy and operated without a titular head, it has been obliged, controversially, to adopt a more conventional single form of authority.

As the first Tavistock director, Swann has a mandate to break down internal silos and ‘articulate a single integrated group’, mirroring internally what is happening in the world outside. Along with its ethos of collaboration and co-production, that puts it in an ideal position, he reasons, to tackle some of the boundary-spanning problems of today. The classic challenge is delivering public services, which requires linking local and central government, politicians and officers, and multiple agencies, all with different targets and priorities, across both public and private sectors.

In its seventh decade, the Tavistock will continue to have to justify its existence with results – it has no research funding. On the positive side, in a climate that favours an evidence base, and in which organisations are beginning to look for alternatives to an exhausted conventional management model, its agenda of rigorous pursuit of both theory and practice, of accepting rather than denying complexity, and of improving effectiveness through individual and organisational well-being suddenly looks both modern and urgent. Many happy returns.

The Observer, 23 Sepltember 2007

Small companies prosper by travelling light

LIKE BIRDS that forage on the back of rhinos, a key success factor for small firms is the ability to move smartly to avoid being crushed by giant competitors or customers. This is doubly so in information technology, and double again when the company operates in the public sector. Take System C Healthcare, which specialises in the dangerous terrain of healthcare IT, working primarily with the NHS.

System C is at the heart of healthcare computing, working in four out of five of the regional programmes in Connecting for Health, the beleaguered pounds 7bn national programme to computerise the NHS. It is installing its own software in a pounds 7.5m contract to replace the Isle of Man’s healthcare systems and is also growing rapidly in the independent healthcare sector through work on the NHS’s new diagnostic centres. But getting there has required it to develop a sidestep as sharp as Jonny Wilkinson’s.

When it started out two decades ago, System C had no connection with health: it developed software development tools, at which it was a modest success before its chosen territory was abruptly invaded by a mighty rival, Microsoft.

Cue for a first change of direction: the company developed a range of clinical and administrative IT systems for hospitals. In 1996 (yes, that long ago) it installed its first system, and five more followed. By 2003, System C was, it thought, well up with the field turning over pounds 5m a year, it was well placed to bring a tested product to an expanding market that clearly needed it.

Then came the second unforeseen circumstance, which, ironically, took the shape of the NHS’s 2003 National Programme for IT (NPfIT). What should have been good news for System C turned out, at least in the short term, to be the opposite. Wanting to roll out hospital systems fast, NPfIT reckoned (perhaps rightly) that System C was too small to provide national coverage, opting instead for what turned out to be problematic solutions from much larger companies – the UK’s iSoft and US companies IDX and Cerner. ‘Our core market just went away,’ says Markus Bolton, System C’s founding director.

The company had no choice but to change tack again. Taking something of a gamble, it used the shake-up provoked by the new NHS procurement arrangements to scoop up 100 of the best-qualified people released by other IT sufferers, train them in specialised work streams (data migration, integration etc), and reinvent itself as a ‘domain adviser’ to the NHS. ‘We’d installed multiple systems, so we knew how it was done,’ says Bolton. ‘We could apply everything we knew’ – but to installing other firms’ systems rather than its own.

The reinvention was successful, winning the ‘new’ System C contracts in four of the five regional programme clusters and trebling its turnover. Yet life in the new guise has not been all plain sailing. The announcement by iSoft in 2005 of a two-year delay to its Lorenzo hospital software package and Accenture’s subsequent exit from the programme caused a significant downturn, just six months after the company’s flotation on Aim – ‘implementation work dropped by 50 per cent in a few weeks and took months to recover’. But a major contract win to supply expert support to Connecting for Health has helped to get business back on track.

Bolton is philosophical about the changing environment. He believes that the agility and resilience developed through the vicissitudes of the past few years are critical future-proofing for the company, while the driving ethos of helping the NHS to deliver continues to attract good people. Meanwhile, the accumulated experience is priceless. Bolton notes that the average healthcare experience of System C’s 170 specialists is 15 years: ‘System C staff have been involved in most of the important programme ‘go-lives’ we’ve seen so far.’

Cannily, although shorn of its English market, the company has continued to maintain and develop its own MedWay hospital systems in hope of growth in the home countries and Europe. Ironically, other countries may be the indirect beneficiaries of the lessons learnt from the UK programme’s early delays and setbacks. The private and independent healthcare sectors are also providing demand.

At home, the company is sporting a sizeable feather in its cap with the award of a major contract to supply the Isle of Man with an island-wide healthcare system, while its earlier generation of products continues to be used without fuss by thousands of medics and managers. If, as is possible, the next phase of Connecting to Health procurement allows trusts to range more widely in their choice of patient systems, System C should be well positioned to come (nearly) full circle, adding more hospital sales to its new-found services business. But given the history, it would be unwise to stop practising the fancy footwork just yet.

The Observer, 16 September 2007

Listen. It’s GE’s secret for a successful marriage

LAST YEAR, companies engaged in pounds 1.9 trillion worth of mergers and acquisitions. Most of them – perhaps two-thirds – will destroy or fail to create value, provoking an exodus of customers and employees and ruining the very things that prompted the companies to buy. Like much in management, just because mergers are obvious and common doesn’t mean they’re easy. On the contrary, they are fraught with difficulty – which is why success is rare.

However, merger mediocrity is not preordained. Of the successful ones, a disproportionate number are performed by a few serial acquirers that seem to be immune to the failure rate applying to others. Cisco, for example, consistently swallows eight or 10 substantial companies a year. But perhaps the champion buyer is GE, which in its 2006 annual report identified pounds 8.5bn of industrial acquisitions for 2007 – a not unusual amount for the pounds 65bn giant.

How and why do GE’s mergers (the abortive Honeywell bid that ended Jack Welch’s career always excepted) succeed? Perhaps surprisingly for such a driven company, there’s no standard formula, according to Roman Oryschuk, president and chief executive of GE Capital Solutions’ equipment financing arm. Equipment financing, with pounds 5bn in assets and 1,500 employees, currently has six active integrations on the go around the world, each posing distinctive challenges.

As always with GE, there is a plan, with numbers, and leaders in both the acquired company and the business unit who help push integration forward even before the deal is closed. But much, says Oryschuk, is about ‘judgment and thought’, and if deviating from the plan will benefit the end result, then so be it.

This is because, for GE, deals are explicitly a means, not an end. The end is long-term organic growth. Although the group is constantly on the watch for deals, only those that add something in terms of strategy, products, geographic spread or talent get through the filter. It follows that, in any merger, retaining acquired customers is paramount – and that also means looking after the people who have won the customers in the first place. ‘Customers do business with people they’re the bond,’ says Oryschuk.

Also unexpected is that, despite GE’s famously tough and focused ways, the aim is not to homogenise the companies it takes over. It is true that, early on, the managers acquired in the takeover are exposed to GE’s non-negotiable group compliance and HR processes, as well as its legendary financials. But ‘we buy companies because they have something we don’t,’ insists Oryschuk. ‘A successful acquisition is when both sides adjust and learn.’

Ukrainian by birth, Canadian by upbringing, and once an ‘acquired manager’ himself, Oryschuk is well placed to know that blending two strong cultures is a matter of sensitivity and balance, not corporate steamrollering. Listening is as important as talking, he says. ‘You mustn’t overwhelm people: too fast is as bad as too slow.’

In some cases – as with the acquisition of the UK’s Amersham International in healthcare – it is the acquired company that absorbs the GE entity, rather than the other way around. In these ‘reverse integrations’, as the more experienced buyer, GE has the additional challenge of ‘training the integrators to integrate us’.

Part of the adjustment process is reframing growth expectations. GE always wants to be number one or two in its markets, and by quickly drawing acquisitions into the group’s annual ‘growth playbook’ – a vision of where the business should be going and how to get there – managers gain practical understanding of the new opportunities that being part of one of the best-managed large firms in the world gives them.

All this leads to some unexpected conclusions. Listening, balance, judgment, sensitivity, reflection, empowerment: these would probably not be the first words you might associate with a tough cookie like GE. Indeed, in the age of private equity, where the answer to all problems is reduced to finance, they are pretty unfashionable management concepts generally.

Yet it’s a powerful reminder of some of management’s home truths. To the disappointment of those seeking short-cuts to successful dealmaking, the conclusions to be drawn from GE are – there are no conclusions. Successful deal-making is indivisible from good management, full stop. You can’t replicate GE’s process for accomplishing mergers any more than you can replicate Toyota’s production system, because you aren’t GE or Toyota. If you know what the deal is for and what success is, and conduct it with the same respect, values and principles that you bring to all the other things you successfully do, you’ll do successful mergers. To paraphrase and reverse Tolstoy: unsuccessful companies are all alike. Every successful company is successful in its own way.

The Observer, 2 September 2007

Back to the lab to find a formula for innovation

IT WOULD BE nice to think that the recent market turmoil signalled a return to management basics. After the era of what we might call sub-prime management, in which every problem of corporate performance was a nail to be battered with the hammer of massive debt or incentives, the drying up of cheap credit for financial engineering might seem to mean we can get back to the realities of satisfying customers, investing in employees and making honest products that turn an honest profit.

Or can we? As the tide of private equity subsides, the full extent of the damage done to the foundations of conventional management becomes evident. As the embodiment of no-holds-barred investor capitalism, private equity offers a starkly simple narrative of management. Managers are hired hands whose only responsibility is to maximise shareholder returns. In efficient markets there is no distinction between the long and short term, so today’s share price is the only thing managers need to worry about. Under private equity, whatever the question, the answer is money.

Conventional management has no comparable grand narrative – only a paler version of private equity’s ultimate efficiency story. It is based on all the same assumptions – economic rationality, agency theory, hierarchy, value appropriation – but in a less extreme form. Private equity won’t go away, even if conditions are temporarily against it, and it has left ‘conventional’ management squelching on its foundations.

Where do we go from here? One place is London Business School’s MLab, or management innovation laboratory. MLab, brainchild of LBS professors Gary Hamel and Julian Birkinshaw, opened last year with the aim of making over today’s management rules. Although it brings together strands from several quarters, the immediate impulse for MLab’s establishment was Hamel’s frustration at the difficulty of persuading clients of his consultancy firm, Strategos, to innovate. Innovation, Hamel likes to say, is like getting a dog to stand on its hind legs: possible, but the moment you look away, the animal is back on four legs. Innovation requires a change of DNA.

It can be argued that innovation is the most important thing companies do. It goes beyond products, services and processes to embrace how organisations use resources. Yet while we are into Web 2.0, and technology and global interconnectedness combined make innovation and adaptability critical aptitudes for corporate survival, management is still firmly anchored in version 1.0.

‘Management is stuck,’ says Alan Mat cham, MLab executive director, who, after 10 years in the change-management practice of software giant Oracle, hardly qualifies as a woolly idealist. For 150 years, notes Birkinshaw, management has been geared to pursuing efficiency through principles of planning and control – specialisation, standardisation, hierarchy and the use of purely financial reward to motivate people. ‘Many people believe these are a given and that from now on it’s all incrementalism,’ he says.

Yet it is increasingly clear that Management 1.0 is hitting severely diminishing returns. Private equity may ‘work’ in its own terms, but at the price of force-fitting people to organisations – and it doesn’t do innovation. By entrenching the status quo, Management 1.0 has become the problem itself.

It was to get around this roadblock, and to channel the frustration of thoughtful companies running up against the inadequacy of current nostrums, that MLab was set up. It recently announced its first corporate founding partner, UBS, with which it will work ‘to accelerate the evolution of management processes and practices that will define competitive success in the 21st century’.

MLab aims to reopen all conventional management’s certainties and orthodoxies. At the level of processes, this is what its research partners are already doing. Thus, tired of the well-documented dysfunctions of budgeting, UBS is experimenting with alternatives. But behind these experiments shines the lure of an entirely new management model, one that rethinks organisations from top to bottom in light of today’s knowledge and conditions: Management 2.0, in fact.

The project is controversial. As Birkinshaw notes, MLab changes the role of business scholars from observing and describing management practice to co-creating it. And such status and legitimacy as business schools and academics currently enjoy are intimately bound up with their theorising and legitimising of today’s management model – of which private equity is the supreme avatar.

Can we make organisations fit for people? Do we need managers? Until we can answer such questions, a return to current ‘basics’ will offer little comfort or respite. ‘We want to convince the doubters that a new theory of management is possible,’ says Birkinshaw. MLab is a small step for management, potentially a giant step for mankind.

The Observer, 26 August 2007

Watch it, or surveillance will take over our lives

SOME RADICAL friends didn’t share the enthusiastic reception for Lives of Others, the haunting recent film about life under the Stasi, the East German secret police. It wasn’t the acting or even the Big-Brother type plot of hidden manipulation and control that they objected to: what got up their noses was the complacent implicit assumption that the West wasn’t an equally enthusiastic user of similar surveillance techniques, even if mostly (so far as we know) for commercial rather than political ends.

They have a point. ‘We live in a surveillance society,’ was the bald assessment of a report for the information commissioner last year that catalogued in detail the technologies and processes by which we are all logged, profiled and digitised daily at work and at play – credit, loyalty, Oyster and swipe cards, mobile phones, congestion charges, work log-ins and activity monitors, interactions with public and private-sector call centres, not to mention the ubiquitous CCTV cameras.

One striking measure of the burgeoning of surveillance is the growth of the industry that provides it: in the three years to 2006 the top 100 US surveillance companies had doubled in value to $400bn. Surveillance is big business.

Even individual surveillance uses are hard to track and regulate, as technology runs ahead of the ability to foresee its implications. But in combination with ‘function creep’ (where a mechanism set up for one purpose, like a travel card, is then used for another, such as tracking movement), increasingly complex networks of information-sharing across private and public sectors, from credit-rating to benefits agencies and hospitals, make it almost impossible for people to assert their right to know the information held about them.

It’s like a ‘first life’ version of the virtual-reality website Second Life: whether we like it or not we all have shadowy ‘avatars’, digital doubles of ourselves, assembled by computer from dozens of different database components, that are logged and managed in ways of which we are only dimly aware. Although untethered from the office by mobiles and laptops, some remote workers find their digital selves more controlled and monitored than before. For consumers and citizens, racial and postcode profiling and credit rating are just the beginning. When you contact some call centres you are categorised by level of spending and served accordingly Amazon can price goods differently for different customers.

Not all surveillance is bad – accurate records can protect the innocent as well as identify wrongdoers – and some of it, as the information commissioner notes, is an inescapable part of being modern. The technology itself is neutral, as Lives of Others demonstrates, however the use made of it can be anything but. The report warns that it is naive and dangerous to sleepwalk into a world where gathering, processing and sorting personal data is no longer just an overlay, like CCTV cameras, but a part of life’s basic infrastructure, without debate or understanding what it means.

Part of the danger is cock-up rather than conspiracy: at a very basic level so much of the information gathered is just wrong. One study found that 22 per cent of a sample of entries into a police computer contained errors, even when double-checked. Names are misspelt and addresses wrongly coded. The impact of such errors is compounded by sharing what’s more, they are not remedied by the enthusiastic addition of more technology – as the IC report points out, a managerialist solution that often makes the original problem still harder to unravel, as well as locking us in to technology and expertise beyond democratic control.

At the same time, to a computer your digital identity is more real than the physical one indeed, if you don’t have a computer identity you don’t exist at all. Hence the phenomenon of the invisible consumer and the unreachable company, separated by the impenetrable barrier of the computer. When, as is the way of technological advance, the monitoring of information is taken away from humans in the name of rationality and given over to algorithms, the wrongness can become surreal. If computers decide who gets passports or is employed, we really are rattling the bars of sociologist Max Weber’s bureaucratic ‘iron cage’.

Surveillance is a substitute for trust. At work or as citizens, some people break trust, so surveillance is necessary. The dilemma is that by fostering suspicion and making people feel mistrusted, it increases the chances that they act in ways that seem to justify the surveillance. Lives of Others plays out this tension, before ending on a note of wry individual redemption. A small victory for humanity. Yet in real life the nightmare prospect of surveillance managing us rather than the opposite is apparent, and it will take more than fiction to reverse it.

The Observer, 19 August 2007