Capacity Planning - Flexibility

What of those toilet cubicles which allow for both sexes - they have a little notice on the outside saying "either"?
They represent a different point of view.  If (to take a healthcare example) your staff are trained to do more than one thing, for example to perform both joint surgery and chest surgery, then you can keep them busy all the time regardless of the mix of cases coming to them.  The same could apply to someone with skills in both health and social care - instead of two people coming to the house (the personal assistant to get the person up and washed, the nurse to check blood pressure and administer medication) only one comes with skills to do both.
Does this make sense? It sounds ideal!
Not always.  There are two reasons why not.

many skills need constant refresh.  In order to be an exemplary surgeon in one particular speciality, you need to practice regularly.  If you have too many different things that you are able to do, then you may not practice enough in any one of them.  For example, nurses trained in treatment of adults have a hard time re-training to become children's nurses, simple because when there's an emergency the rule-of-thumb doses they first learnt and remember first are the doses for adults.
people with multiple skills are often/ always more expensive to train and command higher pay

Multi-use toilet cubicles are great where a restaurant only has room for two or three toilets.  Each cubicle takes up more space as it has to contain its own wash basin, brick walls, etc.  But where numbers are limited then flexibility is important.
Emergency Care Practitioners (ECPs) are more expensive than paramedics because they are more flexible.  In their case, the choice is between two ambulancepeople with a full 1.5ton ambulance and one ECP in a car.  Again, with small numbers (1 or two attending the patient), the ECP is cost-effective.
An A&E department has many more staff and many more patients.  There may be a case for a multi-disciplinary team, ie where individual staff are specialists in specific skills rather than generalists, and patients need to be referred to the most appropriate individual.
Workforce design is an art form.  That is, a specialist skill that relies on more than academic study, that relies on a deep understanding; a willingness to look at alternatives and quantify them and pick the best and second best (3 Ps and 2 Ws - Predicted, Possible, Preferred, Wildcard negative, Wildcard Positive); but principally that relies on experience and knowledge.

Comments

Recent Additions and Updates

PwC Report on the Current State of Project Management

PwC Project Management ReportPwC found that successful companies are getting more mature in their project management ability.  This raises the game – successful companies have lower costs from fewer failed projects, and less successful companies have to work harder to catch up.  There are some important lessons to take this report for everyone – Read more…

Joy instead of tedium

The Office

Every office has them - the tasks that have to be done that nobody likes doing.  Whether it's the audit, the wages, standard letters, whatever it is - someone has to do it and it feels like a waste of time and money.

Why should you care?

So you employ somebody, so why do you care about how tedious the task is? Well they are costing money, to do something that could be done far more effectively.

Learning from the Past

Evidence for service improvement

Many public service changes have little basis in evidence. Their success (or otherwise) does not appear to depend on how 'good' the policy itself is, but rather on how it has been implemented. This relies on staff attitudes and relationships. My research falls into a number of broad categories: finding out what is currently happening; what people think about it; and what people think it will mean.

Taxonomy upgrade extras:

Consumer Price Index (CPI) Calculator for SROI

CPI components

When calculating a Social Return on Investment (SROI) evaluation or SROI forecast , sometimes you have to rely on published figures from reports.  But if these are from a few years ago, then they probably need adjusting for inflation.

There are calculators on the web to do this for you, but I found them cumbersome and it was difficult to keep a record of what calculator I'd used, and how, for which value - auditability and transparency is vital for SROI.  So here's a spreadsheet to do this properly!

Leadership and Margaret Thatcher

Margaret Thatcher - a greta leader?

Leadership is one of those characteristics that most people recognise, some people claim, and nobody manages to explain.

We can identify the great leaders from the past and present, and talk about their characteristics, but it is too easy to overlook the hundreds of thousands of people who claimed to be leaders or tried to be leaders, and who shared these characteristics.  We need to identify what the great leaders have that the failures or mediocre leaders don’t have, or we will be no nearer to identifying the characteristics of leadership.