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Team building

Leadership

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I’m enjoying Peter Block’s book “Community” on a recommendation from Michael Bungay-Stanier.

A quotation that leapt out of the page at me yesterday morning:

The role of leaders is not to be better role models or to drive change.

Their role is to create the structures and experiences that bring citizens together to identify and solve their own issues.

As I read this, I experience a shift in my personal thinking.

In our work with clients, we define leadership as

  1. creating a clear vision (and sharing that vision)
  2. the example of one’s own personal behaviour and
  3. letting go of management (always the real bungee jump for clients)
But Block’s definition - and his book, which is about ignoring hierarchical structures and facilitating change from within, will have a profound effect on my thinking and leadership with clients.

How do you put out a burning well-head?

You know the imagery here - a fire at an oil well, flames leaping into the air and a gigantic cloud shrouding the surrounding land.

Rather similar to what happens when gossip breaks out in a business.

An example of which was presented to me the other day as a coaching assignment.

“A new nurse has been appointed at a slightly higher salary than her established colleagues.

We had to do that because market forces, supply/demand, means that to attract the right person we had to pay a little over the odds.

Our intention was to “restore differentials” later in the year - but just now we are reinvesting £250,000 into the practice and there is no spare cash to give everyone a pay rise.

The new girl didn’t know any better - she blabbed her salary in the staff room.

We don’t talk salaries here - never have done in 25 years.

It has caused a commotion - none of the girls are talking to me and you can cut the atmosphere with a knife.”

Ever heard that story?

The principal sat in a city hotel with me the other day, head in hands.

“What do I do?”

The answer is to consider how to put out a burning well-head - although I’m going to slightly modify my metaphor.

Option 1 - starve the fire of oxygen

1. Call a meeting;
2. explain that discussion of salaries is not allowed;
3. issue a contract amendment that confirms the fact;
4. tell them all to go back to work
5. and that you refuse to take part in the conversation - now or ever
6. and that if people don’t like that then they need to be looking for another job.

Option 2 - create a controlled explosion, the force of which is large enough to extinguish the original fire

1. call a meeting;
2. ask them to explain their greivances in a team environment;
3. leave them alone for an hour and request that when you return they have designed a solution which incorporates the continued well-being and expansion of the business;
4. walk out of the room and shut the door;
5. return in one hour to listen to their business planning ideas;
6. having listened carefully - default to Option 1.

My client decided that option 1 was his favoured choice.

The points being:

1. don’t wrestle with the pig;
2. don’t give oxygen to a situation you cannot tolerate;
3. never justify the decisions you make to a aggrieved party
4. nobody is indespensable - nobody.

Harsh?

Yes.

Effective?

Yes.

The fire is out.

“Unfortunately, we only offer private dentistry.”

It was a brave member of the reception team who offered the “confession” at yesterday’s practice visit that she answers the question “are you accepting any new NHS patients?” that way.

Brave because her admission was in front of the whole practice team, including the principal - and me!

Her authenticity can only be attributed to the fact that she trusts her principal and feels safe around me - that because I have been working with the team for three years.

So you might ask what the hell I have been doing as a business coach to let that happen?

The answer is working with the owners on a million-pound conversion of their other practice from NHS to private - so that we could start the whole process again here, at practice number two, on 1st January 2008. What we will be another massive re-branding, refurbishment and re-niching.

My receptionist was one of 4 or 5 people who answer the phone regularly and they tell me that the current marketing funnel looks like:

10 “walk-in” enquiries per month (the practice is hidden off a city-centre main street and up a narrow flight of stairs in a less than salubrious area).

40 telephone enquiries per month asking for membership or treatment from people who are either looking for private treatment or don’t mind paying.

60 telephone enquiries per month asking for NHS treatment.

This is currently translating into:

40 new patient consultations booked and attended per month.

Leading to 30 new patient registrations per month.

Which wouldn’t be too bad, except for the fact that the three (equivalent) full-time dentists in the practice require at least 20 new patient consults per month to reach what Breathe Business believe are acceptable production figures.

So they require a 50% increase in new patient consults.

We are in the process of creating a new marketing funnel - probably upwards of £20,000 of investment into a new brand image, literature, web site et al - PLUS a physical refurbishment that could require a capital investment of over £150,000.

That will take 18 months.

But, in the meantime, could we do anything to improve new patient numbers?

Well - we might start with what’s being said on the phone.

Which brings me to a point.

The team in this practice are all enthusiasts. I would employ any of them myself - and they have diligently attended our workshops and my personal visits and soaked up the material like sponges.

There is no lack of willingness to perform.

But what they are doing is (a favourite quote of mine) “THEIR BEST IN THE ABSENCE OF A SYSTEM”.

There has simply never been any in-practice training, consultancy or coaching on how to answer the phone and and, more especially, how to respond to questions like:

“Are you currently accepting new NHS patients?”

“How much do you charge for a crown?”

“Why are you more expensive then the practice down the road?”

“Why should I join your membership scheme when I can just pay per visit?”

“If I sign up for a new patient consultation at £80, what will I get for my money?”

And so on.

So we invested a couple of hours yesterday in creating answers to these questions that increased the probability of converting the enquiry into a consult - and the telephony team will be practicing them over the weeks ahead.

If necessary, I have offered to jump onto a conference call with them in a few weeks time and check progress.

We have decided to ban the following terms from telephony:

1. Unfortunately
2. Sorry but….
3. But
4. Sadly
5. We only….
6. No!

Here is my challenge to any business owner reading this.

To take some time out and listen (perhaps unseen) to your telephony team - and find out for yourself how often these phrases are being used.

Or if you feel that is too intrusive - just call a team session and ask them outright.

Oh - a final point - why are the team in this practice using language like “unfortunately” when they are so enthusiastic?

1. They cannot afford private dentistry themselves - so they assume nobody else can
2. They have never experienced concierge class customer service themselves - so cannot comprehend what it is like
3. They have no script

One decision we have made with this client is that, in future, once a month, the principal is going to take all the team for lunch or after-work coffee to a list of local retail outlets in the city where we know that they have it nailed.

Restaurants, hotels, coffee bars, clothes shops - even a local BMW dealership.

We are going to arrange an hours meeting with the customer service manager in each of these outlets, so that they can hear “how they do it” in each place.

Good idea.

1. Listen to your team
2. Get your language right
3. Show examples
4. Increase opportunity

Calculating staff bonuses

bonus-calculator.xls

This is a simple but effective little spreadsheet for you to download and play with.

In the practice who use it, profits are calculated monthly and then distributed to all salaried staff in the same proportion that their individual salary bears to the overall payroll cost.

This means that everybody is getting the same percentage of their salary as a bonus - get that?

You can enter bonus percentage, salaries and monthly profits in the white spaces - and go from there!   

  

Another example of recruitment - for a business manager

David Horobin at Chapel Road Orthodontics in Bexleyheath has created a job advert as part of his web site.

 

Click here 

 

David writes:


it’s fed by an entry in the Blog and can also be indicated from a job advert in the local press 

 

Dental Design did the design and I modify the site with Adobe Contribute – a useful tip for technologically minded principals I think. 

 

 

Here’s a good recruitment advert created by one of our clients

John Street Dental Practice

67 John Street · Workington · Cumbria CA14 3BT · T: 01900 65217 · F: 01900 871005

An excellent opportunity has arisen for two, motivated, enthusiastic and dedicated individuals to join this long established and highly regarded private dental practice in Workington. We are a fully private practice that seeks to provide the highest levels of patient care and treatment.

We are keen to recruit individuals who have a high desire to succeed, are keen to learn new skills and take new challenges as well as continue to develop existing ones.

As a Team, we are dynamic, forward thinking and keen to encourage and develop each-other to allow us to provide  the highest possible levels of care to our patients.

As a Practice we believe we offer a high quality working environment, with modern equipment and a motivated, well trained team.

We are soon to be expanding the Practice and therefore we are able to offer two full/part-time positions. Having the right people will allow us to maintain our already high standard.

An opportunity for you!

Administrative Assistant /Receptionist

The ideal candidate:-

• Will have a welcoming and reassuring manner.

• Will be friendly, courteous, calm and efficient as well as flexible and able to adapt to different patient needs.

• Will have excellent customer service and organizational skills with attention to detail and a passion for helping others.

• Will have excellent oral, interpersonal, computer and telephone skills.

• Will be computer literate, especially in Microsoft Word and Excel.

• Will enjoy working as a team member but also be able to cope with the demands of a customer driven environment.

Dental Nurse

The ideal candidate will be a qualified dental nurse holding the National Certificate or NVQ Level 3.

Preference will be given to qualified dental nurses however training can be provided to the right applicant.

Working within a qualified and experienced team you will be required to perform the highest standards of patient care.

Helping to ensure the patient is well cared for at all times, you will provide chair-side assistance for both the dentists and the hygienists in all dental procedures.

You will carry out all cross-infection procedures as well as undertake sterilisation of instruments and preparation of materials.

Salary for both positions will be dependent on qualifications, experience and enthusiasm.

Apply in writing and include a CV to:-

Nicola King Practice Manager, John Street Dental Practice, 67 John Street, Workington, Cumbria CA14 3BT.

Closing date for applications is Wednesday 16th April 2008

• ADMINISTRATIVE ASSISTANT/ RECEPTIONIST
• QUALIFIED/TRAINEE DENTAL NURSE

Mr M L King BDS (BRISTOL)

John Street Dental Practice Preventative Plan please ask for details

Mr M L King BDS (BRISTOL)

John Street Dental Practice Preventative Plan please ask for details

John Street Dental Practice

67 John Street · Workington · Cumbria CA14 3BT · T: 01900 65217 · F: 01900 871005