1. “Alliancing”
What skills do you need?

2. Experience
• BOP DHB / EBOP PHA “alliance”
• NZRGPN chairperson
• Developing the RHAANZ
• Wonca Working Party on Rural Practice
Follow the conversations on ..
@opotikigp
@countrygps
@ruralhealthnz

3. What works ?
• Constructive alignment in health
• Appreciate group dynamics
• Find the common ground
• Focus on the core issues – build trust
• Finding the 18th camel….

4. The intended outcomes
of the “alliance
contract/workstream”
The evaluation regime
The outcomes are
developed first –
from these the
evaluation activities
are identified
Once an appropriate
evaluation regime is
developed, activities are
developed that will
reach those outcomes.
Health intervention
activities
What the providers do
directly links to the
desired outcomes. This
builds on what we
know about motivation
for activity in adults.
review
Constructive Alignment in Health …making sure
activities result in desired outcomes and are
valued by providers….

5. Group dynamics
• Forming, norming, storming, and performing
• Define roles
• Structure – timekeeping, notekeeping,
keeping on track , minute keeping, sharing
open source, review of action lists
• Look for the “third side…”
Resources: “William Ury – The walk from “no” to “yes” TED talk

6. Common ground
• Shared values discussion
• Shared principles discussion
• Put all the issues on the table
• Agree the conflicts
• Initial focus on the “core” issues – recruitment,
retention, practice support – build trust
• Keep returning to the common ground

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