News, Teaching Stories

Gamifying Histology

BILT

From an initial interest in creating a histology game and some rough drawings on the back of playing cards, Frankie Macmillan and Zoe Palmer have created a fun and exciting way to teach a subject that students find hard to engage with.

Histology is taught on medical, veterinary and dental courses but many students find it a challenging subject. Frankie and Zoe hope to use this game to change perceptions; to make histology more fun and to help students engage.

After designing the basic concept and creating a simple test pack, Zoe and Frankie secured Discretionary Seedcorn funding from BILT in January and started developing their game.

Histo-link is a picture card game in which students make links between different images of cells, tissues and organs. A player lays a card and the next player has to lay a card that links to it. For example, an image of the spinal cord could be followed by an image of a nerve cell, or a section of peripheral nerves. If the students cannot make an obvious link, they can chose to try a more obscure link, but another player could challenge it. The rest of the group then discuss whether they think the link is factually correct. If it isn’t, the student has to ‘pay’ a counter to the challenger, as a penalty for a poor link. If it is deemed to be a good link the challenger must pay a counter as a penalty.  The game continues until players have laid all their cards, the player with the most counters at the end wins. Students can also spend their counters (shaped like red blood cells) by buying an answer from the other players, or the associated crib sheet if they cannot identify one of their cards. The game contains sixty cards and each player starts with five red blood cell counters.

Initial feedback from students is very promising. Every single student that attended a test session (31 students) would recommend the game to a fellow student and said that the game would improve their knowledge of histology.  Almost all the students found that the game was pitched at the right level and that it was easy to play. Three test sessions were run; some students from each session were interested in buying the game – leading Frankie and Zoe to consider the possibility that the game could be sold to students and even to other universities! Students in the test sessions were given simple instructions but were not directly told how to play. Zoe and Frankie had expected them to play competitively as individuals, but some students played collaboratively, with their cards laid flat on the table, working together. 

Although the game is still in testing phase, Frankie and Zoe have plans for how it will be embedded in teaching across year groups. First years could play in teams of two or three, with students playing as individuals in second year as their confidence in their histology knowledge builds. Students won’t necessarily be given all the cards in first year to ensure that they play using cards relating to the teaching they have had, with more cards being added into game as they learn more throughout the year. The adding and removal of cards is a simple way to differentiate learning with this game. The flexibility of Histo-link is one of its best features and means it can be a valuable resource for a student through their entire degree.

The game won’t replace the current method of teaching histology, Zoe says, but will make for a great revision tool and might help to demonstrate that histology can be an enjoyable subject to learn! Having to create links between the different images means the students not only have to identify sections but they also have to apply logic and reasoning to make the connections. This strengthens their understanding of histology which can then be applied to other areas of the curriculum. Teaching something is one of the best ways to learn and Histo-link does exactly this – students in the test sessions challenged each other and discussed their answers – something which doesn’t always happen during normal teaching activity.  Frankie and Zoe not only hope that this game will help students to get excited about histology,  but that it might even inspire some histopathologists of the future!

Meet the BILT Associates

Meet the Associates… Ash Tierney

BILT

The following post was written by Ash Tierney, a Research Associate and Project Manager for Bristol Futures. Ash has been a BILT Associate since May 2019.

I’ve been working in curriculum development roles at the University of Bristol since 2012. My focus started with Education for Sustainable Development and saw me conduct curriculum reviews on this theme across all degree programmes. I represented higher education in the UK at the House of Commons discussions on “Enabling the future we want: Education for Sustainable Development in the UK”. Outside of the formal curriculum, our team collaborated with the Students Union, Bristol Hub, the National Union of Students and UWE. One of our biggest achievements in this time was the Bristol Green Capital project “Green Capital: Student Capital. The power of student sustainability engagement”. The effort resulted in over 100,000 hours of student volunteering for sustainability across both UoB and UWE.

I was delighted to be one of three academics who co-developed the “Bristol Futures: Sustainable Futures” open online blended course, hosted on FutureLearn. It was the first time I had collaborated pedagogically with such interdisciplinary peers, one from Chemistry, the other from Engineering. The result is a four-week course that is freely accessible to everyone globally and runs three times a year.

Since late 2017, I’ve become Project Manager for the University’s Bristol Futures project covering areas of the core and optional curriculum. In 2018/2019, we delivered four new interdisciplinary optional units. The units have challenged traditional teaching approaches, experimenting with new forms of assessment and blended learning delivery. This role includes typical project management responsibilities (budget, staffing, evaluation, etc.), but also encompasses dynamic elements of content development such as script-writing for documentaries.

While completing my PhD on Historical Archaeology, I ran public engagement activities within archaeological fieldwork. In the USA, I led engagement efforts for three seasons on “Embedding Sustainability Thinking into Fieldwork: placing student learning at the heart of community engagement”. This was divided into two foci: research-led outreach in the local high school; and co-produced research with the local community archaeology interest group. Within Bristol’s archaeology degree training fieldwork at Berkeley Castle, I led the engagement team to work with the community in novel ways, most notably “The Town Museum Project”. In this project, our Bristol students created displays of excavated material culture and placed them on display in the homes and businesses of Berkeley village. By bringing the archaeology into community-led temporary curatorship, we demonstrated trust in the community and allowed those unable to visit the excavations to feel more involved. My student-led public engagement efforts are noted by HEFCE as national best practice.

Following completion of my PhD in 2017, I have taken on the role of Project Director of Archaeology within Project Nivica, in the Kurvelesh mountains of Albania. The project sits within eco-tourism domestic initiatives, with the overall ambition to compile a detailed understanding of the history, archaeology and ecology of the village of Nivica and its environs. The aims of the project are: to understand how the inhabitants of Nivica shaped their identity in relation to Epirus, Illyria and Rome; and to situate heritage practice and participatory engagement within the principles of the Sustainable Development Goals. I am working in collaboration with the Municipality of Tepelenë, the National Coastline Agency, and the Institute of Archaeology.

Within my BiLT Associate role, I am looking to focus on outputs that cross both my interests in sustainability and heritage. Over the next two years, I will engage at sustainability conferences in the HE sector, disseminating our innovative work at Bristol, including the operational and logistic aspects that make pedagogic ambitions possible. I’d like to create podcasts with other educators on topics of professional practice and ethics within teaching, exploring methodological approaches, and how to embed the Sustainable Development Goals into student-led discussions and action. Given my Arts background and involvement in the Cadbury fiasco, I would also like to work with others to create a brief for international corporations on why Arts graduates are integral to their success.

500 Words, News

Learning Games #3

BILT

The third Learning Games event took place against a backdrop of thundery showers in the Victoria Rooms on Wednesday 8th May. In attendance were colleagues from both professional and academic backgrounds, ranging in discipline and service but all with one common interest – the use of games in learning.

The session started with a throwback to the previous Learning Games event, in which we discussed the barriers to implementing game-based learning in our roles. The main issues we found were (in order of most common) – time and resource, resistance to change and knowing where to start. This time we were asked to come up with solutions to these problems, but in true academia style, we ended up conjuring up more problems than we started with, with a number of groups highlighting the issue of games not being viewed as ‘serious’ or ‘academic’ enough – the solution to which would be to demonstrate the learning that had happened as a consequence of the game shortly afterwards.

The main part of the session was delivered by Neil Carhart from the Department of Civil Engineering, who shared his ‘Gone Fishing’ game with the group. The game, which combines sustainability, fishing and economics into a strategic ocean-based venture, was originally played on a board, but has taken a 21st century twist and is now played online. Neil wanted to highlight these changes and demonstrate how the game was played differently through the two mediums.

Players in the game (in which the cohort are split into teams) each take on a role but work together to ‘beat’ the other teams to have the highest net profit at the end of the game. Interestingly, although the game was designed to highlight and teach sustainable systems, it always ends with students creating an unsustainable environment – the game always ends with the ecosystem being destroyed through over-fishing (and a desperation for profit – not too unlike the world we actually live in). What is even more interesting, however, is the way that playing the game online has changed how the students interact with it.

When played as a board game, the average time to complete it took three hours. When played online (still in the classroom but using a shared laptop to do calculations and move the ships), the game takes an average of 90 minutes. The fact students do not have to physically move their ships around a big shared board anymore may count for some of those saved minutes, but not 50% of them. Students playing online, Neil notes, are more likely to make quick, less thought-through decisions and don’t discuss with each other or with other teams too much. In a way, students are more focused on getting the highest profit than they are on working together to fish sustainably (so to speak).

Suzi and Chrysanthi then talked about their game, which aims to help people consider accessibility and inclusivity issues when designing learning games. They are looking for volunteers to test out or provide feedback – get in touch with them if you are interested.

The session ended with a game about thinking about games for learning (if you can manage to decipher that!). In our groups, we were given a piece of A2 paper, split into four rows and four columns (see image below). We were tasked with thinking of four ‘subjects’ (as wide-ranging as we wanted them to be- ours were French, science, sewing and dogs) which were used as the column headers, and then the four rows needed to be populated with different types of games for each (see image below). The idea for this game was taken from this blog post, and is a quick way for coming up with new ideas or approaches to a solution.  

Email Suzi Wells and/or Chrysanthi Tseloudi if you are interested in testing our their new game, which looks at inclusivity and accessibility when designing learning games.

Further reading

The board games turning science into playtime 

My nursing team created Poopology – a board game about diarrhoea 

News, Uncategorized

Teaching Space as a Teaching Lab

BILT

The following post was written by James Norman, a BILT Fellow and programme director for Civil Engineering.

Today I continue my physical journey into the research of space as I embark on my third road trip of the year. I am back in Winchester, where I spent so many hours, ten years ago, when working on the Oxford Brookes project I discussed in my previous blog.

The reason for my visit is to revisit the architecture practice I was collaborating with to ask them their views on pedagogy informed design in higher education. Before I go any further I need to come clean, I am a huge fan of what they do. I really enjoyed working with them on Oxford Brookes and I have a great respect for their work more generally. And I am not the only one, they have been short listed three times in the last four years as Education Architect of the Year.

Photo provided by Design Engine Architects

I was expecting our conversation to be simple, straight forward and pedagogy-focussed. Instead it was wide-ranging, chaotic, with ideas flying everywhere. I tried to keep up typing away. But my notes are so wide-ranging it’s hard to know what exactly to say. So, I will do my best to summarise two different overlapping conversations.

The first is around pedagogy informed design, at some point about one and a half hours into our conversation I asked, “When you design a building do you bring a pedagogy or do you respond to the clients pedagogy?” to which Richard Jobson, one of the directors, replied, “it’s a bit of both and we look for common meeting ground. Our job is to challenge people. You can learn and talk to people and move your own thoughts on”.

This led to a much richer discussion about not just pedagogy but all the different competing stakeholders on a university project and how each one comes with an agenda, each one has set requirements and also a vision for the future. And each one is constrained by time, money, but also the needs of other stakeholders. And that the challenge to these ideas by the architect was robust, sometimes fierce and charged with emotion. We discussed how, in our collective experience, pedagogy can be discussed and agreed before a project starts (which the literature suggests is ideal), as a project starts, or some point further down the process, even sometimes after the physical building has started to be constructed.

This led to the discussion that unlike for other stakeholders like library services there is often not a dedicated group of people who are already engaged in conversations around pedagogy and space waiting for the next large building project, that these groups need to be assembled ad hoc (or even post hoc) to try and engage with the design process. As a result, it is hard to have pedagogy before a project and too often the pedagogy comes at some later point in the projects development.

Which of course leads to a bigger discussion, and one we will hopefully be able to respond to in time. Why don’t we have a group who are interested in pedagogy and space who are constantly active? Not waiting for the next project but creating their own. Who are trialling and developing teaching methods in different spaces not as a one-off event but as an ongoing discourse in pedagogy. Maybe the BILT fellowships in space are the start of this. But it strikes me this needs to be a long-term question. Buildings takes years (Oxford Brookes took 7) from idea to completion and we need conversations which understand this and develop with both the buildings and pedagogy.

John Ridgett, the project architect on Oxford Brookes, thought aloud “why not have a teaching lab? A space dedicated to trialling new teaching, both physical and digital. It could be a large warehouse with internal partitions which is designed to be constantly reconfigured”. This strikes me as a fantastic idea which I would like to explore further.

I headed out of Design Engine to walk along the road to their neighbour Winchester University. Here I can see Design Engines work in action. I am currently sitting and typing in one of their spaces. The campus is compact and vibrant with a multitude of lovely design touches. As I am shown round campus by Mat Jane of estates I am introduced to a number of people including Dave Mason who is literally in the middle of looking at furniture layouts. He describes how they, at a smaller scale, do what Design Engine were just suggesting. They trial room layouts, they play and see what works. They notice which rooms are popular and which are not, and they carry out surveys with both staff and students on which spaces they enjoy learning in. The teaching spaces became teaching laboratories.

Take the example below. One of the many observations of a teaching space is that the front rows are often empty. So they have provided different furniture at the front. Comfy seats and sofas, and suddenly the front third of the room is more heavily utilised. Of course, if this hadn’t had the desired outcome a different arrangement can be tried, and another, and another.

And so, as I reflect on my day, I am left asking myself “why haven’t I thought to do this before?”. It seems so simple, with hundreds of rooms, there is no reason why we also shouldn’t experiment, prototype and explore a wide variety of teaching spaces with a view to exploring what works and what doesn’t. Rather than wait and then refurbish large swathes of rooms with untested approaches we should play, learn, reflect and improve.

My sincere thanks go to Richard Jobson and John Ridgett of Design Engine (designengine.co.uk) for giving up two hours of their time to have such a wide-ranging conversation about the design of space and to Mat Jane who showed me around Winchester University with such enthusiasm and pride and also for all his insights on sustainability around the campus (including my free cup made from recycled chewing gum).

500 Words, News

Should we go ‘The Whole Hog’ with programme-level assessment?

BILT

The following post was written by Amy Palmer, BILT Digital Resources Officer.

Since the launch of BILT in 2017, the implementation of programme-level assessment across the University has been a widely-discussed topic. But what do we really mean by programme-level assessment?

Tansy Jessop, while delivering her TESTA workshop in January, outlined her ‘Five Hogs of Programme-Level Assessment’, breaking down the term into five different ways this assessment framework could be implemented.

The first, ‘The Whole Hog’, advocates an integrated and connected assessment plan, running though entire programmes, using capstone and cornerstone assessments to bring together learning from different modules. Teaching is separated from the [summative] assessment, allowing students to make their own connections between content in different modules. This approach is the most widespread understanding of what ‘programme-level assessment’ is and is arguably the simplest implement and there is a clear split between teaching and summative assessment.

The next, ‘Half the Hog’, still has an assessment piece that runs throughout the entire programme, separate from individual modules, but it doesn’t require all assessments to be disconnected from teaching. This connective assessment could be a research project that runs from first to third (or fourth) year and draws on concepts from all of the individual modules. A benefit of this ‘Hog’ is that there is an overall reduction in summative assessments across the degree to make room for the programmatic assessment piece.

The ‘Other half of the Hog’ employs synoptic assessment from across a number of modules (i.e. 50% of the degree modules are assessment via a synoptic assessment while the other 50% have assessments that are directly related to their module’s content). Each module has a combination of formative and one summative assessment, and the synoptic assessment integrates concepts, makes connections between the modules and is challenging for students.

The next pig- or pigs- ‘Both the Hogs together’ (originally named ‘Eat the Hogs Together’, but we didn’t think that was appropriate for our plant-based friends 😊) is when both the curriculum and assessment design is done as a team, using TESTA (programme and student evidence to inform the assessments). Summative assessment is reduced across the entire degree so that students engage more with formative assessments. Teams are encouraged to integrate assessment in the shared process so that everyone has a shared understanding and practice.

The final hog, ‘The Warthog’, is the most radical of approaches. Instead of running parallel modules, students take one module at a time in blocks (for example, one module runs week 1-4, second module runs week 5 – 8, etc.). Assessments are joined up though shared units that weave across the programme. This method has been adopted to some extent at Plymouth University through their immersive induction module in first year.

Some of these ‘hogs’ would be easier to achieve than others, but we don’t know yet which one would create the best outcomes for students. With the amount of modular choice available across most degree programmes, a singular approach would have to be taken at least within a faculty, and potentially across the entire university – it wouldn’t be possible for one programme to undertake a ‘Warthog’ approach while another employed ‘Half the Hog’. But how do we decide which approach to take? And how would this one approach be implemented across the hundreds of programmes we have on offer with limited time for programme teams to sit down and redesign their assessments?

 There are examples of institutions where programme-level assessment has been successfully put into practice (Brunel’s IPA and Bradford’s PASS are two good examples), but we need to understand the impact it has had on student learning, outcomes, wellbeing (both staff and students) before deciding whether going the ‘Whole Hog’ is the right approach for Bristol.

Student Voice

Student Voices: Learning Analytics

BILT

The following post was written by Johannes Schmiedecker, a BILT Student Fellow.

In early April, the BILT Student Fellows conducted various workshops at the Bristol SU Education Network. Below are some findings from the workshop about learning analytics in the HE sector.

The Task

8 groups of students (maximum 7 people per group) had to decide if the University should or should not include various metrics when it processes student data to improve the university life. The metrics were written down on single index cards and included different data, ranging from academic data such as assessment grades, blackboard access or library usage to personal data like gender, religion or ethnicity. The groups had to decide collectively and only allocate a certain data metric to either “Yes” or “No” if all the members of the group agreed. After 10 minutes the time ended, and students were asked to reflect on the task. 

The Outcome

The groups engaged in active discussions and we saw that students had different opinions when it comes to finding an accurate balance between privacy rights and data analytics. Students were mostly open to providing their data for learning analytics as they saw that it can improve university life, however, they expect clear policies and strategies from the University before they would agree to such a thing.

The following bar chart provides a summary of how the students allocated the cards. For instance, all 8 groups said that attendance in classes or assessment grades data should definitely be included in learning analytics. However, when it came to more personal data like the current employment situation, gender or ethnicity, the results were mixed, and some groups could not agree to either Yes or No. Furthermore, all groups decided that facial recognition at campus or comments on social media should be excluded. In general, the groups could allocate academic data easier, agreeing on a usage of personal data was far more contentious.

Student Feedback

As the time of the workshop was limited, the findings do not provide a full picture of the issue of data analytics, but it was good to get some student feedback and listen to their approach to data usage at the HE level. After the workshop the students had the chance to express their thoughts on the workshop, and the responses varied. “We kind of mulled over each metric, it was hard to decide!” one student said. Some were generally critical towards data analytics, “The question is, how the University is going to use the data? What do they want to do with it and why? It really depends on how the Uni uses it!” was one response. Others had a more open attitude towards data analytics and were fine with the usage of their data if it was education based and the university processed the data in a transparent way. “It would be nice if the University had an opt-out policy, if there are tick boxes and we could decide which data we want to provide. This would be the best way to approach it because everyone has different opinions!” one student argued who advocated for more control of students over their own data.

It was great to hear so many different opinions on how the University should use data of students. It demonstrated that there are many perspectives on how to approach learning analytics and a University policy would need to consider many different aspects.

Thanks to all participants, we are looking forward to the next BILT workshops and activities!

Student Voice

In conversation with a fourth year Liberal Arts student

BILT

Check out this snippet of conversation our Student Fellow Zoe Backhouse recorded with a fellow fourth year Liberal Arts student on the topic of assessment.  Want to know why Europe’s doing HE better than the UK and why playing Donald Trump in class may not be a bad thing? Read on…

Z: How was your assessment on your year abroad?

A: Well, when I was in Amsterdam it was broken down so much into different areas. It wasn’t all reduced down to an essay because that isn’t the one mode of intelligence in the world.

One of my assessments was I became Federica Mogherini who’s the Foreign Minister for the EU and we played out a simulation of the Middle East. Everybody was a different country – someone was Donald Trump! – and literally I learned so much about applying the theory and the logic and actually putting in a practical sense. I think that’s just so important because university should be about teaching skills that can be transferred to employability.

I also loved how we did presentations abroad. At Utrecht you had to lead a seminar for 45 minutes after a 20 minute presentation. In your presentation you couldn’t just read from a piece of paper like everyone does at Bristol. You would stand and deliver a lesson, not looking down at notes, you’d talk to people and have eye contact. And then you had to lead a discussion amongst your peers.

I found it pretty nerve-wracking and I’m quite a confident public speaker. But that’s because the way we’ve always been indoctrinated here is… it’s just very insular. I don’t know, I just think there is a lack of discussion in general in all forms. Discussion only happens as an internal monologue that gets reproduced in an essay. People can’t have conversations in seminars because they get nervous, because they feel like they’d look stupid. I think you should take that away.

We used to be marked on class participation at Utrecht which was like 20% of the mark. I actually do think that’s really important? In the UK people are so scared of saying something because they think there’s only one right answer. In our education system we’re taught that there’s only one right answer and it’s at the back of the book and don’t look and don’t copy and don’t speak to anyone else about it. But it’s not that. Art is about taking things and reinterpreting them and making them better. So I think discussion has been lost from education.

I did another module called Digital Citizens. And literally, we were just coming in to talk about what was going on in the news that day, we’d all just sit around and have a discussion. One of the requirements of that course was to write a journalistic article which was liberating. And it wasn’t just GCSE journalism, it was like, can you write a legitimate article? So I wrote about how data analytics is perpetuating gender stereotypes.

You did have essays as well because that’s important. It’s just about diversifying assessment, and making people feel more comfortable and able in their abilities as opposed to constantly critiquing people and telling them they’re wrong all the time because they don’t fit one style of system.

An interview with...

An interview with… Alex Forsythe

BILT

Dr Alex Forsythe has been an educator and psychologist since 2003 and among her various accomplishments, she is Senior Lecturer at University of Liverpool, Senior Fellow of the Higher Education Academy, a Chartered Occupational Psychologist and Head of Professional Certification for the Association of Business Psychology.

What are the main benefits students experience through goal-setting?

When we want to get something done, we set ourselves specific goals and deadlines in order to get where we want to be. We set ourselves these goals because we know what we need to achieve in order to progress. Whether it is in our careers, our lifestyle, or our fitness, goals create a specific psychological reaction that make us all the more motivated to accomplish the goals we have set ourselves.

Our brains are very complex machines, but they are also very simplistic in some of their processes. The hidden secret of goal setting lies in the fact that our brains cannot differentiate between what we want and what we have.  Instead, the brain absorbs the information of what we want and projects it into our self-image. When our reality doesn’t match up to our self-image, we are all the more like to motivate ourselves to change.  Goals give us a strategy for achievement.

What inspired you to first start looking at goal-setting and its impact on learning?

I am an occupational psychologist and most of these strategies have been around in the business and sports literature for some time.  We know the technique works.  It was simply a matter of applying my knowledge of psychology in the workplace to help students regulate their performance.

What are the most valuable resources/articles you use?

I have a book chapter forthcoming which pulls together the key resources in this area and the science behind the processes.  I am very happy to provide that to any interested academic. 

What piece of advice would you give to help students understanding of the feedback process?

In life, some feedback has no basis in reality it is nothing more than obnoxious aggression, that kind of feedback should be rejected.  The problem is that challenging feedback which is designed to critique our work, evaluate us and move us progressively forward, can generate the same fight or flight emotions as receiving obnoxious aggression.  Evaluation is loud and it is hurtful and getting upset is a natural response, but when we rely on our emotions to make a decision about whether or not feedback is obnoxious aggression or candid language designed to move us forward, we end up making all sorts of attribution errors that can leave us stuck.   To move forward, it is critical to find ways to regulate the negative emotions that are integral to good evaluation so that we can embrace failure as a friend and work actively with those who wish to help us improve our performance.

Can you tell us where you’ve used goal-setting in your life to achieve something?

It has taken practice, but I now regularly use regulatory techniques to pivot my focus away from distractions that are getting in my way.  I also find that such processes help me to have confidence in myself, believe that I can achieve and that I can overcome the inevitable obstacles that will come my way.  One of the most important changes that I have noticed is that I have more patience for myself.   I am much better at switching my focus away from how to do things, towards dedicating more time towards thinking about what, why I am doing what I do.  This has really helped me live in the moment, feel less stressed and achieve more.

What one film/ book/ resource would you like to share with the academic community?

As a ‘hard faced’ scientist and psychologist, we are not really encouraged to explore psychoanalytical theory, however, two books of that elk really spoke to me, possibly because both are written from the lived experiences of therapists.  “The Examined Life” by the psychoanalyst Stephen Grosz.  This is a very short book which explores how to change by exploring the stories of how people become the prisoners of history, their thinking or doing and the poor choices they make.   This book, and “Why do I do that?” by Joseph Burgo helped me formulate my thinking about how students were coping (or not) at university.  

If you could change one thing about HE in the UK what would it be?

That we stop chasing metrics.   People will work to whatever measurement system is put in place, often with perverse consequences.    When we go directly at improving a metric, we rarely get to the right result and in the process, we demoralise our staff.   Good results are the outcome of high performing teams, so HE should spend more time focusing on the health, wellbeing and performance of its teams and the results will follow.