Health Foundation, April 2012
- A synthesis of learning from 14 of the Health Foundation’s improvement programme evaluations and set the learning in the context of the wider literature.
- 10 key challenges to improvement that consistently emerged in the programmes evaluated:
- convincing people that there is a problem
- convincing people that the solution chosen is the right one
- getting data collection and monitoring systems right
- excess ambitions and ‘projectness’
- the organisational context, culture and capacities
- tribalism and lack of staff engagement
- leadership
- balancing carrots and sticks – harnessing commitment through incentives and potential sanctions
- securing sustainability
- considering the side effects of change
