27 February 2015

National action to effect local change in the NHS

Constructive comfort: accelerating change in the NHS
Health Foundation, February 2015
  • The report identifies seven success factors for change at any level of the health system, particularly locally in organisations:
    • Committed and respected leadership that engages staff
    • A culture hospitable to, and supportive of, change
    • Management practices that ensure execution and implementation
    • Capabilities and skills to identify and solve problems
    • Data and analytics that measure and communicate impact
    • Resources and support for change
    • An enabling environment which supports and drives change.
  • The report concludes that national bodies need to take the following action:
    • Immediately develop a shared view of how change happens in the NHS and what national bodies should do to catalyse it.
    • Develop the current blend of organisational levers (‘prod organisations’) to best support change.
    • Invest far more in support for change (‘proactive support’), starting with a coherent improvement strategy for the NHS in England.
    • Focus action on people who work in the NHS (‘people-focused’).
  • See the infographic which summarises the report.