Making change possible: A Transformation Fund for the NHS

"To ensure that the substantive changes required can be achieved, we argue that the NHS needs dedicated funding – a Transformation Fund – to deliver the change required, aligned with more effective practical support and the right policy context for change."

Making change possible: A Transformation Fund for the NHS
R Murray et al.
The Health Foundation, The King's Fund
July 2015

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Understanding quality improvement at scale in general practice

"Improvement guidance derived largely from hospital-based studies is, for the most part, applicable to improvement efforts in primary care settings, although large-scale change in general practice presents some particular challenges. These need to be better understood and addressed if improvement initiatives are to be effective."

Understanding quality improvement at scale in general practice: a qualitative evaluation of a COPD improvement programme
M Marshall et al.
British Journal of General Practice, 2014; 64(629): e745–e751. doi:  10.3399/bjgp14X682801

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Medical revalidation: From compliance to commitment

"Medical revalidation, with the right conditions, can be a valuable driver of behaviours and cultures that support sustained quality improvement. The time to develop those conditions is now. Above all, leaders should bear in mind that large-scale change requires them to have the tenacity and vision to create a process that is valued by all who are involved in it." 

Medical revalidation: From compliance to commitment
V Nath, B Seale, M Kaur
The Kings's Fund
March 2014

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Health service redesign: from structure to function

"The findings suggest that large scale redesign projects are difficult to sustain because of changing circumstances, staff turnover, and the challenge of maintaining momentum. A more realistic approach centres on building teams, with local leadership, focussed on clinical/patient concerns and engagement with services provided outside hospital."

Theme 1: Health service redesign: from structure to function: the impact of change
A Hewison
Collaborations for Leadership in Applied Health Research and Care: Birmingham and Black Country
University of Birmingham, National Institute for Health Research
2014

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Draft framework of excellence in clinical commissioning: for CCGs

"Large scale system change in health and social care is complex and challenging and driving such change takes strategic, collaborative leadership, built on a compelling vision for the future."

Draft framework of excellence in clinical commissioning: for CCGs
S Rutherford, J Simon
The NHS Constitution
November 2013

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