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A model for change in the NHS.

R J Keleher, C Cole

    Health Services Management
    |November 5, 1988
    PubMed
    Summary
    This summary is machine-generated.

    Effective change in the National Health Service (NHS) requires understanding its environment and utilizing appropriate supports. A new four-factor model offers recommendations for improving current change initiatives.

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    Area of Science:

    • Healthcare Management
    • Organizational Change
    • Public Health Policy

    Background:

    • The National Health Service (NHS) operates within a dynamic and evolving internal and external environment.
    • Rapid changes necessitate effective strategies for organizational transformation within the NHS.

    Purpose of the Study:

    • To identify and evaluate supports that facilitate change within the NHS.
    • To examine the selection process, advantages, and disadvantages of these change supports.
    • To present a model for effective change and suggest improvements for current efforts.

    Main Methods:

    • Environmental analysis of the NHS.
    • Identification and categorization of change support mechanisms.
    • Qualitative assessment of support selection, advantages, and disadvantages.

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  • Development of a four-factor model for effective change.

    • Main Results:

    • Key themes contributing to successful change in the NHS were identified.
    • A comprehensive four-factor model for effective change was proposed.
    • Deficiencies in existing change management practices were highlighted.

    Conclusions:

    • Understanding the NHS environment and selecting appropriate supports are crucial for successful change.
    • The proposed four-factor model provides a framework for enhancing change initiatives.
    • Recommendations are offered to address identified deficiencies and improve future change efforts.