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Commissioning. When push comes to shove.

L Locock1, S Dopson

  • 1Health Services Management Centre, Birmingham University.

The Health Service Journal
|February 24, 2001
PubMed
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Healthcare authorities had minimal impact on implementing the Changing Childbirth report. Instead, influential healthcare professionals, like midwifery directors, drove strategic changes within trusts.

Area of Science:

  • Healthcare Management
  • Health Services Research
  • Maternal Health Policy

Background:

  • The Changing Childbirth report (1993-1998) aimed to reform maternity services.
  • Implementation of national health policy recommendations can be challenging.
  • Understanding factors influencing change adoption in healthcare is crucial.

Purpose of the Study:

  • To assess the influence of Healthcare Authorities (HAs) on the implementation of the Changing Childbirth report.
  • To identify key drivers of strategic change within National Health Service (NHS) trusts regarding maternity care.

Main Methods:

  • A qualitative study examining four Healthcare Authorities (HAs) across three regions.
  • Analysis of changes introduced in NHS trusts related to the Changing Childbirth report recommendations between 1993 and 1998.

Related Experiment Videos

  • Interviews or case study analysis focusing on the role of opinion leaders.

    • Main Results:

    • Healthcare Authorities (HAs) demonstrated limited success in mandating the adoption of the Changing Childbirth report's recommendations.
    • Implementation of changes was frequently facilitated by influential individuals within trusts, such as Directors of Midwifery.
    • The study highlights the significant impact of frontline healthcare professionals on the success of strategic initiatives.

    Conclusions:

    • The influence of Healthcare Authorities (HAs) on implementing national health policy is less significant than anticipated.
    • Internal opinion leaders and healthcare professionals possess considerable power in driving or hindering strategic change in healthcare settings.
    • Future strategies for health policy implementation should consider empowering and leveraging the influence of key healthcare professionals.