A recent King’s Fund report explores diverse examples of successful transformational change, i.e. those which tend to focus on improving the lives of patients, to see if there are lessons for leadership style and organisational culture. Four case studies comprise:
- The Bromley by Bow Centre Health Partnership (East London): improving the health of people in a relatively deprived London borough.
- Birmingham and Solihull NHS Mental Health Trust’s Rapid Assessment, Interface and Discharge (RAID): a multidisciplinary mental health service which introduced liaison psychiatry across Birmingham’s acute hospitals.
- Northumbria Healthcare NHS Foundation Trust’s Northumbria Specialist Emergency Care Hospital: a purpose-built facility aiming to transform emergency care over a wide area.
- Buurtzorg Nederland: a new care model which transformed community care using a nurse-led approach.
The overall impression is broadly affirmative of Don Berwick’s advice in favour of “curiosity and invitation rather than command and control”.
Dougall, D. Lewis, M. [and] Ross, S. (2018). Transformational change in health and care: reports from the field. London: King’s Fund, May 2018.
There is also an Executive Summary.