The latest Institute for Healthcare Improvement (IHI) white paper presents a framework for the psychology of change in health care quality improvement. The aim is to increase the chances of successful change / service transformation, by addressing five domains of practice often overlooked, or actively suppressed and subverted, within hierarchical NHS organisations:
- Intrinsic motivation.
- Co-design, for people-driven change.
- Co-produce in authentic relationship.
- Distribute power.
- Adapt in action (motivational experience).
“The IHI Psychology of Change Framework challenges a traditional approach to quality improvement… ” (p.28).
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Hilton, K. [and] Anderson, A. (2018). IHI Psychology of Change Framework to advance and sustain improvement. IHI White Paper. Boston [Massachusetts]: Institute for Healthcare Improvement (IHI), November 2018.
Take-Up of Similar Ideas in the NHS
Matt Hancock, speaking at the “Leaders in Healthcare” conference, on leadership and culture change in the NHS, and about removing obstacles to clinicians becoming actively involved in clinical leadership:
Leadership within the NHS. [Online]: Department of Health and Social Care, November 15th 2018.
“Diversity of thought is essential to the future of the NHS. It is essential to make the best, and most intelligent use, of the £20 billion a year extra we’re putting into the NHS”.
This relates to the Faculty of Medical Leadership and Management (FMLM)’s review, commissioned by the Department of Health and Social Care (c), on enabling / encouraging clinical professionals to adopt senior leadership roles in the NHS:
Barriers and enablers for clinicians moving into senior leadership roles: review report. London: Faculty of Medical Leadership and Management, November 15th 2018.
Leadership in Integrated Care Systems
Integrated Care Systems (ICSs) involve partnerships between the NHS, local authorities, the private sector and the voluntary sector. The following report explores the collaborative leadership skills suitable for effective collaborative / partnership working, across organisational boundaries and system-wide.
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Leadership in integrated care systems: report prepared for the NHS Leadership Academy. London: Social Care Institute for Excellence (SCIE), November 2018. Future of care report: No.9.