Contemplating the “Who” and “Why” in Quality Improvement: the Psychology of Change Framework (IHI / DHSC / FMLM / SCIE)


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:

  1. Intrinsic motivation.
  2. Co-design, for people-driven change.
  3. Co-produce in authentic relationship.
  4. Distribute power.
  5. Adapt in action (motivational experience).

“The IHI Psychology of Change Framework challenges a traditional approach to quality improvement… ” (p.28).

Full Text Link (Free registration may be required for access to this document).


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:

Full Text Link


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:

Full Text Link


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.

Full Text Link (Free registration with SCIE may be required for access to this document).


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.

About Dementia and Elderly Care News

Dementia and Elderly Care News. Wolverhampton Medical Institute: WMI. (jh)
This entry was posted in Department of Health and Social Care (DHSC), For Doctors (mostly), For Nurses and Therapists (mostly), For Researchers (mostly), For Social Workers (mostly), International, National, NHS, NHS Improvement, Quick Insights, SCIE, UK, Universal Interest and tagged , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , . Bookmark the permalink.

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