Consolidating the future of the NHS
Consolidating the future of the NHS
The NHS England planning guidance was published at the end of March, and the key word in the document is…
I have had the privilege of working on two adult social care delivery programmes during 2019. As we approach the end of the year, it feels like a good moment to reflect on common themes that contribute towards sustainable delivery.
The inherent complexity of the systems which deliver public services (including adult social care), and the varying delivery models, cultures and histories of different local authorities, means that a ‘one size fits all’ approach is unlikely to produce sustainable change. Nonetheless, from my experience there are three universal factors that are common to successful change projects:
1. A supportive and safe governance structure, which:
2. A strong brand for the change programme to assist in it being recognised and adopted across the council, which includes:
3. Continuous improvement processes at the core of business as usual activity, where there is a culture of:
There is nothing radical in any of the factors identified above, but our experience is that implementing all three elements together can significantly increase the ability of change to get traction, become properly embedded and prove sustainable in the longer term. Regardless of the change being delivered, it is imperative that these factors are in place. The way change is implemented is as important – if not more important – than the decision to make it happen in the first place.