Transformational change in health and care

This recent Kings Fund report offers insights to help strengthen transformation efforts by looking at four sites in the UK that have been recognised as successful transformation initiatives.
The stories of Bromley by Bow, Birmingham, Northumbria and Buurtzorg illustrate that transformation is multi-layered, messy, fluid and emergent. It is not merely about changing how a service operates, but also about shifting mindsets, changing relationships and re-distributing power.
The report shows the power of staff and communities to drive transformation: the importance of giving people time and space to think through the purpose of transformation; to understand the struggles and worries they face; to offer support instead of demanding change with no time to prepare or engage.

Transformational change in health and care: Reports from the field. 2018