Doing transformational change in the English NHS in the context of "big bang" redisorganisation

Journal of Health Organization and Management
David J HunterEdward Lugsden

Abstract

The purpose of this paper is to examine a bold and ambitious scheme known as the North East transformation system (NETS). The principal aim of the NETS is the achievement of a step-change in the quality of health services delivered to people living in the North East region of England. The paper charts the origins of the NETS and its early journey before describing what happened to it when the UK coalition government published its proposals for unexpected major structural change in the NHS. This had a profound impact on the leadership and direction of the NETS and resulted in it taking a different direction from that intended. The research design took the form of a mixed methods, longitudinal 3.5-year study aimed at exploring transformational change in terms of content, context, process and outcomes. The sample of study sites comprised 14 NHS trusts in the North East region chosen to provide geographical coverage of the area and to reflect the scale, scope and variety of the bodies that formed part of the NETS programme. The qualitative component of the research, which the paper draws upon, included 68 semi-structured interviews, observational studies and focus groups. Data analysis made use of both deductive and inductive frame...Continue Reading

References

Apr 6, 2002·BMJ : British Medical Journal·Nigel EdwardsJack Silversin
Aug 23, 2007·Joint Commission Journal on Quality and Patient Safety·Cathie Furman, Robert Caplan
Dec 14, 2007·Health Care Management Review·Carol VanDeusen LukasMartin P Charns
Jul 20, 2010·BMJ : British Medical Journal·Kieran Walshe
Feb 16, 2011·International Journal of Health Services : Planning, Administration, Evaluation·David J Hunter
Aug 3, 2011·Australian and New Zealand Journal of Public Health·Vicente Navarro
Oct 13, 2011·Lancet·Allyson PollockPetra Brhlikova
Feb 2, 2012·BMJ : British Medical Journal·Kieran Walshe
May 23, 2012·International Journal of Health Services : Planning, Administration, Evaluation·Lucy ReynoldsMartin McKee
Sep 19, 2012·The Milbank Quarterly·Allan BestJennifer Bitz
May 7, 2013·Journal of Health Politics, Policy and Law·Rudolf Klein
May 7, 2013·Journal of Health Politics, Policy and Law·David J Hunter
Feb 1, 2013·Health Services Management Research : an Official Journal of the Association of University Programs in Health Administration·Jonathan ErskineMartin Paul Eccles

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Citations

Mar 13, 2019·British Journal of Hospital Medicine·Simran Goyal, Elizabeth Law
May 21, 2019·Australasian Psychiatry : Bulletin of Royal Australian and New Zealand College of Psychiatrists·Jeffrey Cl Looi, Stephen R Kisely
Sep 14, 2019·Clinical and Translational Allergy·J Jean BousquetUNKNOWN MASK Study Group
Mar 18, 2020·Journal of Health Organization and Management·Gregory ManiatopoulosBob Hudson
May 5, 2020·Journal of Health Organization and Management·Gregory ManiatopoulosAllan Best
Sep 8, 2017·British Journal of Nursing : BJN·Debra Hardie, Joanne Smith
Dec 20, 2019·Journal of Health Organization and Management·Martha L P MacLeodCathy Ulrich
Jul 30, 2016·Australian Journal of Primary Health·Suzanne RobinsonLearne Durrington
Dec 5, 2020·Nature Reviews. Disease Primers·Jean BousquetSanna Toppila-Salmi
Mar 5, 2021·The Journal of Allergy and Clinical Immunology. in Practice·Jean BousquetTorsten Zuberbier
Aug 15, 2021·Social Science & Medicine·Alex BroomJennifer Broom

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