Free Nursing Dissertations - These We Can Enumerate As Follows: Implementing A Process Of Change Within
These we can enumerate as follows:
Implementing a process of change within the NHS
Improving efficiency of services and quality of care
Encouraging advanced and technologically superior equipment and clinical procedures as seen in the NHS Modernisation Agenda.
Using management principles of knowledge management and coordination to achieve collaborative working and better interaction among patients, doctors, nurses and other health professionals across departments and agencies.
Improving staff performance through performance management and optimising utilisation of processes, organisational structures and resources.
At the heart of the collaborative working approach are policies, targets and changes as implemented by the NHS. The change model given by the NHS is
External change, Problems & opportunities ? Recognition of the need for change ? Start of change process ? Diagnosis (Review present state ? Identify future state) ? Plan and prepare for Implementation ? Implement change ? Review
The ‘people’ or personnel aspects of change management have also been identified within the NHS and these involve: (NHS plan, DoH 2000)
power, leadership and stakeholder management;
communication;
training and development;
motivating others to change; and
support for others to help them manage their personal transitions.
Motivating others to change, support to others, and communication all refer either directly or indirectly to the need for a collaborative working approach and coordination as a means to achieving the standards and targets set. The Department of Health has given National Standards of Care and Planning Framework and in this context the NHS Improvement Plan given in 2004 is of considerable importance.
According to a DoH publication (2004), the NHS Improvement Plan, 2004, set out the next stage of the Government's plans for the modernisation of the health service. It signalled three big shifts:
putting patients and service users first through more personalised care;
a focus on the whole of health and well-being, not only illness; and
further devolution of decision-making to local organisations.
All this requires much greater joint working and partnership between PCTs (Primary Care Trusts), Las (Local Authroities), NHS Foundation Trusts, NHS Trusts, independent sector and voluntary organisations. The Department of Health shows that this is happening in many parts of the country, but needs to be made more consistent (DoH, 2004).
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