“As leaders of health and care, we are steering change in a world where the power of hierarchy is diminishing faster and becoming more disruptive… In the dominant approach, power to create change largely comes through positional authority. In the new world, power comes from connection and ability to influence through networks.” ~ Bevan and Fairman
In 2018, NHS England released “Leading Large Scale Change: A Practical Guide” addressing complex health and social care environments. The document provides a detailed account of the process NHS developed as well as their frameworks, methods, and tools used to facilitate and sustain transformation. The focus is on building networks and communities needed to support change and how to mobilize informal power. From creating a climate where everyone can contribute to managing complex dilemmas, the guide deconstructs the concept of change in a very accessible way and suggests action items and resources for readers and leaders to try giving it a go!