“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!

Warm regards,


Leave a Reply

Fill in your details below or click an icon to log in:

WordPress.com Logo

You are commenting using your WordPress.com account. Log Out /  Change )

Twitter picture

You are commenting using your Twitter account. Log Out /  Change )

Facebook photo

You are commenting using your Facebook account. Log Out /  Change )

Connecting to %s