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Organisational innovation in health services – Les sons from the NHS treatment centres

Autor John Gabbay
en Limba Engleză Paperback – 19 apr 2011
Amid a welter of simultaneous policy initiatives, treatment centres were a top-down NHS innovation that became subverted into a multiplicity of solutions to different local problems. This highly readable account of how and why they evolved with completely unforeseen results reveals clear, practical lessons based on case study research involving over 200 interviews. Policy makers, managers and clinicians undertaking any organisational innovation cannot afford to ignore these findings.
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Specificații

ISBN-13: 9781847424785
ISBN-10: 1847424783
Pagini: 184
Dimensiuni: 156 x 232 x 14 mm
Greutate: 0.3 kg
Ediția:New.
Editura: Bristol University Press

Recenzii

This is a fascinating study of the fate of policy innovations in the NHS. Through detailed empirical research, the authors highlight the gap that often exists between plans laid down in Whitehall and experience on the ground. It provides salutary and timely reading for health reformers. Chris Ham, Chief Executive, The King's Fund

To become - or stay - efficient and effective the NHS needs to become good at innovation in service delivery as well as clinical practice. This book gives deep insight into the origin and development of treatment centres, as a case of the conundrum of organisational innovation in the health service, namely how to ensure strategic direction, local ownership and adaption. Sandra Dawson, KPMG Professor of Management, Deputy Vice-Chancellor University of Cambridge & Fellow of Sidney Sussex College

This is an absorbing visit behind the scenes of the implementation of a major healthcare innovation. At a time when health systems face unprecedented change, here and overseas, this study makes salutary reading for those who promote change and for those whose task is to deliver it. To help, the authors offer a very useful synthesis of the learning from this study and the wider innovation evidence base. Well worth reading. Bernard Crump, NHS Institute for Innovation and Improvement, University of Warwick

Notă biografică

John Gabbay, Wessex Institute for Health R&D, University of Southampton, Andrée le May, School of Nursing and Midwifery, University of Southampton, Catherine Pope, School of Nursing and Midwifery, University of Southampton, Glenn Robert, Centre for Health Informatics and Multiprofessional Education [CHIME], University College London, with, Paul Bate, Royal Free and University College Medical School, University College London and Mary-Ann Elston, Department of Health and Social Care, Royal Holloway College, University of London

Cuprins

Introduction
Transplanted roots - where the innovation came from
Fertile ground? The organisational milieux of the treatment centres
Taking up the challenge: local motives for the innovation
The impact of the wider policy context
Achieving the goals? How and why the treatment centres evolved
Improving practice? Evidence of innovative ways of working
Summary and conclusions: making sense of what happened
Implications for policy, practice and research