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NHS crowdsourcing campaign reveals barriers to positive change

  • 13 Comments

Today Nursing Times, Health Service Journal and NHS Improving Quality have launched a free interactive guide on how to achieve bottom up change in the NHS.

The guide has been entirely curated from over 13,000 contributions offered by the public and NHS staff as part of a three month Challenge Top Down Change campaign.

Contributions received by Nursing Times, Health Service Journal and NHS Improving Quality as part the campaign reveal a sense of dissatisfaction amongst staff on not having a real stake in the future of their organisations and how it adapts.

The need for leaders to listen to staff and patient ideas was repeatedly drawn on. They wanted leaders to be seen to be “taking action to address problems – not blaming but developing”.

Using a crowdsourcing methodology developed by Clever Together, staff and the public were asked what things enable bottom up change in the NHS and what are the barriers to change?

For the second phase of the campaign, the public were then asked for solutions to these barriers and enablers. For the third and final phase, contributors were invited to further develop the most popular ideas. 

Overall 3,595 people took part across 45 countries. A public voting system and expert panels both within and outside the industry selected the best submissions for further development into implementable ideas.

The result identifies 10 barriers to change, 11 building blocks required for any change initiative and 15 solutions to these barriers and building blocks.

The guide can act as a starting point for individuals wanting to support bottom up change amongst staff and is available from both the Nursing Times and HSJ website.

Thought leadership articles, as well as best practice case studies and videos can also be viewed as part of the guide.

  • 13 Comments

Readers' comments (13)

  • michael stone

    'The result identifies 10 barriers to change, 11 building blocks required for any change initiative and 15 solutions to these barriers and building blocks.'

    So, 36 things for me to try and take on board, then.

    When 'managers should be open in listening to feedback, and should be trying to change things for the better where that is possible' probably 'covers the basics'.

    I know I've over-simplified that - I'm a bit grumpy about 'lengthy 'how to improve things guidance'' which, based on the fact that things rarely change, is:

    a) So long that almost nobody reads it;

    b) So internally unclear, and contradictory, that even the people who read it, frequently seem to miss the point;

    c) Is, just guidance - and therefore ignored by the people who don't like it (often, the people who most need to change their behaviour).

    Bit of a 'rant', now over !

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  • michael stone | 30-Mar-2015 1:53 pm



    Unsuitable or offensive?
    HAVE YOUR SAY

    ???

    enough already said!

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  • michael stone | 30-Mar-2015 1:53 pm

    I so agree. I have had a look at the 'guide'... Long, unbelievably complicated - and I think most of us are only too aware of what exactly the 'barriers to change' are. Maybe I'm looking at this with the jaundiced eye of an old hack, maybe when I was young and enthusiastic it would have appeared very differently - I would be interested to hear other's views.

    However, I'm not sure that it addresses the harassment, bullying and, consequently, low morale that I hear is happening in so many places. Surely that would be the most positive change and economically very effective by lowering the sickness rate.

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  • michael stone

    Anonymous | 31-Mar-2015 11:58 am

    'Maybe I'm looking at this with the jaundiced eye of an old hack, maybe when I was young and enthusiastic it would have appeared very differently - I would be interested to hear other's views.'

    I'm jaundiced about 'guidance' as well: and I would also be interested in the views of other people about 'guidance'.

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  • michael stone | 2-Apr-2015 11:35 am

    if you are referring to guidelines in your frequent posts, you give the impression you have no idea of their purpose or what they are all about and how, where, why and when the are used and what for!
    please leave the channels open for discussion by the experts!

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  • michael stone

    Anonymous | 3-Apr-2015 12:54 pm

    I am perfectly aware of the purpose of guidance:

    http://www.dignityincare.org.uk/Discuss_and_debate/Discussion_forum/?obj=viewThread&threadID=777&forumID=45

    And I am also aware that even some 'high-level' guidance, contains bits of sheer nonsense:

    http://www.dignityincare.org.uk/Discuss_and_debate/Discussion_forum/?obj=viewThread&threadID=757&forumID=45

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  • michael stone | 4-Apr-2015 1:22 pm

    then stop spouting nonsense.

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  • turning every comment to your own ends. have you actually read this article and its links and grasped what it is all about? your comments as usual fail to demonstrate that this is the case. Beano has a different publisher.


    http://www.dignityincare.org.uk/Discuss_and_debate/Discussion_forum/?obj=viewThread&threadID=757&forumID=45

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  • michael stone

    Anonymous | 5-Apr-2015 12:16 pm

    No, I have not read this actual article - but my 'instincts' were alerted by the '36 things to take on board' pointed at by NT.

    However Anonymous | 31-Mar-2015 11:58 am has read it, and seems to share my 'jaundiced position' about much 'guidance'.

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  • michael stone | 7-Apr-2015 12:30 pm

    https://www.dcthomsonshop.co.uk/the-beano-comic-subscription.html/

    they are waiting with open arms to welcome your comments and relieve NT of them!

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