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”.
- View the finished guide
- Change Challenge interactive guide: methodology
- Change Challenge 2015: overview of ideas shared
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.