Readiness to change in NHS organisations The context facing organisations in the English NHS is hugely challenging – this much is obvious. The state of NHS finances is parlous, care delivery targets are increasingly missed, and there is recognition of – but not yet action to address – the need to integrate systems to deliver care.
Combined with increasing demands on the health care system, these multiple pressures require NHS organisations to change, adapt and innovate on a scale that would make Apple and Microsoft catch their breath.
This requires not simply tinkering with organisational change, but transforming the way health and care are delivered to ensure long-term sustainability. And this can only be achieved with the involvement, engagement and commitment of leadership and staff throughout the NHS and in other organisations and sectors. It requires changing cultures both within and across organisations. The King's Fund
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