Begin with culture; the rest will follow What drives high performance in the NHS? Is it the promise of reward and recognition? Or is it the fear of impending punishment and blame? The answer is neither.
It’s said that motivation is all about rewarding good behaviour and punishing bad behaviour. Simple. Except that humans are not so simple. And research shows that while this formulaic approach might work with rats and dogs, it doesn’t bring about lasting changes in attitudes, values or mindsets in humans. When incentives and threats are taken away or made less explicit, their influence diminishes and, over time, their effects can disappear completely. So this quick and dirty approach to employee motivation can only go so far in bringing about and sustaining the highest quality of patient care that we all want to see throughout the NHS. The King's Fund
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