Creating allegiance: leading transformational change within the NHS

Employee Engagement within the NHS: A Cross-Sectional Study

Background Employee engagement is the emotional commitment of the employee towards the organisation. We aimed to analyse baseline work engagement using Utrecht Work Engagement Scale (UWES) at a teaching hospital.   Methods We have conducted a cross-sectional study within the National Health Service (NHS) Teaching Hospital in the UK. All participants were working age population from both genders...

Doing transformational change in the English NHS in the context of "big bang" redisorganisation.

PURPOSE The purpose of this paper is to examine a bold and ambitious scheme known as the North East transformation system (NETS). The principal aim of the NETS is the achievement of a step-change in the quality of health services delivered to people living in the North East region of England. The paper charts the origins of the NETS and its early journey before describing what happened to it wh...

Leading Well: Transformational Leadership and Well-Being

Reforming the NHS from within CIMA NHS Working Group

A fundamental shift in performance often needs a radical change in the way an organisation is managed.Today’s NHS faces significant challenges, not least the need to maximise the use of the available resources and to demonstrate sound financial management. Recent developments such as payment by results and the introduction of a national tariff have only added to the pressure.To exacerbate this,...

Creating a Space For Change Within Sociomaterial Entanglements

Aboard a sailboat, when the wind changes unfavourably for our course, we can adjust the sails. We perform the operation of pulling a rope—but when the rope is fastened to the sail as a sheet, pulling the rope means adjusting the sail, while also paying attention to the wind, the sea current, the movements of the boat. The rope-with-sail is the very rope we are pulling: a sociomaterial entanglem...