Gaining front-line and clinical engagement for change

Many grand plans for service improvement have been brought to a stuttering halt because the right staff, the staff who have to implement the proposed change, weren't involved at the right time.
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Front-line staff, the ones doing the work everyday, are the ones who know what will work and what won't. Perhaps more importantly in public service, front-line staff are the ones who will (or won't) make it work - they will exercise their professional autonomy and if they can't see a good reason, the change won't happen. It's vital to listen and understand what will/ won't work and what can/ can't be implemented. Many a service improvement initiative has foundered on this important principle.
The difficulty is, there are many theories around how to engage clinicians (in the Health Service),and front-line practitioners, together with their managers, but far too many of these theories work for the author and not for anyone else. Some haven't even been tried; they are just theories.
This section draws together our own experience of projects that have positively worked to engage staff, be they clinicians, management or other professionals, and across organisations as well as within organisations

Recent Additions and Updates

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More for your money? Private healthcare vs Publicly funded

Life expectancy vs %GDP health spend

Which is better - private funding or public? Which gives a better outcome for the individual (* clinical outcome, * user experience, * cost-effective, * sustainable) and is there a clear picture?

One way to examine this question is to look at different countries in the world and see what works for them.  I tackle this in the latest blog on Technorati.

UK Parties, Politics and Healthcare

Your politicians - listening to you?I ask you - if you were to design a new national health service from scratch, would you really design it with nobody to think ahead and make decisions on resources?

So why are the main political parties in UK engaging in their favourite sport of manager bashing?

Gossip - friend or foe?

How stuff works - Gossip

Do you see gossip as a waste of time? Do you suffer from spiteful or destructive rumours, disrupting the team and destroying team spirit? Do you find it impossible to control - chop off one head and two more appear somewhere else?

Read how Minney.org helps organisations to use this social glue for good ...

Winter Olympics - Downhill Skiing is like Management Consultancy

One chance, 100 seconds in 4 yearsYou only have one chance to make a first impression. 

In fact, you only have one chance each time, to make a first impression that sets the scene for that day, that job, that opportunity.

Capacity Planning - Flexibility

What of those toilet cubicles which allow for both sexes - they have a little notice on the outside saying "either"?