The medium-term sustainability of organisational change in the National Health Service: a comparative case study of clinically led organisational innovations: executive summary: summary

Document type
Martin, Graham; Weaver, Simon; Currie, Graeme
NIHR Health Services Research and Delivery Programme
Date of publication
1 January 2013
Health Services
Social welfare
Material type

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Summary of a study aiming to address the gap in knowledge regarding the sustainability of organisational change, beyond implementation and initial acceptance, in the National Health Service. The study examines four innovative approaches to service provision, in the field of clinical genetics, whose initial implementation was previously studied by the authorial team. Though in some ways an idiosyncratic clinical field with a particular set of contextual characteristics, the nature of the clinically led changes invoked by these services and the organisational contexts in which they worked are also typical of a range of clinical areas which lack a high public profile and top-down, managerially backed approaches to change. The study follows these four services as they move beyond pilot funding and seek to sustain and embed themselves in their health economies. The study seeks to examine, through these four case studies, what helps and hinders the medium-term sustainability of organisational innovations in the National Health Service.