Leading Transformational Change

On 31 December 2016 by admin

Creating and delivering our future.


The Scottish Voice

Launched in August 2015, the ‘Creating a Healthier Scotland Conversation’ was an opportunity to voice opinions on the future of health and social care services in Scotland. The ‘conversation’ focussed on the following three key questions:

  1. What support do we need in Scotland to live healthier lives?
  2. What areas of health and social care matter most to you?
  3. Thinking about the future of health and social care services, where should our focus be?

From a range of social media engagements, and with over 9000 people participating in 240 conversation events, the following main themes emerged.

  1. Leading healthier lives: The roles that education and personal responsibility have on preventing illness (i.e. ‘prevention is better than cure’).
  2. Wellbeing and connected communities: The role of strong community values and appropriate early interventions in supporting health and wellbeing.
  3. Person-centred care: An increased awareness of holistic approaches to care, which involve shared decision making, involvement and self-management.
  4. Social care and caring: An increased understanding of social care services.
  5. A responsive and seamless journey of care: The importance of consistent services, joined up care, and flexibility.
  6. Pressures and priorities: The role that innovation and ‘good’ practices from beyond Scotland, can play in setting future priorities.


An Appetite for Change

The Public Bodies (Joint Working) (Scotland) Act 2014 introduced legislation to implement the integration of (adult) health and social care services in Scotland. The 1st of April 2016 marked this significant and ambitious reform to the way health and social care is delivered. NHS and local council care services are now under 31 newly created partnership agreements (Integration Authorities), further bringing statutory services into closer partnership working with communities, third sector organisations, independent contractors and private providers.

This radical transformation of public services is shifting the balance of care closer to people and communities. With over £8 billion previously managed separately, integration aims to provide seamless, efficient and consistent quality care to a growing population. Additionally, with Scotland’s changing demographics and the need to address health inequalities, the future is envisioned upon a system of prevention, anticipation and self-management. This transformational reform agenda offers a genuine opportunity to recalibrate how future services are delivered and shaped.


Recharging Professional Batteries

This year’s NHS Scotland Event was held at Glasgow’s Scottish Exhibition and Conference Centre (SECC), 14-15 June (‘Twitter’: #NHSScot16). The theme was ‘Leading Transformational Change for Health and Social Care’, and reflected on the journey towards the ‘2020 Vision for Health and Social Care’ and beyond.

The programme consisted of four plenaries, 14 parallel sessions, three topical ‘spotlight’ sessions, facilitated poster viewings, and approximately 70 exhibitors. Delegates also had the opportunity to give blood (Scottish National Blood Transfusion Service) and to attend Cardiopulmonary Resuscitation (CPR) refresher training (Save a life for Scotland).

With over 1600 attending over the two days, it was a great opportunity to disseminate good practice, and to discuss some of the latest thinking around the Scottish health and social care landscape.


Here are some highlights from the event.




Crown Copyright (2014). Public Bodies (Joint Working) (Scotland) Act 2014. UK: The Stationery Office. Retrieved from http://www.legislation.gov.uk/asp/2014/9/pdfs/asp_20140009_en.pdf

Scottish Government, & NHSScotland. (2011). 2020 Vision Strategic Narrative – Achieving sustainable quality in Scotland’s healthcare. Retrieved from http://www.gov.scot/Topics/Health/Policy/2020-Vision/Strategic-Narrative

Scottish Government (2014). Guidance on the Principles for Planning and Delivering Integrated Health and Social. Edinburgh: Scottish Government. Retrieved from http://www.gov.scot/Topics/Health/Policy/Adult-Health-SocialCare-Integration/Implementation/working_Groups/Principles/PlanningandDeliveryPrinciples

Scottish Government. (2016). Creating a Healthier Scotland: What matters to you. Edinburgh: Scottish Government. Retrieved from http://www.gov.scot/Publications/2016/03/9693

Scottish Government. (2016). Guidance for Health and Social Care Integration Partnership: Performance Reports (p. 2). Edinburgh: Scottish Government. Retrieved from http://www.gov.scot/Resource/0049/00498038.pdf

Scottish Government (2016). NHSScotland Event. Retrieved from: http://www.nhsscotlandevent.com


Further Reading

Appelbaum, S. H., Habashy, S., Malo, J.-L., & Shafiq, H. (2012). Back to the future: revisiting Kotter’s 1996 change model. Journal of Management Development, 31(8), 764–782. http://doi.org/10.1108/02621711211253231

Bevan, H., & Fairman, S. (2014). The new era of thinking and practice in change and transformation: A call to action for leaders of health and care. NHS Improving Quality. Retrieved from http://theedge.nhsiq.nhs.uk/white-paper-the-new-era-of-thinking-and-practice-in-change-and-transformation-a-call-to-action-for-leaders-of-health-and-care/

DiGioia, A., & Greenhouse, P. K. (2011). Patient and Family Shadowing: Creating Urgency for Change. Journal of Nursing Administration, 41(1), 23–28. http://doi.org/10.1097/NNA.0b013e3182002844

Kotter International. (2016). The 8-Step Process for Leading Change. Retrieved from http://www.kotterinternational.com/the-8-step-process-for-leading-change/

RHR International. (2016). Leading Transformational Change. Chicago, Illinois: RHR International. Retrieved from http://ow.ly/Ys5J307AcnU

Schroeder & Schroeder. (2016). Art & Science: A Holistic Approach to Transformation Success. Retrieved from https://www.schroeder-inc.com/art-and-science/

Notes: The Art and Science of Leading Transformational Change



Copyright © Nancy El-Farargy, 2016.


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