Improving quality in the English NHS: A strategy for action

"Improvements in the quality of care do not occur by chance. They come from the
intentional actions of staff equipped with the skills needed to bring about changes in care, directly and constantly supported by leaders at all levels. They do not come free and will require a substantial and sustained commitment of time and resources."

Improving quality in the English NHS: A strategy for action
C Ham, D Berwick, J Dixon
The King's Fund
February 2016

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Intentional whole health system design

"When Southcentral Foundation in Anchorage, Alaska, assumed responsibility for primary, community and mental health services for Alaska Native people in the mid-1990s, the quality of care and outcomes for the population were among the worst in the United States. Seventeen years later, Southcentral is widely regarded as one of the most successful examples of health system redesign in the United States and internationally. Costs are down and quality is up, with health outcomes among the best in the United States based on a wide range of measures."

Intentional whole health system design: Southcentral Foundation's 'Nuka' system of care
B Collins
The King's Fund
November 2015

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Researching organizational culture during health service redesign and change

"This paper makes a methodological contribution to the study of culture in health care organizations."

Patients-people-place: developing a framework for researching organizational culture during health service redesign and change
NK Gale, J Shapiro, HST McLeod, S Redwood, A Hewison
Implementation Science, 2014, 9:106

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