Leadership and Change Management

This report focuses on leadership and change management in organizations, with a case study on Homerton University Hospital. It discusses the impact of resistance to change and provides strategies to overcome it. The report also explores the implementation of an ERP system and the role of leadership in technological advancements.

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Leadership and change management

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Executive summary
The report is focussed on the aspects pertaining to leadership in the organization as far as its
modus operandi is concerned along with the concept of change management. The
organization in the case study is the Homerton University Hospital. The aspects pertaining to
resistance to change has also been incorporated accordingly with reference to the effect it has
on the stakeholders involved in the Homerton University Hospital and the steps and measures
to be undertaken in order to overcome such kinds of issues accordingly.

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Table of Contents
Introduction................................................................................................................................4
Answer to Question 1.................................................................................................................4
Answer to Question 2.................................................................................................................5
Recommendations......................................................................................................................8
Conclusion..................................................................................................................................8
Reference List..........................................................................................................................10

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Introduction
In order to ensure the functioning of the organisation in an effective and efficient manner, the
aspect pertaining to leadership must be taken into account accordingly. It further implies that
an incredible leader plays an important role with regard to the growth and development of an
organisation. There are various aspects pertaining to leadership as far as the modus operandi
of an ideal organisation in the contemporary era is concerned. The contingency theory of
leadership is the most viable as it implies the decision undertaken by a leader with regard to
the reaction to the undertaking of the decision in a proper and appropriate manner with regard
to the situation in question (Yahaya and Ebrahim, 2016). The main aim of the report is to
present an overview in relation to the management of changes taking place in an organization
as a result of leadership as far as the higher management of the organization is concerned
pertaining to the policies and frameworks. The organization would be Homerton University
Hospital. It is a hospital located in the London Borough of hackney and controlled by the
Homerton University Hospital National Health Service Trust. As a result, the aspect of
leadership pertaining to health care industry of the United Kingdom may also be taken into
consideration accordingly along with the policies and procedures of the National Health
Service. The aspect pertaining to the approaches of leadership hitherto undertaken by the
University Hospital would be taken into account along with the demands pertaining to the
organization in the future as far as its progress is concerned accordingly. The aspect relating
to the resistance to change on part of the stakeholders involved in the Homerton University
Hospital would also be taken into account along with the formulation and implementation of
the communication strategies accordingly. The aspect of ERP system being implemented by
Homerton University Hospital at the organizational level would be discussed and
demonstrated accordingly with regard to the technological advancement interns of patient
care in a better manner accordingly. The eight step model by John Kotter would also be
taken into account accordingly.
Answer to Question 1
There are seven Non-executive Directors and six Executive Directors as far as the Board of
Directors is concerned. Out of theseven Non-executive Directors, one of them is the
chairman. The Board of Directors is under a responsibility to make sure that the modus
operandi of the Homerton University Hospital National Health Service Trust is taking place
in an effective and efficient manner as far as the resulting of the desired outcomes are
concerned (Arena and Uhl-Bien, 2016). The Board of Directors is also responsible for the
aspects pertaining to corporate governance as far as transparency is concerned (Hayes, 2018).
Additionally, a Council of Governors is also set up in order to make recommendations to the
Board of Directors with regard to the formulation and implementation of strategies in a
planned manner for the purpose of the progress and welfare of Homerton University Hospital
to a huge level. As a result, it is imperative that the aspect pertaining to the management of
changes is supervised by the Board of Directors after consultation with the Governors in an
appropriate manner (Meuser et al., 2016). The contingency theory of leadership can be
observed as far as the overall functioning of the Homerton University Hospital is concerned.

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The aspect pertaining to values are also inferred with regard to leadership in an amicable
manner as far as the concept of corporate governance is concerned with reference to the
ethics being followed by the Board of Directors taking account of the fact pertaining to the
consultation with the Governors (Amanchukwu, Stanley and Ololube, 2015). As a result, it is
imperative that the trait theory pertaining to leadership is being followed according as far as
the program pertaining to changes is concerned in the form of the formulation of new policies
and frameworks accordingly. Additionally, the functional theory can also be taken into
account since the Governors are responsible towards the members of the Homerton
University Hospital National Health Service Trust as far as meeting with the members on a
personalized basis is concerned (Homerton, 2019). The behavioural aspect with regard to
leadership implies the delegated style of leadership as each Directors of the Board are
responsible for their own functions and duties accordingly as far as supervision by the
appointed Council of Governors is concerned. It is also an essential style of leadership in an
incredible manner as far as the motivation of the staff in question is concerned in order to
deliver incredible performance accordingly. Such style further implies that the leader is to
delve into the matter pertaining to the expertise of the staff as implied form the overall
management of Homerton University Hospital accordingly. It is implied that there is neither
democratic nor autocratic style of leadership as far as the overall functioning of Homerton
University Hospital is concerned. The organizational change pertaining to the Homerton
University Hospital is the plan pertaining to the implementation of an EPR system last year.
It facilitates the ease of the information exchange with reference to the records of the General
Practitioners and the records of the community accordingly. Such system implies the
accessing of the data of the patients with physiological, social and physical issues
accordingly. These changes are being taken into account with regard to the advancement in
facilities pertaining to the care of patients in a proper and appropriate manner as far as
providing a comprehensive solution to the patients is concerned. The incorporation of the
EPR system into the modus operandi of the Homerton University Hospital would imply the
community program pertaining to sustainability and transformational partnership as far as
East London is concerned. It would also involve the formation of the linkages amongst the
datasets with regard to the providing of better healthcare services as far as the target
population is concerned. It would lead to the digitization of health care on part of the
Homerton University Hospital in the desired manner accordingly. As a result, the aspect
pertaining to technological advancement would be taken into consideration in the desired
manner as far as leadership is concerned.
Answer to Question 2
The concept pertaining to resistance to change implies the aspects related to various kinds of
disadvantages which are based on the perceptions and apprehensions of people as far as the
actions undertaken by groups or individuals are concerned. The aspect of management of
such kinds of resistance to change implies the concept of leadership in an incredible manner
accordingly. The stakeholders may experience potential resistance to changes in the form of
stringencies pertaining to the new policies thereby resulting in certain kinds of restrictions
with regard to the aspects of such policies and regulations accordingly (Doppelt, 2017). The

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aspect pertaining to the leadership in an improper manner may also act as a factor pertaining
to the resistance to change as far as the interests of stakeholders are concerned. The gaps in
communication may also result in the barriers as far as change is concerned. It is also
imperative that lack of motivation amongst the employees with regard to the change may also
act as an hindrance or an impediment. It may also involve the modifications in the roles and
responsibility of the staff in general accordingly as decided by the management. As a result,
the staff whose roles and responsibilities would be changed would fear about the delivery of
the services in a modified manner with regard to the assumption of new kinds and sets of
responsibilities accordingly. In this regard, the aspect pertaining to adaptability may also pose
various kinds of issues which are to be addressed in a proper and appropriate manner as far as
the concept of change management areconcern (Pugh, 2016). As a result, it is essential to deal
with the transformations taking place in the Homerton University Hospital at the
organizational level as far as the roles and responsibilities of the management are concerned.
Additionally, the regulators are involved in the framing and updating of the policies of the
National Health Service accordingly which imply changes in the aspect pertaining to the care
of patients as far as the delivery of qualitative services in a proper and appropriate manner is
concerned. As a result, the stakeholders would be affected to as huge level that includes the
directors, staff and the regular patients. Appropriate steps and measures are to be taken with
regard to the management pertaining to resistance of change accordingly.
In order to address such issues, effective strategies pertaining to communication should be
taken into account accordingly. As a result, there should be planning of such kinds of
strategies in am proper and appropriate manner as far as their formulation and
implementation in an effective and efficient manner is concerned (McCaffery et al., 2016). It
is to be ensured that communication gaps are reduced to a huge extent thereby implying the
fostering of amicable relationships amongst the staff and also between the staff and the
patients accordingly. Various communication tools and channels are to be utilized as far as
their availability at the organizational level is concerned. The aspect related to Integrated
marketing Communication would also have an extremely important role to play as far as the
resolution of the problems related to the resistance to changes are concerned. It would imply
the perfect blend of various modes of communication being used to formulate and implement
the relevant strategies in a proper and appropriate manner (Moore, 2017). As a result, the
issues would be addressed in the desired manner as far as the positive outcomes pertaining to
the management of changes in the modus operandi of Homerton University Hospital at the
organisational level are concerned.
The strategies related to communication must imply that what mode of communication would
be suitable to which staff member thereby resulting on the reduction of various kinds of
hurdles and obstacles at a huge level as far as the functioning of the Homerton University
Hospital is concerned. Additionally, the people who are being shifted to the new roles must
be briefed about such roles in a proper and appropriate manner accordingly. The training
must be provided in an effective and efficient manner as far as the aspects pertaining to
communication are concerned which varies from person to person depending on their ability
to respond. The difficulties experiences by the stakeholders in their new roles must be

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addressed at the earliest as far as the avoiding of complexities are concerned. The key thing
in this aspect is the communication in an efficient manner thereby leading to the tackling of
problems as a leader in a proper and appropriate manner. The aspect pertaining to
Information Communications Technology would have an extremely vital role to play as far as
the modern forms of effective communication are concerned with reference to the addressing
if the issues relating to resistance to change as far as the welfare of the stakeholders is
concerned. Both verbal and non-verbal forms of communication are to be taken not account
as far as the aspect of change management is concerned. Miscommunication at a massive
level would have a detrimental effect pertaining to the modus operandi of Homerton
University Hospital as far as the motivation of staff and stakeholders are concerned. During
the processes involved in the change, the briefing of the change must be made to the
concerned person in an effective and efficient manner so as to avoid problems later on. Such
kind of communication in an incredible manner should continue after the change has been
initiated thereby implying that the management pertaining to such changes is undertaken in
an incredible manner accordingly. It would help in the modus operandi of Homerton
University Hospital as far as the care of patients is concerned accordingly. The reasons for
such changes must also be communicated to the concerned people in order to prevent the
aspect pertaining to the mass exodus of the staff as far as resistance to change is concerned.
As a result, it is imperative that the aspects pertaining to resistance to change imply that steps
and measures must be undertaken in order to address the issues. It is imperative that
Homerton University Hospital has played an extremely important role with regard to the
aspect of exemplary leadership in an incredible manner accordingly. Various theories of
leadership signify the overall management of Homerton University Hospital in an incredible
manner accordingly. As a result, it is imperative that the Homerton University Hospital has
exemplified the aspects pertaining to leadership as far as the health care industry is
concerned. The aspect related to resistance to change and its impact over stakeholders can
also be observed accordingly with reference to Homerton University Hospital. The eight step
model formulated by John Kotter would play the key role with regard to the in the
implementation of changes in a planned manner. The first invoved in this matter is the
elimination of the obstacles which implies the identification of the barriers of the person
concerned on part of Homerton University Hospital and lifting them accordingly. It is
followed by the step pertaining to the communication of the mission and vision after being
created for the change accordingly which states that the reason for the changes must be
communicated in an effective and efficient manner so as to receive positive responses
accordingly. The stage pertaining to the creation of coalition for the purpose of guidance
implies the aspect with regard to the creation of a team which would help the employees to
adapt to the changes as a result of the implementation of the EPR system. The aspect
pertaining to the creation of a sense of urgency implies the addressing of the issues at the
earliest on part of Homerton University Hospital at the organizational level with regard to the
EPR system. The changes are to be anchored in proper and appropriate manner thereby being
the main aspect of the modus operandi of Homerton University Hospital accordingly. The
changes are to be implemented in such a manner so that they can be consolidated upon
accordingly by the virtue of making the necessary improvements. The creation of short term
goals would help in the motivation of employees to embrace the changes accordingly.

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Recommendations
It is hereby recommended that the communication strategies as aforesaid are to be
implemented in proper and appropriate manner as far as the addressing of the issues
pertaining to the resistance to change is concerned. It would imply the aspect of change
management in a proper and appropriate manner. The aspect of leadership must be taken into
account and continued accordingly with regard to the modus operandi of Homerton
University Hospital in an effective and efficient manner. The changes are to be introduced in
such a manner so that they would facilitate the ease for the staff to adapt to such kinds of
changed accordingly. Co-operation would be the key element in the aspect pertaining to the
management of changes as far as the overcoming of the issues pertaining to resistance to
change is concerned. As a result, it is imperative that the aspect pertaining to co-operation in
a proper and appropriate manner must be implemented accordingly. There should be
compliance with the policies and regulations pertaining to health care on part of Homerton
University Hospital. As a result, it would imply that the ethics pertaining to the care of
patients are being complied with as far as the medical profession is concerned. The caring of
the patients on part of Homerton University Hospital should be the utmost priority as far as
the satisfaction of the patients is concerned with regard to healthcare. The aspect pertaining to
performance management should be taken into consideration as far as the targets pertaining
to finances and patient care are concerned. It would help in the productivity of Homerton
University Hospital overall in an incredible manner thereby resulting in the desired outcomes
in a qualitative manner as far s the delivery of top-notch quality services to the patients are
concerned.
Conclusion
As observed form the report aforesaid, it can be deduced by stating that the aspects pertaining
to leadership are justified and appropriate. The discourse has presented certain theories of
leadership pertaining to the case study focussed on Homerton University Hospital as far as
their applicability is concerned taking into consideration the overall management of the
Homerton University Hospital. The aspect pertaining to the delivery of qualitative services in
terms of healthcare have also been taken into account as far as providing of comprehensive
solutions to the patients in the desired manner is concerned accordingly. The aspect related to
change management has also been considered with regard to the potential resistance to
changes experienced by stakeholders involved in the organization. As a result, the aspects
related to the various strategies to be formulated and implemented with reference to
communication in an effective and efficient manner has been taken into account accordingly.
Such kinds of strategies regarding communication would help in the addressing of the issues
regarding resistance to changes in a proper and appropriate manner as recommended above
along with the evaluation carried out in a proper and appropriate manner. The aspect
pertaining to EPR system with regard to patient care on part of Homerton University Hospital
has also been taken into consideration with regard to improvement in patient care
accordingly. The process pertaining to the overcoming of changes has been demonstrated by

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the eight step model proposed by John Kotter. In a nutshell, the concept of leadership has
been discussed and demonstrated in the desired manner along with the description of the
aspects pertaining to change management accordingly in order to imply the addressing of the
issues at the organizational level in a proper and appropriate manner. The behavioural style of
delgative leadership has also been analysed accordingly.

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Reference List
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principles and styles and their relevance to educational management. Management, 5(1),
pp.6-14.
Arena, M.J. and Uhl-Bien, M., 2016. Complexity leadership theory: Shifting from human
capital to social capital. People and Strategy, 39(2), p.22.
Doppelt, B., 2017. Leading change toward sustainability: A change-management guide for
business, government and civil society. Routledge.
Hayes, J., 2018. The theory and practice of change management. Palgrave.
Homerton, 2019.About Us. How the Trust is regulated. [online] Homerton. Available at
http://www.homerton.nhs.uk/about-us/how-the-trust-is-regulated/
McCaffery, K.J., Jansen, J., Scherer, L.D., Thornton, H., Hersch, J., Carter, S.M., Barratt, A.,
Sheridan, S., Moynihan, R., Waller, J. and Brodersen, J., 2016.Walking the tightrope:
communicating overdiagnosis in modern healthcare. Bmj, 352, p.i348.
Meuser, J.D., Gardner, W.L., Dinh, J.E., Hu, J., Liden, R.C. and Lord, R.G., 2016. A network
analysis of leadership theory: The infancy of integration. Journal of Management, 42(5),
pp.1374-1403.
Moore, L., Britten, N., Lydahl, D., Naldemirci, Ö., Elam, M. and Wolf, A., 2017. Barriers
and facilitators to the implementation of person‐centred care in different healthcare
contexts. Scandinavian journal of caring sciences, 31(4), pp.662-673.
Pugh, L., 2016. Change management in information services. Routledge.
Yahaya, R. and Ebrahim, F., 2016. Leadership styles and organizational commitment:
literature review. Journal of Management Development, 35(2), pp.190-216.