Effective Change Management Process

This assignment requires analysis of various sources related to change management in healthcare and social care. The sources include books, journals, and online articles that discuss the impact of population aging on end-of-life care, national health expenditure projections, and user involvement in regulation. The assignment also touches on factors that may cause change in an organization and effective change management processes.

FACILITATE CHANGE IN
HEALTH AND SOCIAL
CARE

TABLE OF CONTENTS
INTRODUCTION...........................................................................................................................1
LO 1.................................................................................................................................................1
1.1 explanation of key factor that drive change in health and social care...................................1
1.2 explanation of challenges which developed by key factors of changes in health and social
care..............................................................................................................................................2
LO 2.................................................................................................................................................2
2.1 Explanation of strategies and criteria which develop to measure recent changes in health
and social care.............................................................................................................................2
2.2 explanation on impact of recent changes in health and social care ......................................3
2.3 evaluating overall impact of recent changes in health and social care..................................3
2.4 appropriate service responses for health and social care services.........................................4
LO 3.................................................................................................................................................4
3.1 Explanation on key principles of change management.........................................................4
3.2 explanation on planning process of change in health and social care...................................5
3.3 explanation on monitoring of recent change in health and social care.................................6
CONCLUSION................................................................................................................................7
REFERENCES................................................................................................................................8

INTRODUCTION
Change in health and social care organisations will get develop, if it allows management
for adopting environment which helps in improving market position. Chosen organisation in this
report is NHS which deals in providing hospitality services. In this report, explanation will
provide on factors and challenges which bring change in health and social care organisations.
Strategies will develop to measure recent changes and its impact on health and social care
organisations. Further, in this report key principles of change management and planning process
of change will be discussed. Moreover, this report will also cover ways to monitor recent
changes in health and social care.
LO 1
1.1 explanation of key factor that drive change in health and social care
NHS organisation adopting changes because it is a tool which helps in responding
important threat and opportunities which arises because of external business environment
(Glesson, 2018). Some recent changes which introduced by clinical commissioning groups are
Munro review in child protection and new models of care which introduced in 'Five year forward
review'.
Political Factors:

This is the factor which has great influence on health and social care organisations. It
known as one of the crucial factor which plays important role in NHS organisation for
developing better working. Such factors influenced working of maternity centres which are
related with regulation, stability and policies. According CQC report, such changes affecting act
like Health act 1999, community care act etc. NHS organisation focusing on improving changes
in their working rules and regulation so that better work conditions will get developed.
Economic Factors:
This is the factors which used to analyse by health and social care firms for improving
GDP and income level of society. This analysis helps NHS organisation for understanding the
needs which help in improving working culture of entity. Such economic factors are number of
staff, salary provided to employee, interest rates, and exchange rate of currencies which measure
labour cost, demand and investment power of company (Townsend and Morgan, 2017).
Social Factors:
This factors are concern with social life style and demographic changes which influence
views and expectations of users of organisation. This includes factors like change in lifestyle,
population etc. by which work culture of entity get affected.
Technological Factors:
Technologies needs to be timely updated so that better services will provide to user of
company. This changes include, communication, transportation and delivery of services in
technical areas of company.
1.2 explanation of challenges which developed by key factors of changes in health and social
care
Different types of challenges have to face by health and social care organisations with the
development of changes. Challenges are as follows-
Lack of leadership:
According to CQC report, mostly in health and social care organisations, there is a lack
of leadership factor. Leader is the one who have that ability to delegate task properly and to esure
that process is in accordance for meeting organisational objectives. In NHS organisation, there
was no registered manager and no senior manager which develop strategies to ensure effective
quality and monitoring. Therefore, NHS needs to appoint manager which meet regulations of
health and social care act 2008.

Lack of management support:
According to CQC report, management must have to perform forefront for supporting
changes which is necessary in adopting. A management must have to perform efficiently which
helps in improving delivery of services to their patients. For introducing changes in organisation
leaders have to play strong role, because they have the ability to inspire, and to encourage
employees towards adoption of changes in organisation (Cuckler and et.al., 2018).
Financial resources:
Implementing change in organisation will only be effective when it has efficient financial
resources. Such resources include training to employees so that customers expectations get meet.
In NHS organisation, main challenge is regarding financial constraints which is the reason
company will not able to employ skilled workforce for operational services.
LO 2
2.1 Explanation of strategies to measure recent changes in health and social care
Change is a continuous process which updated by HSC organisations in order to develop
effective work culture (Mason, 2018). According to CQC report, there are some challenges
which are facing by service users of HSC organisations. Setting criteria enabling NHS to
indentify areas which needs to improve in accordance with CQC report. Factors which included
in that report are effective, responsive, safe practises in order to provide best services to patients.
Therefore, Strategies needs to develop which help management of organisation to know
that whether applied changes worked or not. By collecting data during process of applied
changes, company will able to measure its impact.
Questionnaire is one of the method by which changes will get measured. It gathers
information from service users which used to measure effectiveness of change policies which
helps in improving areas which fulfil customer experience (Townsend and Morgan, 2017).
According to report of CQC, factors like long waiting time at medical units and in surgery unit
before patient transferred to ward is major risky. Therefore, with perceptions of stakeholder,
HSC entity will able to develop effective changes.

By interview process, NHS organisation will also able to measure the effectiveness of
recent changes in entity. By this method, areas which required to improve will measure so that
by appropriate changes, company will able to satisfy needs to its users. With this method, factos
which qualified in CQC report will get solved and best services will be developed for users.
Quality audit is a management tool by which helps health and social care management to
find objective evidence of process which develop with the recent changes (Ferris and et.al.,
2018). By quality audit management will able to assess whether develop process is been
successful or not.
2.2 explanation on impact of recent changes in NHS organisation
According to set criteria of CQC report which include effective communication between
patient and care provider, observation of behaviour change, valuable service to patients needs to
be adopt by HSC entities in order to provide efficient services to their patients (Mays and
Fitzpatrick, 2018).
In order to meet set criteria of CQC report, qualitative feedbacks and survey will help
NHS in improving such areas effectively. There are number of recent changes which have taken
place in service department of NHS organisation. New rules and regulations introduced by
government which has to be followed by companies for developing effective business
operations. With this new rules and regulations effective involvement have seen by both service
users and by employers (Richardson and et.al., 2018).
There is connection between changes and emotion and opinions in each perspective of
customer. Therefore, impact of change in NHS organisation will be measured by analysing
feelings and emotions of its service users. Therefore, Survey will be the best instrument which
helps in analysing behaviours of patients. It will help in collecting information which related
with staff members and service users opinions. This qualitative analysis of feedback will provide
areas which needs to improve for providing best service (Curtis and Burns, A., 2018).
To NHS analysis and calculation of statistics will also help in understanding impact of
changes. This will help organisation in employee engagement and participation, for solving
particular issues, compliance and errors. With regular employee feedback and employee
readiness assessment company will also able to measure recent changes against set criteria
(Henwood, 2018). This observation will provide useful information to NHS which helps them in

enhancing communication between care workers and service user, for improving provision of
person centres care etc.
2.3 evaluating overall impact of recent changes in health and social care
Development of recent changes has overall provided a major impact on health and social
care organisations (Baines and Hatton, 2018). With the development of new regulations and acts
for health and social care organisations, there is a reduction in pressure for services which overall
improved performance assessment.
Recent changes which developed by management of NHS will help in improving quality
of services. Company has appointed registered person which helps in conducting operations in
accordance with criteria and code of conduct of health and social care. For monitoring health and
safety procedure company have appointed qualifies person who will analyse safety procedures
(McGregor, Mercer and Harris, 2018). Registered person will also conduct for developing proper
training and development program for ensuring effectiveness of staff and their response for
delivering duties.
2.4 appropriate service responses for health and social care services
Appropriate services for facilitate change for health and social care services are as
follows-
Training: by regularly conducting training and development program, NHS will able to motivate
employees for improving their skill in accordance with regulatory requirement of working in
HSC organisation (Carnall, 2018). in order to gain employee participation, training will improve
as effective method.
Compliance with different regulatory bodies' requirement: In CQC report, there are different
breaches of regulations such as confidential data, health and safety of service users and staff
which did not comply with mental capacity act 2005. With new registered persons company will
able to ensure quality management and communication with different policies and procedures
(Hamnett and et.al., 2018).

LO 3
3.1 Explanation on key principles of change management
Change management model will analyse with kotter's 8 model of change which are as
follows-
Create urgency- change will get developed by creating environment where organisation
individuals are aware regarding existing problem with its possible solution to support change (8
Elements of an Effective Change Management Process, 2018).
Form a powerful coalition- to change whole process, NHS needs to build coalition which will
help in directing changes in organisation.
Create vision for change- initiative change is very complicated and often hard to understand
especially for employees. Therefore, with the development of vision, it becomes easy for
management in order to adopt change.
Communicate of vision- developed vision needs to communicate throughout organisation so that
coalition will get effectively utilised in areas of business.
Remove obstacles- in this step, company will reduce errors which reduce chances of growth of
organisation. Identification of such obstacles is necessary for implementing change in
organisation.
Create short term wins- in this step, company needs to demonstrate advantages of new process
with help of short term wins so that employee get motivated in their working.
Build change- with this step, developing changes needs to be established for long term
perspective for better and continued improvement in organisation.
Anchor changes in corporate culture- by keeping senior stakeholder on board and by
encouraging new employees regarding changes, management have to promote such change to
core of organisation.
3.2 explanation on planning process of change in health and social care
For adopting change in organisations, proper planning is essential. Such steps are as
follows-.
 Management style- it is a method which underline methods and abilities of managers in
handling particular situation within organisation. According to CQC report, problems was
classified as unsafe, ineffective and not well managed. Therefore, for providing better

understanding of duties management has to develop effective communication so that they
will able to know expectations of employees. With this style, employee feel motivated
and will become loyal towards organisation (Mason, 2018).
 Staff development needs- in order to meet requirement of CQC report that is staff lack,
essential training, improper treatment, good governance and staffing. Management will
develop effective strategies in which proper training of planning will be provided to
employees so that they will improve skills which required to adopt for performing in
accordance with changes.
3.3 explanation on monitoring of recent change in health and social care
For improving procedure and productivity at workplace, managers of health and social
care monitor workplaces and recent changes. Therefore, monitoring task is considered as most
important process of organisation. Its process is as follows-
Feedback: regular monitoring will be analysed through feedbacks. Result which appears
through implementation of change will analyse with customer retention and with their feedbacks.
With that managers will able to measure performance in comparison to past operations. This
monitoring provides accurate analysis of changed policies (Keehan and et.al., 2015).
Review of initial planning stage: Monitoring performance at initial stage of planning will
help management to decide whether implementation of change will have to continue or not.
Monitoring at initial stage helps managers to analyse future of new policies so that any
improvement in practice will change at initial stage only.
These are the policies by which monitoring will effectively be conduct for measuring
changes in health and social care.
CONCLUSION
From above report it can be concluded that information which presented in this essay has
measured that change is a necessary element in HSC which sets a process of working in positive
work environment. Manage change is not a smooth process. Thus, in this report challenges and
obstacles are analysed through appropriate strategies and methods like questionnaire and
interviews. Therefore, it can be summarised with report that health care organisation have to put
mechanism which helps in ensuring that change are planned, implemented, monitored properly
in order meet organisational objectives.

REFERENCES
Books and Journals
Bone, A.E and et.al., 2018. What is the impact of population ageing on the future provision of
end-of-life care? Population-based projections of place of death. Palliative medicine. 32(2).
pp.329-336.
Carnall, C., 2018. Managing change. Routledge.
Cuckler, G.A and et.al., 2018. National health expenditure projections, 2017–26: despite
uncertainty, fundamentals primarily drive spending growth. Health Affairs. 37(3). pp.482-
492.
Ferris, R and et.al., 2018. Perspectives of patients, clinicians, and health system leaders on
changes needed to improve the health care and outcomes of older adults with multiple
chronic conditions. Journal of aging and health. 30(5). pp.778-799.
Keehan, S.P and et.al., 2015. National health expenditure projections, 2014–24: spending growth
faster than recent trends. Health Affairs. 34(8). pp.1407-1417.
Curtis, L.A. and Burns, A., 2018. Unit Costs of Health and Social Care 2018.
McGregor, J., Mercer, S.W. and Harris, F.M., 2018. Health benefits of primary care social work
for adults with complex health and social needs: a systematic review. Health & social care
in the community. 26(1). pp.1-13.
Mason, P., 2018. Health behavior change: a guide for practitioners. Elsevier Health Sciences.
Townsend, M.C. and Morgan, K.I., 2017. Psychiatric mental health nursing: Concepts of care in
evidence-based practice. FA Davis.
Mays, N. and Fitzpatrick, R., 2018. Assessing Health Care System Performance. Sociology as
Applied to Health and Medicine. p.377.
Richardson, E and et.al., 2018. User involvement in regulation: A qualitative study of service
user involvement in Care Quality Commission inspections of health and social care
providers in England. Health Expectations.
Henwood, M., 2018. Social care and the NHS: how to change the framework of joint
working. British Politics and Policy at LSE.
Baines, S. and Hatton, C., 2018. CQC inspection reports for acute NHS trusts: are there
relationships between the comments in inspection reports regarding people with learning

disabilities and CQC hospital/trust ratings?. Tizard Learning Disability Review. 23(1).
pp.56-62.
Hamnett, N and et.al., 2018. How do explicitly stated hospital trust values relate to their CQC
ratings?. BMJ Leader. pp.leader-2017.
Online
8 Elements of an Effective Change Management Process. 2018. [ONLINE]. Available through
<https://www.smartsheet.com/8-elements-effective-change-management-process>
Glesson, P., 2018. Factors That May Cause Change in an Organisation. [ONLINE]. Available
through <https://smallbusiness.chron.com/factors-may-cause-change-organization-
203.html>