Social Care Values and Principles

This assignment delves into the core values and principles that guide social care practices. It examines the theoretical foundations of these principles and analyzes their practical implications in various social care settings. Students are expected to demonstrate a comprehensive understanding of essential concepts like social justice, person-centered care, and ethical considerations within social work.

DISSERTATION

Contents
Chapter 5. Discussion .....................................................................................................................3
Introduction.................................................................................................................................3
Summary ....................................................................................................................................3
Conclusion ......................................................................................................................................3
References .......................................................................................................................................3
Appendix .........................................................................................................................................3
Personal statement ......................................................................................................................3
Reflecting log..............................................................................................................................3
ABSTRACT.....................................................................................................................................5
Chapter 1. Introduction....................................................................................................................6
BACKGROUND OF THE STUDY ..........................................................................................6
Research problem........................................................................................................................6
Research Aims and Objectives ...................................................................................................7
Limitations of the Study...................................................................................................................7
Structure of the Dissertation........................................................................................................8
Summary ....................................................................................................................................9
Chapter 2. LITERATURE REVIEW ............................................................................................10
Introduction...............................................................................................................................10
1.2 Overview of the topic..........................................................................................................11
1.3 Understand the importance of managing changes in NHS.................................................11
1.4 The effectiveness of managing changes in healthcare to deliver the quality services........13
1.5 The impact of managing changes in NHS ..........................................................................14
1.6 Types of barrier which healthcare organisation face while managing change...................16
1.7 Summary.............................................................................................................................17
Chapter 3. Search Methodology ..................................................................................................17
Research philosophy.................................................................................................................18
Research design.........................................................................................................................19

Research approach....................................................................................................................20
Data Collection method.............................................................................................................21
Sampling...................................................................................................................................22
Data Analyses............................................................................................................................23
Ethical consideration.................................................................................................................24
Reliability and validity..............................................................................................................25
Research limitation....................................................................................................................25
Conclusion.................................................................................................................................26
Chapter 4. Findings / Results / Data Analysis...............................................................................26
Introduction...............................................................................................................................26
Issues in health care organization.............................................................................................26
Importance of managing changes in health care organization..................................................28
Impact of managing changes on service quality in NHS..........................................................29
Barriers faced by NHS while managing changes......................................................................30
Ways for managing changes successfully.................................................................................31
Summary...................................................................................................................................32
Chapter 5. Discussion ...................................................................................................................33
Introduction...............................................................................................................................33
Summary ..................................................................................................................................33
Conclusion ....................................................................................................................................33
References .....................................................................................................................................33
Appendix .......................................................................................................................................33
Personal statement ....................................................................................................................33
Reflecting log............................................................................................................................33
REFERENCES..............................................................................................................................34

Chapter 5. Discussion
3000
Introduction
Summary
Conclusion
1000 words
References
Appendix
Personal statement
Reflecting log

ABSTRACT
In the present dissertation, researcher has major aim to explore the significance of
managing changes in healthcare organisation in order to deliver quality services. Thus, it can be
said that this report provides the detail knowledge and understanding about the significance of
change management in the health and care sector. In addition to this, present investigation also
explains the effectiveness and impact of managing change with respect of NHS.

Chapter 1. Introduction
BACKGROUND OF THE STUDY
In the health and care organisation, it is great responsibility of health care experts and
professionals to deliver effective and high quality of care services of patient so that they can
improve their health issue and problem. However, in this sector there are significant changes
occur at regular interval through which entire process and activities of health and care can be
changed. The major reasons behind these changes are related to the legislation, policies,
technology, business environment, customer demand, types of disease etc. In order to manage
these changes in an effective manner within the health and care sector, it is significant for scholar
to focus on the change management model (Cummings and Worley, 2014). With assistance of
this model, management of health and care can effectively manage all relevant changes. By use
of high quality and advanced technology, health care organisation can easily cope up with
changes and produce high quality of outcome. The current investigation has major purpose to
analyse the ways to manage the significant changes in order to deliver high quality of care
services to patient in NHS.
Research problem
In the present study, scholar have major aim is to explore the significance of managing
changes in healthcare organisation in order to deliver quality services with respect of NHS. One
of the major limitation for this investigation is related to the open as this is very broad subject so
it is quite difficult to include the entire information about subject. Further, limited time period is
another major limitation due to which researcher may face issue regarding conducting
investigation (Grol, Wensing and Davis, 2013). As it is quite difficult to conduct all activities
within small period. Another major issue regarding finance because in order to initiate some
research action like transportation, internet, stationary required sufficient amount of fund.
Research Aims and Objectives
Aim
To explore the significance of managing changes in healthcare organisation in order to deliver
quality services – A study of NHS.
All the objectives of the research are based on the aim which helps in accomplishing the research
in an effective manner. Here are the objectives:

Objectives:
 To understand the importance of managing changes in healthcare organisation.
 To identify the effectiveness of managing changes in healthcare organisation to deliver
the quality services
 To evaluate the impact of managing changes in healthcare organisation on quality
services.
 To identify different types of barriers which healthcare organisation faces while
managing changes
 To recommend different ways for managing changes successfully within NHS for
delivering quality services.
Research questions
 What is the importance of managing changes in healthcare organisation?
 What is the effectiveness of managing changes in healthcare organisation to deliver the
quality services?
 What is the impact of managing changes in healthcare organisation on quality services?
 What are the different ways for managing changes successfully within NHS for
delivering quality services?
Limitations of the Study
The present study has major aim to explore the significance of managing changes in
healthcare organisation in order to deliver quality services with respect of NHS. In this study
have major problem is that health and care sector is largely depends upon the patient's disease as
health experts have to deliver the care services according to the diseases of patient. Due to
changes in the legislation, technology and business environment, it may be quite difficult for the
doctor to adopt such changes in frequent manner.
Structure of the Dissertation
All chapters in the dissertation play a very crucial role for addressing the effective and
accurate outcome of the study. In the dissertation, there are various chapters that help researcher
in attaining the accurate result for the study. The description of these chapters is as following-
Chapter- 1 Introduction- This is a significant chapter that provides knowledge about the aim,
objectives and research questions. Every dissertation starts with introduction that provides the
understanding about background of the study (Creswell and Poth, 2017). In the present study,

first chapter defines that what is actual aim of the report regarding to manage changes in the
health and care and its significant impact upon the quality of care services in the NHS.
Chapter-2 Literature Review- Once introduction completed then second chapter starts with
literature review which provides the detail knowledge and understanding about the subject of
study. In this chapter, several themes can be made which include all relevant information about
the topic (Carayon, Wetterneck and Gurses, 2014). In the present study, several themes related to
the importance of managing change, effectiveness of managing changes as well as types of
barriers related to managing change in the context of health and care has been included.
Chapter-3 Research Methodology- Research methodology is also very significant chapter in
the dissertation that helps scholar in collecting, analysing ad interpreting information about the
subject and finding out the best solution of the research issue. In this chapter, several techniques
are included such as approach, philosophy, research technique, data collection, data analysis,
sampling etc. All these methods helps scholar in finding out impressive solution of research
problem.
Chapter-4 Data analysis- Data analysis is another one of the significant chapter which helps
scholar in analysing and interpreting information by use of primary and secondary source. With
help of this chapter, researcher can effectively analyse, assess and evaluate the data about the
subject so that right solution can be obtained in an easy manner (Burke, 2017). Thematic analysis
approach has been used through which information can be represented in the form of chart,
graphs, tables etc.
Chapter- 5 Conclusion and recommendation- Once the data analysis chapter completed then
researcher conclude and summarise the collected information. This is very effective chapter
which provide final conclusion of entire study (Bailly and Comino, 2017). In this present
chapter, researcher has also included recommendation about the change management in health
and care organisation so that NHS can make necessary improvement for delivering high quality
of care service to patient.
Summary
From this first chapter of the dissertation, it has been summarised that it is great
responsibility of health experts to manage the changes in the health and care sector so that right
treatment and care service can be delivered to patients. Along with systematic structure of

dissertation, researcher can effectively get knowledge about each activity which will be
conducted in the investigation.
Chapter 2. LITERATURE REVIEW
Introduction
Literature review chapter of the dissertation is one of the important because it is
incorporated of different authors views and opinion. It is one of the critical parts of the thesis.
Under this different scholar, views are presented related to the selected topic. All the information

in this section if collected from the secondary sources which act as a basis with the help of which
further study is carried out. Hence with the help of literature review chapter, the gap left by the
previous researcher is analysed. Apart from this, in this chapter different researcher views is
critically evaluated in brief. This lead to help in building a strong theoretical base for the subject
under the study. The present literature review chapter includes an overview of the change
management in a healthcare organisation. Later it consists of the effectiveness of managing
changes in healthcare to deliver the quality services. Lastly it includes types of barrier which
healthcare organisation face while managing change
1.2 Overview of the topic
The last decade there has been noticed the unpredictable level of change in health and
social care services, with the intention of improving performance and making services more
accessible and sensitive to the needs of people using them. The national health service at the
United Kingdom has gone through plenty amount of changes due to the implementation of new
technologies. It is essential to implement changes so that patients can receive quality services.
Changes not only impact services user but also health care professionals. According to the view
(Curcin and et.al., 2014) of Healthcare Organisation s are complex, in part because of a
confluence of professions, including physicians, nurses, pharmacists, and administrators, each
with seemingly competing for interests, perspectives, and time horizons. To deal with the
changes is one of the biggest challenges for the health care organisation. However, it leads to
bringing growth and success within the firm. With the increase in the new technologies
healthcare form aims to improve their way of delivering services and accomplish success.
1.3 Understand the importance of managing changes in NHS
According to the view of (Cresswell and Sheikh, 2015)evolution of new technologies
bring drastic changes within the NHS as there are many health care professionals who suggest
and provide treatment through video conferencing to patients. Along with this, with the help of
digital technology and managing information system, services user can easily access different
books and journals associated with health care from internet and electronic database of NHS.
Therefore, many new technologies introduced in the market and they play a significant role in
improving services which are delivered to the patient. Healthcare firm is one of the change-
oriented industry and it greatly impacts the techniques used for providing treatment to the
patient. Castle-Clarke and Edwards, (2016) state that at present manager if carrying out its

activities at the challenging positions. It becomes difficult for them to gain competitive
advantage the health care industry and leading firm..
Different types of changes can be implemented within the firm such as the use of new
technology, change in leadership style and way of managing patient et. There is rapid changes
occur within the healthcare firm that lead to encourage to adopt new technology such as
managing information system, electronic health record etc. (Cresswell and Sheikh, 2015) state
that as compare to other sector health care is one of the systematic and organised industries that’s
main aim is to deliver quality services to patient. They are not involved in any kind of trade
activities that can increase sale or profit. With the aim of providing quality services health care
organisation need to ensure that it adopt new technologies on time. Use of new technology also
leads to increase skills and efficiency of health care provider. According to Sousa, (2015)
explained that advancement in healthcare technology move at a rapid pace, therefore healthcare
professional, nurses should stay sharp. This all play a significant role in healthcare firm as a
remote monitoring device and high-tech patient and simulator have become common in
healthcare firm. In different types of facilities, there are different levels of technology and it is
essential for nurses to adoptable at the time when they started learning new equipment and
system. For instance, application that make aware nurse that they are late in providing treatment
allow for simultaneous quality management as well.
According to the Watson and Edwards, (2016), this changes aids in improving the lives
of nurses and also enable team collaboration and providing. Along with this, it provides instant
entree to serious patient information. Nurses and another service provider can give fast response
to the changing physiological constraints with the use of evidence-based protocols and improve
patient outcomes.
1.4 The effectiveness of managing changes in healthcare to deliver the quality services
According to the view of (Marjanovic and et.al., 2017)., change management in
healthcare firm assist in improving skill and knowledge of healthcare workers. Along with this, it
helps in making improvement in way of providing treatment, keeping a record of its existing
patients and their treatments etc. In respect to delivering quality services, it is essential for the
firm to adopt new technologies and trained its staff members so that they can use all the
technologies in an effective manner. Managing change within the firm is to about handling the
complexity of the process. It is related to evaluating, planning and implementing operations and

ensure that changes are worthwhile. Sousa, (2015) argued that effective change is known as
unfreezing old behaviour and introduce a new one. In the organisation, there is some predictable
change take place which can be managed on time. On the other side, some of them are the
unpredictable change that is difficult to manage and respond. However, the healthcare
organisation change is always uncertain and occurs rapidly. In order to gain competitive
advantage, it is essential to possess ability to change, adapt and evolve to do it in better way from
others (Grol, Wensing, and Davis, 2013)
The organisation which gets a failure is because of lack of vision and commitment etc.
The effectiveness of managing change is that it helps in bringing new methods of providing
treatment which enhance the satisfaction level of patients. Along with this it also avoids the
chances of mismanagement, conflict from the from the firm that leads to bringing success.
Similar to this Mintzberg, (2017), state that electronic health record and digital technology help
in maintaining the record of patients effectively and efficiently. This lead to improving
organisational performance and assist in accomplishing success. According to the Cresswell and
et.al., (2013) it is analyzed that systematic implementation of new technology brings changes in
way of providing treatment. Apart from this, the government of UK also encourage healthcare
organisation to adopt new technologies as they help in maintain the quality of services and keep
records of new and existing employees. Along with this healthcare firm can also use new Lewis
change management model in order to implement the changes successfully.
1.5 The impact of managing changes in NHS
According to the view of Imison, Castle-Clarke and Edwards, (2016), there are some
challenges and problems which can directly impact the healthcare sector after implementing
changes. It is because after implementing changes there are many employees who resist changes
and not ready to work out of their comfort zone. For example, while implementing technological
change it is not important that employees have knowledge and skills related to the use of new
technology. Therefore, healthcare firm faces difficulty and it needs to organise training and
development facility for them that consume cost and time. Hence it shows that implication of
advanced technology bring success but it increases complexity and training cost of the firm.
Similar to this Wager, Lee, and Glaser, (2017) state that to manage change is important but it is
difficult to process. However, it is not implemented properly then it leads to affect the entire
operations and activity of the firm. It is essential to formulate some strategies and planned it so

that employees can handle the changes easily and avoid resisting it. Different authors have stated
different views related to the change management in the healthcare firm.
Elton and O'Riordan, (2016) argued that managing changes in national health care
services not only positively impact but also negatively impact the firm and its operations. There
are many reasons due to which employees avoid adopting changes such they do not want to work
out of their comfort zone, or they may not have knowledge regarding the significance of changes
or lack of knowledge. Therefore, at the time of implementing changes, it is essential for the firm
to ensure that it is properly planned and not unpredictable that can affect employees. Use of
Kottler’s model can help in implementing the changes in an effective manner.
According to the view of Wager, Lee and Glaser, (2017), Kottler’s model, is effective and it
provides a proper way of thinking, through the main elements of a change process and it is easy
to use (Mintzberg, 2017). There are eight steps involved in managing change with the help of
which manage of healthcare organisation can easily accomplish success. Here below are
provided eight steps of Kottler’s model
In the first step it is increase in urgency, the role of manager is to identify the changes which is
need to make immediately,
 In second steps involve building and guiding teams and provide them information related
to the changes that are going to implement within the organisation.
 Third step management should set vision of the change and it is essential to have right
vision so that it can help in growth and development of the firm.
 In the fourth stage it is essential to communicate changes with the employees and make
them aware reason behind bringing the changes (Carayon, Wetterneck and Gurses,
2014),.
 At the fifth stage of Kottler’s model management need to take necessary action that is
required for implementing the changes in an effective manner.
 In the sixth step short term goal need to state and accomplish them on time
 Seventh stage is to identify and rectify the error that can become barrier in implementing
the changes successfully.
 At the last stage management need to stick up with the state changes for the growth and
success of the firm.

Apart from this, there is various change management theory that can be used by the firm
in order to implement the changes such as Lewis mode, etc. It is essential for the manager to
ensure that changes are implementing with proper planning in order to avoid the chances of
getting it a failure (Watson and Edwards, 2016). As compare to other sector healthcare sector
need to deliver quality services to its patient in order to provide them a healthy life. For this
purpose, the government of the UK also taken steps for making changes in the health care firm.
As they provide advanced technology to them in less cost and make some policies which help in
implementing changes in an effective manner.
1.6 Types of barrier which healthcare organisation face while managing change
According to the view of Kash, Spaulding and Gamm, (2014)There are different types of
barrier that can be faced by health care organisation while implementing changes in a successful
manner. Resistance to change is the first barrier and it is mostly a political motive. Mostly people
tend to resist change which originates with political adversaries. One of another reason for
resisting the change is the thinking that changes can make their life worse and break their
comfort zone. Therefore, it can be stated that employees resist the changes due to aggressive
behaviour or because of political influence. One of the other barriers is due to complexity
because health and care organisation develop more complex process and due to it becomes
challenging for the employees to adopt changes. For instance, lack of technological skills can
become barrier and management should take a proper step on time so that they can easily
implement the changes. Cummings and Worley, (2014), state that in order to overcome different
types of the barrier it is important for management to involve its employees in change
management process through providing them information related to the change and its necessity.
Further to being transparent in front of customers is also one of the effective strategies to
overcome the barrier and resistance of employees regarding changes. Providing training facility
to employees is also one of the effective technique in enhancing employees skills and encourage
them to accept the changes.
1.7 Summary
From the above literature review chapter, it is concluded that change in healthcare
organisation plays significant role. Changes in the firm help in bring growth and development.
Along with this firm can easily improve its performance and deliver quality services to the
services users. If health care organisation needs to experience a success in their development

efforts then they should have a strong framework for thinking related to change and determined
they key issues which go with change management. In the firm, if changes are endorsed then
employees should understand it they why they are taken place and the way it can affect them.
Further it is concluded that with the use of different change management model such as Kottler’s
and Lewis it can become easy to implement the changes successfully and deliver quality services
to patient.
Chapter 3. Search Methodology
2600 words
Introduction
Research methodology is the systematic approach to conduct a study on particular
subject. It supports in answering the research questions so that valid results can come out.
Methodology aids in resolving the problems by taking assistance of correct research methods.
This chapter will discuss various methods and techniques that are used for conducting this
investigation. Proper justification will be given for selecting particular method (Taylor, Bogdan
and DeVault, 2015).
Research philosophy
Research philosophy is considered as belief of the researcher that guides the
investigation. It is the tool that supports in developing knowledge about the topic and identifying
the significance of the study. Development of knowledge is highly depended upon the
perspective of individual and practical consideration. Philosophy assists the researcher in finding
the way of conducting research in an effective manner (Lewis, 2015). There are various kinds of
philosophies such as: Positivism, interpretivism, realism etc. Positivism is the method which
believes that data about the topic can be gathered from objective point of view. It is highly
structured method and researcher has to involve large sample size in this method so that accurate
results can be generated. It is the type of method which is applied in quantitative type of
researches because in this, scholar has to formulate hypotheses and on the bases of these
hypotheses, further studies are conducted. On other hand, interpretivism is another philosophy
that carries out the research from subjective point of view (Flick, 2015). It is generally applied in
the qualitative type of studies where scholar has to take support of existing models and have to

evaluate these theories in order to get valid results. Realism is another type of method that can be
applied in both qualitative and quantitative type of researches.
As current study is based on significance of managing changes in health care organisation
in order to deliver quality services (Vaioleti, 2016). Organizational semiotics is the study in
which researcher applies various methods of semiotics. It is the social technical approach that
has supported the researcher in sharing information regarding health car services. For that,
scholar has chosen interpretivism philosophy. The main reason of applying this tool is that
theories related to managing changes in healthcare system and effectiveness of these changes can
be identified by using theories and models. This subjective viewpoint has supported the
researcher in developing understanding about the topic. By this individual become able to know
about information architecture from technical aspects. That has supported the scholar in
identifying impact of managing changes on quality of services in health care organisation. This
method focuses more on qualitative nature of the research problems that has supported
researcher in critically analysing the topic and gathering quantifiable detail about managing
changes in NHS (Gast and Ledford, 2014).
Research design
Research design is the scientific procedure of carrying out the investigation that helps in
conducting research in systematic manner. It can also be defined as detailed outline that supports
the scholar in identifying the way of conducting entire study. It is the tool that assists in
gathering factual details about the subject matter. Types of research designs are as following:
descriptive, exploratory, experimental etc (Ross, Rogers and Duff, 2016). Descriptive research
design is the method that pays more attention on theoretical analyses and uses the models and
theories so that information about the topic can be gathered. On other hand, exploratory research
design is another type of method that focuses on uncovered issues. Experimental design
concentrates on gathering detail about the topic by doing experiments.
Organizational semiotics is based on fundamental observations. Semiosis is sign
mediation that consists of three universals. As it is based on observations thus, in the current
research, scholar has taken support of descriptive research design. This has supported gathering
in-depth detail about managing changes in NHS in order to improve quality of services in the
organisation (Sunderland and et.al, 2015). This method has supported in developing
understanding about significance of managing changes in health and social care organisation and

impact of these changes on quality services. As in the current project, researcher has to give
detail about social technical parts such as implementation of ERP and other technical software.
These details can be gathered by using descriptive research design. Thus, it is suitable for the
study and has helped the researcher in identifying various changes that are needed in NHS so that
it can improve its service quality. Descriptive research design is the appropriate method for the
present research topic because it helps in providing clear picture of the current situation of NHS
and how these changes can impact on the services quality of health care organisation. It assists in
justifying current practices and importance of managing changes in the organisation (Haydon,
Browne and van der Riet, 2018). That describes clear picture of medical professional those who
are working in the NHS and how they are providing care to the patients. By this way, researcher
can explain importance of managing changes in the NHS in order to improve quality of care
services in the health care sector.
Research approach
Research approach is the technique that helps the researcher in identifying the way of
conducting the research in appropriate manner. Inductive and deductive are two main types of
research approaches that are applied in different types of investigations. Inductive method is the
tool in which scholar observes the situation by using theories and models in order to find out real
situation. It observes the things and develops explanation (Leiblein and et.al, 2016). There is no
need to develop hypotheses in order to reach to the final results. This is the type of method that
gives benefit to the scholar to make changes in the current practices as per the suitability of the
investigation. It collects data about the topic and tries to develop relationship so that theory can
be developed. On other hand, deductive approach is another type of method which is applied in
quantitative types of researches. It is the method in which scholar formulated hypotheses and test
these hypotheses by using statistical tools (Dudovskiy, 2016). That supports the researcher in
finding accurate answers about the topic.
As current study is based on significance of managing changes in health care organisation
in order to deliver quality services to patients. For that, researcher had to involve significance of
managing changes, its effectiveness and how these changes impact on the health care services.
Scholar has involved information system and technical changes in the health care organisation in
order to find out its impact on service quality (Cope, 2015). For that, scholar has applied
inductive research approach. It is beneficial for the current research project because in order to

identify impact of changes, researcher has to understand current practices of NHS and for that, it
has to talk to great number of individuals so that information about current practices of health
care organisation can be gathered. For that, use of inductive approach is suitable that supports in
analysing the outcome in an effective manner. This approach is suitable in developing
relationship between managing changes and service quality of NHS (Turner and Shaw, 2016).
Data Collection method
Data collection is the essential part of the research project, it assists the scholar in
gathering information and measuring these details so that real facts about the situation can be
measured. It is the method that make the person able to answer research questions and finding
results. Primary and secondary are two main types of data collection methods that are applied in
different types of research project (Chakraborty and Ledwani, 2017). Primary data collection is
the tool in which scholar has to gather details by own. The main reason of selecting primary
details is to gather real facts and understand the current situation of the place. On other hand
secondary data collection is the technique in which researcher take support of already available
details in order to develop understanding about the topic.
As present study discuss about impact of managing changes in NHS. Technological
changes affect overall health care system. Use of secondary information assist in developing
knowledge about changes that affect NHS. In the present study researcher has applied secondary
data collection method (Bach and Dohy, 2015). Scholar has used five to six NHS associated
trusts data in order to identify current service practices of these firms. Use of these details have
supported the scholar in knowing the improvement areas and things that require changes so that
NHS can be able to deliver quality care services to consumers. In order to enhance reliability and
validity of the study investigator has used previous studies of the other scholars (Turner and
Shaw, 2016). This has helped the researcher in finding the issues in the health care organization
and making effective changes so that its practices can be improved. Secondary data collection
methods are such as books, journals, internet articles, CERNER etc. All these material are able to
provide in-depth detail about the subject matter and researcher can be able to get detail about
subject matter within less time (Sunderland and et.al, 2015).
In order to complete this research in effective manner scholar has to understand
perspective of patients for services of the health care organization. These details can be gathered
from Internet articles. If research applies primary sources then it would be difficult to examine

the gap between existing practices and required practices. Thus, use of secondary is appropriate
for the investigation (Gast and Ledford, 2014). This has helped the researcher in finding all
information related to current practices of NHS and related organization, what kind of services
get by patients and what are the essential areas that needed to be worked.
Sampling
Sampling can be defined as principles of selecting samples in the research project.
Probability and non probability are two main types of sampling techniques. Probability sampling
can be defined as the method that describes probability of the samples to be selected in the study.
On other hand non probability is another sampling technique in which every members does not
get fair chance to be selected in the research (Lewis, 2015). Both these sampling techniques give
appropriate results but in the current research scholar has applied probability sampling method.
For the topic significant of managing change in the health care organization to deliver quality
services to patients, researcher has applied random sampling method. It is considered as moist
suitable and simple way of selecting the sample in the investigation. In this technique each
members have equal chance to be selected and share their views on the subject matter (Taylor,
Bogdan and DeVault, 2015). The main reason of choosing simple random sampling method in
the research project is that, it enables to extract data of health care organization and get specific
detail about changes required in these firms such as changes related to ERP or other technical
changes. By this way individual has become able to identify impact of managing changes on
NHS.
Data Analyses
All the above described method support the researcher in gathering information about the
topic. After collecting necessary information it is essential to convert these data into meaningful
information (Sunderland and et.al, 2015). This is done through data analyses method. This
method supports the scholar in evaluating the data and answering to the research questions. It is
beneficial in filtering the data and getting insight detail about the area of research. Different
methods of data analyses is being used in different types of researches. In the qualitative type of
studies scholar takes support of thematic analyses methods. This thematic analyses tool is helpful
in presenting details about the topic in effective manner. By using graphs and charts individual
can define the research problem and its answers. On other hand in quantitative type of research
projects scholar generally applies statistical tools (Turner and Shaw, 2016). These statistical tools

assist in involving numbers into the study and calculating these data. By this way research
become able to get accurate information about subject matter and become able to answer the
research questions. In such type of studies scholar take support of SPSS, chi square test etc. This
aids the researcher in performing calculations and finding results on the bases of calculation.
Present study is qualitative in nature. Researcher has tried to describe current practices of
NHS and associated organization, how these firms are providing services to patients and
significance of managing changes in this health care firm in order to deliver quality services to
patients (Bach and Dohy, 2015). For that researcher has applied thematic analyses tool. Use of
this method has supported scholar in presenting detail about significance of managing changes in
the health care organization. This has given answers of these research problems through graphs
and charts about how changes like ERP implementation and formal structure can support health
care sector in providing high quality services to care users (Dudovskiy, 2016).
Ethical consideration
Ethical consideration is the standards that describes researcher things that needed to be
followed while carrying out the research on specific topics. While conducting the present study
on significance of managing changes in health care organization in order to deliver quality
services to patients, scholar has followed ethical aspects that has supported investigator in
completing thesis in effective manner without any major complications (Bach and Dohy, 2015).
As study was based on keeping electronic records of patients in NHS but in the present research
scholar has not used data of any patients and has not liked personal information of any
individual. Investigator has maintained confidentiality (Vaioleti, 2016). All the data that have
been used in the present research have been kept secure in computer which is password protected
and researcher has not shared its password with any third party. As researcher has collected
information from secondary sources so there are no involvement of medical professionals or
patients in the investigation. This has supported the scholar in completing the research within
less period (Leiblein and et.al, 2016).
Researcher has not copied any detail from any site. All these data that have been used are
written in own language of scholar. Investigator has read previous articles of other authors on the
same topic and have developed understanding level but researcher has translated their details in
own word. Thus, there is no issue of plagiarism (Flick, 2015). Researcher has framed aim and
objectives by looking at the topic, deception regarding aim and objective have been avoided by

the scholar. This has supported the scholar in conducting the investigation to the point and
avoiding unnecessary details. Researcher has maintained transparency and has carried out the
research with honesty. That has given positive result to the investigator and individual become
able to reach to the financial conclusion (Cope, 2015).
Reliability and validity
Reliability and validity both are essential part in the dissertation. Reliability can be
defined as extent to which other researchers get same answers if they use same data. If research
is having high level of reliability that means other studies will also generate the same results on
other hand if there is poor reliable data then other studies will give different results. Validity is
another essential aspect in the research project (Dudovskiy, 2016). It can be defined as the extent
to which researcher has followed scientific research methods in order to complete this research in
effective manner. Validity is the complex aspect because it directly impacts on the result of the
investigation.
In the present research on significance of managing changes in health care organization
in order to deliver quality services to the patients researcher has taken care of validity and
reliability (Flick, 2015). This reflects accuracy, credibility of the entire research paper. In order
to maintain reliability and validity researcher has collected information from different sources.
Apart from this scholar has taken expert views after involving these details into the research.
This has supported the scholar in finding validity and creditability of particular details and using
these data in the research in effective manner. Scholar has taken support of expert views method
in order to check reliability and validity of the research (Taylor, Bogdan and DeVault, 2015).
Research limitation
The current research has been subjected to some limitation. These are explained as
below:
 As researcher has used secondary data collection method and all secondary details have
been used that is the major limitation of the present research. Because scholar is unable to
find out the real facts and current detail about NHS practices. As all these data are of
past years thus, researcher was unable to get current details (Ross, Rogers and Duff,
2016).
 Scholar was having limited time and in such short duration collecting information on
such vast topic was very difficult. Because current practices of health care organization,

identify areas of changes were time taking aspects. Though researcher has scheduled each
activity properly and manage their work that has supported scholar in completing the
research in effective manner (Gast and Ledford, 2014).
Conclusion
From the above study it can be concluded that research methodology assist the researcher
in carrying out the investigation in effective mane. Use of interpretivism philosophy, descriptive
research design and secondary data collection sources has supported the scholar in gathering
reliable data and reaching to the final results.
Chapter 4. Findings / Results / Data Analysis
Introduction
Present study is based on significance of managing changes in health care organization in
order to deliver the quality services. This report will analyse the data in order to find out results
on how managing changes impact on delivering quality services to patients.
Issues in health care organization
From the secondary data, it is identified that health care organization is facing many
issues that is affecting its service quality to a great extent. One of the major issues in these care
homes is poor communication in between patients and medical professionals. Communication is
the major part that supports practitioner in understanding needs of patients and providing them
services accordingly (Ginter, Duncan and Swayne, 2018). Sometimes, due to coordination issue,
medical professionals fail to deal with them effectively. It has been identified that NHS is trying
to implement advanced technologies in the hospitals so that doctors can become able to provide
quality care services to patients. Due to absence of advanced technologies, record keeping has
become the major problem in hospitals. This is the reason; if same patient comes in the future
again to get treatment then medical professionals have to again suggest them to do all the tests in
order to examine their medical conditon. It is because; they have to again diagnose them and

understand their situation (Finkelman, 2015). Record keeping is considered as one of the most
important factors that assist health care organization in managing actives well and providing
quality care services to patients. If proper maintenance of records is there, then it assists other
medical professionals in identifying situations and in the absence of one medical professional,
others can treat the patients well.
From the secondary analysis, it is identified that poor technical equipment create issues
for the general practitioner in delivering quality services to care users. In the absence of technical
support, practitioners fail to diagnose patients properly and operate them well. This is the major
issue that is affecting overall working of NHS to a great extent (Drummond and et.al, 2015).
This is the major issue due to which death rate is increasing in the health care organization. It is
identified that personal information of patients is required to be stored electronically. This helps
in maintaining the confidentiality that can enhance trust of users on doctors. In the absence of
this, doctors fail to gain trust of people and they do not discuss their serious medical problems
with practitioner.
Health care organization is completely responsible for any pervasive health service
delivery that occurs due to technical issue. It is an ethical and moral responsibility of doctors and
other administrative staff members to take care of ethical requirements and ensure that technical
issues do not impact on service quality (Aarons and et.al, 2015). But, it is occurring in the health
care organization. From the secondary analysis, it is identified that behaviour of individuals is
getting affected by communication problems. Use of appropriate signs can support other cultural
people to understand the words of others. Doctors use such sign language to treat the patients
with other culture in the hospitals. However, due to ineffective data management and poor
technical aspects, these care providers fail to provide care environment to the patients (Woods,
2017). It creates confusion among all practitioners and they feel confusion regarding the way to
deal with other patients.
Importance of managing changes in health care organization
From secondary analysis, it is identified that information technology is considered as one
of the essential aspects that supports in improving service delivery in health care organization.
NHS and associated organizations are required to manage changes well. Communication is the
main issue in health care firms (Khan and Hashemi, 2017). This is considered as one of the
major faults due to which entities are required to make some changes in its practices. Use of ERP

is very important in the organization. This can support in minimizing the cost of hospitals and
keeping records of patients well. This is the way that assist medical professionals in
understanding medical needs of care users so that they can examine their conditions accordingly
and provide them quality care services in care home (World Health Organization, 2015).
From the secondary data, it is analysed that patients' safety and security are the essential
parts of health care organization. In order to provide them a safe environment, these firms are
required to make changes in current practices so that they can fulfil their objectives effectively.
Ineffective communication among professionals now has become the major cause of medical
errors and that is why patients are unable to get adequate services in the health care organization
(Baum, 2016). If these issues have been minimized then doctors can be able to provide quality
services to the users.
Above graph reflects that implementation of ERP can support in improving the
functionality of health care organization to a great extent. It is analysed that this ERP is
beneficial in improving schedule activities so that timely care can be provided to the patients
(McWilliams and et.al, 2014). Though it increases cost of the health care firms, it assists in
improving quality of services in health care organization.
From secondary data, it is analysed that communication is the main issue in health care
organization and in order to resolve this issue, these care homes are required to improve their
technical aspects. IT equipment assist in diagnosing the patients properly and examining their
situations well (Gatchel and et.al, 2014). Apart from this, these IT equipment support the
healthcare firms in enhancing communication between medical professionals so that they can
understand their duties and no confusion will take place in this respect. Electronically, data
management assists doctors in providing correct treatment to each care user without failure.
Impact of managing changes on service quality in NHS
From secondary data, it is analysed that change management is complex process that
impact on service quality of health care organization (Zerwekh and Garneau, 2017). One of the
major concerns of management after managing changes is to improve satisfaction level of
patients. After making changes in communication and technologies, medical professionals have
become able to provide high quality services to the patients. These techniques have supported in

enhancing communication between practitioners and care users as well. Management pays
attention on implementing strategies and ensuring that changes are worthwhile for the care unit
(Baum, 2016). It assists in changing the behaviour of care providers. By this way, they will deal
with patients well and will coordinate effectively with the care users. It is the way that assists in
understanding medical requirements of individuals and providing care accordingly.
From the above graph, it can be interpreted that in the year 2017, 1.9 m diagnostic tests
were undertaken. It is 1.8% more as compared to the previous year. Implementation of changes
gives positive results to the health care organization because by this way, medical professionals
have become able to diagnose the condition of patients immediately (The Impact of eHealth on
the Quality & Safety of Healthcare, 2008).
From the secondary data, it is analysed that change management is an effective process
that assists business unit in improving their lacking points and condition of workplace. Kotler's
change management model defines 8 steps of making alteration at the workplace. It helps in
understanding the requirement of changes and making necessary modification by utilizing
resources properly. It helps in making people understand the requirement of changes so that they
will cooperate with management and will support in implementing alterations significantly
(McWilliams and et.al, 2014). Creating sense of urgency is very important that assists in
implementing EHR technology in the health care organization. By this way, medical profession
can become able to identify and diagnose the real condition of patients and their reactions while
treatment. It is analysed that if information of patients is being kept electronically then it
supports in understanding the necessity of changes effectively. By this way, doctor will fulfil
their roles and responsibilities significantly that will support in minimizing the death rate in
hospitals (Khan and Hashemi, 2017).
Barriers faced by NHS while managing changes
Secondary data reflects that making changes in the health care organization is a
complicated task. Health care units have to maintain the relationship between patients,
professionals and carers. Making changes as per the clinical guidelines is a time consuming
process. For that, management has to look at the scale of changes and have to measure results
against their expected outcomes. From the secondary data, it is found that medical professionals
are unaware with the latest technologies and their operating procedures (Gatchel and et.al, 2014).

In such condition, any kind of technical change creates the situation of conflicts and confusion at
workplace. Staff members resist accepting modification because they have to make modification
in their working practices. This is the biggest barrier in health care organization.
Limited resources are the major barriers while managing changes in health care
organization. Health care entities feel requirement of changes as most of the hospitals are
managing records of patients manually (Khan and Hashemi, 2017). There is no facility of
electronic data storage. In such condition, when new technologies are being implemented then
due to limited monitory resources, these units fail to implement these devices in the organization
successfully. In such condition, cost of the entity gets increased.
From secondary data, it is analysed that poor monitoring is the main barrier in managing
changes in health care organization. It is issue that causes difficulty for entity in gaining expected
results (Woods, 2017). Entities assume to improve their service quality after implementation of
technical equipment, but due to poor monitoring, still these technologies are not being used
effectively at the workplace. This is major barrier that fails firm in improving its service quality.
Ways for managing changes successfully
From secondary data, it is analysed that observation and continuous monitoring are the
best ways through which entity can manage changes effectively. Observation supports the
management in observing current behaviour of individuals after implementing modification in
health care organization. By this way, they can make strategy to change their behaviour.
Observation is beneficial in monitoring the progress of changes. It helps in analysing the details
whether changes are worthwhile or not. If behaviour of medical professionals is not good then
management can adopt strategy to motivate them. By giving them rewards and recognition,
management can encourage professionals to implement these changes in their working practices
and deliver quality services to the patients.
From secondary data, it is analysed that whenever changes are being implemented at the
workplace then people resist these alterations. This is the major issue that creates difficulty for
managers because this resistance impact on current working practices of hospitals. Most of the
people refuse to accept new technologies because they have no knowledge about it. Thus,
providing training to the medical professionals is a great way through which NHS can improve
their knowledge and make them understand benefits of using these techniques in order to deliver
quality services to patients. Such type of training programs enhance knowledge and skills of

practitioners and they become able to handle these equipment well. It improves their efficiency
and they can deal with the care users effectively. This assists them in examining condition of the
users well and thus, doctors can be able to provide them correct treatment immediately.
Summary
Above study can be summarized as changes are helpful in delivering quality services to
care users. Implementation of ERP and changes in communication techniques can give better
results to NHS. ERP supports in maintaining records electronically so that doctors can examine
their details by looking at their medical reports effectively and can provide them quality
treatment immediately. It helps in minimizing confusion and improving the condition of health
care organization.
Chapter 5. Discussion
Introduction
Discussion is another one of significant chapters in the entire dissertation that provides
outcomes of study. With the help of this chapter, researcher can effectively summarise study and
address the appropriate solution of research problem. In the current study, major aim of scholar
is to explore significance of managing changes in healthcare organisation to deliver high quality
of services in the NHS. In order to address the aim of study, researcher focused on the several
objectives such as identification of effectiveness of managing changes in NHS organisation,
evaluation of impact of managing changes in the health care on quality services, identification of
the different types of barriers which healthcare organisation faces while managing changes, etc.
With the help of secondary data analysis, researcher has successfully analysed the information
and got the detailed knowledge and understanding about the subject that is managing changes in
the health and care organisation. This chapter provides the detailed knowledge and
understanding about the outcome of the study which have addressed in the data analysis and
interpretation chapter.
Summary
In the present report, researcher has used secondary data collection methods in order to
get appropriate findings and outcome of study. In order to analyse significance of managing

changes in health and care organisation in order to deliver high quality of services, researcher
has discussed the topic by developed several themes. From this secondary data collection, it has
been found that there are several issues in the health and care organisation due to which quality
of services is hampered. One major issue has found is poor communication between the medical
professionals and patients. Furthermore, there is also coordination issue among the medical
professionals and workers through which quality of services gets affected. It has also been
discussed that NHS is facing another problem regarding absence of advanced technologies
through which record keeping work has not done properly.
With the help of record keeping, health care organisation can manage the activities and
deliver high quality of services to patient. From collected secondary information, it has been
analysed that due to the lack of high quality and advanced equipment and technologies, death
rate is continuously increasing within the health and care organisation. Thus, from this collected
information within NHS, it has been assessed that with the help of advanced and high quality of
technology, doctors and professionals can carry out activities of hospital in an effective manner
and deliver impressive services to client. There are several applications and software developed
for the health and care organisation through which information can be effectively stored and
secured. This software and technology help the organisation in maintaining confidentiality
regarding the data about employees as well as patient. Hence, management of the NHS should
focus on implementing the high and advanced technology and equipment so that it can be able
to implement and manage changes for improving quality of care services of patient.
From data analysis chapter, researcher has also analysed that there is great significance of
the management of changes within the health and care organisation through which management
can be able to deliver effective services and care to patient. By the help of changes within health
and care organisation, management can deliver high quality of care services to patient. It is very
important for the NHS to manage the necessary changes in an effective manner so that
appropriate outcomes can be obtained regarding high quality of services. It has been also
analysed from the secondary information regarding changes in NHS that patient’s safety and
security are also significant aspects within health and care organisation through which health
experts securely carry out their work in order to deliver high quality of care services to patient.
In order to deliver the effective and high quality of care services to patient, management of the
NHS should change current practices and policies of the company so that it can provide safe

working environment to the patient. From this collected data, it has also been analysed that there
are several IT equipment and technology that support to doctor in managing the information of
employees and provide accurate treatment to them. In order to implement changes within the
health and care organisation regarding care services and treatment, one of major changes is
related to the technology. While management implements the technology and equipment, then it
will automatically bring the innovation regarding care services and treatment. The quality and
speed of the care services can also be improved with the help of advanced technology and
equipment. However, it has been also analysed that in order to implement the technological
changes, management of NHS is required to provide the training to employees so that they can
adopt the new skills, abilities and criteria of working within the health and care organisation.
With the help of training and development, health experts and doctors can learn the effective
method and criteria to operate advanced technology and equipment by which they can deliver
high quality of care services to them. Training and development helps professionals and experts
in improving the working criteria and professionalism so that they can deliver effective care
services to patient. Thus, it can be said that changes regarding policies, practices, working
criteria, technology, working condition, etc. can bring the necessary changes and improvement in
the quality of care services. Change services is a powerful procedure that helps speciality unit in
enhancing their lacking focuses and state of working environment. Kotler's change services
display characterizes 8 stages of making adjustment at the work environment. It helps in
understanding the prerequisite of changes and making important adjustment by using assets
legitimately. It helps in influencing individuals to comprehend the prerequisite of changes so
they will participate with services and will bolster in actualizing modifications fundamentally.
Making feeling of direness is critical that helps with executing EHR innovation in the human
service's association. By along these lines, medicinal calling can wind up ready to distinguish
and analyse the genuine state of patients and their responses while treatment. It is examined that
if data of patients is being kept electronically then it bolsters in understanding the need of
changes successfully. By along these lines, specialist will satisfy their parts and duties altogether
that will bolster in limiting the passing rate in healing facilities. One of the real worries of
services after overseeing changes is to enhance fulfilment level of patients. In the wake of rolling
out improvements in correspondence and advancements, therapeutic experts have turned out to
be ready to give fantastic services to the patients. These systems have upheld in upgrading

correspondence amongst experts and care customers too. services focuses on actualizing
procedures and guaranteeing that progressions are beneficial for the care unit. It helps with
changing the conduct of care suppliers. By thusly, they will manage patients well and will
arrange adequately with the care customers. The path helps with understanding therapeutic
necessities of people and giving consideration appropriately. (Martin and Henderson, 2001)
Perception bolsters the services in watching current conduct of people in the wake of actualizing
change in human services association. By along these lines, they can roll out procedure to
improvement their conduct. Perception is useful in observing the advance of changes. It helps in
investigating the points of interest whether changes are advantageous or not. In the event that
conduct of therapeutic experts isn't great then services can embrace technique to inspire them. By
giving them prizes and acknowledgement, services can urge experts to execute these adjustments
in their working practices and convey quality services to the patients.
From auxiliary information, it is examined that at whatever point changes are being actualized at
the working environment at that point individuals oppose these modifications. This is the real
issue that makes trouble for directors since this protection affect on current working practices of
doctor's facilities (Martin, Charlesworth and Henderson, 2010). A large portion of the general
population decline to acknowledge new advancements since they have no information about it.
In this way, giving preparing to the medicinal experts is an awesome path through which NHS
can enhance their insight and influence them to comprehend advantages of utilizing these
procedures keeping in mind the end goal to convey quality servicess to patients. Such sort of
preparing programs upgrade learning and abilities of professionals and they end up ready to deal
with these gear well. It enhances their productivity and they can manage the care customers
successfully. This helps them in looking at state of the customers well and accordingly,
specialists can have the capacity to give them adjust treatment quickly.
In the data analysis and interpretation chapter, it has been also analysed that in the NHS
there is a great significance of the change management because by help of change management
practices, doctors and health experts can able to improve quality of service and also improve
health of patient. By understand the concept of change management within NHS it has been
analysed that there are several necessary improvement required in the NHS in order to increase

the quality and productivity of the care services (MacDonald, 2005). By use of the several
techniques, effective policies, practices, working condition, environment, legislation etc NHS
can bring the effective changes along with the services of patient. Managing change in
organisation is critical and complex task, and it is even become more complex in health care
organisations. From the secondary data analysis it was identified that making transformations in
health care organisation is complicated task. The management needs to ensure that effective
relationship between healthcare providers, carers and patients has been maintained. Devising
strategies and implementing change in health care organisation as per clinical guidance is hectic
and time consuming process (Leathard, 2004). Management needs to look for numerous options
available for change and have to measure outcomes against their expected results. From the
analysis of secondary data it was identified that healthcare professionals and operation
management of the organisation were remained unaware of the latest and advance technologies.
These technologies help in reducing time, cost and efforts of the professionals and change can be
implemented and monitored effectively within the organisation. It was further found that any
technical changes in the healthcare organisation creates a situation of disputes, conflicts and
confusion. The biggest barrier faced by health care institution is the resistance nature of staff and
employees regarding modifications (Hudson, 2002). Management contends that staff members
resist modifying their working practices with new changes and thus creates obstruction in
implementing change within the organisation. In the secondary analysis, it was discovered that
lack of availability of right resources was another barrier in managing changes in health care
institutes. Health care professionals and other clinicians often complaint regarding no electronic
patient record facility available in the centre. Due to limited monitory resources, these
technologies fail to provide expected outcome. After analysing the secondary data, it was
identified that poor monitoring is main and yet another barrier in managing change in health care
organisation (Drenning, 2006). Healthcare professionals anticipated that after implementation of
new technologies, the service quality of organisation will be improved but due to lack of
monitoring and training these technologies cannot be used at its best. Thus, it is considered as
major barrier in implementing change within health care centre.
After analysing the secondary data, it was identified that supervision and monitoring can
be the best ways to ensure that changes in the organisation are implemented efficiently. As lack
of monitoring and observation were the major barrier in implementing change within the

organisation, it can be said that observation and supervision can be the best and efficient measure
to implement change within the organisation (Emerson and et.al., 2012). Management of health
care centre needs to monitor and observe the behaviour and attitudes of the employees after the
modifications being implemented in the institutions. They need to gather their feedbacks and
opinions regarding the changes and work on improving them in order to enhance the service
quality as well as their motivation. It was further identified during secondary analysis that
whenever change being implemented within the organisation, employees and professionals
resists to utilise new and advance technologies. Due to lack of knowledge and skills regarding
the use of technologies, people refuse to accept them.
On the basis of collected secondary data in this dissertation it has been concluded that
while management of NHS implement the necessary changes regarding the services and patient
treatment then it is also very important to monitor and control that changes so as required
outcome can obtain effectively. With help of effective monitoring and controlling practices,
NHS management can implement the necessary changes and improvement along with the
services and treatment (Earls and Myers, 2010). Once the enterprise rolling out improvements in
correspondence and advances, therapeutic experts have turned out to be ready to give astounding
servicess to the patients. These strategies have upheld in upgrading correspondence amongst
experts and care customers also. services focuses on actualizing techniques and guaranteeing that
progressions are beneficial for the care unit. It helps with changing the conduct of care suppliers.
By along these lines, they will manage patients well and will facilitate viably with the care
customers. The path helps with understanding restorative prerequisites of people and giving
consideration appropriately. Correspondence is the principle issue in medicinal services
association and keeping in mind the end goal to determine this issue, these care homes are
required to enhance their specialized viewpoints (Clark, 2011). IT gear help with diagnosing the
patients legitimately and looking at their circumstances well. Aside from this, these IT hardware
bolster the medicinal services firms in upgrading correspondence between therapeutic experts
with the goal that they can comprehend their obligations and no disarray will happen in this
regard. Electronically, information services helps specialists in giving right treatment to each
care customer without disappointment.
Thus, the changes that are been taken in consideration by NHS is having the proportional
impact on its functionality as the employees who have opposed the changes are now reluctant to

work according to it. The work force of organisation is resisting the upgrading of system and are
willing to work on older technology or environment. Thus, to make them enable to work in the
changing condition's, the business firm has to establish proper training measures for them
(Bernard, 2013). The success of the organisation by implementing the changes in the firm comes
at the cost of training the existing as well as new employees at cited business firm. The changes
will also lay an impact on the progress of the business organisation by helping it to have a better
productivity and profitability. The planned strategies that will help the business operations and
activities of firm to gain a better handling of business operations.
The reluctance of the employee's to work outside their comfort zone and present skill
level is the major reason for the NHS to face the issues in implementation of business strategy.
Apart from this, the inadequate knowledge and limited time for implementing the business
operations are the major reason of failure of changers in the health and social care firm. Various
models and operational approaches are been taken at health care organisation in order to
implement operational changes in a much better way (Bernard, 2013). Other than this, the
change management theories will help the firm to execute the changes taken at the business firm
in a much better and effective way. Different sort of measures like Lewis mode etc is used to
avoid the chances of failure of different changes that are been taken in consideration by health
care firm. Also, the utilisation of latest technology will support the growth and development of
firm.e discussion in the dissertation it has been concluded that with help of implementation of the
ERP and impressive communication techniques NHS can easily improve the quality of the care
services and treatment of patient. It has been analysed that ERP technique helps to the NHS in
maintaining the information and record in electronic manner so as health experts can easily
identify the relevant information about patient health issue (Alhatmi, 2011). With help of
necessary changes regarding the policies, practices, technologies and equipment NHS can easily
improve the quality and effectiveness of the care services within the health and care organisation.
It has been analysed that it is very important for the management to develop a systematic
planning and schedule regarding the change management practices and policies through which
each and every activities can effectively organise regarding the improvement in the care services
and treatment. It has been also summarised that there is major concern of management after
managing changes is to improve satisfaction level of the service users.

Conclusion
1000 words
References
Appendix
Personal statement
Reflecting log

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