Leadership and Change in NHS: Investigating Organizational, Cultural, and Social Dimensions

This report explores the concept of organizational change and its impact on leadership in the context of the NHS. It investigates the multiple causes and types of change experienced, and examines the organizational, cultural, and social dimensions of the change situation. Recommendations for leading and managing organizational change are provided.

Leadership and change
Management

Contents
INTRODUCTION...........................................................................................................................1
TASK 1............................................................................................................................................1
Introduction to the report that clearly states the aim, structure and key issues of case scenario.1
TASK 2............................................................................................................................................2
Investigate case scenario and determine the multiple cause for change and the types of change
experienced..................................................................................................................................2
TASK 3............................................................................................................................................3
Determine the change situation looking into its organisational, cultural and social dimensions 3
TASK 4............................................................................................................................................8
Recommendations to lead and manage organisational change, reflection on leadership issues,
employees’ engagement and organisational development..........................................................8
TASK 5............................................................................................................................................9
Justified conclusion.....................................................................................................................9
REFERENCES..............................................................................................................................10

INTRODUCTION
Change management is defined as the techniques and manners in which a enterprise
describes and implements exchange inside each its inner and outside processes. This consists of
making ready and supporting personnel, organising the vital steps for exchange, and tracking
pre- and publish-trade sports to ensure a success implementation. Significant organizational
alternate may be hard. It frequently calls for many levels of cooperation and might involve one-
of-a-kind unbiased entities within an employer (Dzwigol and et. al., 2019). Developing a
dependent approach to alternate is crucial to help ensure a beneficial transition whilst mitigating
disruption. Leadership is the ability of an individual or a collection of people to steer and manual
fans or different participants of a corporation. In commercial enterprise, people who exhibit
those leadership qualities can ascend to govt management or C-stage positions. This assignment
is based on a case of NHS. There are some changes occurred in NHS in relation to its strategic
focus and design. The report will consider information about case scenario, causes for change
and types of change experienced. Moreover, it will explain about change situation looking into
organisational, cultural and social dimensions. Furthermore, recommendations will define in
context of leading and managing organisational change.
TASK 1
Introduction to the report that clearly states the aim, structure and key issues of case scenario
When the business enterprise experience that the activities which they may be doing, the
control, the way of management, using organisational structure the human useful resource
regulations, the way of life of the agency, the liking and disliking the contents and context of the
enterprise by way of manner of the employees, organization shape, organisation concept, the
product awesome are continuously destroying the picture and reputation of the organisation the
question arises that how will trade the enterprise in present state of affairs, so while the
professional comes to a decision approximately all the state of affairs and making geared up for
converting the commercial enterprise organization it results inside the concept of organizational
change or alternate management (Choromides, 2018). It's miles the functionality of the
manipulate that how they can get maximum benefits and help form trade which reduces resistant
from the aspect of employees and inspire admire splendour and manual. The approach of
converting the sports of the business enterprise similarly to the implementation of the methods
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and technologies to reap the choice objective of the corporation, in simple phrases to trade the
surroundings of the business company and to reap a immoderate take gain of that trade,
commonly exchange control consists of specific components such as manage exchange, model
alternate and effecting change. The very last cause of the trade management is the long term
sustainability of the corporation.
Organizational change truly manner to trade the activities of the business enterprise undertaking
it can includes to trade the lifestyle of the organisation, technology, commercial enterprise
gadget, alternate of employees, rules and methods, recruitment and desire, layout of jobs,
technique of appraisal, and human beneficial resource strategies, bodily environment of the
corporation, strategies of education and improvement, venture talent and information and plenty
of others. While the exchange of the concern employer is fundamental it's miles called
corporation alterations (Cameron and Green, 2019). Change manage way when all of the wanted
moves are taken to enhance the existing state of affairs for future to put in force the exchange
techniques to get the most blessings and also see that the objectives of the business company is
accomplishing or no longer. The predominant reason of this newsletter turned into to problematic
and produces to mild the middle idea of the corporation trade, the way it works, various factors
which movements company to alternate, steps for change, resistance for trade, trade forces,
change management procedures and final an instance of NHS and what became the techniques
for change management. Appropriate recommendations and conclusion will explain in the
remaining part of the paper. The issues in the case scenario is the PCT agency structure changed
into visible by the Department of Health as missing in terms of its large administrative presence
and failure to deliver value in terms of assembly localised affected person and network desires
(Tang, 2019). Both PCTs and regional bodies, referred to as Strategic Health Authorities, had
been phased out during the last few years, with investment duties now directed to nearby well
known practitioners.
TASK 2
Investigate case scenario and determine the multiple cause for change and the types of change
experienced
An organization improvement response to strategic and structural trade inside a National Health
Service corporation an overview of strategic trade within the wider agency The NHS has seen
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many adjustments in current years in terms of its strategic recognition and design, in reaction to
changes in Government phrases of workplace. In 2010, the British government announced plans
to introduce vast adjustments to the neighbourhood control of fitness offerings in England. These
modifications could see Primary Care Trusts being replaced by means of Clinical
Commissioning Groups within nearby fitness government (Aldulaimi and Abdeldayem, 2020).
Public fitness has historically been the duty of neighbourhood health managers running for the
151 PCTs throughout England. They were accountable for the recruitment of neighbourhood
public health administrators and coordinating campaigns to inspire humans to adopt healthier
existence.
There are different kind of changes occurred in the respective establishment. One of the key
changes is making in the organisational structure of the company and the new organisational
structure is designed to enable the CCG to ‘purchase in’ administration and aid offerings from a
Central Support Service. If the CCG becomes upset with any factor of the CSS’s carrier
transport, then the CCG may be accredited to ‘purchase in’ offerings from opportunity external
provider providers. The new CCG is liable for an annual price range of around £3 billion. This
new structure is reflective of Ulrich’s Business partner model which strives to centralise the
administrative and specialist support services offered to the enterprise’s operation. The Key
purpose of this approach are to minimise the duplication of management and specialist support
actions across the company, and to create centres of expertise that can sell their facilities internal
consumers. The advantages of this approach to organisational design are suggested to include
cost savings, effectiveness and maximisation in the quality of internal service provision
(Aldulaimi and Abdeldayem, 2019). This approach can also be reported to result in the
demotivation of centralised internal service providers because they become more detached from
the day to day operating of the operational side of the company.
TASK 3
Determine the change situation looking into its organisational, cultural and social dimensions
As they have mentioned in advance than that organisation exchange takes place due to some
elements that may be external or inner, such factors might also moreover convey alternate inside
the sports activities of the corporation and might also create issues to harder the alternate
manner, as each understand that change creates resistance, and this resistance may also creates
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massive issues, resistance to exchange is likewise from the antique personnel or centre degree
managers or humans as they always appose to the alternate techniques due to their very own way
of questioning and notion concerning the trade idea, this may be due to lake of knowledge
approximately the state of affairs or because of the self interest of the vintage employees
however whatever can be the reasons however it's far fact that alternate continually deliver
resistance, now it's far up to mangers that how they lessen the intensity of the resistance and
positioned into effect the whole exchange strategic business model inside the organization
(Hussain and et. al., 2018).
Change Forces- The following are the main forces which convey exchange inside the
employer. These are as underneath but it may depend upon the corporation surroundings and the
context of the employer. Change in new authorities guidelines and regulation, Change and
improvement in new materials, Social and way of life fee exchange, Change in country wide and
global economic condition and exchange regulations and regulation, Technology development,
Change in purchaser flavour and requirements, Development and innovation in production
technique, New products and services layout innovation, New ideas approximately the products
that the way to deliver clients price and pleasure, Office and factory relocation toward clients,
suppliers, and marketplace, nature of the body of workers, generation , financial shocks, of
completion, social trends, and international politics.
Resistance to Change- Change creates resistance to alternate in every agency; it is the
react reaction from the side of the vintage personnel. When change strategies have implemented
within the corporation the personnel quickly reply through voicing lawsuits, attractive in
paintings slowdown, threatening to head on strike, and so on. But care should be taken with the
aid of the change control professional to conquer the resistance. Major force for resistance to
alternate: resistance to alternate forces categorize into important heading, organizational
resources
1.Individual Source Resistance To Change Includes The Following: Habit, safety, selective
information processing, economic factors, worry of the unknown.
2. Organizational Sources for Resistance to Change Include the Following: Limited focus on
change, enterprise structural inertia, chance to expertise, hazard to mounted power relationship,
group inertia, hazard to installed resource allocation (Gryazeva-Dobshinskaya and Dmitrieva,
2018).
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3. Overcoming to Resistance to Change.
Overcoming to resistance to change manner to apply the strategies to reduce the depth of the
resistance to exchange, the alternate dealers have the capability to use those processes (Galli,
2018). They are as underneath.
A) Implementing alternate pretty.
B) Selection folks who accept change
c) Education and conversation
Participation
e) Building aid and commitment
f) Manipulation and cooptation
D. Organizational Change Managing Approaches
When change management taken vicinity within the organisation, now the query is how
high-quality you can actually control trade. There are 4 tactics to exchange management. Lewins
traditional 3 step version of change procedure, Kotters eight step plan, action studies, and
organizational improvement. According to the Lewins version the organisation ought to comply
with three steps for successful change management, which can be. Unfreezing: the popularity
quo, changing to overcome the pressure of each person resistance and group conformity.
Movement; preference give up country, an exchange process that transforms the corporation
from the repute quo to a favoured end state. And refreezing the new exchange to make it
everlasting, stabilizing a change intervention by using balancing using and restraining forces
Importance of culture and its role in relation to organisational change
Organizational culture is the collection of values, expectations, and practices that manual
and inform the movements of all group people. Think of it as the collection of trends that make
your agency what it's far. A top notch life-style exemplifies positive developments that cause
progressed standard overall performance, whilst a dysfunctional organisation subculture brings
out qualities that may save you even the most a fulfilment organizations. Organizational way of
life impacts all factors of the enterprise, from punctuality and tone to agreement terms and
worker advantages (Faupel and Süß, 2019). When place of business life-style aligns collectively
with your personnel, they’re more likely to revel in extra secure, supported, and valued.
Companies that prioritize subculture can also climate tough instances and modifications inside
the business corporation environment and come out more potent. Culture is a key gain with
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reference to attracting talents and outperforming the opposition. Significance of culture in
context of organisation is as under:
Increased employee engagement- An art work environment that possesses organizational
life-style is pushed by the usage of motive and clear expectations. This motivates and inspires
personnel to be greater engaged of their paintings responsibilities and interactions with others
(Burnes, Hughes and By, 2018). It also ends in high ranges of body of people engagement, which
drives productiveness. Having a strong connection to a corporation and its human beings creates
an surroundings of positivity this is hard to push aside.
Decreased turnover- People who sense valued and respected at a agency are less
probable to move away it. That's why it is critical for manufacturers to foster a prevailing
organizational subculture that supports their centre values and task statement. Happy personnel
mean much less turnover, which saves agencies time and money in the hiring process.
Companies that gain a sturdy manner of life should take steps to preserve and beautify it.
Elevated productivity- When employees have the assets and gear they need to be
successful, it permits growth productiveness and performance stages regular. Organizational
lifestyle affects the shape of a workplace in ways that carry people of the identical capability set
together. Those who share similar backgrounds and abilities may fit greater short collectively
while tackling organization obligations.
Culture may be an exceptional enabler of organizational alternate—whether or not the
change entails digitization, faster product improvement, or a systematic lowering of prices.
Overall, alternate projects are most effective followed and sustained about half of the time, our
survey shows. But when company’s faucet into the energy and emotional dedication which might
be bound up of their cultures, trade initiatives are far extra sustainable. In any important change
initiative such organisational change situation in NHS, it is the task of management and the
people laid low with the transition to figure out the way to harness the robust cultural attributes
of their employer to construct momentum and create lasting exchange. Companies that are able
to do so—to take what we call a “subculture led” technique to trade—appreciably boom the
velocity, success, and sustainability of their transformation projects (Onyeneke and Abe, 2021).
Based on our survey findings, the percentages of achievement are about twice as high with
lifestyle-led exchange than with greater traditional exchange-control approaches.
Links between power, politics and conflict and their effect on change
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Power is the capability a person has to have an impact on any other. The extent of this
electricity is, however, decided, to a big quantity, by way of the notion of the time period
electricity by using the character at whom the energy is directed. It may be greater important
what a person thinks a advanced officer’s power is than what in truth it's far. Managers may take
benefit of this phenomenon by way of pretending they have got extra electricity than they truly
have, that is, by means of bluffing. If a manger’s bluffing succeeds, the effect is exactly similar
to if the only bluffing truly possessed the formal power. Thus, electricity is a sensitive
phenomenon (Neves, Almeida and Velez, 2018). This is due to the fact of the affect of subjective
factors, inclusive of ethical and moral considerations. Appropriate use of energy leads to the
fulfilment of favoured desires and objectives. Ineffective use of electricity or failure to apply
energy while the want arises has been described because the predominant purpose of defective
functioning of a device. This is possible amongst inexperienced managers and the ones who
lack self-confidence. They generally tend to avoid using electricity, preferring to skip
troubles with hard employees and so on to others. The organizational consequences of not the
usage of strength accurately turn out to be increasingly more suggested toward the pinnacle of an
organization because in hierarchical systems abdications of authority have results all the way
down the line. Yet, trying to use power that one does now not have may be equally adverse.
Organizational politics relates to behaviours that are outside those in which the
business enterprise has taken a specific position for or against, the behaviors are intended to
achieve selfish and man or woman ends that are adversarial to the ends of others in the
agency. Organizational politics may additionally focus at the goals of businesses as well as
people and they will well contain behaviours that are harmful to the enterprise as a whole.
Organizational politics create very ambivalent responses due to the fact human beings
appearance at the complete process each negatively and undoubtedly, depending on the
particular angle they have got in mind. However, those who are successful in organizational
politics tend to be considered undoubtedly possibly because they're successful competition in
other respects as properly (Dzwigol and et. al., 2019). By using effective and appropriate form of
power, the political issues and conflicts within the workplace can be solved by the management
of NHS in change environment.
Organisational power, politics and conflicts all influence the change in different manners.
For example, there are organisational structure change is made by the management of NHS in
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order to effective running of the business. There are different kind of issues can be faced by the
firm, in order to manage these issues the administration can adopt appropriate form of power
which support in managing the conflicts and issues which are occurred due to change and
negative politics.
TASK 4
Recommendations to lead and manage organisational change, reflection on leadership issues,
employees’ engagement and organisational development
There are some suggestions which can be considered by the respective in context of leading
and managing organisational change. They are as:
Communicate- Keep the lines of conversation open among you and your personnel. Take
the time to offer an reason for why the change is going on, and what it'll seem like in workout
(Choromides, 2018). Make yourself open to questions, preserve team conferences, and invite
your evaluations to return back see them and communicate through their concerns or mind in a
neutral environment.
Create a Roadmap- Help your personnel recognize wherein the agency is, wherein it is
been, and in which it's far going. Laying this out absolutely will showcase the notion and method
at the back of the change, and will help staff see the manner it fits into, or is evolving from, the
corporation model they have got turn out to be conversant in.
Provide Training- When the trade includes shifts in technology or strategies provide good
enough training to your employees to help them grasp the ultra-modern way of doing things. And
make certain that you carry that this training can be available whilst the change is introduced, as
a way to avoid personnel feeling like they'll be left at the back of because of lack of skill or
experience.
According to my understanding, reflecting at the learning can be an empowering procedure
because it enables to investigate the scenario, take decisions, and set a route of action, and
critique at the learning. Today, the position of leaders is extremely essential first successful
overall performance of a business enterprise (Cameron and Green, 2019). I even have
understood that an awesome chief allows in growing the talents of their co-workers motivating
them and sharing information to improve their abilities. As according to my opinion, even when
leaders have top theoretical expertise, they ought to possess practical revel in a good way to
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proceed with figuring out answers for the troubles. Along with this, a leader with appropriate
leadership skills, can support in running a business in change situation in appropriate manner by
encouraging its employees.
Employee engagement is described as the diploma to which personnel are devoted to their
business enterprise, passionate about their paintings and invested inside the organization’s
success. However, attractive personnel isn’t approximately just giving them work they enjoy but
giving them a experience of motive and pleasurable their passion. Employees want to work for a
corporation with dreams beyond earnings margins and with humans they like (Tang, 2019).
Engaged personnel accept as true with to your business enterprise, price your product and are
captivated with the work they do. This interprets into unheard of customer service in which
employees go above and beyond for the human beings they serve. Customers choose up on
engaged employees' pleasure and ardour, which influences their shopping for selections.
TASK 5
Justified conclusion
This has been summarised from the above defined information that any kind of change in an
organisation influence the running of the company. Information about organisational change in
NHS is defined in the assessment. Along with this importance of culture and roles of its in
organisational change is mentioned. In addition to this, recommendations are defined to lead and
manage change with effective reflection on leadership.
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REFERENCES
Books & Journals
Dzwigol, H. and et. al., 2019. Formation of Strategic Change Management System at an
Enterprise. Academy of Strategic Management Journal, 18, pp.1-8.
Choromides, C., 2018. Leadership and change management: A cross-cultural
perspective. International Journal of Entrepreneurial Behavior & Research.
Cameron, E. and Green, M., 2019. Making sense of change management: A complete guide to
the models, tools and techniques of organizational change. Kogan Page Publishers.
Tang, K.N., 2019. Change management. In Leadership and Change Management (pp. 47-55).
Springer, Singapore.
Aldulaimi, S.H. and Abdeldayem, M.M., 2020. A thematic analysis of leadership behaviours and
change management in higher education to boost sustainability. International Journal of Higher
Education and Sustainability, 3(1), pp.34-51.
Aldulaimi, S.H. and Abdeldayem, M.M., 2019. How Changes In Leadership Behaviour And
Management Influence Sustainable Higher Education In Bahrain. International Journal of
Scientific and Technology Research, 8(11), pp.1826-1934.
Hussain, S.T. and et. al., 2018. Kurt Lewin's change model: A critical review of the role of
leadership and employee involvement in organizational change. Journal of Innovation &
Knowledge, 3(3), pp.123-127.
Gryazeva-Dobshinskaya, V.G. and Dmitrieva, Y.A., 2018, October. Leadership and management
styles: typological approach to personal resources of change management. In The International
Science and Technology Conference" FarEastСon" (pp. 202-212). Springer, Cham.
Galli, B.J., 2018. Change management models: A comparative analysis and concerns. IEEE
Engineering Management Review, 46(3), pp.124-132.
Faupel, S. and Süß, S., 2019. The effect of transformational leadership on employees during
organizational change–an empirical analysis. Journal of Change Management, 19(3), pp.145-
166.
Burnes, B., Hughes, M. and By, R.T., 2018. Reimagining organisational change
leadership. Leadership, 14(2), pp.141-158.
Onyeneke, G.B. and Abe, T., 2021. The effect of change leadership on employee attitudinal
support for planned organizational change. Journal of Organizational Change Management.
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Neves, P., Almeida, P. and Velez, M.J., 2018. Reducing intentions to resist future change:
Combined effects of commitment‐based HR practices and ethical leadership. Human Resource
Management, 57(1), pp.249-261.
Online
Reasons Why Organizational Culture is Important. 2021. [Online]. Available Through: <
https://www.indeed.com/career-advice/career-development/why-organizational-culture-is-
important>.
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