Managing Change in Health & Social Care

This report discusses the importance of change in health and social care, analyzing reasons for change in vulnerable patient care, models and theories of change, and approaches for implementing change. It also explores the improved patient safety in social environments and the improved quality of care and well-being of vulnerable patients. The report includes a PESTLE analysis and discusses the Lewin's change model and the McKinsey 7-S Model.

Managing change in Health
& Social Care

Table of Contents
INTROUCTION..............................................................................................................................3
MAIN BODY...................................................................................................................................3
Background information about two patients...............................................................................3
Analysing the reason of change in vulnerable patient care and what need to change................3
Models, theories and concepts of process of change..................................................................6
Approach used for change process .............................................................................................8
Implementation of strategic plan and its benefits.....................................................................10
CONCLUSION..............................................................................................................................11
REFERENCES..............................................................................................................................12

INTROUCTION
Change is the permanent and change in the regulation where there is for benefit which is
highly required for better health of patients and for the health organisation. There are different
advantages of change which is for better. To understand the importance of change which is there
in health and social care is highly required. Aim of this report is to understand the importance of
change which can lead to high benefit for patients along with regulation of health care
department. In this report, there is discussion about the reason for change and which type of
change should be there which includes external environment analysis, change on patient level
and organisation level, leadership role etc. There is discussion about the strategic plan and its
implementation which includes 8 point approach which is there to develop a change
management. There is also analysis of benefits in relation to sustainability of change (Cutler,
2019).
MAIN BODY
Background information about two patients
Patient 1 is 22 years old who is suffering from known personality disorder along with
anxiety illness. Patient has presented to A&E 590 times. There is involvement of multiple
agencies which are there involved in treatment. There can be seen that there are is change in
appointments which is there in after April when there change has been introduced.
Patient 2 is 66 year old who is suffering from dementia and have poor social
circumstances. Patient have a daughter who is having addiction issues. In relation to this, there
are different concern which are there regarding the safety of patient. General practitioners needs
to get more information regarding the patient and may be chances to share those health related
information with daughter for ethical concern (Rocque and et. al., 2016).
Analysing the reason of change in vulnerable patient care and what need to change
Patient 1- Regarding with patient there is need for the change which is there in the A&E
visit. This can be necessary to bring change in the visit for the A&E. It can be analysed that there
is no any beneficial change which is there in positive in nature and have benefit for patients.
There is high need to for the reduction in the visit of A&E. As per the analysis and medical
history, it can be seen that there is no any type of better response can be seen in patient. Patient is
suffering from anxiety disorder which is there need for better care and regular treatment. There is

need to change in the treatment process which includes different new procedures which can have
better response. Change in the treatment procedure can have better effect which is there also help
to achieve and learn the new way to treat such type of patient. This can help in better way to
patient (Schellinger, 2018).
Patient 2- There can be seen that there is need to reduce the visit which is there related
with A&E. Analysis can help to support this statement which is there regarding better and new
treatment procedure. There is no any better condition of patients condition and there is need to
do some changes in the treatment procedures which are there able to help the patient in better
way. There is no one who can care for the patients because due to having daughter who is having
the addiction issues can leads to no advantage of her presence in relation to providing care to the
patients. Patient is suffering from the dementia problem and due to not having the social well-
being there is no one who can help to provide better care and treatment. So, in relation to this
there is need to use some different treatment procedure which can help to get better condition of
patient. This can be done when there is reduction in the visit of A&E.
Improved patient safety in social environment
Patient safety concerns with the reducing and preventing the risk which are here
associated with the patient due to having their disease problem and there are different issues
which are there can be out in normal world where every one is busy in their life. There is need to
provide better care to the patient who are there can have better safety from any issues or
unfortunate incident which can be dangerous for the patient. In relation to this, there is high need
of care to the patient which should be there for better treatment and having better life which can
only be done by getting proper care and medication which is necessary for their better health.
Social environment is the one which is there able to help and provide the better environment
which can help the patient for better health and along with this, this social environment can help
to decrease the problem and create the positive impact on the patient health. Social environment
is the one which can help to get better improvement to the patient and there can have better
interaction with different people and being social can help to give some relief to the patient. This
can help patient in better health which is there due to having better life style. There is highly
need to take care about the patient who there out in society and having social interaction which is
regarding their safety concern (Pinkert, 2018). There can be any chance when patient is there can
harm himself or to the other person which is due to their any side effect of their illness or any

other cause. There is high need to monitor the patient who are there in the social environment
where they are interacting with different people either to other patient or any person who are
there with their different moods. During the social interaction there is high need for the safety of
patient who should need to follow all the medical procedures along with medication which are
there for the better health and physiological health of patient. Care taker or the family who are
there for the care of the patient should ensure about their safety and need to have continue check-
up without regular informing them to not to talk with other or any type of behaviours which are
there not good as per the interaction of the patients with society people. Safety of patients is
highly necessary which is regarding the better health and to provide better lifestyle.
Improved quality of care and well-being of vulnerable patients
There is high need to understand the patient and to fulfil their necessary requirement.
There are different steps which can help to improve the quality of care and their well-being of
vulnerable patients. In many there are some of the quality care which can be improved by some
applying some examples like having the pharmacist medication therapy management, optimizing
sepsis care which can improve the early recognition and their outcomes along with this there is
operational techniques, data driven approach are those which can help to improve the quality of
care which is there also able to improve the well-being of vulnerable patients. Pharmacist
medication therapy management is the one which is there able to help to reduce the cost of
treatment which is there in the hospital. In this, there having the improvement in the care along
with this there is also help in the financial cost which are there too much higher in the hospital
can be saved (Deeken, 2019). In this, there is less cost of management and due to this, there is
high quality of care along with there are improvement in the patients care. Optimizing sepsis is
the one in which is helpful in early recognition or any complications. There are different type of
changes in the operational process which can leads to improvement in the quality care which is
there due to using the different new operational techniques which have better effect on the
patients health and could have better outcome. Improvement in the quality of care is very
necessary for both of the patient which is there in relation to the better health and improvement
in the health condition.
At the organisation level in relation to provide better care, there is need to improve the
efficiency of partnership, there is also need to reduce the cost which can help to provide better
care to the patient. There is need to avoid the unnecessary waste of resources which is there in

relation to provide better care to the patient which can help them for better condition (Peluso and
et. al., 2018).
PESTLE analysis
Political- This is the first factor which is there have the high effect on the procedure of
health care. In this, there is need for the approval of new changes which is there for providing
better care to the patient.
Economic- This is the second factor which is there dependent on the economy in relation
to implement new ideas, there is need for high finance where there are different steps which
require financial cost which includes establishment of equipment, machinery, providing training
and maintenance of the equipment etc.
Social- in this, due to change in the medication and treatment procedure can help to get
better care of the patient which is related with social care.
Technological- This is the one which is high effective in nature and have effect on the
procedure of treatment which is base on the new changes (Bammann, 2020).
Models, theories and concepts of process of change
There are different theories which are there can help to understand and leads to change
process which is there in health and social care. There are different models like Lewin's change
management model, McKinsey 7-S Model, Nudge theory, Kotter's theory etc. There are some of
the models which are there for the change are discussed further.
Lewin's change model
There are three different phase model which are like unfreeze, change, refreeze.
Unfreeze- This is the one in which there is determination of what is there need for
change. There is need to ensure about the strong support by management, there is also create the
need which is for change along with this, there should manage and understand concern and
different doubt which are there during change.
Change- in this, there is often communication is there and able to empower action. Along
with this, there is also involvement of people in this process. There is change in the organisation
which is to provide the better health and social care.
Refreeze- in this, there is refreezing of the changes which is there in culture. There is
also development of different ways through which changes should be stable and sustain. This is
also able to support and training and after the success there can be celebration is there.

Strength
 This is highly required which can help to give the change when there is necessary to
change and this can help to provide better care to the patient in order to succeed the
change (El Amin, 2021).
 It can help to uncover the mistake which have taken for granted and there is need to have
analysis about each and every aspect regarding the change.
Weaknesses
 Due to unfreezing process it can be time taking and can create difficulty.
 There is high changes in employees and there is high chance of change which was there
before.
The McKinsey 7-S Model
This model was developed by Robert Waterman and Tom Peters. This model refers to the
powerful tool which is there to access the internal situation of the organisation. In this, there is
need to highlight the changes which is there need to made. There are hard element and soft
element which includes strategy, structure, systems, shared values, style, staff and skills.
In this, there is involvement of seven aspect of company which is there need for change
and able to provide better health and social care to their patients (Yushak, 2018).
Hard elements- These elements are the one which are direct control of the management and
need to easily be identified and defined.
Strategy- This refers to the action plan which is there able to provide the competitive
advantages to the organisation.
Structure- This refers to the structure of organisation which is there able to better handle
each and every function within an organisation and are the one who are responsible for each and
every function within organisation.
System- this includes the day to day activities in which each and every staff member are
involved and must get ensure about the completion of task which has been assigned. In relation
to change in health and social care there is need to have the proper information which is there
can have the better information regarding regarding change.
Soft elements- These elements are less tangible along with difficult in nature and are mostly
governed by culture.

Shared Value- These are the core values which are able to influence the code of ethics
which are there during the change in an organisation (Thakhathi and Davis, 2019)
Style- This is related with the leadership style which is there change in the organisation
and have impact on the better health and social care of patients within organisation. This is able
to influence the motivation of employees, organisational performance along with strategic
decision.
Staff- There is huge change in the behaviour and their work which is there within
organisation during the change. There is also impact on the capabilities of staff or employees.
Skills- During the change in the organisation, there is huge advantages of the skills of the
employees which are there able to find out different skills which is there needed during the
change. High skills can help the patient when there is change for the better health and social care.
Strength
 This can help to find out area which is highly required for the attention during changes
and also other weaknesses of firm which should need to be review for the better health
and social care.
 This can help to provide the formidable business plan that provides the flexibility and
strength for further changes.
Weaknesses
 It is not possible to carry out the changes effectively in organisation.
 There is not each and every knowledge about the company which is during the change. In
relation to this, there is need for extra time along with resources which is there dedicated
to build overview (Soumyaja, 2018)..
Approach used for change process
There are different approaches which are there can help in the change to understand and
perform well according to that change. There are some of them are discussed further.
Appoint a transition manager- In today's time there is change is permanent and during
the change companies are dependent on the Transition managers who are there able to handle
each and every process of change which are there in the organisation. Generally the transition
managers are the one who are appointed by the transition management firms which is there on
the basis of needs. There are other transition manger who are there appointed by the company
which are there to respond of the change. There are different duties and responsibilities of

transition manager. One of the most important responsibility is that transition manger is one of
the responsible party who is there for managing the change in organisation. There are different
skills of transition manager like confidentiality, multitasking, transparency, analytics,
organisational skills and project management. They are also possess some advanced skills like
corporate communication, product development, marketing and asset management. Transition
manger are the one who utilizes different tolls which are there used to perform their job such
tools like analytic tools, MS office application, internet along with transition management
software (Evans, 2018).
Situational variables- These are the factors in the business environment which are there
unintentionally affect the situation of the business and impact the result of the change which is
there during the change in organisation for the better health and social care of patients. These
type of situational variables which are there able to impact the situation and in relation to control
there is use of the counterbalancing which is like, there are some of the participants are provided
situation A and other half with situation B. in this, there is need to find out which one is the
better condition that can help to maintain and balance the situation. During the change there is
need to balance each and every situation which is there due to change.
Setting target and goals- There are some of the target like to provide better and effective
health care in less time and to keep confidential information safe are two target and goal for the
patients, to provide better services to the patient which can help to increase the goodwill of brand
which is the goal for the organisation and last one is to high brand value for external stakeholder
of the organisation (Feder, 2019).
Intervention strategy- This one refers to the policy of intervention which includes the
religious affairs of community and there basic right is denied due to religious traditions.
Appreciative inquiry model is the one which is there able to identify the positive
approaches which are there for the better development and collective learning. In the
organisation there is learning over the change which is there due to having the positive changes
which can help the patient to get better health and social care.
To provide effective health care in less time can be achieved by having different better
health care professional and their training in better manner can help the health professionals to
get and provide better health care to their patients. To keep the confidentiality of the patients
there is need to follow the rules and regulation which says about the confidentiality of patients

information. By providing the better care to the patient on right time can help to increase the
good will of organisation and this can lead to achieve the goal of better brand image in eye of
external stakeholders (Schuh, 2017).
How to implement the plan
This can be implemented by involving each and every employee and function of
management who are there can help to accept the change and to learn the things which are there
required in sense to implement the change in better way. There is need of transition manger who
is there can play a vital role in the change. There is need to plan each and every function in such
a manner that can have better result in practical manner.
Communication change
There are four features of communication networks like role, content, directionality and
channel. In this there is need to inform the staff members which is regarding the need for change,
what is going to happen, what should be done according to requirement etc.
Refining of plan
This is the one which is there need to reflect the idea which is unique in nature in which
there should be for the patients. In this, there is need to refine the plan which is there able to get
the proper information which is regarding the plan along with this, there is need to inform each
and every person who is there working as a staff member or the health professional. This can
help to get the better implementation of plan and there could be better support to the patient. This
can give better result in health and social care for the patients (Marr and et. al., 2019).
Scheduling of activity with clear timelines
Activities
Background information
Analysing the reason for change
Planning
Testing
Implementation
Timeline
2 days
3 days
7 days
2 days
3 days
Implementation of strategic plan and its benefits
For change, there is need to implement the change which is there by implementing the
strategy which is there made for the change in the organisation and there are many of the

sequence which are there necessary to do before the implementation of plan. There are some of
the steps which are there necessary before the implementation of plan are like to collect the
information which is there regarding the strategy and the operation which is there going in the
organization (Datta, 2021). In relation to this, there are many of the steps which is needed to
consider to analyse the background that can give the reason to implement the change in
organisation. There are different reason for implementing the change which is there one of the
main reason is that there is need to provide the better health and social care. There is need to plan
for implementing the plan in relation for effective change. Testing is the process which is there
to check the effectiveness in small scale. When testing gives the positive result then there is need
to implement the whole plan to implement for better result. There are different breakdown for
each and every procedure which is there discussed for the implementation of plan where there is
an important role of strategy which can help in better way. This timeline is able to do the work in
different time slot that can be done in that time.
There are different benefits which are there for implementing change in the organisation
which is regarding the better health and social care. Along with this, change is the one which is
necessary for improvement and can help to achieve the better procedure and operational activity
which are there benefit in long term. There is also need for the continue change and
improvement in the strategy for better result of the plan. This can leads to better response for the
high quality service with better treatment to the patients (Scott, 2020).
CONCLUSION
From above discussion, it can be concludes that to provide better health and social care
there is highly need for the change in the organisation. There is need to have some better plan
which is able to help and provide better health and social care for the vulnerable patients. There
is discussion about the need for reduction in visiting A&E. There is also discussion about the
safety concern which is highly needed in the social environment. There is also discussion about
the quality of care and well-being of vulnerable patients. There is also discussion about the
improved efficiency of reduce cost, partnership working, unnecessary waste of resources. There
is also discussion about the different models which are there for the change along with their
strength and weaknesses. There is also discussed about the 8 point approach which is there to
develop to change management plan in which different points has been covered. There is also
discussion about the way to implement the strategy which is regarding the change.

REFERENCES
Books and Journals
Cutler, 2019. Physician beliefs and patient preferences: a new look at regional variation in health
care spending. American Economic Journal: Economic Policy, 11(1), pp.192-221.
Rocque and et. al., 2016. The patient care connect program: transforming health care through lay
navigation. Journal of oncology practice, 12(6), pp.e633-e642.
Schellinger, 2018. Patient self-defined goals: essentials of person-centered care for serious
illness. American Journal of Hospice and Palliative Medicine®, 35(1), pp.159-165.
Pinkert, 2018. Experiences of nurses with the care of patients with dementia in acute hospitals: A
secondary analysis. Journal of Clinical Nursing, 27(1-2), pp.162-172.
Deeken, 2019. Evaluation of technology-based interventions for informal caregivers of patients
with dementia—a meta-analysis of randomized controlled trials. The American Journal
of Geriatric Psychiatry, 27(4), pp.426-445.
Peluso and et. al., 2018. Animal-assisted therapy in elderly patients: Evidence and controversies
in dementia and psychiatric disorders and future perspectives in other neurological
diseases. Journal of geriatric psychiatry and neurology, 31(3), pp.149-157.
Bammann, 2020. Promoting Physical Activity Among Older Adults Using Community-Based
Participatory Research With an Adapted PRECEDE-PROCEED Model Approach: The
AEQUIPA/OUTDOOR ACTIVE Project. American Journal of Health Promotion.
El Amin, 2021. The Impact of Change Management in the Transformation of Online Graduate
Education. International Journal of Online Graduate Education, 4(1).
Yushak, 2018. LEAN PRINCIPLES REDUCES RESISTANCE TO CHANGE IN
TRANSFORMING A SHIPYARD OPERATIONS. International Journal of Business
& Society, 19.
Thakhathi and Davis, 2019. Sustainability leaders’ influencing strategies for institutionalising
organisational change towards corporate sustainability: A strategy-as-practice
perspective. Journal of Change Management, 19(4), pp.246-265.
Soumyaja, 2018. Antecedents of employee readiness for change in the IT sector and the
manufacturing sector: a comparative study. International Journal of Human Resources
Development and Management, 18(3-4), pp.237-256.
Evans, 2018. Changing Benefits and Loss Aversion: Lessons from Prospect Theory and
Resistance to Change. The Journal of Evans, G. and Evans, M., 2018. Changing
Benefits and Loss Aversion: Lessons from Prospect Theory and Resistance to Change.
The Journal of Human Resource and Adult Learning, 14(1), pp.1-6.
Feder, 2019. Perspectives of Patients in Identifying Their Values‐Based Health Priorities. Journal
of the American Geriatrics Society, 67(7), pp.1379-1385.
Schuh, 2017. Policy change through parent and consumer leadership education. Journal of
Disability Policy Studies, 27(4), pp.234-242.
Marr and et. al., 2019. Factors for Self-Managing Care Following Older Adults' Discharge from
the Emergency Department: A Qualitative Study. Canadian Journal on Aging/La Revue
canadienne du vieillissement, 38(1), pp.76-89.
Datta, 2021. Top Executive Gender, Board Gender Diversity, and Financing Decisions: Evidence
From Debt Structure Choice. Journal of Banking & Finance, p.106070.

Scott, 2020. A community outreach intervention to link individuals with opioid use disorders to
medication-assisted treatment. Journal of substance abuse treatment, 108, pp.75-81.