Analyzing Factors Facilitating Change in Health & Social Care
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Essay
AI Summary
This essay explores the factors that drive change in the health and social care (HSC) sector, focusing on the experiences of elderly individuals adapting to changes such as the Care Act 2014. It identifies internal factors like organizational culture and external factors such as political, economic, social, and technological influences. The essay evaluates the challenges these factors present, including political and legal issues, social and economic factors, and technological hurdles. It also proposes strategies for measuring the impact of recent changes in HSC services, considering organizational efficiency, cost, staff satisfaction, and service user satisfaction. The analysis covers both positive and negative impacts of change, such as enhanced working conditions, reduced response times, and potential challenges related to staff relocation and job uncertainty. Finally, the essay explains key principles of change management, planning processes, and monitoring strategies within the HSC context. Desklib provides access to similar solved assignments and resources for students.

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Table of Contents
INTRODUCTION.............................................................................................................. 1
TASK 1.............................................................................................................................2
ESSAY.............................................................................................................................2
1.1 EXPLAIN THE KEY FACTORS THAT BRING CHANGE IN SERVICES OF
HEALTH CARE............................................................................................................2
1.2 EVALUATING THE CHALLENGES THAT CHIEF FACTORS OF CHANGE
BRING TO HSC SERVICES......................................................................................... 4
TASK 2.............................................................................................................................6
ESSAY.............................................................................................................................6
2.1 PLAN STRATEGY AND CRITERIA FOR MEASUREMENT OF CHANGES IN
HSC.............................................................................................................................. 6
2.2 MEASURE THE EFFECT OF RECENT CHANGES ON HSC SERVICES
AGAINST SET CRITERIA............................................................................................7
2.3 EVALUATION OF THE OVERALL IMPACT OF CHANGE IN HSC.......................8
2.4 PROPOSING SERVICE RESPONSE TO THE CHANGES IN THE HSC
SERVICES................................................................................................................... 8
TASK 3...........................................................................................................................10
ESSAY...........................................................................................................................10
3.1 EXPLAINING KEY PRINCIPLES OF CHANGE MANAGEMENT.........................10
3.2 EXPLAINING HOW CHANGES IN HSC ARE PLANNED....................................11
3.3 ASSESSING HOW TO MONITOR THE CHANGES IN HSC SERVICES............11
CONCLUSION............................................................................................................... 13
REFERENCES............................................................................................................... 14
1
INTRODUCTION.............................................................................................................. 1
TASK 1.............................................................................................................................2
ESSAY.............................................................................................................................2
1.1 EXPLAIN THE KEY FACTORS THAT BRING CHANGE IN SERVICES OF
HEALTH CARE............................................................................................................2
1.2 EVALUATING THE CHALLENGES THAT CHIEF FACTORS OF CHANGE
BRING TO HSC SERVICES......................................................................................... 4
TASK 2.............................................................................................................................6
ESSAY.............................................................................................................................6
2.1 PLAN STRATEGY AND CRITERIA FOR MEASUREMENT OF CHANGES IN
HSC.............................................................................................................................. 6
2.2 MEASURE THE EFFECT OF RECENT CHANGES ON HSC SERVICES
AGAINST SET CRITERIA............................................................................................7
2.3 EVALUATION OF THE OVERALL IMPACT OF CHANGE IN HSC.......................8
2.4 PROPOSING SERVICE RESPONSE TO THE CHANGES IN THE HSC
SERVICES................................................................................................................... 8
TASK 3...........................................................................................................................10
ESSAY...........................................................................................................................10
3.1 EXPLAINING KEY PRINCIPLES OF CHANGE MANAGEMENT.........................10
3.2 EXPLAINING HOW CHANGES IN HSC ARE PLANNED....................................11
3.3 ASSESSING HOW TO MONITOR THE CHANGES IN HSC SERVICES............11
CONCLUSION............................................................................................................... 13
REFERENCES............................................................................................................... 14
1

Figure 1: Macro and Microenvironment............................................................................ 4
2
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INTRODUCTION
It is important in the health and social care sector to gain an understanding of the
factors that lead to change in the care services and the practices that lead towards the
evaluation and facilitation of change. The change process commencement fosters the
transformation of the business operations and the business strategies. The assignment
has taken the case study where the elderly people who receive the social care and
support are continually facing the problem of adapting to the change like the enactment
of the Care Act 2014. It has been witnessed that in the study of Nuffield Trust’s Home
and the King’s Trust, a total of 4 authority sites have taken part of which the outcomes
reveal the estimation of a gap of 1 million workers by the end of the year 2037 caused
due to low payments offered to them. Considering all the factors of the case study, an
essay will be presented highlighting the factors fostering change in the healthcare
services followed by another essay depicting the current changes in the health and the
social care series. Lastly, an essay will illustrate the key principles of change
management process.
3
It is important in the health and social care sector to gain an understanding of the
factors that lead to change in the care services and the practices that lead towards the
evaluation and facilitation of change. The change process commencement fosters the
transformation of the business operations and the business strategies. The assignment
has taken the case study where the elderly people who receive the social care and
support are continually facing the problem of adapting to the change like the enactment
of the Care Act 2014. It has been witnessed that in the study of Nuffield Trust’s Home
and the King’s Trust, a total of 4 authority sites have taken part of which the outcomes
reveal the estimation of a gap of 1 million workers by the end of the year 2037 caused
due to low payments offered to them. Considering all the factors of the case study, an
essay will be presented highlighting the factors fostering change in the healthcare
services followed by another essay depicting the current changes in the health and the
social care series. Lastly, an essay will illustrate the key principles of change
management process.
3
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TASK 1
ESSAY
Introduction
The latest researches have revealed that the healthcare industry is witnessing some
major changes once every 3 years. Along with the major ones, there are some small
changes occurring at frequent time intervals. The process of change is the process of
moving out of the current state and slipping through the transition stage into the future
ones. The changes occurring in the firms have an influence on the operations of the
firm. Therefore, the health care providers must quickly respond to the external
environment and pay attention towards the future changes.
Discussion
1.1 EXPLAIN THE KEY FACTORS THAT BRING CHANGE IN SERVICES OF HEALTH
CARE
The old people receiving the care services are being affected by a large number of
aspects that can be categorized as internal and external. The main aim of the
healthcare service providers is to provide the best quality of the services both medical
aid and social services so that their recovery takes less time. The practices followed in
the organizations need to be transformed for providing new ideology to the workforce
and improve their working skills (Freeman, 2010). The internal environment complies
with the factors, the people, events and the systems and conditions occurring inside the
firm under the control of the firm. The factors are-
The mission statement of the firm or the change in the core strategy
The culture of the organization
Leadership style
Mergers and acquisitions
Business process re-engineering
The external environmental factor comprises the events that occur outside of the firm
and lead to change within the organizations and also are not under the control of the
company. The factors are-
4
ESSAY
Introduction
The latest researches have revealed that the healthcare industry is witnessing some
major changes once every 3 years. Along with the major ones, there are some small
changes occurring at frequent time intervals. The process of change is the process of
moving out of the current state and slipping through the transition stage into the future
ones. The changes occurring in the firms have an influence on the operations of the
firm. Therefore, the health care providers must quickly respond to the external
environment and pay attention towards the future changes.
Discussion
1.1 EXPLAIN THE KEY FACTORS THAT BRING CHANGE IN SERVICES OF HEALTH
CARE
The old people receiving the care services are being affected by a large number of
aspects that can be categorized as internal and external. The main aim of the
healthcare service providers is to provide the best quality of the services both medical
aid and social services so that their recovery takes less time. The practices followed in
the organizations need to be transformed for providing new ideology to the workforce
and improve their working skills (Freeman, 2010). The internal environment complies
with the factors, the people, events and the systems and conditions occurring inside the
firm under the control of the firm. The factors are-
The mission statement of the firm or the change in the core strategy
The culture of the organization
Leadership style
Mergers and acquisitions
Business process re-engineering
The external environmental factor comprises the events that occur outside of the firm
and lead to change within the organizations and also are not under the control of the
company. The factors are-
4

Customers
Economy
Political aspects
Competition
Technological changes
Social Situations
The environmental scanning is done in order to monitor the forces or the factors that
may bring change in the organization. The factor that brings change is being described
as-
Political and legal- the factors like the change in government can foster change along
with the occurrence of the funding issues (DAILY, et al. 2014). There may be some
modernization agenda like the reformation of the workforce, the improvement of the
financial performance, the enhancement of quality and delivery and opening the choices
and competition.
Figure 1: Macro and Micro environment
Source: [Chiplunkar, 2011]
5
Economy
Political aspects
Competition
Technological changes
Social Situations
The environmental scanning is done in order to monitor the forces or the factors that
may bring change in the organization. The factor that brings change is being described
as-
Political and legal- the factors like the change in government can foster change along
with the occurrence of the funding issues (DAILY, et al. 2014). There may be some
modernization agenda like the reformation of the workforce, the improvement of the
financial performance, the enhancement of quality and delivery and opening the choices
and competition.
Figure 1: Macro and Micro environment
Source: [Chiplunkar, 2011]
5
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Cultural and demographic- the ageing population along with the lifestyle factors of the
people drive change in the firms. Along with this, the needs of the minorities and the
ethnic communities and the public perceptions that keep on changing generate new
human needs. The news media involvement also fosters some changes within the firms
(Lecca, et al. 2014).
Technological factors- the introduction of assistive technology and the new
information technology systems foster change to be introduced in the health and social
care firms. The advent of electronic communication also has brought the organizations
to adopt the new methods of communication along with the technology of electronic
bookkeeping.
1.2 EVALUATING THE CHALLENGES THAT CHIEF FACTORS OF CHANGE BRING
TO HSC SERVICES
There are a number of challenges that the factors leading to change faces in the health
and social care environment. These are some of the legal and the political issues, the
social aspects of the environmental or the economic factors. Summarizing the factors,
the PEST analysis is the best approach to identify the challenges.
Political and legal challenges- These may be challenges that are presented due to
the change in the political environment of the country like the change in the government
at the local, national or the global level. The enactment of certain legislation like the
health and social care act 2013 that was formed for making changes in the public health
systems in the United Kingdom (Davies, 2013). The major challenge in this was the
maintenance along with the development of the workforce that is highly skilled and
motivated devoted completely to public welfare.
Social challenges- these are the change in the demographic trends of the place along
with the changing preferences of the people. Also, the social values of the population
differ from place to place along with their change in the attitude toward work.
6
people drive change in the firms. Along with this, the needs of the minorities and the
ethnic communities and the public perceptions that keep on changing generate new
human needs. The news media involvement also fosters some changes within the firms
(Lecca, et al. 2014).
Technological factors- the introduction of assistive technology and the new
information technology systems foster change to be introduced in the health and social
care firms. The advent of electronic communication also has brought the organizations
to adopt the new methods of communication along with the technology of electronic
bookkeeping.
1.2 EVALUATING THE CHALLENGES THAT CHIEF FACTORS OF CHANGE BRING
TO HSC SERVICES
There are a number of challenges that the factors leading to change faces in the health
and social care environment. These are some of the legal and the political issues, the
social aspects of the environmental or the economic factors. Summarizing the factors,
the PEST analysis is the best approach to identify the challenges.
Political and legal challenges- These may be challenges that are presented due to
the change in the political environment of the country like the change in the government
at the local, national or the global level. The enactment of certain legislation like the
health and social care act 2013 that was formed for making changes in the public health
systems in the United Kingdom (Davies, 2013). The major challenge in this was the
maintenance along with the development of the workforce that is highly skilled and
motivated devoted completely to public welfare.
Social challenges- these are the change in the demographic trends of the place along
with the changing preferences of the people. Also, the social values of the population
differ from place to place along with their change in the attitude toward work.
6
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Ecological challenges- the emission of toxic materials and the hazard prevention are
the serious challenges for the healthcare firms presented by the change. Some other
are the environmental concerns and the regs like the GM foods.
Technological challenges- With the changes brought in the healthcare settings, the
technological changes are presented like the rise in the costs of the computing, the
resistance of the workforce to adopt the new technological changes and lack of training
sessions for the workforce etc (Heart and Kalderon, 2013).
Economic challenges- these include the economic aspects like the change in growth
patterns of the economy and an increase in the competition with the other firms that
lead to resistance to adapt to the change. The change in the taxation policies and the
fluctuation of the prices of the raw materials may also be a major factor that can
become a challenge.
Conclusion
The essay has covered the aspects that have brought some change in the healthcare
settings which cover the external and internal environmental factors, also, the
challenges that the factors introduce also have been highlighted.
7
the serious challenges for the healthcare firms presented by the change. Some other
are the environmental concerns and the regs like the GM foods.
Technological challenges- With the changes brought in the healthcare settings, the
technological changes are presented like the rise in the costs of the computing, the
resistance of the workforce to adopt the new technological changes and lack of training
sessions for the workforce etc (Heart and Kalderon, 2013).
Economic challenges- these include the economic aspects like the change in growth
patterns of the economy and an increase in the competition with the other firms that
lead to resistance to adapt to the change. The change in the taxation policies and the
fluctuation of the prices of the raw materials may also be a major factor that can
become a challenge.
Conclusion
The essay has covered the aspects that have brought some change in the healthcare
settings which cover the external and internal environmental factors, also, the
challenges that the factors introduce also have been highlighted.
7

TASK 2
ESSAY
Introduction
The essay will comprise of the strategy development for measurement of the current
changes in a healthcare environment. There are some of the negative as well as
positive impacts of the changes and need to be evaluated. The service responses to
change in the HSC are significant to propose so that they can be appropriately
measured.
Discussion
2.1 PLAN STRATEGY AND CRITERIA FOR MEASUREMENT OF CHANGES IN HSC
The measurement of the current and recent changes in the health and the social care
services are measured with the help of the following strategy-
One of the noteworthy steps is the collection of data about the present strategies and
the work criteria. The data is gathered by conducting surveys, organizing interviews and
group discussions etc. Also, it is important for the health and social care firm to make
sure that its employees follow the given criteria and the rules and regulations so as to
avoid any impartiality in treatment and unethical conduct. Also, the firm must plan and
enforce some new rules and regulations for preserving the effectiveness of the provided
services (Marmot, et al. 2010).
The strategy formation is further accompanied by a measurement of the change which
can be assisted by analyzing the previously collected information with the help of
primary and secondary methods of data collection. In the process of change
measurement, it will also comprise of the evaluation of the job performance of the
employees in the firm (Grol, et al. 2013). The performance appraisal program will
measure the work quality and services provided by the staff to the care users. Also, the
competitiveness in the healthcare department needs to be investigated as a part of the
strategy.
8
ESSAY
Introduction
The essay will comprise of the strategy development for measurement of the current
changes in a healthcare environment. There are some of the negative as well as
positive impacts of the changes and need to be evaluated. The service responses to
change in the HSC are significant to propose so that they can be appropriately
measured.
Discussion
2.1 PLAN STRATEGY AND CRITERIA FOR MEASUREMENT OF CHANGES IN HSC
The measurement of the current and recent changes in the health and the social care
services are measured with the help of the following strategy-
One of the noteworthy steps is the collection of data about the present strategies and
the work criteria. The data is gathered by conducting surveys, organizing interviews and
group discussions etc. Also, it is important for the health and social care firm to make
sure that its employees follow the given criteria and the rules and regulations so as to
avoid any impartiality in treatment and unethical conduct. Also, the firm must plan and
enforce some new rules and regulations for preserving the effectiveness of the provided
services (Marmot, et al. 2010).
The strategy formation is further accompanied by a measurement of the change which
can be assisted by analyzing the previously collected information with the help of
primary and secondary methods of data collection. In the process of change
measurement, it will also comprise of the evaluation of the job performance of the
employees in the firm (Grol, et al. 2013). The performance appraisal program will
measure the work quality and services provided by the staff to the care users. Also, the
competitiveness in the healthcare department needs to be investigated as a part of the
strategy.
8
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The performance measurement of the employees also comprise of the aspects like
analyzing the individual’s behavior and their work inclinations, demographical factors,
independence level life indicators quality, ranking scale measurement, stability and
internal consistency and cost and benefit etc. these aspects that analyze the
performance of the individuals also serve as a criteria for measuring the recent change
in the healthcare and social care environment.
2.2 MEASURE THE EFFECT OF RECENT CHANGES ON HSC SERVICES AGAINST
SET CRITERIA
The organisational ability to adopt the change and adjust with the change relies upon
the degree of the complexity of change. The change process affects the healthcare
settings that provide social care to the elderly people in the following manner-
Organisational efficiency and utility are affected by the change in the services
provided by the HSC firms. The efficiency is concerned with the satisfaction level of the
users of the care services and the organisational efficiency is the ability of the firms to
utilize the resources per unit of production (Best, et al. 2012).
Cost and response time are the aspects that are on a regular basis influenced by the
change thus demonstrating a strong association. The slow-paced tasks lose stream
while the fast-paced change process overpowers all the other components of the
organisational change. Ample time and availability of resources are required by the
radical changes as compared to the changes that are incremental (Drummond, et al.
2015).
Staff satisfaction is another factor that gets affected by the change process as the
relocation of the services causes the change of the orthodox roles and duties of the
employees. Many of the challenges that affect the psychology of staff like facing
difficulty in implementation of changes, the threat of job uncertainty and lack of
competency may be introduced (Rossi, et al. 2012).
Service user satisfaction is being greatly impacted by the change. The effect of the
change is unintentional in some situations like the users not satisfied with a service due
9
analyzing the individual’s behavior and their work inclinations, demographical factors,
independence level life indicators quality, ranking scale measurement, stability and
internal consistency and cost and benefit etc. these aspects that analyze the
performance of the individuals also serve as a criteria for measuring the recent change
in the healthcare and social care environment.
2.2 MEASURE THE EFFECT OF RECENT CHANGES ON HSC SERVICES AGAINST
SET CRITERIA
The organisational ability to adopt the change and adjust with the change relies upon
the degree of the complexity of change. The change process affects the healthcare
settings that provide social care to the elderly people in the following manner-
Organisational efficiency and utility are affected by the change in the services
provided by the HSC firms. The efficiency is concerned with the satisfaction level of the
users of the care services and the organisational efficiency is the ability of the firms to
utilize the resources per unit of production (Best, et al. 2012).
Cost and response time are the aspects that are on a regular basis influenced by the
change thus demonstrating a strong association. The slow-paced tasks lose stream
while the fast-paced change process overpowers all the other components of the
organisational change. Ample time and availability of resources are required by the
radical changes as compared to the changes that are incremental (Drummond, et al.
2015).
Staff satisfaction is another factor that gets affected by the change process as the
relocation of the services causes the change of the orthodox roles and duties of the
employees. Many of the challenges that affect the psychology of staff like facing
difficulty in implementation of changes, the threat of job uncertainty and lack of
competency may be introduced (Rossi, et al. 2012).
Service user satisfaction is being greatly impacted by the change. The effect of the
change is unintentional in some situations like the users not satisfied with a service due
9
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to their cultural or religious constraints etc. These situations may also take some of the
positive forms in some of the cases.
2.3 EVALUATION OF THE OVERALL IMPACT OF CHANGE IN HSC
The process of change brings with it some of the positive as well as some negative
impacts. Among the impacts, the positive include the enhancement in the working
criteria of employees, the reduction in the response and waiting time, rates of referrals
being positively impacted and the cost-benefit provisioning.
One of the significant effects is the cost-benefit observed through the good performance
of the care workers to achieve good results and therefore the cost to service ratio can
be balanced provisioning advantage to the firm. Also, the enhancement of the level of
satisfaction of the staff increases the rate of retention and also fosters the augmentation
of the skills of the experienced professionals (Brett, et al. 2014).
The contentment of the facility users with the services provided by the firm relies on the
flow of the change process depict that the advent of new technological changes in the
healthcare settings may result into increase in the reliability of the care users on the
firms. On the other hand, the announcement of any new policies can confine them from
using some of the advanced services. the policy of referral of the departments of the
healthcare settings assist in beholding good relations between the members of staff and
is a positive sign for the betterment of the firm (Stoddart and Evans, 2017).
Some of the negative impacts include the resistance of the employees to adapt to the
change which may result in the employees’ migration to other firms or the lack of skilled
labour. Also, the change process may be sometimes cost more to the firms thus they
need to keep a check on the financial data and the reserves of the resources.
2.4 PROPOSING SERVICE RESPONSE TO THE CHANGES IN THE HSC SERVICES
In the HSC services, many strategies are being used in order to evaluate the changes
and measure the efficiency. The changes are to be implemented in an appropriate
manner which in any case is not done with full accurateness and efficiency, need a
backup plan according to the requirements so as to provide an advantage to the
stakeholders of the health and the social care firms. The feedback and reviews from
10
positive forms in some of the cases.
2.3 EVALUATION OF THE OVERALL IMPACT OF CHANGE IN HSC
The process of change brings with it some of the positive as well as some negative
impacts. Among the impacts, the positive include the enhancement in the working
criteria of employees, the reduction in the response and waiting time, rates of referrals
being positively impacted and the cost-benefit provisioning.
One of the significant effects is the cost-benefit observed through the good performance
of the care workers to achieve good results and therefore the cost to service ratio can
be balanced provisioning advantage to the firm. Also, the enhancement of the level of
satisfaction of the staff increases the rate of retention and also fosters the augmentation
of the skills of the experienced professionals (Brett, et al. 2014).
The contentment of the facility users with the services provided by the firm relies on the
flow of the change process depict that the advent of new technological changes in the
healthcare settings may result into increase in the reliability of the care users on the
firms. On the other hand, the announcement of any new policies can confine them from
using some of the advanced services. the policy of referral of the departments of the
healthcare settings assist in beholding good relations between the members of staff and
is a positive sign for the betterment of the firm (Stoddart and Evans, 2017).
Some of the negative impacts include the resistance of the employees to adapt to the
change which may result in the employees’ migration to other firms or the lack of skilled
labour. Also, the change process may be sometimes cost more to the firms thus they
need to keep a check on the financial data and the reserves of the resources.
2.4 PROPOSING SERVICE RESPONSE TO THE CHANGES IN THE HSC SERVICES
In the HSC services, many strategies are being used in order to evaluate the changes
and measure the efficiency. The changes are to be implemented in an appropriate
manner which in any case is not done with full accurateness and efficiency, need a
backup plan according to the requirements so as to provide an advantage to the
stakeholders of the health and the social care firms. The feedback and reviews from
10

the service users and their family and well-wishers are effectively utilized in the
collection of the qualitative data and the quantitative data. This is done in order to
assess the response of the people from whom the data is collected. This helps in the
formation of the strategies that can result to be efficient in catering development and
overall growth in the healthcare organizations. There are several service responses that
can be proposed such as-
A good approach to leadership can be developed by conducting the analysis of
the structure of the firm which further provides the ease of fostering change
(Currie and Lockett, 2011)
The policies and several other procedures can be updated as an integral part of
the change which is a significant aspect in the transformation of the firm
The employees can be encouraged to take part in the company’s activities by
introducing favourable policies and benefits like recognition programs and
rewards and incentives for good performance of the employees.
The care users can also be involved in all stages of the change process so that
they are well aware of the changes taking place
Conclusion
In the essay, the key factors of the changes in the services of HSC have been
highlighted. Along with this, the numbers of strategies have been made followed by the
measurement of changes (Aveyard, 2014). Furthermore, the overall impact of the
change shows that there change impacts the stakeholders and the firm altogether both
in a positive and in a negative aspect.
11
collection of the qualitative data and the quantitative data. This is done in order to
assess the response of the people from whom the data is collected. This helps in the
formation of the strategies that can result to be efficient in catering development and
overall growth in the healthcare organizations. There are several service responses that
can be proposed such as-
A good approach to leadership can be developed by conducting the analysis of
the structure of the firm which further provides the ease of fostering change
(Currie and Lockett, 2011)
The policies and several other procedures can be updated as an integral part of
the change which is a significant aspect in the transformation of the firm
The employees can be encouraged to take part in the company’s activities by
introducing favourable policies and benefits like recognition programs and
rewards and incentives for good performance of the employees.
The care users can also be involved in all stages of the change process so that
they are well aware of the changes taking place
Conclusion
In the essay, the key factors of the changes in the services of HSC have been
highlighted. Along with this, the numbers of strategies have been made followed by the
measurement of changes (Aveyard, 2014). Furthermore, the overall impact of the
change shows that there change impacts the stakeholders and the firm altogether both
in a positive and in a negative aspect.
11
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