Strategic Change Management Report: Govan Health Centre Analysis

This report focuses on change management within the Govan Health Centre, a community healthcare center in Glasgow, Scotland. It begins by outlining the background, including patient-level needs like reducing A&E visits and improving patient safety, and organizational-level needs such as adapting to technological advancements and changing regulations. The report then analyzes the situation using PESTEL and SWOT analyses to identify internal and external factors influencing the organization. It evaluates various change management theories, including Lewin's and Kotter's models, to determine their applicability. The report proposes a strategic plan for implementing change, offering suggestions for strategies and analyzing their potential benefits, aiming for sustainable improvements in patient care and organizational efficiency. The ultimate goal is to improve chronic disease management and reduce the demand on acute and residential care.

Managing Change

Table of Contents
INTRODUCTION...........................................................................................................................3
MAIN BODY .................................................................................................................................3
Background .....................................................................................................................................3
Analysis of the situation with in the organisation where changes is essential and what has to
be changed. ............................................................................................................................3
Evaluation of the different theory's and concepts of process change which help to get the
support of those who get affected by change. .......................................................................6
Approach to be used for a change process and develop a strategic plan for its implementation9
Strategic plan for implementation of approaches.................................................................11
Suggestion for implementing strategies and analyse the benefit including to make this
sustainable..............................................................................................................................1
CONCLUSION...............................................................................................................................3
REFERENCES ...............................................................................................................................4

INTRODUCTION
Managing change is the essential term or part of the organisation management which
involve the various steps, activities, approaches and theoretical support for making the important
changes with in organisation in order to make it effective and competitive, by meeting the
changing requirements of the consumers and situation (Anderson, Nasr, and Rayburn, 2018).
Change management is the combine function of different approaches and strategies which work
together to help, support then organisation team and individual in order to make company
changes. Govan health centre is the community health care centre of Glasgow, Scotland UK.
This report is about organisation improvement strategies development by the analysis of issues
needed to be change and then implementation of changing approaches along with evaluation of
its effects in organisation development and growth.
MAIN BODY
Background
Two vulnerable patients were joined the Govan SHIP under which their mental
condition's were improved in comparison to their previous condition. Such as the 22 year old
patient was having the personality disorder and anxiety illness. This person was presented to
A&E 590 times. Another patient was 66 year old person with the mental condition, know as the
dementia and there was the risk of his safety and care due to the difficult situation of his
daughter addiction.
Analysis of the situation with in the organisation where changes is essential and what has to be
changed.
Patient-level
Need for a reduction in a & e visits- This is the the important area of the improvement
in context to the patient level. So this can be done by changing some procedures of patient health
management, with in residential care services, home care services and at the hospital. Changes
is require to be done in the form of effective and improved care facility's and services which will
improve the patient condition and reduce the chances of the accident.
Improved patient safety in their social environment- There is need to develop and
implement more safety interventions in context to the patient safety in their social environment.

This can be done by the development of more regulations, awareness, people and patient
knowledge and personal nurse facility for care and safety at every stage.
Improved quality of care and well-being of vulnerable patients- Mental health care
organisation and residential care organisation have to improve their quality of care and well-
being of vulnerable patient with effective sessions and health, hygiene management with more
facility's and evidence based practices.
Organisational-level
With in the developing nation, people requirement and different health care issues, health
care organisation need to change their organisation process and techniques with the aid of new
technological implementation and unique patient management strategies. In order to meet
competitive edges and provide the best care to patients. In order to analyse the situation of the
change organisation has to conduct the internal and external factor analysis by the aid of
PESTEL analysis and SWOT analysis (Bailey, 2019).
Internal and external factors are the essential element which highly influence the business
strategies of organisation, it involve the consumers needs, finical condition, market and
organisation techniques, law of the nation and so on. Govan SHIP using this change managing
function in order to change in the person care process with in the application of GP practices.
Brief explanation of the organisation situation analysis with the aid of effective tool and model is
given below.
PESTEL analysis
This is one of the most effective external factor analysis tool which help the organisation
to analyse their organisation needs for the improvement and changes. This include the analysis
of the political, economical, social, technological, environmental and legal factor in order to
understand the are of the organisation which should be change.
Political- It involve the analysis of political factor's of the market and nation related to
the organisation, such as rules and regulation for the company process and management. In case
of the Govan SHIP political factor is law of people effective care and safety, which influence the
organisation to change their process of care such as political factor's create forceful situation
improve the care process with new and effective care techniques. So that organisation need to
change their care practices with most effective, healthy and safe process along with various care
facilities in order to meet legal sustainability.

Economical- This involve the finical condition's of the patient in context the health care
organisation and nation economy, according to which health care organisation have to develop
their process plan. Financial problem of the patient is the situation, which influence the
organisation to make some care process which can be provided to the patient at lower cost to in
free of cost. Health care sector economy is support by the government so they have to focus on
poor people and reduce cost of the services.
Social- This factor involve different social and ethical elements of community along with
their health care needs. So the developing requirements of the patient in prospect to the health
issues and their ethical satisfaction needs is the situation which create the need to change their
behavioural and care process. Organisation can get the help of community to manage and
improve the patient and conduct the partnership working .
Technological- For every type of organisation technology is the most essential factors
because its updated and effective implementation helps to achieve the goals easily with
progressive results and if it is not updated then other organisation can grab that opportunity
along with the consumers. So same in the health care organisation patient treatment and
management is can be effectively done with the aid of new technologies. So its positive impact
on patient care make the positive force situation for technological changes and effective patient
care.
Environment- This involve the changing environment condition's and government
legislation and according to this organisation have to manage their functions. In context to the
political rules for the environment management organisation have to avoid unnecessary waste of
resources and manage it with specific waste manageable techniques.
Legal- This factor is involving changing rules and regulations of the government in
context to the organisation management functions and operations. Such as legal act mental
health care practices and employees safety continuously changing and organisation have to
adjust their plan and functions according to that.
So it is clear that external factor's created situation for the changes is legal sustainability,
patient health situation, financial unsuitability and inappropriate situation of the people in
context to the health along with the environment condition's are the situation, which create need
to change health care process, facilities, techniques. Govan SHIP have analysed the need of adult
mental health care and then they aim to Reduce demand on acute and residential care and

Improve chronic disease management in order to make difference in the Attendances at A&E for
one individual. As huge number of the mentally ill adults patient create the inappropriate and
unspecific situation with in the organisation (Carini, and et. al., 2019). So for solving this
situation organisation focus on the health care practices improvement along with changes in
facilities with better options which can aid to improve that situation.
Evaluation of the different theory's and concepts of process change which help to get the support
of those who get affected by change.
Change management is important for every type of organisation, and in context to the
health care organisation it is similarly important. There are the different models and theory's of
the change management given by the various specialist and psychologist. This model help the
organisation manager to make the changes with in the organisation and instruct their team to
adjust with in the changed process (Levin, and Crighton, 2019). This is essentials in order to
sustain in the environment with successful plan. In health care it can be related to the facilities,
techniques, process, technology's etc.
Lewin's Change Management- Kurt Lewin born in 1890, was the Psychologist who
was developed this model of change, which is divided into three steps, that is unfreeze- change-
freeze.
Unfreezing- This is the firs step of change making, in which every one have to prepare to
accept the new changes. It start from the braking of present process and techniques before the
selection and implementation of new process. Their is requirement of the strong support and
strong efforts to change. In context to the Govan SHIP project they have to first remove some
inappropriate process and make the people understand new process. Such as this project unfree-
zed the long term process of attendances at A&E.
Change- This is the second step where people have to analyse new way of process by
resolving their uncertainty. Once the new process and techniques get selected then it should be
implemented with in the organisation system. Govan SHIP have selected the new process of the
patient care under the multidisciplinary approaches and Gp practices, with the support of social
care workers and some health care professionals. Where workers and professionals have to
understand the new process and practices.

Freezing- After the making the changes in the organisation process and functioning next
step is to refreeze it with, organisation chart, rules, regulation and job role differentiation. Then
Govan SHIP have make this permanent, freeze process, by distributing the different GP practices
and role to the workers and professionals along with code of conduct. Such as they have selected
to give the holistic care process at home with home cleaning and GP appointment.
Strength
This model helps to syntagmatically manage the changes within organisation and
employees.
Weaknesses
It take time to unfreeze and adjust the environment within new strategies and
implementation of the new performance. Some time it case inappropriate behaviour of
employees and staff due to the changing environment.
Kotter's 8-step model- This is other model of the change management and this involve
top to sown approach for the change. In context to the health care it include the focus on needs
of urgency and momentum in order to make the sustainable changes in the healthcare. 8 step this
model is given below.

Create the sense of urgency- This is the first step where identification and highlighting
of the further threat is done, which should be remove with further steps of the change. Then it
involve the analysis of most effective alternative and intervention for the replacement of that
threat. Then discussion with the people to support this change.
Development of the guidelines- This is the second most important step where analysis
of the leader from team and the key stakeholder is done order to get their support and
involvement in the changing process. As in this case social care workers, patient and
professionals are involve, for changing the some situation of the organisation.
vision and initiative- There in this step Vision of change should be clear to the team
along with step of the process. Such as in this case vision is to improve the chronic problem care
process and reduce the needs of residential care (Ling, Guo, and Chen, 2018).
listing of the team- This is the step where team is groped with their individual roles and
responsibilities in order to accomplish the objectives smoothly.
Remove the barriers and enable the action- This step is to analyse the process and
remove the error in order to facilitate action.
Create short term wins- This step involve the development of short term step for the
process In order to achieve that easily (Malloch, 2017).
Sustain acceleration- In this step improvement of the process is done in continuous way
by the analysis of results of process and patient stories.
Institute change- This is the final step where success stories are discuss in order to get
the supports of other in process of changes.
Strength
This is most effective model provide the step by step guidelines for the management of
change process and effective implementation of new things.
Weaknesses
This is the time taking process and in some step this can cause frustration and
dissatisfaction.
ADKAR model

This model is given by the Jeff Hiatt under which five acronym represent different steps
that person need to achieve for making the log lasting changes. Describe below in context to the
selected organisation.
Awareness- Individual or team should have aware about the needs for change.
Desire- Team and individual should posses the desire for participating and support the changes.
Knowledge – They should posses the sufficient knowledge about change that how to done it and
what will the effects of changes.
Ability- Every one should be able to implement changes and behave right with in the changes.
Reinforcement – people should be able to sustain the changes.
In context to health care organisation and care process professionals and paint should posses all
these property in order to get positive and effective changes (Manning, 2021).
Strength
That is outcome oriented and provide map in order to understand the thing which has to
be done in prospect to change.
Weaknesses
This process ignore the programme management, lack of clarity. this appropriate for
small changes only.
These model will be appropriate for the management of change with organisation, these
models is can be use by the Govan SHIP change management objectives. According to the
requirement and needs of the change and the relative and effective model will use in context to
each change.
Approach to be used for a change process and develop a strategic plan for its implementation
In context to the health care process there are the various approaches which can be use
for the replacement and removal of the existing, situation, process of the care. In this case study
Govan SHIP have selected the three different approaches for the health care management of
mentally ill adult, along with the objective of making changes in the attendances at A&E in order
to dementia patient improvement (Mckeaveney, and et. al., 2020). Strategic plan for the
implementation of changing approach is discuss below.
Govan SHIP- This project of Govan SHIP (Social and Health Integrated Partnership)
was launched in April 2015 in order to change and improve the patient care by the aid of general
practices and Health & Social Care Partnerships collaboration opportunity (Nahin, and et. al.,

2019). That project was develop in prospect to the inverse care law and deprivation its SMART
objectives are as follow.
 Its main objectives is to manage the health care issues effectively with step by
step strategies. Such as it involve the analysis of the patient needs related to the
GP practices level care services needs.
 It also involve the analysis of present opportunity to reduce the chances of
secondary level care at the initial face of primary level care. By the early
intervention.
 Identification of the existing health care services in order to use it effectively.
 Implementation of the person centred care approach on the basis of patient needs.
 Its aim is to develop the evidence based techniques and practices for care by the
aid of qualitative and quantitative study.
 Better use of the new and existing techniques and services of the health care.
Approaches of the Govan SHIP for the achievement of their selected objectives is
explain below.
Alignment with Social Work- First step is to align the social care workers, start from
the registration, then identification of experience, skills and ability in order to differentiate their
role in the task achievement plan.
Multidisciplinary approach- This is the very essentials method of the health care
management as it involve the combine process and approaches of the possible treatment and care
for the patient. (MDT) This approach involve participation of the multiple health care
department such as the health visiting, social care workers, district nursing, rehabilitation,
community workers, mental health care nurses, practice nurses and so on. It work with monthly
meeting and care plan, which involve the different roles of the professionals such as
understanding of the patient along with identification of their needs.
GP practices- general practitioners is having very important role in the treatment and
management of some common medical condition's, their responsibility is to analyses the
condition and refer it to special treatment if urgent and con not be mange at that place (Nelson‐
Brantley, and Ford, 2017). This is the third approach of the Govan SHIP project which involve
the various general care practices, which has to be provided with in the four additional weekly
sessions. Such practices are case review and planing, extended consultations, child protection

hearing, adult support and protection and poly-pharmacy reviews along with some leadership
activities such as information, children and families involvement along with their care, frail and
elderly, unscheduled care.
According to those to patient stories this project have used this three approaches in order
to reduce the numbers of cases at A&E, to reduce the demand of acute and residential care and to
improve the chronic disease management. By the aid of different practices and process of these
three approaches and along with strategic plan for its implementation given below.
Strategic plan for implementation of approaches
In this case of the study Govan SHIP plan is to develop the multidisciplinary team from
the professionals of different hospital and community, such as involving social care
professionals and patient management professionals for the crisis situation (Prytherch, and et.
al., 2019). Patient for this project objective achievement is selected from the vulnerable category,
for example patient who is suffering from the mental disorders and addiction problems and along
with the complex needs of the care.
So strategies is to provide the holistic care along with medical care for the improvement.
Its implementation start from the CARE plus initiative facilities, which involve the multiple care
plans and free services for example Medicare. So this inclusion aid to provide the long
consultation with GP and nurses support. Through this practitioner and nurses become more
aware about patient problems in order to make the list of most essential needs to be fulfil.

Then with the aid of Government funded link workers , some community link workers have
selected for the two different GP practices such as lunch club and self help group services in
order to take care of their health with healthy food and some self care medical services.
Regular GP appointment and holistic care is provided to the one mentally ill adult and one
addicted girl, for betterment of their health and result postpositively. Because earlier patient has
presented to A&E 590 times and after the regular 30 minutes GP appointment process, from
November 2014 to January 2015 patient has presented to only 30 A&E process.
In second case of the patient they have been achieve the success in improvement of cleanliness
in living standard by the aid of holistic care services (Rossi, and Lopez, 2017).

Suggestion for implementing strategies and analyse the benefit including to make this sustainable
As per the above case study, the scenario is based on dementia in which this is drive that
the people used to face various issue as per brain disorder. The Govan ship make this project in
such a positive way to reduce the patient which is related with this kind of health issue. In this
case, there are two case study are given and it is differentiated in age group (Slaven, and
Murphy, eds., 2017). The multidisciplinary team is made strategies in both cases to overcome
from this issue. While taking both of the case study in consideration and suggestion is given in
base of given patient story. Also how this strategies implemented and make it sustainable.
Patient story 1
This story is concern with a adult 22 year old. In this, the adult is facing issue related with
personality disorder and anxiety illness. As per this, the person presented himself to A&E for
590 times. There are various agencies try to taking care of person such as psychiatry, general
practice, emergency care and many more. But there is no change or improvement will occur.
Multidisciplinary team active and prepare plan chart which is like 30 minute of appointed which
is taken by A&E and general practices (Yang, Zhang, and Lee, 2019). In addition to this,
general practice taking weekly which is followed by community of psychiatric nursing.
As per this, the regular and routine check-up and counselling is necessary for patient. The
multidisciplinary team taking an corrective action. In this it help person to recover from this and
feel relax. In addition to this, the person who is facing personality disorder have very serious
issue with some kind of perception. The pathological condition of a person who is going through
personality disorder have concern and they usually feel stress for no reason. The isolation of
these type of patient can harm their mental state. So, the approach which is driven is essential for
that specific person to share their view which help them to reduce stress and feel free. This also
used in appropriate way to reduce the more complication which is arise further. Moreover, this
approach help him to make collaborative behaviour with other and they share their thought and
view on a particular topic to other can minimise the complex situation which is created when
person make it self isolated. This implementation become sustainable when proper medication is
also provided in minimum dose like using of anti-anxiety medication such as diazepam,
alprazolam and may more. This medication also help to reduce stress and support strategies
which is implemented and approach become sustainable. As per their past records which provide
an overview that person attended A&E 30 times in month November 2014 to January 2015. as
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per this, the GP board and multidisciplinary team must focus in brief and maintain their daily
counselling. This enhance positive atmosphere and this help him to recover as soon as possible.
Patient story 2
As per this case study, this story is based on 66 year old who is facing the situation of
dementia and according to report the person have very critical situation. Because the person have
social circumstance are approx zero. In this context, the daughter who is taking care of her father
is having serious issue of addiction (Tang, 2017). So this raise an problem for home care. As per
this multidisciplinary team involved with carer who dealing with addiction problem. As per this,
the social work team and addiction team start to taking care of carer. In this case, the psychiatric
is need to know ground problem from their it all started. According to the various intervention
they try to make and fact which help them to stop doing any kind of addiction which may harm
the life and does not create situation which is life threatening. This strategies only work when
engagement is with carer to manage the changes which is required to treat and make away from
substance that carer used to take for their addiction. The plan which is implemented in such a
way which help carer to overcome from this all.
As per this, they set plan to allow home care provider and to gain impact and as per this it
help to know factor and make proper strategies for their personal care. This help to support and
for key housing which is called as housing association. This provide an assistance to improving
standard of cleanliness within home which is required to improve life style and living standard.
As sustainable prevention from these disease. There are universal program which address various
risk and protective factor which is common to all addictive patient in such a setting such as
school, college and community. The selective program which implies between group of children
and teen which have specific factor that put the essential value which male them and addition.
This enhance the risk of drug use. As per this, try to prevent and focus on carer with every proper
manner, such as analyse their behaviour and create strategies to change their routine which
usually they follow. Try to make busy with work and task. In this, last one is indicated program
which designed for youth for those who are facing already issue with using drug. After studying
this all the strategies which is followed by GP and multidisciplinary team is good approach and
this help carer to overcome this all (Solander, and et. al., 2019). This is also a sustainable
approach usually taken by number of agencies to control this.
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As per above strategies which is implemented is enough to help patient in both the case
story. As per this, they must implemented and examine their recovery rate by using adolescent
cognitive experience. This is called as ABCD and this help ton know the child changing biology
to affect the brain development and social, behavioural, academic, health, and other various
outcomes ( Surtiana, and et. al., 2020).
CONCLUSION
From the above study it has been analysed that for the success and growth of any type of
organisation. Company have to manage their process and techniques according to the changing
situation and requirement and for the managing changes is the best way to identify the changes
requirements and implement the different approaches to make changes. So this management
function involve different steps such as analysis of the situation and factors which has to be
change, this can be done by the use of internal and external environment factors analysis models
such as PESTEL analysis and SWOT analysis. Then in order to get the support of different
change influencing factors organisation should use model and concept of the change
management such as Lewin's Change Management, kotter's theor, ADKAR model and so on.
Then after the involvement of change management model next is to select and justify approaches
along with the development of strategic approach for its implementation. In context to the Govan
SHIP their changing approach is including the Multidisciplinary approach and GP practises. This
approaches and strategic plane is implemented by the aid of change management theory's and
evaluation of changes sustainability is done by the help of data analysis techniques.
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