The Significance of Managing Changes in Healthcare: A Study of NHS

This dissertation investigates the significance of change management in healthcare organizations, with a specific focus on the National Health Service (NHS). The research aims to explore how effective change management can lead to the delivery of high-quality services. The study includes an introduction outlining the background, research problem, aims, objectives, and limitations, followed by a literature review that examines the importance of managing changes, the effectiveness of change management in healthcare, and the types of barriers faced by organizations. The methodology chapter details the research philosophy, design, approach, data collection, sampling, and analysis methods. The findings chapter presents the results, including issues in healthcare, the importance of change management, the impact on service quality, barriers encountered, and successful change management strategies. The dissertation concludes with a discussion, summary, and recommendations for improving change management practices within the NHS to enhance patient care. The study also includes an abstract, personal statement, reflecting log, and references to support the research findings.

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

Research design.........................................................................................................................19
Research approach....................................................................................................................20
Data Collection method.............................................................................................................21
Sampling...................................................................................................................................22
Data Analyses............................................................................................................................23
Ethical consideration.................................................................................................................24
Reliability and validity..............................................................................................................25
Research limitation....................................................................................................................25
Conclusion.................................................................................................................................26
Chapter 4. Findings / Results / Data Analysis...............................................................................26
Introduction...............................................................................................................................26
Issues in health care organization.............................................................................................26
Importance of managing changes in health care organization..................................................28
Impact of managing changes on service quality in NHS..........................................................29
Barriers faced by NHS while managing changes......................................................................30
Ways for managing changes successfully.................................................................................31
Summary...................................................................................................................................32
Chapter 5. Discussion ...................................................................................................................33
Introduction...............................................................................................................................33
Summary ..................................................................................................................................33
Conclusion ....................................................................................................................................33
References .....................................................................................................................................33
Appendix .......................................................................................................................................33
Personal statement ....................................................................................................................33
Reflecting log............................................................................................................................33
REFERENCES..............................................................................................................................34

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

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

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

All the objectives of the research are based on the aim which helps in accomplishing the
research in an effective manner. Here are the objectives:
Objectives:
 To understand the importance of managing changes in healthcare organisation.
 To identify the effectiveness of managing changes in healthcare organisation to deliver
the quality services
 To evaluate the impact of managing changes in healthcare organisation on quality
services.
 To identify different types of barriers which healthcare organisation faces while
managing changes
 To recommend different ways for managing changes successfully within NHS for
delivering quality services.
Research questions
 What is the importance of managing changes in healthcare organisation?
 What is the effectiveness of managing changes in healthcare organisation to deliver the
quality services?
 What is the impact of managing changes in healthcare organisation on quality services?
 What are the different ways for managing changes successfully within NHS for delivering
quality services?
Limitations of the Study
The present study has major aim to explore the significance of managing changes in
healthcare organisation in order to deliver quality services with respect of NHS. In this study
have major problem is that health and care sector is largely depends upon the patient's disease
as health experts have to deliver the care services according to the diseases of patient. Due to
changes in the legislation, technology and business environment, it may be quite difficult for
the doctor to adopt such changes in frequent manner.
Structure of the Dissertation
All chapters in the dissertation play a very crucial role for addressing the effective and
accurate outcome of the study. In the dissertation, there are various chapters that help

researcher in attaining the accurate result for the study. The description of these chapters is as
following-
Chapter- 1 Introduction- This is a significant chapter that provides knowledge about the aim,
objectives and research questions. Every dissertation starts with introduction that provides the
understanding about background of the study (Creswell and Poth, 2017). In the present study,
first chapter defines that what is actual aim of the report regarding to manage changes in the
health and care and its significant impact upon the quality of care services in the NHS.
Chapter-2 Literature Review- Once introduction completed then second chapter starts with
literature review which provides the detail knowledge and understanding about the subject of
study. In this chapter, several themes can be made which include all relevant information about
the topic (Carayon, Wetterneck and Gurses, 2014). In the present study, several themes related
to the importance of managing change, effectiveness of managing changes as well as types of
barriers related to managing change in the context of health and care has been included.
Chapter-3 Research Methodology- Research methodology is also very significant chapter in the
dissertation that helps scholar in collecting, analysing ad interpreting information about the
subject and finding out the best solution of the research issue. In this chapter, several
techniques are included such as approach, philosophy, research technique, data collection, data
analysis, sampling etc. All these methods helps scholar in finding out impressive solution of
research problem.
Chapter-4 Data analysis- Data analysis is another one of the significant chapter which helps
scholar in analysing and interpreting information by use of primary and secondary source. With
help of this chapter, researcher can effectively analyse, assess and evaluate the data about the
subject so that right solution can be obtained in an easy manner (Burke, 2017). Thematic
analysis approach has been used through which information can be represented in the form of
chart, graphs, tables etc.
Chapter- 5 Conclusion and recommendation- Once the data analysis chapter completed then
researcher conclude and summarise the collected information. This is very effective chapter
which provide final conclusion of entire study (Bailly and Comino, 2017). In this present
chapter, researcher has also included recommendation about the change management in

health and care organisation so that NHS can make necessary improvement for delivering high
quality of care service to patient.
Summary
From this first chapter of the dissertation, it has been summarised that it is great
responsibility of health experts to manage the changes in the health and care sector so that
right treatment and care service can be delivered to patients. Along with systematic structure
of dissertation, researcher can effectively get knowledge about each activity which will be
conducted in the investigation.

Chapter 2. LITERATURE REVIEW
Introduction
Literature review chapter of the dissertation is one of the important because it is
incorporated of different authors views and opinion. It is one of the critical parts of the thesis.
Under this different scholar, views are presented related to the selected topic. All the
information in this section if collected from the secondary sources which act as a basis with the
help of which further study is carried out. Hence with the help of literature review chapter, the
gap left by the previous researcher is analysed. Apart from this, in this chapter different
researcher views is critically evaluated in brief. This lead to help in building a strong theoretical
base for the subject under the study. The present literature review chapter includes an
overview of the change management in a healthcare organisation. Later it consists of the
effectiveness of managing changes in healthcare to deliver the quality services. Lastly it includes
types of barrier which healthcare organisation face while managing change
1.2 Overview of the topic
The last decade there has been noticed the unpredictable level of change in health and
social care services, with the intention of improving performance and making services more
accessible and sensitive to the needs of people using them. The national health service at the
United Kingdom has gone through plenty amount of changes due to the implementation of new
technologies. It is essential to implement changes so that patients can receive quality services.
Changes not only impact services user but also health care professionals. According to the view
(Curcin and et.al., 2014) of Healthcare Organisation s are complex, in part because of a
confluence of professions, including physicians, nurses, pharmacists, and administrators, each
with seemingly competing for interests, perspectives, and time horizons. To deal with the
changes is one of the biggest challenges for the health care organisation. However, it leads to

bringing growth and success within the firm. With the increase in the new technologies
healthcare form aims to improve their way of delivering services and accomplish success.
1.3 Understand the importance of managing changes in NHS
According to the view of (Cresswell and Sheikh, 2015)evolution of new technologies
bring drastic changes within the NHS as there are many health care professionals who suggest
and provide treatment through video conferencing to patients. Along with this, with the help of
digital technology and managing information system, services user can easily access different
books and journals associated with health care from internet and electronic database of NHS.
Therefore, many new technologies introduced in the market and they play a significant role in
improving services which are delivered to the patient. Healthcare firm is one of the change-
oriented industry and it greatly impacts the techniques used for providing treatment to the
patient. Castle-Clarke and Edwards, (2016) state that at present manager if carrying out its
activities at the challenging positions. It becomes difficult for them to gain competitive
advantage the health care industry and leading firm..
Different types of changes can be implemented within the firm such as the use of new
technology, change in leadership style and way of managing patient et. There is rapid changes
occur within the healthcare firm that lead to encourage to adopt new technology such as
managing information system, electronic health record etc. (Cresswell and Sheikh, 2015) state
that as compare to other sector health care is one of the systematic and organised industries
that’s main aim is to deliver quality services to patient. They are not involved in any kind of
trade activities that can increase sale or profit. With the aim of providing quality services health
care organisation need to ensure that it adopt new technologies on time. Use of new
technology also leads to increase skills and efficiency of health care provider. According to
Sousa, (2015) explained that advancement in healthcare technology move at a rapid pace,
therefore healthcare professional, nurses should stay sharp. This all play a significant role in
healthcare firm as a remote monitoring device and high-tech patient and simulator have
become common in healthcare firm. In different types of facilities, there are different levels of
technology and it is essential for nurses to adoptable at the time when they started learning

new equipment and system. For instance, application that make aware nurse that they are late
in providing treatment allow for simultaneous quality management as well.
According to the Watson and Edwards, (2016), this changes aids in improving the lives of
nurses and also enable team collaboration and providing. Along with this, it provides instant
entree to serious patient information. Nurses and another service provider can give fast
response to the changing physiological constraints with the use of evidence-based protocols
and improve patient outcomes. Tan and Liu, (2013) stated that healthcare firm such as hospital
or general or GP are information intensive industries. Basically, GP provide health care services
to its local people first. Three types of information in the healthcare organisation are such as
management information, patient information and information related to the diagnostic and
therapeutic decisions. Organizational semiotics is the study of organization using concepts and
methods of semiotics. Wager, Lee and Glaser, (2017) claimed that information requirement can
be easily deducted at the time when norms are easily find out within the form. However, each
norm has some general shape and which need to be followed in health care sectors.
1.4 The effectiveness of managing changes in healthcare to deliver the quality services
According to the view of (Marjanovic and et.al., 2017)., change management in
healthcare firm assist in improving skill and knowledge of healthcare workers. Along with this, it
helps in making improvement in way of providing treatment, keeping a record of its existing
patients and their treatments etc. In respect to delivering quality services, it is essential for the
firm to adopt new technologies and trained its staff members so that they can use all the
technologies in an effective manner. Managing change within the firm is to about handling the
complexity of the process. It is related to evaluating, planning and implementing operations and
ensure that changes are worthwhile. Sousa, (2015) argued that effective change is known as
unfreezing old behaviour and introduce a new one. In the organisation, there is some
predictable change take place which can be managed on time. On the other side, some of them
are the unpredictable change that is difficult to manage and respond. However, the healthcare
organisation change is always uncertain and occurs rapidly. In order to gain competitive
advantage, it is essential to possess ability to change, adapt and evolve to do it in better way
from others (Grol, Wensing, and Davis, 2013)