Strategic Leadership and Change Management Report: NHS Analysis

This report provides a detailed analysis of change management within the National Health Service (NHS), focusing on a case study involving strategic and structural changes. The report examines the causes of change, including shifts in government policies and organizational restructuring, particularly the transition from Primary Care Trusts (PCTs) to Clinical Commissioning Groups (CCGs). It explores the forces driving change, such as technological advancements and evolving patient needs, while also addressing resistance to change from individual and organizational sources. The analysis delves into the importance of organizational culture and its impact on employee engagement, turnover, and productivity. Furthermore, the report discusses links between power, politics, and conflict and their effects on change management. The report concludes with practical recommendations for communicating change, creating a roadmap, and providing training to facilitate a successful transition, with a justified conclusion based on the case study.

Leadership and Change Management
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Table of Contents
INTRODUCTION................................................................................................................................3
CAUSES FOR CHANGE.......................................................................................................................4
CHANGE SITUATION ANALYSIS:........................................................................................................5
CHANGE FORCES-...............................................................................................................................6
RESISTANCE TO CHANGE-......................................................................................................................6
IMPORTANCE OF CULTURE AND ITS ROLE IN RELATION TO ORGANISATIONAL CHANGE..................7
INCREASED EMPLOYEE ENGAGEMENT-......................................................................................................7
DECREASED TURNOVER-.......................................................................................................................8
ELEVATED PRODUCTIVITY-.....................................................................................................................8
LINKS BETWEEN POWER, POLITICS AND CONFLICT AND THEIR EFFECT ON CHANGE........................8
RECOMMENDATION:......................................................................................................................10
COMMUNICATE-...............................................................................................................................10
CREATE A ROADMAP-........................................................................................................................10
PROVIDE TRAINING-..........................................................................................................................10
JUSTIFIED CONCLUSION..................................................................................................................11
REFERENCES...................................................................................................................................11
INTRODUCTION:
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Change management is defined as the techniques and manners in which a enterprise
describes and implements exchange inside each its inner and outside processes. This consists
of making ready and supporting personnel, organising the vital steps for exchange, and
tracking pre- and publish-trade sports to ensure a success implementation. Significant
organizational alternate may be hard. It frequently calls for many levels of cooperation and
might involve one-of-a-kind unbiased entities within an employer (Dzwigol and et. al., 2019).
Developing a dependent approach to alternate is crucial to help ensure a beneficial transition
whilst mitigating disruption. Leadership is the ability of an individual or a collection of
people to steer and manual fans or different participants of a corporation. In commercial
enterprise, people who exhibit those leadership qualities can ascend to govt management or
C-stage positions. This assignment is based on a case of NHS. There are some changes
occurred in NHS in relation to its strategic focus and design. The report will consider
information about case scenario, causes for change and sorts of alteration experienced.
Moreover, it will explain about change situation looking into organisational, cultural and
communal aspects. Furthermore, recommendations will define in context of leading and
managing organisational change.
Introduction to the report that clearly states the aim, structure and key issues of case
scenario
When the business enterprise experience that the activities which they may be doing, the
control, the way of management, using organisational structure the human useful resource
regulations, the method of life of the agency, the liking and disliking the information and
context of the enterprise by way of manner of the workers, company structure, establishment
conception, the manufactured goods awesome are constantly demolishing the picture and
status of the organisation the question occurs that how will trade the enterprise in current
state of affairs, so while the professional comes to a choice approximately all the state of
affairs and making geared up for changing the commercial enterprise management it
outcomes inside the perception of organizational change or alternate management
(Choromides, 2018). It's miles the functionality of the manipulate that how they can get
greatest advantages and help form trade which decreases unwilling from the aspect of
employees and inspire admire splendour and manual. The approach of converting the sports
of the business enterprise similarly to the functioning of the methods and technologies to reap
the choice objective of the corporation, in simple phrases to trade the surroundings of the
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commerce company and to reap a immoderate take gain of that trade, commonly exchange
control consists of specific components such as manage exchange, model alternate and
effecting change. The very last cause of the trade management is the long term sustainability
of the corporation.
Organizational change truly way to trade the actions of the business enterprise
undertaking it can includes to trade the lifestyle of the organisation, technology, commercial
venture gadget, exchange of workers, rules and methods, staffing and desire, layout of jobs,
method of assessment, and human beneficial resource strategies, bodily atmosphere of the
corporation, plans of actions of education and improvement, venture skilled and information
and plenty of others. While the exchange of the concern employer is fundamental it's miles
called corporation alterations (Cameron and Green, 2019). Change manage way when all of
the wanted moves are taken to enhance the existing state of affairs for future to put in force
the exchange tools to get the most blessing and also see that the aims of the business
company is achieving or no longer. The predominant reason of this newsletter turned into to
problematic and produces to mild the middle idea of the corporation trade, the way it works,
various factors which movements company to alternate, phases for modification, resistance
for trade, trade forces, change administration procedures and final an instance of NHS and
what became the techniques for change organization. Appropriate suggestions and conclusion
will explain in the remaining fraction of the paper. The issues in the case scenario is the PCT
agency structure changed into visible by the Department of Health as missing in context of its
great managerial attendance and failure to deliver value in terms of assembly restricted
affected person and network desires (Tang, 2019). Both PCTs and regional bodies, referred to
as Strategic Health Authorities, had been phased out during the last few years, with
investment duties now directed to nearby well-known practitioners.
Causes for change
Investigate case scenario and determine the multiple cause for change and the types of
change experienced
An organization improvement response to strategic and structural trade inside a National
Health Service corporation an overview of strategic trade within the wider agency The NHS
has seen many adjustments in current years in context of its tactical recognition and plan, in
reaction to changes in Government phrases of workplace. In 2010, the British government
pronounced plans to launch vast adjustments to the neighbourhood control of fitness offerings
in England. These modifications could see Primary Care Trusts being replaced by means of
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Clinical Commissioning Groups within nearby fitness government (Aldulaimi and
Abdeldayem, 2020). Public fitness has historically been the duty of neighbourhood health
managers running for the 151 PCTs throughout England. They were accountable for the
recruitment of neighbourhood public health administrators and coordinating campaigns to
inspire humans to adopt healthier existence.
There are different kind of changes occurred in the respective establishment. One of the
key changes is making in the organisational structure of the company and the new
organisational structure is designed to facilitate the CCG to ‘purchase in’ management and
aid offerings from a Central Support facility. If the CCG becomes upset with any factor of the
CSS’s carrier transport, then the CCG may be accredited to ‘purchase in’ offerings from
opportunity outside suppliers. The new CCG is liable for an annual price range of around £3
billion. This new structure is reflective of Ulrich’s Business partner model which endeavours
to consolidate the executive and expert maintains provisions offered to the enterprise’s
operation. The Key purpose of this tool are to minimise the repetition of management and
specialist support actions across the company, and to make focuses of capability that can sell
their facilities interior consumers. The advantages of this approach to organisational design
are suggested to include cost funds, effectiveness and maximisation in the excellence of inner
facility terms (Aldulaimi and Abdeldayem, 2019). This approach can also be reported to
result in the demotivation of concentrated inner facility providers as they become more
detached from the day to day operating of the operational side of the company.
Change Situation Analysis:
Determine the change situation looking into its organisational, cultural and social
dimensions
As they have mentioned in advance than that organisation exchange takes place cause of
some elements that may be outside or internal, such aspects might also moreover convey
alternate within the task activities of the corporation and might also generate issues to harder
the alternate manner, as each understand that change makes confrontation, and this conflict
may also generates massive issues, resistance to exchange is likewise from the antique
personnel or centre degree administrators or humans as they always appose to the alternate
techniques due to their very own way of questioning and notion concerning the trade idea,
this may be cause of lacking of awareness approximately the state of affairs or because of the
self interest of the vintage workers however whatever can be the causes however it's far detail
that alternate continually deliver resistance, now it's far up to administrators that how they
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lessen the strength of the conflict and positioned into effect the entire exchange strategic
business model inside the business (Hussain and et. al., 2018).
Change Forces-
The following are the major forces that convey exchange inside the employer. These
are as underneath but it may base on the corporation surroundings and the regarding the
employer. Change in new authorities guidelines and regulation, modification and
improvement in new resources, Social and way of life fee exchange, Change in country wide
and international financial situation and exchange regulations and rule, Technology growth,
alteration in purchaser flavour and needs, Development and modernism in production
technique, New goods and services layout modernization, New thoughts approximately the
commodities that the way to deliver clients price and pleasure, Office and industrial unit
transfer toward clients, providers, and marketplace, character of the body of workers,
generation , financial shocks, of completion, social trends, and international politics.
Resistance to Change-
Change generates issue to alternate in every agency; it is the respond reaction from the
area of the vintage personnel. When change plans have executed within the corporation the
personnel rapidly reply through voicing lawsuits, attractive in paintings slowdown,
threatening to head on strike, and so on. But care should be occupied with the aid of the
change control professional to conquer the conflict. Main power for resistance to alternate:
resistance to alternate forces classify into important heading, organizational resources
1.Individual Source Resistance To Change Includes The Following: Habit, safety, selective
data processing, financial aspects, worry of the unidentified.
2. Organizational Sources for Resistance to Change contain the Following: Limited focus on
modification, enterprise structural inertia, chance to proficiency, hazard to mounted power
relationship, group inertia, hazard to installed resource allocation (Gryazeva-Dobshinskaya
and Dmitrieva, 2018).
3. Overcoming to Resistance to Change.
Overcoming to resistance to alteration manner to apply the strategies to reduce the
depth of the resistance to exchange, the alternate dealers have the capability to use those
processes (Galli, 2018). They are as underneath.
A) Implementing alternate pretty.
B) Selection folks who accept change
c) Education and conversation
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d) Participation
e) Building aid and commitment
f) Manipulation and cooptation
D. Organizational Change Managing Approaches
When change management occupied vicinity within the organisation, now the query is
how high-quality you can actually control trade. There are 4 tactics to exchange management.
Lewins traditional 3 phases version of modification procedure, Kotters eight step plan, action
studies, and organizational improvement. According to the Lewins version the organisation
ought to comply with three phases for flourishing change administration, which can be.
Unfreezing: the popularity quo, changing to get over the force of each person resistance and
team conformity. Movement; preference give up country, an exchange procedure that
converts the corporation from the repute quo to a favoured end position. And refreezing the
new exchange to make it everlasting, alleviating change interference by using balancing
using and containing forces.
Importance of culture and its role in relation to organisational change:
Organizational culture is the collection of values, expectations, and practices that
manual and inform the movements of all group people. Think of it as the collection of trends
that make your agency what it's far. A top notch life-style exemplifies positive developments
that cause progressed standard overall performance, whilst a dysfunctional organisation
subculture brings out qualities that may save you even the most a fulfilment organizations.
Organizational way of life impacts all factors of the enterprise, from punctuality and tone to
agreement terms and worker advantages (Faupel and Süß, 2019). When place of business
life-style aligns collectively with your personnel, they’re more likely to revel in extra secure,
supported, and valued. Companies that prioritize subculture can also climate tough instances
and modifications inside the business corporation environment and come out more potent.
Culture is a key gain with reference to attracting talents and outperforming the opposition.
Significance of culture in context of organisation is as under:
Increased employee engagement-
An artwork atmosphere that acquires organizational life-style is pushed by the usage
of motive and clear expectations. This motivates and inspires personnel to be greater engaged
of their paintings responsibilities and interfaces with others (Burnes, Hughes and By, 2018).
It also ends in high ranges of body of people engagement that makes productiveness. Having
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a powerful connection to a corporation and its human beings makes surroundings of
positivity this is tough to push aside.
Decreased turnover-
Individuals who sense realized and respected at an agency are less probable to move
away it. That's why it is critical for manufacturers to promote a prevailing organizational
subculture that sustains their centre beliefs and task statement. Effective people mean much
less revenue, which saves agencies time and money in the staffing procedure. Corporations
that gain a sturdy manner of life should take steps to preserve and beautify it.
Elevated productivity-
When workers have the assets and gear they require to be successful, it permits
growth productiveness and presentation stages regular. Organizational lifestyle affects the
shape of a place of work in methods that carry individuals of the identical capability set
together. Those who share related backgrounds and abilities may fit greater short collectively
while tackling organization obligations.
Culture may be an exceptional enabler of organizational alternate—whether or not the
change entails digitization, faster product improvement, or a systematic lowering of prices.
Overall, alternate projects are most effective followed and sustained about half of the time,
our survey shows. But when company’s faucet into the energy and emotional dedication
which might be bound up of their cultures, trade initiatives are far extra sustainable. In any
important change initiative such organisational change situation in NHS, it is the task of
management and the people laid low with the transition to figure out the way to harness the
robust cultural attributes of their employer to construct momentum and create lasting
exchange. Companies that are able to do so—to take what we call a “subculture led”
technique to trade—appreciably boom the velocity, success, and sustainability of their
transformation projects (Onyeneke and Abe, 2021). Based on our survey findings, the
percentages of achievement are about twice as high with lifestyle-led exchange than with
greater traditional exchange-control approaches.
Links between power, politics and conflict and their effect on change:
Power is the capability a person must have an impact on any other. The extent of this
power is, however, decided, to a big quantity, by way of the notion of the time period power
by using the character at whom the power is focussed. It may be greater significant what an
individual thinks an advanced officer’s power is than what in truth it's far. Managers may
obtain advantages of this phenomenon by way of pretending they have got extra power than
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they truly have, that is, by means of bluffing. If an administrator’s bluffing succeeds, the
outcome is accurately similar to if the only bluffing truly acquired the official power.
Therefore power is a sensitive phenomenon (Neves, Almeida and Velez, 2018). This is due to
the fact of the effect of subjective aspects, inclusive of ethical and moral deliberation.
Appropriate utilize of energy directs to the fulfilment of favoured goals and aims. Ineffective
utilisation of power or failure to apply energy while the want starts has been defined because
the predominant purpose of imperfect functioning of a device. This is probable amongst
inexperienced administrators and the ones who lack self-confidence. They generally tend to
avoid using electricity, favouring to skip troubles with hard workers and so on to others. The
organizational issues of not the usage of strength accurately turn out to be increasingly more
suggested regarding the pinnacle of a business as in hierarchical systems abandonments of
authority have results all the way down the line. Yet, trying to utilize authority that one does
now not have may be equally adverse.
Organizational politics associates to behaviours that are exterior those within the
business enterprise has occupied a particular place for or against, the behaviours are
planned to achieve individual goals that are adversarial to the aims of others in the
agency. Organizational politics may additionally centres at the objectives of businesses as
well as people and they will well contain behaviours that are destructive to the enterprise
as a whole. Organizational politics create very ambivalent responses due to the fact
human beings appearance at the complete procedure each unenthusiastically and
undoubtedly, basing on the specific angle they have got in mind. However, those who are
flourishing in organizational politics tend to be considered undoubtedly possibly as they're
successful competition in other respects as properly (Dzwigol and et. al., 2019). By using
effective and appropriate form of power, the political issues and conflicts within the
workplace can be solved by the management of NHS in change environment.
Organisational power, politics and conflicts all influence the change in different
manners. For example, there are organisational structure change is made by the management
of NHS in order to effective running of the business. There are different kind of issues can be
faced by the firm, in order to manage these issues the administration can adopt appropriate
form of power which support in managing the conflicts and issues which are occurred due to
change and negative politics.
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Recommendation:
Recommendations to lead and manage organisational change, reflection on leadership
issues, employees’ engagement and organisational development
There are some suggestions which can be considered by the respective in context of
leading and managing organisational change. They are as:
Communicate-
Keep the lines of conversation open among you and your personnel. Take the time to offer an
reason for why the change is going on, and what it'll seem like in workout (Choromides,
2018). Make yourself open to questions, preserve team conferences, and invite your
evaluations to return back see them and communicate through their concerns or mind in a
neutral environment.
Create a Roadmap-
Help your personnel recognize wherein the agency is, wherein it is been, and in which
it's far going. Laying this out absolutely will showcase the notion and method at the back of
the change, and will help staff see the manner it fits into, or is evolving from, the corporation
model they have got turn out to be conversant in.
Provide Training-
When the trade includes shifts in technology or strategies provide good enough training
to your employees to help them grasp the ultra-modern way of doing things. And make
certain that you carry that this training can be available whilst the change is introduced, as a
way to avoid personnel feeling like they'll be left at the back of because of lack of skill or
experience.
According to my understanding, reflecting at the learning can be an empowering
procedure because it enables to investigate the scenario, take decisions, and set a route of
action, and critique at the learning. Today, the position of leaders is extremely essential first
successful overall performance of a business enterprise (Cameron and Green, 2019). I even
have understood that an awesome chief allows in growing the talents of their co-workers
motivating them and sharing information to improve their abilities. As according to my
opinion, even when leaders have top theoretical expertise, they ought to possess practical
revel in a good way to proceed with figuring out answers for the troubles. Along with this, a
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leader with appropriate leadership skills, can support in running a business in change
situation in appropriate manner by encouraging its employees.
Employee engagement is described as the diploma to which personnel are devoted to
their business enterprise, passionate about their paintings and invested inside the
organization’s success. However, attractive personnel isn’t approximately just giving them
work they enjoy but giving them a experience of motive and pleasurable their passion.
Employees want to work for a corporation with dreams beyond earnings margins and with
humans they like (Tang, 2019). Engaged personnel accept as true with to your business
enterprise, price your product and are captivated with the work they do. This interprets into
unheard of customer service in which employees go above and beyond for the human beings
they serve. Customers choose up on engaged employees' pleasure and ardour, which
influences their shopping for selections.
Justified conclusion
This has been summarised from the above defined information that any kind of change in
an organisation influence the running of the company. Information about organisational
change in NHS is defined in the assessment. Along with this importance of culture and roles
of its in organisational change is mentioned. In addition to this, recommendations are defined
to lead and manage change with effective reflection on leadership. Change in Organisation is
very important it helps to increase both creativity and productivity. A manager should always
keen to find new ways to solve problems in effective way.
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REFERENCES
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and change management in higher education to boost sustainability. International Journal of
Higher Education and Sustainability, 3(1), pp.34-51.
Burnes, B., Hughes, M. and By, R.T., 2018. Reimagining organisational change
leadership. Leadership, 14(2), pp.141-158.
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the models, tools and techniques of organizational change. Kogan Page Publishers.
Choromides, C., 2018. Leadership and change management: A cross-cultural
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Dzwigol, H. and et. al., 2019. Formation of Strategic Change Management System at an
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Hussain, S.T. and et. al., 2018. Kurt Lewin's change model: A critical review of the role of
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