Top-down approach

Top-down approach

NHS collaboration hospital mergers trusts acquisitions foundation funding healthcare

NHS collaboration hospital mergers trusts acquisitions foundation funding healthcare

Healthcare collaboration is best managed from the top down - Yes or no?

While there is little argument that change is necessary if the NHS is to survive, the best way to implement that change, and agree who should drive that change is less certain. The recent Challenge Top Down Change campaign within the NHS supports a bottom-up approach, a strategy that is supported by Stephen Dorrell. By contrast, Matthew Custance argues firmly in favour of a top-down led approach. Beccy Fenton explains why the health service should plot a route somewhere between the two. 

Matthew Custance

“Standardisation is important, but it’s only part of the story. Any change process requires supportive, inspiring leadership”  

Beccy Fenton

“Leadership needs to set out the vision and objectives of the collaboration, but the front line must be given the role of driving the delivery.”

Stephen Dorrell

“Management should define the objectives of the organisation with clarity and appoint local leadership which is committed to deliver those objectives.” 

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