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Leading large scale change: A practical guide

A guide to leading large scale change through complex health and social care environments

Leading Large Scale Change: a practical guide has been produced by the NHS England Sustainable Improvement Team and the Horizons Team, NHS England, to help all those involved in seeking to achieve transformational change in complex health and care environments. This guide has been fully revised from the original 2011 publication to refect latest policy and practice, in particular responding to the NHS Five Year Forward View (October 2014), the Next Steps on the NHS Five Year Forward View (March 2017), and the ensuing development of new care models and Sustainability and Transformation Partnerships (STPs) across the country.

This guide has a number of different resources which you can use according to your local needs and circumstances and has been designed to be interactive, offering many links to useful, external sources. As a starting point, it is recommended that you watch the introduction to leading large scale change video, providing insights into why large scale change is so different to incremental change.