Modernisation Initiative

Location: Guy’s and St Thomas’ NHS Foundation Trust, Lambeth Primary Care Trust , Southwark Primary Care Trust, King's College Hospital NHS Foundation Trust and NHS London
Grantholder: Sir Jonathan Michael (former) Chief Executive, Guy's and St Thomas' NHS Foundation Trust
Award: £15,000,000
Start date: 01/11/2003

Project intentions: A major initiative to modernise health services in three key areas in Lambeth and Southwark, making improvements to kidney disease, sexual health and stroke services.

The Initiative aims to provide a step-change in the way services are delivered by involving patients and health professionals from across the health service and community. The grant included £500,000 to fund an independent evaluation by University College London and King’s College London.

Results
The independent evaluation describes the impact of the first three programmes. The efficacy of the MI model, including an assessment of 'enabling' and 'restraining' factors, the importance of senior management leadership and meaningful patient involvement is assessed.

The evaluation is available to download:


Resources




Practical Recommendations
The Modernisation Initiative Director, Fran Woodard, published a practical guide based on the knowledge gained from actual cross organisational change projects entitled How to Achieve Effective Clinical Engagement and Leadership when Working Across Organisational Boundaries – Practical Recommendations.

The guide contains recommendations based on the knowledge gained from actual cross organisational change projects. These change projects aimed to improve the quality of patient care delivered. They have helped to identify the characteristics and impact of high quality clinical leadership, engagement and team effectiveness, when working across organisational and professional boundaries, particularly when focusing on the patient journey.

The guide aims to pick out the main elements that facilitate clinicians to lead change across organisational boundaries, and to offer the basic tools and techniques required whilst exploring how these can be applied. These include contextual factors, skills and individual behaviours.

‘Practical Recommendations’ will benefit frontline clinicians and managers who want to improve the quality of care for patients across organisational boundaries.

Download: How to Achieve Effective Clinical Engagement and Leadership when Working Across Organisational Boundaries


General learning from the Modernisation Initiative
In the last few months of the Modernisation Initiative (for kidney disease, stroke and sexual health services), David Jones, Director of Grant Making met with Fran Woodard to find out what she felt has been the main challenges faced and general learning from the initiative.

Their discussion was recorded and transcribed to provide other clinicians, managers, policy makers and academics involved in health service change with some insights into a range of issues including working across cross organisational boundaries, the importance of effective reporting mechanisms and achieving sustainability.

Download the conversation here

Modernisation Initiative website
Broad information on the aims and achievements of the three streams of the Modernisation Initiative is available on the Charity's website, or you can see a more detailed synopsis of achievements on the project website (which will remain live until December 2008).

End of Life Care
Building on the success of the last three years, the Charity’s Trustees have earmarked a further £15 million to tackle three more areas of health service modernisation via the same approach. The first area to be identified will tackle issues around End of Life Care - involving the acute and primary care sector, as well as representatives of the care home sector and relevant charities. A further two areas will be identified for transformation by 2012 at a cost of £10 million. More here


Kidney disease: More resources »
Sexual health: More resources »
Stroke services: More resources »

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