eprintid: 1126 rev_number: 156 eprint_status: archive userid: 1 dir: disk0/00/00/11/26 datestamp: 2005-10-04 12:00:00 lastmod: 2020-02-13 01:35:48 status_changed: 2008-01-09 13:26:39 type: article metadata_visibility: show item_issues_count: 0 creators_name: Bate, SP creators_name: Robert, G creators_name: Bevan, H title: The next phase of healthcare improvement: what can we learn from social movements? subjects: 13400 divisions: UCL divisions: A01 divisions: B02 divisions: C09 divisions: DD4 divisions: G18 note: Imported via OAI, 7:29:01 5th Oct 2005 abstract: To date, improvement in health care has relied mainly on a "top down" programme by programme approach to service change and development. This has spawned a multitude of different and often impressive improvement schemes and activities. We question whether what has been happening will be sufficient to achieve the desired scale of change within the time scales set. Is it a case of "more of the same" or are there new and different approaches that might now be usefully implemented? Evidence from the social sciences suggests that other perspectives may help to recast large scale organisational change efforts in a new light and offer a different, though complementary, approach to improvement thinking and practice. Particularly prominent is the recognition that such large scale change in organisations relies not only on the "external drivers" but on the ability to connect with and mobilise people?s own "internal" energies and drivers for change, thus creating a "bottom up" locally led "grass roots" movement for improvement and change. date: 2004-01-01 date_type: published vfaculties: VFPHS rae2008: 7 oa_status: green primo: open primo_central: open_green article_type_text: Article elements_source: Manually entered elements_id: 56335 doi: 10.1136/qshc.2003.006965 lyricists_name: Bate, Stuart lyricists_name: ROBERT, GLENN lyricists_id: SPBAT54 lyricists_id: GROBE81 full_text_status: public publication: Quality and Safety in Health Care volume: 13 pagerange: 62-66 refereed: TRUE issn: 1475-3898 citation: Bate, SP; Robert, G; Bevan, H; (2004) The next phase of healthcare improvement: what can we learn from social movements? Quality and Safety in Health Care , 13 pp. 62-66. 10.1136/qshc.2003.006965 <https://doi.org/10.1136/qshc.2003.006965>. Green open access document_url: https://discovery-pp.ucl.ac.uk/id/eprint/1126/1/QSHC_final_version.pdf