Great stuff. However the elephant in the room is the stranglehold DOH and devolved govts have on Trust and Board CEOS etc.......literally. It is purely Stalinist with punishment to fit. So how do you square the culture of fear with the above. See Chris Ham`s Xmas BMJ editorial 2013!
Thank you; our organizational culture research was at community employment and workplaces back in the 1980s (Research Professor David Hagner is still over to the University of New Hampshire with new director, Dr. Charles Drum, also working in Europe). Dr. Drum's relatively new book was Public Health and Disability with Dr. Hank Bersani earlier from the Center on Human Policy and our national research network.
I wrote a paper on the culture of quality and care for my MSc Policy Studies in 1991. I was Assistant Director of Nursing at the John Radcliffe Hospital in Oxford at the time. I think that the progress that Julia refers to is key; 'actionable' and not 'corporate based' the tools such as the culture asessment tool makes things meaningful in terms of taking action and from intellect to practice is the bridge to cross. It's great to hear about 'how' put in to practice and ways of making everyone in healthcare behave differently, instinctively, being more of a reality.
Thank you for this article it has given me some real food for thought. In particular the reference to the nature and diversity of services in LCFT are very similar to those in my organisation NHFT and how to address the challenge across that diversity is fascinating. The exercise of developing a vision in such an organisation is compelling - someone please pass me that mirror!!