This book offers a radical way of thinking about organisations as living systems, and practical methods of engaging with complex social and organisational issues, which the authors call 'working whole systems'. The whole system approach they have developed involves working with many types of stakeholder. It always engages local people ...
This paper tells the story of the first two years (1994-96) of the London Health Partnership's primary care development programme. It describes the background to the project and its guiding principles, and then goes on to describe the diagnostic phase of its work and how systems theories influenced the ongoing ...
This paper offers a way of thinking about the purpose of partnership; partnership behaviours which fit different purposes; and partnership behaviours which can lead to sustainable change and are not dependent on injections of external resources. The authors have created a typology which focuses on the purpose of partnership, in ...
This paper looks at the government's plan for action zones in education, employment and health which aim to break out of the cycle of deprivation. It examines how the many individuals, groups and organisations who will be involved in the action zones will work together. The authors feel that if ...
This paper reconsiders the meaning and impact of projects, the most common device for spending development monies. They argue that projects can distort the priorities of the host organisation. There are four aspects to this problem: the disruption caused to an organisation by the existence of a project; the project ...
This guide has been written for members of primary health care teams (PHCTs) where the team has decided to run a community -oriented primary care (COPC) programme on depression or anxiety. It is designed to assist at the two stages of detailed problem assessment and intervention planning. As a result ...
This publication gives an account of a project co-funded by the NHS Executive and the King's Fund. It was devised as a response to the crisis in GP morale which began to be recognised in 1994. A participative workshop, 'A Day in the Life of a GP 2010' was designed, ...
Reorientating the NHS to be both needs led and responsive to users has to be a joint endeavour for both commissioners and providers. A new synthesis is required to combine the best of personal patient care with a focus on population health. The King's Fund has recognised community oriented primary ...