Telling the story of complex change: an Impact Framework for the real world.

ABSTRACT: In the National Health Service (NHS) in England, traditional approaches to evidencing impact and value have an important role to play but are unlikely to demonstrate the full value of national quality improvement programmes and large-scale change initiatives in health and care. This type of work almost always takes place in complex and complicated settings, in that it involves multiple players, numerous interventions and a host of other confounding factors. Improvement work is usually emergent, with cause and effect only understood in hindsight; challenges around contribution and attribution can lead the key players to question how they can be certain that the described or observed changes are due to their intervention and would not have happened without them. In this complex environment,

SUBMITTER: Willett J 

PROVIDER: S-EPMC8253549 | biostudies-literature | 2021 Jul

REPOSITORIES: biostudies-literature