Spreading and scaling up change

We explore how health and care systems can create the right environment to adopt and adapt the work of the vanguards in other areas.   


Learning from the vanguards: spreading and scaling up change explores the ten key factors that the vanguards have identified are crucial to encourage the spread of initiatives. These include the importance of involving clinicians in change, building shared goals across systems, and creating the time, space and resources for large scale change. This briefing points to how the vanguards have benefited from the coordinated support of the arm's length bodies and their permission to 'fail fast and learn faster'. It also highlights how investing heavily in different ways of sharing learning, building networks and bringing people together, have been critical to the vanguards.  


Enhanced Health in Care Homes vanguard

William Roberts, the former new care models programme National Lead for Enhanced Health in Care Homes at NHS England, offers his insight and experience of successfully spreading change across networks and supporting the spread of innovation across health and care services.

In conversation with Matthew Mcnair-Smith, Policy and Membership Manager at the NHS Confederation, William considers the key factors needed to scale up and spread initiatives so that success can be replicated in other places.

This podcast is part of our briefing series by the NHS Confederation, NHS Clinical Commissioners, NHS Providers and the Local Government Association to help share learning from the vanguards.


Tower Hamlets

We speak to Sir Sam Everington OBE, a GP, chair of Tower Hamlets CCG, clinical adviser to the new care models programme, and leader of a vanguard in Tower Hamlets.

The conversation, led by Helen Birtwhistle of the NHS Confederation, covers Sam's views on why relationships are so integral to helping spread innovation and good practice, and the importance of the NHS showing humility when considering the things that contribute towards a person's health and wellbeing.




How devolution is delivering change in Greater Manchester
Thomas Marsh (NHSCC) discusses how engaged leadership and strong relationships have helped Greater Manchester deliver change through devolution. 


Case studies

Royal Free London is one of four foundation trusts developing a ‘group model’ – a new way of working across organisational boundaries to improve the quality of patient care, while also reducing the cost to the healthcare economy as a whole.
Download the case study


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