(Image: Supplied)
A York author has republished his book on NHS organisational change, following the Thirlwall Inquiry findings.
Michael Wash, who spent much of his career helping NHS organisations change, has updated his 2003 book, "Beyond Reorganisation: The Practice and Reality of Organisation Development in the NHS," and made it freely available for digital download.
His career was dedicated to aiding NHS organisations in transformation, but recent experiences as a patient, combined with the Thirlwall Inquiry's findings, highlighted the continuing relevance of his past concerns.
In 2003, Mr Wash questioned whether structural changes in the NHS were sufficient to foster an effective culture of care, asking if these changes improved communication, collaboration, and learning.
He believes the core issue remains unchanged: "Culture changes when leadership behaviour changes."
Mr Wash's book argues that leadership transformation is crucial for altering organisational culture.
The Thirlwall Inquiry, which reported dysfunctional management, a gap between hospital leadership and clinicians, and safeguarding failures, echoed Mr Wash's past observations.
He also emphasises the importance of addressing the informal aspects of organisational life, which he terms the "Shadow Side".
His work with Alder Hey Children’s Hospital, which won the national Organisational Learning category and the overall Excellence in Human Resource Management Award in 2006, exemplifies his belief that meaningful change occurs not through structural reorganisation, but through leadership and learning.
"Beyond Reorganisation" is available for free download at www.mwauk.com, as Mr Wash believes the ideas should be engaged with and utilised, rather than left unread.
He hopes the book will contribute to making the NHS's culture more open and safe.