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Mental health ‘collaborative’ challenges care culture

  • Peter Kennedy (a1) and Hugh Griffiths (a1)
Extract

The ‘collaborative’ method, developed by the US Institute of Health Improvement, has succeeded in motivating staff and responding to patients' concerns about acute in-patient psychiatric care across 37 trusts in the Northern, Yorkshire and Trent regions. The method puts into practice the new values underpinning government policies on ‘modernising’ and ‘shifting the balance of power’ in the NHS, i.e. seeing things through the eyes of patients, empowerment of frontline staff, learning networks and focus on measured outcomes. The evaluation suggests that organisational and management culture crucially determined the level of achievement of the trusts taking part in the collaborative. Evaluations of other collaboratives have raised doubts about the sustainability of the improvements achieved. It is argued that refining the collaborative method is less important than incorporating its principles into the existing management and organisational cultures of NHS trusts, and the leadership styles of chief executives and clinical directors.

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Copyright
This is an Open Access article, distributed under the terms of the Creative Commons Attribution (CC-BY) license (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted re-use, distribution, and reproduction in any medium, provided the original work is properly cited.
References
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Department of Health (2000) The National Plan for the NHS. London: Stationery Office.
Department of Health (2001) Shifting the Balance – Securing Delivery. London: Stationery Office.
Department of Health (2002) The NHS Modernisation Board Annual Report 2000–2001. London: Stationery Office.
Grint, K. (2000) Literature Review on Leadership. Oxford: Performance and Innovation Unit of the Cabinet Office.
Gustafson, D. (1998) ‘Organisational change manager’. Madison: Madison Health Care Improvement.
Kennedy, P. (2001) Managing change for the better. British Journal of Psychiatry, 251, 8183.
Kilo, C. (1998) Framework for collaborative improvement: lessons form the Institute of Mental Health breakthrough series. Quality Management in Health Care, 6, 113.
Northern Centre for Mental Health (2002) Getting better – together. www.ncmh.org.uk.
Robert, G., Hardcare, J., Locock, L., et al (2002) Evaluating the effectiveness of the mental health collaborative. Project report no 21. Birmingham: Health Service Management Centre.
Robert, G. (in press) Redesigning mental health services. Health Expectations.
The Sainsbury Centre for Mental Health (1998) Acute Problems. London: Sainsbury Centre for Mental Health.
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BJPsych Bulletin
  • ISSN: 0955-6036
  • EISSN: 1472-1473
  • URL: /core/journals/bjpsych-bulletin
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Mental health ‘collaborative’ challenges care culture

  • Peter Kennedy (a1) and Hugh Griffiths (a1)
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