NHS Change Model – Diagnostic
Version 1.1 July 2012
1
South Tees Hospitals Foundation Trust
About the Model
The NHS Change Model is a holistic Organisational Development and Change framework designed by staff in the NHS, in
conjunction with Institute of Innovation & Improvement, to ensure the process and outcomes of an improvement project
are robust, achieved and sustainable.
Diagnostic
The following diagnostic questionnaire should be used at the commencement of a project to ensure all necessary
elements have been considered. It can also be used as a test and aide memoire during the project delivery to highlight
areas which are deficient and require remedial action or further development to ensure the maintenance of a robust
project team and process delivering sustainable desired outcomes.
Each of the eight sections have five questions which should be answered with a score between 1 (low) and 6 (high). At the
end of each section total the scores and record the total out of 30. Transpose these score onto the web diagram and the
end of the document. Depending on the stage of your project you should consider two of your lowest section score and
take action to improve or seek assistance to so this weaker element will not detract from the health and outcomes of your
project.
Should you require any further assistance please contact the South Tees Hospitals FT, Corporate Improvement Team
01642 852454 or ext 54772.
Version 1.1 July 2012
2
South Tees Hospitals Foundation Trust
Component
Descriptor
Score
Low
1. Our
shared
purpose
1.1 How strongly committed and passionate about the
improvement project would you rate the project team?
1.2 How clear is the shared purpose which connects the
project team?
1.3 How aligned and connected is every member of the
team to the shared purpose?
1.4 How aligned is the project purpose to one or more
statements of the NHS Constitution?
1.5 How strong is the link between project purpose and
the purpose of the Trust?
Comments
High
1
2
3
4
5
6
1
2
3
4
5
6
1
2
3
4
5
6
1
2
3
4
5
6
1
2
3
4
5
6
SECTION TOTAL
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South Tees Hospitals Foundation Trust
Component
Descriptor
Score
Low
2 Leadership
for change
Comments
High
2.1 How strong is the project leadership?
2.2 How distributed are the leadership tasks across each
member of the team?
2.3 How well do leaders role model behaviour necessary
for the change?
2.4 Do all leaders have the necessary skills and
attributes to affect the change?
1
2
3
4
5
6
1
2
3
4
5
6
1
2
3
4
5
6
1
2
3
4
5
6
1
2
3
4
5
6
2.5 How well can the project leaders articulate the
change effort to inspire others?
SECTION TOTAL
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South Tees Hospitals Foundation Trust
Component
Descriptor
Score
Low
3.
Engagement
to mobilise
Comments
High
3.1 How well connected is the project team internally?
3.2 How well connected are team members externally
with peers or people undertaking a similar change task?
3.3 How committed are team members to the cause (i.e
improvement or shared purpose)?
3.4 What is the sense of urgency to implement the
change?
3.5 How skilled is the team in different communication
methods (e.g. virtual communication, social media)?
1
2
3
4
5
6
1
2
3
4
5
6
1
2
3
4
5
6
1
2
3
4
5
6
1
2
3
4
5
6
SECTION TOTAL
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South Tees Hospitals Foundation Trust
Component
Descriptor
Score
Low
4. Spread of
Innovation
Comments
High
4.1 How well evidenced is change to achieve
improvement outcomes?
4.2 How strong are the communication channels to the
wider organisation?
4.3 How well developed are feedback communication
links internally in the team?
4.4 How well developed are feedback communication
links externally with the team?
1
2
3
4
5
6
1
2
3
4
5
6
1
2
3
4
5
6
1
2
3
4
5
6
1
2
3
4
5
6
4.5 How identifiable are the ‘opinion leaders’ who will
spread the change learning and practice?
SECTION TOTAL
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South Tees Hospitals Foundation Trust
Component
Descriptor
Score
Low
5. System
drivers
5.1 How well does the change outcomes map to
departmental/organisational objectives?
5.2 How well does the change outcomes map to health
care system objectives/penalties (e.g. QIPP / CQUIN)?
5.3 What level of outcomes satisfies extrinsic motivators
in the change team members?
5.4 How well do team members understand the wider
system drivers for the desired change?
5.5 What level of research or innovation evidence exists
which indicates potential success?
Comments
High
1
2
3
4
5
6
1
2
3
4
5
6
1
2
3
4
5
6
1
2
3
4
5
6
1
2
3
4
5
6
SECTION TOTAL
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South Tees Hospitals Foundation Trust
Component
Descriptor
Score
Low
6.
Improvement
methodology
6.1 How formal is the approach, planning or project
management?
6.2 What is the level of evidence based improvement
methodology being used?
6.3 What level of external support is available to the
team for improvement techniques / facilitation?
6.4 What level of participation will the team have in
undertaking improvement techniques?
6.5 How well understood are the human elements to
change management?
Comments
High
1
2
3
4
5
6
1
2
3
4
5
6
1
2
3
4
5
6
1
2
3
4
5
6
1
2
3
4
5
6
SECTION TOTAL
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South Tees Hospitals Foundation Trust
Component
Descriptor
7.
Transparent
measurement
7.1 What level of measurement exists prior to the
change project?
Score
Low
Comments
High
1
2
3
4
5
6
7.2 How transparent are the on going process
improvement measures to all team members?
1
2
3
4
5
6
7.3 How transparent are the on going process
1
improvement measures to external parties?
2
3
4
5
6
7.4 How well can the changes be measured over time 1
(e.g. run charts / trends)?
2
3
4
5
6
1
2
3
4
5
6
7.5 How frequent are the time periods between
measurement points (e.g. enable speedy remedial
reactions)?
SECTION TOTAL
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South Tees Hospitals Foundation Trust
Component
Descriptor
Score
Comments
Low
8. Rigorous
delivery
8.1 How frequently does the team meet to discuss
progress?
1
High
2
3
4
5
6
2
3
4
5
6
8.3 How well does each team member deliver on 1
specific tasks?
2
3
4
5
6
1
2
3
4
5
6
1
2
3
4
5
6
8.2 To what level are the project objectives linked to the
1
personal objectives of the Accountable Officer?
8.4 How tangible or visible are the change outcomes to
other parties?
8.5 What level of commitment exists to complete every
planned task and the entire project?
SECTION TOTAL
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South Tees Hospitals Foundation Trust
Web Diagram (Scores)
1 Shared Purpose
6
8 Rigorous Delivery
2 Leadership for Change
4
2
7 Transparent Measurement
0
3 Engagement to mobilise
6 Improvement Methodology
4 Spread of Innovation
5 Systems drivers
Version 1.1 July 2012
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South Tees Hospitals Foundation Trust