For those attending any of the ‘days’ in the Waikato on 2, 3 & 4 October, here are some of the key papers and resources that I’ll be referring to. Enjoy

The Nurse of the Future – Waikato (The session ‘slides’)

Rounding, work intensification and new public management

Oakden Report+Final+Email+Version[1]

McKenna 2004

Delegation and supervision of healthcare assistants’ work in the daily management of uncertainty and the unexpected in clinical prac ce- invisible learning among newly quali ed nurses

‘‘Role drift’’ to unlicensed assistants- risks to quality and safety

Relationship between quality of care, staffing levels, skill mix and nurse autonomy- literature review Nursing skill mix and patient outcomes

The changing skill mix in nursing- considerations for and against different levels of nurse

The impact of adding assistants in nursing to acute care hospital ward nurse staffing on adverse patient outcomes- An analysis of administrative health data

Registered nurse, healthcare support worker, medical staffing levels and mortality in English hospital trusts- a cross-sectional study

Nursing skill mix in European hospitals- cross-sectional study of the association with mortality, patient ratings, and quality of care

The National Institute for Health Research Leadership Programme An evaluation of programme progress and delivery

A surrealistic mega-analysis of redisorganization theories

The Impact of NHS Re-Organisation on Service Commissioning Costs- A Welsh Case Study

Has NHS reorganisation saved lives? A CuSum study using 65 years of data

Counting the cost of England’s NHS reorganisation

Do health reforms work?

Entrepreneurial nursing article published

JHOM-01-2014-0019 Doing transformational change in the English NHS


Understanding organizational culture in reforming the National Health Service

Reform, research & clinical world

Never mind the Quality – Feel the Width

its a bad time just now


2 Responses to “Waikato DHB Days Resources”

  1. Ilze Jaunberzins

    Dear Phil

    Thank you for your outrageously stimulating master class. Your work of “creative disruption” to confront our thinking is both challenging and necessary. What do you think can be done to make the large health institutions more mobile? . As you said referring to Gary Hamel and Michelle Zanini we need to be more nimble. I am a total fan of the engaged quality improvement small projects. As a Quality Manager of NSW Central Coast this was our model and it had great success.
    Without sounding self promotional I would like to share a leadership development program that does work and integrates neuroscience and leadership theory and is embedded in pedagogic principles of practice; reflection and sharing with colleagues. Results are rapid ie 3 weeks. I designed the program and very happy to share with you the whole program or any elements.
    Thanks again for your great contribution to nursing thinking and action
    With respect
    The website button was not working

    • Philip Darbyshire

      Thanks a lot Ilze. Even where we may disagree your contributions are always so constructive and collegial. That is a real skill!!! Helping make our more sclerotic and top down hospitals, universities and public services more nimble and responsive is a huge part of my consulting work. It is never easy, in many ways because of the view of leaders and clinicians at every level, that they ‘want things to change’ (but just not ME, or how I think and work, or how we’ve tried to do this every year for the past 40 years). :-) I agree regarding small successes and projects. Let’s see some successes and runs on the board before we try “Transformational Change” across an entire organisation with NO evidence AT ALL regarding how best to do this, or even a notion of what ‘success’ might look like. You will need to allow me to stay unconvinced about the demonstrated benefits of ‘Leadership Programmes’, at least most of the ones that I have seen. I’m afraid that the inclusion of ‘neuroscience’, ‘happiness science’, ‘NLP’, ‘Emotional Intelligence. ‘Mindfulness’ or any other flavour of the week might only make them worse. :-) Thanks again Ilze for your always-welcome contributions.


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