Explore our interactive toolkit identifying the barriers to change in the NHS and
practical solutions – as identified by NHS staff and service users.
HSJ, together with sister title Nursing Times and NHS Improving Quality, launched the
Challenge Top-Down Change campaign to find out if the power of the crowd could help NHS
organisations change better.
We turned to NHS staff and service users to identify the obstacles to change, and the
building blocks to overcome them. We then invited contributors to identify and further
develop a number of solutions that can be quickly adopted by any organisation.
Overall 3,595 people in 45 countries had 13,895 ideas. A voting system and expert panels
whittled down the thousands of contributions received into implementable ideas.
Use this toolkit to see the barriers and building blocks, and summaries of the solutions
– all defined by you.
Analysis of phase one of the Change Challenge identified 10 commonly occurring barriers to bottom-up change.