“Previous” approaches | “Developing” approaches |
---|---|
Source: Unlocking the potential—effective partnerships for improving health. London: NHS Executive North Thames, 1998. | |
Top down approach | Think beyond categories of top down and bottom up |
Rely on formal organisation structures | Informal aspect of organisational life equally important |
Often set high initial stakes | Avoid high initial stakes |
Communications on tasks and agendas in hand | Communications over wide range of other issues |
Accountability clearer | Accountability more complex |
Shared perspectives | Individual perspectives |
Change management models to reach goals | Adaptation and learning models to reach goals |