Navigating new organisation forms: a qualitative study of primary care networks.

Background: NHS England (NHSE) instigated primary care networks (PCNs) as a collaboration of general practices working together at scale to improve population health in the local community.

Aim: To capture GP PCN leaders' perceptions of the opportunities and pitfalls of PCNs, as well as points of learning, during their inception and development, in order to guide the future development of PCN form and function.

Design & Setting: A qualitative study in UK primary care.

The making and sustaining of leaders in health care.

Purpose: Many nations are focussing on health care's Triple Aim (quality, overall community health and reduced cost) with only moderate success. Traditional leadership learning programmes have been based on a taught curriculum, but the purpose of this paper is to demonstrate more modern approaches through procedures and tools.

Design/methodology/approach: This study evolved from grounded and activity theory foundations (using semi-structured interviews with ten senior healthcare executives and qualitative analysis) which describe obstructions to progress.

Darzi Clinical Leadership Fellows: an activity theory perspective.

Purpose: The purpose of this paper is to review the impact of the clinical leadership programme, in enabling the Darzi fellows to lead change projects in health and care services, and to secure quality healthcare in the NHS beyond the lifetime of the programme.

Design/methodology/approach: A longitudinal empirical investigation of clinical leaders ( n=80) over an eight-year period was framed through an activity theory (AT)-driven research methodology using a mixed-methods approach.

Findings: AT illuminated how change was sustained in the NHS in London through the Darzi Clinical Leadership Fellowship.