Readiness for Change

How it works

Benefits

Risks & contraindications

Other

Highlighted claims

• Organisational and individual readiness for change was the most cross-cutting factor in implementation. — Factors affecting implementation of hospital inpatient-level care at home: a qualitative study of virtual wards in North West England
• No site had implemented a structured proactive behaviour-change programme from the start. — Factors affecting implementation of hospital inpatient-level care at home: a qualitative study of virtual wards in North West England
• Mature virtual ward services linked early success to Executive Board support and strong clinical leadership from the start. — Factors affecting implementation of hospital inpatient-level care at home: a qualitative study of virtual wards in North West England
• Virtual wards challenged a clinical culture that viewed hospital as the safest place for acutely unwell patients. — Factors affecting implementation of hospital inpatient-level care at home: a qualitative study of virtual wards in North West England
• Consultant resistance involved concerns about evidence, referral criteria, governance, clinical responsibility, and reduced direct oversight. — Factors affecting implementation of hospital inpatient-level care at home: a qualitative study of virtual wards in North West England
• Sites without early high-level support had continuing problems with staff engagement and referral rates. — Factors affecting implementation of hospital inpatient-level care at home: a qualitative study of virtual wards in North West England