Principles of Complex Change

This chapter views organizations as systems that deliver certain goods and services. Health services, however, don’t exist in isolation: they affect and are affected by other organizations around them — for example, social services, local transport companies, drug companies, and so on. When making plans for possible changes, it is important not only to be specific about what the current system is, but also what our visions are, what we want it to be after the changes have been made, and how our stakeholders will be affected.