{
  "abstract": "Description Across the globe, there is almost universal agreement that big change is needed in healthcare systems. How do we make it happen? Top-down system reform only takes us so far. We cannot ‘redesign’ our way to transformation just by changing the explicit structures and money flows. Most change and improvement methods we use are designed for small scale continuous improvement. This leaves a gap in terms of how we enable a different, more radical kind of change - based on different change methods, with high involvement and high participation approaches, new relationships and a recalibration of the dynamic between service users and providers. We will hear from leaders of the healthcare improvement movement from the English NHS and a Swedish County Council who have taken up this challenge in practice in big healthcare systems. They will cover:Why new thinking and practice is neededIncremental, quantitative change vs. disruptive, qualitative changeHow do we get to a different future?We will engage the whole room to debate and develop these principles through ‘catalyst conversations’. Each table will have a different topic related to aspects of the change approach. Participants can join their conversation of choice. We will utilize the wisdom of the room to further build radical change methods to be tested in healthcare practice.",
  "authors": [
    {
      "affiliations": [
        "NHS Horizons"
      ],
      "name": "Helen Bevan"
    },
    {
      "affiliations": [
        "Jonkoping Region, Sweden"
      ],
      "name": "Goran Henriks"
    }
  ],
  "title": "22 Is quality improvement enough? Why we also need methods for deep, systemic change in healthcare",
  "uid": "9270d4fb-650e-5e3c-bc58-217efc493e05"
}