Using appreciative inquiry to initiate a managed clinical network for children's liver disease in the UK.
OBJECTIVE
With the three existing specialised paediatric liver centres working beyond bed capacity, this article aims to address the special problems arising from the tension between need for centralisation of skills, and advantages of decentralisation of care.


METHODS
Three sessions using the appreciative inquiry method were conducted by the authors


RESULTS
This resulted in a new patient-centred set of priorities in developing a MCN and gave impetus to two regional MCNs and a National MCN movement for Paediatric Gastroenterology.


CONCLUSIONS
The authors describe the changes and how the AI method offers a powerful tool for positive change within the NHS. This article will be of special interest to those working within the paediatric liver services.
Baker
Alastair
A
Kings College Hospital, London, UK. alastair.baker@kcl.ac.uk
Wright
Margaret
M
D002648:Child; D006801:Humans; D007407:Interviews as Topic; D008107:Liver Diseases; D018802:Patient-Centered Care / Q000458:organization & administration*; D010372:Pediatrics; D013222:State Medicine; D006113:United Kingdom