title: Learning lessons from health visiting modernisation in Bromley.
abstract: This paper explores the processes involved in a health visiting modernisation project, which was undertaken in Bromley Primary Care Trust between July 2004 and July 2005. The paper first describes the health visiting service and the rationale for the modernisation project. It uses a framework incorporating Nadler's Organisational Change Model, which argues that to be successful, the problems of power, resistance and control, inherent in any organisational change process, need to be managed. Nadler's model is used to analyse the methods for communicating, consulting and engaging with health visitors and managers. The importance of involving health visiting clients in modernisation and staff who found change particularly difficult are also highlighted. Improved partnership working between health visitors and staff in early years settings and the development of action learning sets for health visitor team leaders were identified as successful project activities. The paper concludes with the author's list of '10 good practice suggestions for service modernisation', offering useful advice and suggestions for other would-be change and project managers.
authors.affiliation: Bromley Primary Care Trust.
authors.forename: Karen
authors.initials: K
authors.lastname: Plumb
mesh_terms: D003152:Community Health Nursing; D004739:England; D018166:Health Care Reform; D006801:Humans; D017146:Models, Organizational; D009042:Motivation; D009936:Organizational Innovation; D010043:Outcome and Process Assessment, Health Care