<title/> Drawing on empirical evidence gathered from a Lean programme, focusing on 5S, being undertaken by a large NHS trust, this article considers how to effect change in public service organizations.

Purpose – The research aim is to identify and evaluate “value” and “effectiveness” in the system of temporary staffing in one NHS Trust. Temporary staffing, known as Bank and Agency (B & A) staffing, is an increasing proportion of NHS expenditure (Bank staff are already contracted with...

Purpose: This research examines how knowledge and information are managed within two care networks. We develop a conceptual framework drawing on the notion of brokering and the 3T framework, which is used to describe the relative complexity of boundaries (referred to in the framework as...

Purpose – The purpose of this paper is to review the change process that is required to support CANDO, a business improvement technique primarily associated with the manufacturing sector. It reviews the transferability of CANDO to a health setting and examines the effectiveness of this tool...

Purpose – The objectives of the study are to identify and understand the environment, relationships and barriers for the key stakeholders in changing their workplace environment, and to negotiate and create an action plan to address the effectiveness issues in relation to rolling out CANDO...