The seventh of 15 expected academic papers arising from the study of the Whole System Demonstrator (WSD) programme has just been published in the Journal of Health Services Research & Policy. The big takeaway is that local ‘ownership’ of new services DID lead to more collaborative practices across the care system BUT that the concept of whole system redesign around remote care is currently unrealistic. With headings such as ‘Misalignment between vision and enactment’, ‘Wider barriers’ and ‘Whole system working: Ambiguity and diversity’ one can see that the underlying analysis is more nuanced than the main conclusion might suggest. Stimulating whole system redesign: Lessons from an organizational analysis of the Whole System Demonstrator programme by Theopisti Chrysanthaki1, Jane Hendy and James Barlow, all of Imperial College, London is also available as a free 10-page PDF download.
A complete list of the WSD papers, updated as they are published, is being maintained here by Mike Clark, to whom thanks for the heads-up on this publication.