The Role of Ministerial Leadership in System Transformation—Some Reflections from Wales

2020 ◽  
pp. 91-103
Author(s):  
Leighton Andrews
Keyword(s):  
System Transformation ◽  
Ministerial Leadership

A network of networks

2017 ◽  
Vol 31 (2) ◽  
pp. 223-236 ◽  
Author(s):  
Rick Iedema ◽  
Raj Verma ◽  
Sonia Wutzke ◽  
Nigel Lyons ◽  
Brian McCaughan
Keyword(s):  
Health Service ◽  
Health System ◽  
Network Governance ◽  
System Reform ◽  
System Transformation ◽  
Content Type ◽  
Multiple Networks ◽  
Network Of Networks

Purpose To further our insight into the role of networks in health system reform, the purpose of this paper is to investigate how one agency, the NSW Agency for Clinical Innovation (ACI), and the multiple networks and enabling resources that it encompasses, govern, manage and extend the potential of networks for healthcare practice improvement. Design/methodology/approach This is a case study investigation which took place over ten months through the first author’s participation in network activities and discussions with the agency’s staff about their main objectives, challenges and achievements, and with selected services around the state of New South Wales to understand the agency’s implementation and large system transformation activities. Findings The paper demonstrates that ACI accommodates multiple networks whose oversight structures, self-organisation and systems change approaches combined in dynamic ways, effectively yield a diversity of network governances. Further, ACI bears out a paradox of “centralised decentralisation”, co-locating agents of innovation with networks of implementation and evaluation expertise. This arrangement strengthens and legitimates the role of the strategic hybrid – the healthcare professional in pursuit of change and improvement, and enhances their influence and impact on the wider system. Research limitations/implications While focussing the case study on one agency only, this study is unique as it highlights inter-network connections. Contributing to the literature on network governance, this paper identifies ACI as a “network of networks” through which resources, expectations and stakeholder dynamics are dynamically and flexibly mediated and enhanced. Practical implications The co-location of and dynamic interaction among clinical networks may create synergies among networks, nurture “strategic hybrids”, and enhance the impact of network activities on health system reform. Social implications Network governance requires more from network members than participation in a single network, as it involves health service professionals and consumers in a multi-network dynamic. This dynamic requires deliberations and collaborations to be flexible, and it increasingly positions members as “strategic hybrids” – people who have moved on from singular taken-as-given stances and identities, towards hybrid positionings and flexible perspectives. Originality/value This paper is novel in that it identifies a critical feature of health service reform and large system transformation: network governance is empowered through the dynamic co-location of and collaboration among healthcare networks, particularly when complemented with “enabler” teams of people specialising in programme implementation and evaluation.

The Top 10 Concerns about Recovery Encountered in System Transformation

2008 ◽  
Author(s):  
Larry Davidson ◽  
Michael Rowe ◽  
Janis Tondora ◽  
Maria J. O'Connell ◽  
Martha Staeheli Lawless
Keyword(s):  
At Risk ◽  
Mental Illness ◽  
Systems Of Care ◽  
System Transformation ◽  
Policy Makers ◽  
Recovery Orientation ◽  
Federal Mandate ◽  
Commission Report ◽  
The Many

The second chapter begins with descriptions of some of the many ways in which people with serious mental illness are key agents in their own recovery. In these descriptions, we fi nd that the cornerstones of recovery are both the hope that a better life is possible and the desire the person has to pursue such a better life once this hope has taken root. For an individual, both hope and action appear to be required to make recovery a reality. As we begin to understand more fully the role of systems of care and of the practitioners within those systems in facilitating recovery, we suggest that achieving, in the words of the New Freedom Commission report, “profound change—not at the margins of a system, but at its very core” also will require both hopeful attitudes and concerted efforts. While the remaining chapters in this volume will deal more explicitly with the kinds of concerted efforts required to achieve transformation, this chapter focuses primarily on attitudes toward recovery and the kinds of concerns systems and practitioners have raised (to date) as they have gone about the process of understanding and implementing recovery principles in practice. It has been our experience, however, that the federal mandate to transform systems of care to promote recovery has left many policy makers, program managers, practitioners, and even the recovery community itself under increasing pressure to move to a recovery orientation without fi rst examining the concerns of stakeholders within those systems about this new notion of recovery and its implications. As a result, we are all at risk of overlaying recovery rhetoric on top of existing systems of care, failing to effect any real or substantial—not to mention revolutionary—changes due to our urgency to just “get it done.” In this chapter, we pause to consider some of the more common concerns we have encountered in attempting to introduce and implement care based on the vision of recovery that we have articulated thus far. Addressing these concerns, we believe, is a necessary fi rst step in changing the attitudes that underlie current practices in the process of replacing these attitudes with the more hopeful, empowering, and respectful attitudes demanded, and deserved, by people in recovery.

scholarly journals Banking competition and its development in Russia

2019 ◽  
Vol 61 ◽  
pp. 01009 ◽  
Author(s):  
Yury Korobov
Keyword(s):  
Banking System ◽  
System Transformation ◽  
Network Development ◽  
Banking Competition ◽  
Target Setting ◽  
Local Character ◽  
Factors Influencing ◽  
Banking Markets ◽  
Theoretical Issues

The article discusses theoretical issues of banking competition as well as its ifluences on the development of banking system (transformation of the essence of a bank; change of the target setting in banking; transfer of emphasis from operations to services; universalization of banking; transition from individual services to integrated banking products; change of priority from price to non-price methods of competition; transition from extensive to intensive type of network development; increasing the role of near-banks and nonbank banks). Factors influencing banking competition in Russia are shown: both restraining (reduction in the number of banks; concentration of assets at the largest banks; uneven territorial distribution of banks; local character of banking markets) and strengthening (financial globalization; digitalization of economy; forming of new banking culture).

Another ‘double movement’: the great transformation after the Cold War?

2001 ◽  
Vol 27 (5) ◽  
pp. 237-255 ◽  
Author(s):  
Ian Clark
Keyword(s):  
Cold War ◽  
International Society ◽  
International System ◽  
System Transformation ◽  
Double Movement ◽  
Great Transformation ◽  
Litmus Test ◽  
The Cold War

This collection of essays grapples, historically, with the complex issues involved in understanding system transformation. Often these transformations have taken the form of a shift along the spectrum of independence-centralization, and it is within the framework of such declining or emerging imperial systems that the degree of change has tended to be measured. The task of this contribution is to locate the specific case of the end of the Cold War within the broader reflections on these themes. It will respond to this challenge by applying a different litmus test for change from that already found in the existing literature about the significance of the end of the Cold War. Instead, it will broach the topic by an examination of prevailing concepts of legitimacy within international society. In short, it argues that a study of the role of legitimacy might be a useful way of documenting and measuring the kinds of changes taking place within an international system. Moreover, while the end of the Cold War might be thought to have nothing to say about the issue of empire as such (beyond recording the expiry of the Soviet version), it will additionally be suggested that the resultant extension of shared concepts of international legitimacy can be understood as a defining attribute of the contemporary imperial project.

scholarly journals The role of the manufacturing industry in shaping the economic base and functions of urban settlements in Łódzkie Voivodeship (Poland)

2020 ◽  
Vol 34 (4) ◽  
Author(s):  
Jacek May ◽  
Krzysztof Wiedermann ◽  
Przemysław Śleszyński
Keyword(s):  
Economic Development ◽  
Significant Role ◽  
Manufacturing Industry ◽  
Economic Base ◽  
System Transformation ◽  
Settlement System ◽  
Heat Maps ◽  
Knowledge Based ◽  
Urban Settlements

This research deals with the presence and potential of the manufacturing industry in the urban settlements of Łódzkie Voivodeship. Its cognitive goal is to recognise the present share of industry in the economic and functional base of those settlements that, as a result of the system transformation, underwent restructuring and deindustrialisation, and the shrinking of its economic base. The re-development of this base and functions, appropriate to the role of towns and cities in the settlement system, requires new paths and indicating them is the application objective of the research. The work is based on the theory of the economic base of settlements, using statistical and cartographic methods including ‘heat maps’ as well as ‘employment surplus’ and the Amemiya indicator. Studies have shown that both economic and industrial potential are concentrated in the urban settlements of the Łódź agglomeration but decrease especially towards the south and south-east, and that traditional sectors still dominate. Despite intensive deindustrialisation, industry still plays a significant role in the economic base and functions of most small and medium towns of the voivodeship, as well as parts of some large urban settlements. Further economic development, and the role in it of small and medium towns depends on their further industrialisation or re-industrialisation, while of large and medium urban centres – on knowledge-based services.

Agricultural food system transformation and its implications for tertiary agricultural education.

2021 ◽  
pp. 31-45
Author(s):  
John Lynam ◽  
Kay Muir Leresche
Keyword(s):  
Agricultural Education ◽  
Rural Economy ◽  
Food Systems ◽  
Structural Changes ◽  
Food System ◽  
System Transformation ◽  
Systems Perspective ◽  
System P ◽  
Development Outcomes

Abstract This chapter assesses the achievement of African development outcomes through market-led rural transformation within the context of agri-food systems. Sections discuss: (1) rural development from a food systems perspective; (2) the drivers of change in the food system; (3) the changing structure of food demand; (4) the generation of a production and productivity response; (5) structural changes in the market supply chain and the growth in the non-farm rural economy; and (6) the role of tertiary agricultural education in a transforming African food system.

Locarno Treaties (1925) in the Context of the Versailles System Transformation as seen from London

2021 ◽  
Vol 13 (1) ◽  
pp. 157-195
Author(s):  
E. V. Khakhalkina ◽  
V. S. Dzyuba
Keyword(s):  
World War I ◽  
System Transformation ◽  
European Security ◽  
House Of Commons ◽  
World War ◽  
Security Issues ◽  
Wide Range ◽  
Archival Documents ◽  
Outcome Document

This paper is an attempt to reassess the role of the Locarno Treaties (1925) in terms of the Versailles-Washington system of international relations evolution. The authors argue that the Locarno Treaties represent one of the turning points in the development of the international order after World War I. The Treaties were not a mere add-on to the Versailles system, in fact, they had replaced it and became the main legal instrument for maintaining security in the region. In order to test this hypothesis and provide a better understanding of how the contemporaries themselves assessed these agreements, the authors examine them within a broader context of debates on the European security issues, which took place in the 1920s.The views of the British elites on this matter are of particular interest here, since it was the British diplomacy that was at the origin of the Locarno Conference in 1925. The paper draws on a wide range of recently declassified archival documents, as well as on the materials of the debates in the House of Commons and publications in the leading British newspapers. It allows the authors to trace the evolution of approaches by the main British political parties to security issues in Europe. A systematic comparison of views of the Conservative and the Labour party representatives on the Geneva Protocol and the Rhineland Pact shows that by mid-1920s the British political elites advocated for an in-depth transformation of the Versailles order, particularly, through the development of an effective mechanism for maintaining international security. On that basis a broad political consensus had arisen, which led to the formation of a new two-party structure (Tory-Labour) after World War I.The study begins with an overview of the political situation in Europe and in Great Britain in the early 1920s. Then, it examines the Labour Party’s draft of the Disarmament Protocol, as well as the principal causes of its failure. Finally, the paper covers the preparatory process for and the progress of the Locarno negotiations. Special attention is paid to the debates in the House of Commons on the conference, particularly, on its outcome document - the Rhineland Pact.

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