Fit to Care
A comprehensive guide to transforming healthcare through Lean methodology and systems thinking.
About This Book
"Fit to Care" is a practical guide to transforming healthcare organisations through the application of Lean methodology and systems thinking. Drawing on 18 years of experience in NHS and public sector transformation, this book challenges conventional approaches to strategy development and organisational change.
The book introduces key concepts including the "Overheating Spiral"—a framework for understanding why traditional transformation efforts fail—and provides practical tools for creating genuine collaborative breakthroughs.
Key Concepts
- The Overheating Spiral: Why traditional transformation fails
- Frankenstein Documents: The problem with conventional strategy development
- Lean methodology applied to healthcare transformation
- Systems thinking for complex public sector challenges
- Creating psychological safety for genuine collaboration
- Practical tools for compressing transformation timelines
Why I Wrote This Book
After 18 years of working in NHS and public sector transformation, I'd seen the same patterns repeat: organisations spending months creating strategy documents that nobody reads and don't drive change. I wrote "Fit to Care" to share what I'd learned about why this happens and how to do it differently.