Creating change and developing large-scale organisations

Public organizations in Britain are undergoing significant changes brought about by the need for the creative modes of service delivery, improved performance, more effective management, and sharpened governance. These are closely linked to initiatives that move the focus of organizations from transactional activity to strategic planning aligned to transformational themes. This paper will analyze the innovative and transformational approaches being take in two key sectors - the health service and higher education, and compare and contrast the distinct approaches being taken to create structural change; assess the associated burden of effort being expended and the early gains being achieved, as well as highlight some of the critical issues arising in the implementation.