Managing Change in Healthcare: Using Action Research


Paul Parkin

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    For my parents, Dynely and Bobby Parkin


    I wish to express my appreciation to those who have patiently supported me in this venture:

    From SAGE: Alison Poyner for starting the process, Anna Luker, and especially Zoë Elliott-Fawcett for her continuous advice and encouragement.

    To the anonymous reviewers who have endured my attempts at refinement: resolute writers can be changed by their suggestions.

    To work colleagues at Brunel University who covered my absences.

    To Brunel students attending ‘Managing Contemporary Practice’ and ‘Managing People at Work’ courses for their contributions and encouragement.

    Lastly, to my wife Jenny Parkin, who has diligently and uncomplainingly proof-read every word and cross-checked every reference.

    Any remaining errors are my responsibility entirely.

    List of Abbreviations

    BMABritish Medical Association
    CDCommunity Development
    CPDContinuous Professional Development
    CPFClinical Practice Facilitator
    CSClinical Supervision
    DCADepartment of Constitutional Affairs
    DHDepartment of Health
    DHSSDepartment of Health and Social Security
    DLPDaily Living Plan
    GPGeneral Practitioner
    HODUHaematology-Oncology Day Unit
    NHSNational Health Service
    NICENational Institute of Clinical Excellence
    PARParticipatory Action Research
    PCOPrimary Care Organization
    P-CGPPatient-Centred Goal Planning
    PCSPrimary Care Services
    PESTPolitical, Economic, Social, Technical
    RCTRandomized Clinical Trial
    SWOTStrengths, Weaknesses, Opportunities, Threats


    It is possible to change the world, but impossible without the mobilization of the dominated

    Paulo Freire

    (Letters to Cristina: Reflections on my Life and Work, New York: Routledge. 1996: 183)

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