From a sector-based service model to a functional one: qualitative study of staff perceptions

Abstract

Aims and MethodAn increasing number of mental health trusts in the UK are replacing the geographically sectorised model of service delivery with a functional one. We conducted a qualitative study of staff perception concerning this reorganisation in our Trust, to inform effective change management locally and elsewhere.ResultsPerceived benefits were quick decision-making, positive risk management and improvement in clinical leadership. Dedicated consultant time would lead to improvements in junior doctor training. Concerns included lack of continuity of care, disagreement between teams and de-skilling of staff. Communication was seen as the key to overcoming these difficulties.Clinical ImplicationsDetailed communication from management about the practicalities and reasons for change could facilitate effective transition.