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Five enablers of change 
in the new era 
• GIVING PERMISSION 
Source: Helen Bevan and Steve Fairman: NHS Improving Quality White Paper
Five enablers of change 
in the new era 
• GIVING PERMISSION 
• SELF-ORGANISING 
Source: Helen Bevan and Steve Fairman: NHS Improving Quality White Paper
Five enablers of change 
in the new era 
• GIVING PERMISSION 
• SELF-ORGANISING 
• COMMUNITY BUILDING 
Source: Helen Bevan and Steve Fairman: NHS Improving Quality White Paper
Five enablers of change 
in the new era 
• GIVING PERMISSION 
• SELF-ORGANISING 
• COMMUNITY BUILDING 
• STORYTELLING 
Source: Helen Bevan and Steve Fairman: NHS Improving Quality White Paper
Five enablers of change 
in the new era 
• GIVING PERMISSION 
• SELF-ORGANISING 
• COMMUNITY BUILDING 
• STORYTELLING 
• ACTIVE DISRUPTION 
These five enablers map onto Peggy Holman’s (2014) theory of emergent change: 
disruption, differentiation, coherence) 
Source: Helen Bevan and Steve Fairman: NHS Improving Quality White Paper

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5 Enablers of Change in Healthcare According to NHS White Paper

  • 1. Five enablers of change in the new era • GIVING PERMISSION Source: Helen Bevan and Steve Fairman: NHS Improving Quality White Paper
  • 2. Five enablers of change in the new era • GIVING PERMISSION • SELF-ORGANISING Source: Helen Bevan and Steve Fairman: NHS Improving Quality White Paper
  • 3. Five enablers of change in the new era • GIVING PERMISSION • SELF-ORGANISING • COMMUNITY BUILDING Source: Helen Bevan and Steve Fairman: NHS Improving Quality White Paper
  • 4. Five enablers of change in the new era • GIVING PERMISSION • SELF-ORGANISING • COMMUNITY BUILDING • STORYTELLING Source: Helen Bevan and Steve Fairman: NHS Improving Quality White Paper
  • 5. Five enablers of change in the new era • GIVING PERMISSION • SELF-ORGANISING • COMMUNITY BUILDING • STORYTELLING • ACTIVE DISRUPTION These five enablers map onto Peggy Holman’s (2014) theory of emergent change: disruption, differentiation, coherence) Source: Helen Bevan and Steve Fairman: NHS Improving Quality White Paper