Resistance to change: the organisation dimension

The author will examine how change within an organisation can be faced with resistance from the organisation itself. By ‘the organisation’ we do not mean the physical building, hospital or even trust, but more the culture, policies and procedures—and the senior staff who facilitate the running of the business. When change is identified as necessary or desirable by those on the ground, it is hard to accept why it is not embraced further up the organisation. Understanding how and why resistance can build up will help support staff to understand the issues and solve the problems, thereby not giving up on delivering successful change.