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Top‐down or outside‐in change methodologies are increasingly seen to be ineffective. Systems thinking suggests that change in organizations is a much less straightforward and more subtle phenomenon than previous models allow. Since the late 1970s and as organic metaphors have become used more, the concept of organizational learning has emerged as central to the issue. However, an understanding of how this may take place is still undeveloped. Recently technologies for whole systems development have emerged based on Weisbord′s dictum that for change or learning to occur we need to “get everybody into improving the whole”. Whole systems development can offer a way to realizing the learning organization. Provides a case study of whole systems development in action within Walsall Metropolitan Borough Council in the UK. Begins with a brief account of the ideas on which whole systems development is based and concludes with a commentary on the case study.

New reforms in the public sector mean that many organisations are attempting to cope with turbulent environments. Traditional models of change have been found to be too static and unable to change the “whole system”. Explores processes for changing the whole system for public sector organisations operating in a turbulent environment. A case study is used to discuss the implications.

In working to develop multiagency adult protection policy and procedures in West Sussex, we were looking for ways to increase engagement and ownership across agencies, agree roles and responsibilities and consult in a collaborative way on the draft policy and procedures. A large‐scale event was organised with a ‘whole system approach’, as distinct from a traditional conference. Here we describe the origins, purpose, process and lessons from this approach.

States that for our organizations to flourish, they need to engage the intelligence, creativity and energy of the whole workforce and involve all stakeholders. One way of doing this is to use whole system approaches to planning and implementing change and what have come to be known as large group methods. This article, the second of two parts, describes two further well‐tried methods: real time strategic change and search conferences. It also compares the four methods outlined in the two articles and draws conclusions.

Purpose – To report on how service changes can be accelerated by working with large groups that represent all parts of a complete healthcare service or care pathway, during specific events, and using well‐defined facilitation techniques. Design/methodology/approach – Case examples are cited from the Clinical Governance Support Team's “protected time” programme and subsequent work, and specific quotes and examples from large group events are used to describe the potential impact of the approach. Findings – Established group facilitation techniques can be adapted for use in the context of a large group representative of a whole clinical system or pathway, to accelerate service improvement. Originality/value – The paper reports on the practical findings from Clinical Governance Support Team group facilitators working on large group events from a number of UK NHS Trusts.

This paper aims to evaluate a whole system intervention (WSI) that was applied to North Tyneside (UK) adult mental health services and offer a discussion on the broader implications of these results. WSIs are brief, participant‐intensive, democratic change methods that are widely utilised but have received relatively little empirical consideration.

Two methods were used for the WSI evaluation: comparative (of local documentary evidence with scientific and professional sources); and qualitative (analysis of semi‐structured interviews with project planners, stakeholders and participants).

Issues emerged from the research associated principally with the following topics: system definition, power, stakeholder representation, facilitator role, intervention planning, as well as WSI follow‐up and time‐scale.

Guidance is offered associated with WSI methodology choice and its implementation within a health service context.

Pressure for reform and change in the public services will continue irrespective of the political composition of governments. There are many interrelated pressures for change, some of the key ones being the need to contain public spending (to under 40 per cent GNP?) in the face of ever increasing global competition, changing demographic and employment patterns, increasing need and demand for services, and the need to find innovative solutions to obdurate problems of local levels ‐ health, housing, community safety, unemployment and so on. Above all, this will require greater productivity; changing skill boundaries, demarcations and mixes; far greater applications of technology and innovative community‐based multi‐agency working ‐ beyond rhetoric. Unfortunately, much current research, scholarship and commentary is “locked into” individual public sectors ‐ health, education, public administration and so on. This means that it is likely to be informed by existing frames of reference which already lie within these sectors. A wider flow of ideas, theory and critical analysis across private and all public sectors could lead to the development of new paradigms of insight, understanding and practice. This would prove a further impetus for a bottom‐up social movement with a communitarianist agenda. Unfortunately this is most unlikely to be promoted top‐ down because most politicians are also “locked into” the binary thinking of Fordist modernism.

The NHS Clinical Governance Support Team (CGST) has completed a pilot “protected‐time programme”, supported by a small team of national facilitators and delivered locally in 19 NHS pilot sites across England. The programme worked on the premise that health professionals can successfully lead service developments when given time and space to do so. The paper describes the methodology behind this initiative, how local events were organised to “get the whole system into the room” and what was learned by applying tried and tested methodologies such as accelerated service improvement. Some of the changes being implemented in participating NHS Trusts are presented in brief, along with a more detailed case study of work undertaken at Royal Cornwall Hospitals Trust. Having completed the pilot programme, the team is supporting other CGST activities and applying the learning from working with large groups to improve locally delivered care in NHS organisations.

Systemic risks affect financial market participants in many ways. However, the literature insists firmly that they are and, in fact, should be of little concern to (private) banks (as opposed to regulators). The purpose of this paper is to argue for the relevance of systemic risks for private banks as opposed to regulators only by making use of causal loop models as being traditionally used in the discipline of systems dynamics. In contrast to the starting point for all common risk-management frameworks in banks, which is the classification of risks into risk categories, the authors show that risk has been compartmentalized too much and provide a strong case for a really holistic approach.

Systems thinking, causal loop models and conceptual approach.

Relevance of systemic risks for private banks as opposed to regulators only. In contrast to the starting point for all common risk-management frameworks in banks, which is the classification of risks into risk categories, the authors show that risk has been compartmentalized too much and provide a strong case for a really holistic approach, which stems from using explanatory models such as causal loop diagrams. On top of that more explanatory models ought to be used for risk management purposes while banks currently rely too much on statistical-descriptive approaches.

Integration of systems thinking into risk management, which is novel: in contrast to the starting point for all common risk-management frameworks in banks, which is the classification of risks into risk categories, the authors show that risk has been compartmentalized too much and provide a strong case for a really holistic approach.

This article distils the messages from an extensive period of consultancy involving 25 primary care trusts and their local authority and acute and mental health services partners. The emphasis was on sharing experience of implementing national policies and on learning together, which facilitated co‐evolution within whole systems.