AdoptionandspreadScaling and spread

AdoptionandspreadScaling and spreading innovation is a well-recognised and long-standing challenge across the NHS. HEE’s Framework for spread and adoption of workforce innovation identifies five steps to successfully and sustainably embedding change. [10] However, it is not just about adoption, but also adaption, recognising that what works in one place might not easily be transferred elsewhere, and so an understanding of the context is vital. [4] Evaluation should also be embedded into any initiative to ensure formative learning and continuous improvement remains central to team development. [9] There are lots of case studies (including Fab NHS Stuff) showcasing effective MDT working; and NHS knowledge and library services can help in searching and making sense of evidence. [11][12]