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Clinical agility – an essential foundation for high quality healthcare. An experience report of the lessons learnt from designing a new cancer centre

Mick Button Orcid Logo, Roderick Thomas, Jennet Holmes, Thomas Howson, Annie Bellamy, Nicholas Rich Orcid Logo

Journal of Decision Systems, Volume: 34, Issue: 1

Swansea University Authors: Roderick Thomas, Thomas Howson, Nicholas Rich Orcid Logo

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DOI (Published version): 10.1080/12460125.2025.2458876

Abstract

Agility is essential for healthcare given its dynamic and constantly changing nature. Healthcare organisations that lack agility face deteriorating care quality, impacting negatively on patient outcomes and staff. Simultaneously improving and delivering clinical care is challenging given the intense...

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Published in: Journal of Decision Systems
ISSN: 1246-0125 2116-7052
Published: Informa UK Limited 2025
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URI: https://cronfa.swan.ac.uk/Record/cronfa68724
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spelling 2025-03-19T15:29:37.9472398 v2 68724 2025-01-23 Clinical agility – an essential foundation for high quality healthcare. An experience report of the lessons learnt from designing a new cancer centre 891091891b6eee412668ae216f713312 Roderick Thomas Roderick Thomas true false 0125708489f6ab0039e2b87bc3a7b7f3 Thomas Howson Thomas Howson true false 272a3165694c25efa85725e514ebbcd3 0000-0003-0216-2807 Nicholas Rich Nicholas Rich true false 2025-01-23 CBAE Agility is essential for healthcare given its dynamic and constantly changing nature. Healthcare organisations that lack agility face deteriorating care quality, impacting negatively on patient outcomes and staff. Simultaneously improving and delivering clinical care is challenging given the intense and growing operational pressures, finite resources and workforce limitations. Clinical staff are central to healthcare innovation and the rate of adaptation. High levels of staff overload, exhaustion and burnout create additional barriers but rarely feature in management models of change. This experience report describes the development of a new cancer centre, designed to enhance organisational agility – recognising the need for, and the benefits of, agility that is clinically driven. Such ‘clinical agility’ has an essential logic to optimise patient care, improve organisational performance and enhance staff wellbeing. We describe underlying principles and theory, creating a socio-technical perspective that creates the right conditions for clinical agility. We present a conceptual framework recognising four themes (physical working environment, processes and working practices, partnerships and people) and potential, under-recognised interactions between agility and clinical staff burnout and wellbeing. This study provides recommendations which enhance clinical agility, improve care delivery without compromising the most innovative resource of any organisation – its people. Journal Article Journal of Decision Systems 34 1 Informa UK Limited 1246-0125 2116-7052 Healthcare innovation, clinical agility, wellbeing 12 2 2025 2025-02-12 10.1080/12460125.2025.2458876 COLLEGE NANME Management School COLLEGE CODE CBAE Swansea University Another institution paid the OA fee 2025-03-19T15:29:37.9472398 2025-01-23T08:20:19.4075702 Faculty of Humanities and Social Sciences School of Management - Business Management Mick Button 0009-0003-6049-0996 1 Roderick Thomas 2 Jennet Holmes 3 Thomas Howson 4 Annie Bellamy 5 Nicholas Rich 0000-0003-0216-2807 6 68724__33848__d620aff6a02f4c179f2e05ab9e88cc92.pdf 68724.VoR.pdf 2025-03-19T15:27:52.9356498 Output 3961861 application/pdf Version of Record true © 2025 The Author(s). This is an Open Access article distributed under the terms of the Creative Commons Attribution-NonCommercial-NoDerivatives License. true eng http://creativecommons.org/licenses/by-nc-nd/4.0/ 299 false
title Clinical agility – an essential foundation for high quality healthcare. An experience report of the lessons learnt from designing a new cancer centre
spellingShingle Clinical agility – an essential foundation for high quality healthcare. An experience report of the lessons learnt from designing a new cancer centre
Roderick Thomas
Thomas Howson
Nicholas Rich
title_short Clinical agility – an essential foundation for high quality healthcare. An experience report of the lessons learnt from designing a new cancer centre
title_full Clinical agility – an essential foundation for high quality healthcare. An experience report of the lessons learnt from designing a new cancer centre
title_fullStr Clinical agility – an essential foundation for high quality healthcare. An experience report of the lessons learnt from designing a new cancer centre
title_full_unstemmed Clinical agility – an essential foundation for high quality healthcare. An experience report of the lessons learnt from designing a new cancer centre
title_sort Clinical agility – an essential foundation for high quality healthcare. An experience report of the lessons learnt from designing a new cancer centre
author_id_str_mv 891091891b6eee412668ae216f713312
0125708489f6ab0039e2b87bc3a7b7f3
272a3165694c25efa85725e514ebbcd3
author_id_fullname_str_mv 891091891b6eee412668ae216f713312_***_Roderick Thomas
0125708489f6ab0039e2b87bc3a7b7f3_***_Thomas Howson
272a3165694c25efa85725e514ebbcd3_***_Nicholas Rich
author Roderick Thomas
Thomas Howson
Nicholas Rich
author2 Mick Button
Roderick Thomas
Jennet Holmes
Thomas Howson
Annie Bellamy
Nicholas Rich
format Journal article
container_title Journal of Decision Systems
container_volume 34
container_issue 1
publishDate 2025
institution Swansea University
issn 1246-0125
2116-7052
doi_str_mv 10.1080/12460125.2025.2458876
publisher Informa UK Limited
college_str Faculty of Humanities and Social Sciences
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hierarchy_top_id facultyofhumanitiesandsocialsciences
hierarchy_top_title Faculty of Humanities and Social Sciences
hierarchy_parent_id facultyofhumanitiesandsocialsciences
hierarchy_parent_title Faculty of Humanities and Social Sciences
department_str School of Management - Business Management{{{_:::_}}}Faculty of Humanities and Social Sciences{{{_:::_}}}School of Management - Business Management
document_store_str 1
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description Agility is essential for healthcare given its dynamic and constantly changing nature. Healthcare organisations that lack agility face deteriorating care quality, impacting negatively on patient outcomes and staff. Simultaneously improving and delivering clinical care is challenging given the intense and growing operational pressures, finite resources and workforce limitations. Clinical staff are central to healthcare innovation and the rate of adaptation. High levels of staff overload, exhaustion and burnout create additional barriers but rarely feature in management models of change. This experience report describes the development of a new cancer centre, designed to enhance organisational agility – recognising the need for, and the benefits of, agility that is clinically driven. Such ‘clinical agility’ has an essential logic to optimise patient care, improve organisational performance and enhance staff wellbeing. We describe underlying principles and theory, creating a socio-technical perspective that creates the right conditions for clinical agility. We present a conceptual framework recognising four themes (physical working environment, processes and working practices, partnerships and people) and potential, under-recognised interactions between agility and clinical staff burnout and wellbeing. This study provides recommendations which enhance clinical agility, improve care delivery without compromising the most innovative resource of any organisation – its people.
published_date 2025-02-12T05:27:24Z
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