This joint position paper between the National Institute for Health Research and LSBU summarises the results of an inquiry workshop with research, clinical and managerial leaders in June 2016. The inquiry focused on how to create a culture of innovation and research in complex systems.
For the purposes of this paper, ‘systems’ relate to health and social care systems organised around populations and places. For these systems it is not clear who leads the system, or how they differ in terms of capacity and culture, or how they address the issues of generating an innovation and research culture.
Innovation is a situated practice, balancing individual and collective capacities, best realised through network and collaborative relationships. There are significant challenges with moving from local innovation, where there is more tacit knowledge, to systems-wide innovation.
We considered the role of disruptive and incremental innovation in systems, and the underlying cultures that create readiness at policy, system and team levels.