Keele Research Repository

Project management based on the PRINCE 2 (Projects In Controlled Environments) methodology isthe default mode for managing organisational change in the NHS. While this approach to project management is suitable for ‘tame’ problems, it is not so for ‘wicked'problems, which are the focus of most organisational change activities in health care. The NHS organisation development function has adopted the PRINCE 2 approach to managing change, but thereis evidence that the function itself is not completely developmental. A new approach to project managing change is needed based on a search for ‘clumsy’ rather than ‘elegant’ solutions.