From a sector-based service model to a functional one: qualitative study of staff perceptions

AIMS AND METHOD: An increasing number of mental health trusts in the UK are replacing the geographically sectorised model of service delivery with a functional one. We conducted a qualitative study of staff perception concerning this reorganisation in ourTrust, to inform effective change management locally and elsewhere. RESULTS: Perceived benefits were quick decision-making, positive risk management and improvement in clinical leadership. Dedicated consultant time would lead to improvements in junior doctor training. Concerns included lack of continuity of care, disagreement between teams and de-skilling of staff. Communication was seen as the key to overcoming these difficulties. CLINICAL IMPLICATIONS: Detailed communication from management about the practicalities and reasons for change could facilitate effective transition.