The sixth step of change is to define the output from the change and then to implement it in the location in which it was being tested. This is within the “Improving for Quality” domain of the Quality Management System.

Why: This step is vital to move on from the process of developing the change into the implementation stage. It provides clarity about exactly what the output of the change process is, and how it will be implemented.

What: The first part of this step is to define the output or the new model after the change is completed, for example a new or improved service, pathway or system. This involves clearly documenting in detail what the new model is and how it works, including:

• Any processes and systems that support/underpin the new model.
• Any equipment or other resources that are needed for the new model.
• The management, governance and financial arrangements that support the new model.
• Any learning and development needs for people using the new model.

This step also involves planning how the new model will be implemented (eg, in a phased way over time or with different groups of people) and how its impact will be measured and evaluated on an ongoing basis.

How: Examples of tools that support the define and implement step

• Implementation checklist: helps plan implementation of a change idea through a five-step process.
• Measurement plan: sets out the detail of what a measure should include.
• Gantt chart: a visual timeline of tasks to help identify what tasks should be done and by when.