Change, restructuring and transformation of metro district health service

Abstract

The phenomenon of change has been the subject of debate for decades. Whether the change was planned or as the result of a catastrophic event, change affects nations, people, businesses, the economy and the environment. Typical changes in businesses are mergers, restructuring, transformations and retrenchments. Consequently, to this contentious phenomenon, change has been the subject of research by social scientists, behavioural theorists and analysts. Their collective endeavours have provided the world with a wealth of scientific knowledge. The Metro District Health Services in the Western Cape have undergone major restructuring and transformation. It is with this premise the question is posed, are change agents, leaders, and employees sufficiently empowered to mitigate the challenges and appease the expectations associated with restructuring, transformation and change? Supporting and contextualizing the study to the existing body of knowledge, previous research is reflected upon in an attempt to add value to future change initiatives. The reflections include different perspectives of change management, the multifaceted and evolutionary nature of change. The theoretical framework underpinnings of organisational development and transformation were also explored. One point of departure was to establish what is needed to ensure organisational success and describes activities, action plans and strategies, which modifies the organisational structures. The suggested methodologies, dimensions, variables influencing or enabling transformation formed the baseline for this study, with the emphasis placed on models of change, communication, theories of success formulae for organisational change, competencies of change agents, behaviour and attitudes of all stakeholders. Circumventing the purpose and contextualizing the baseline for this research, the survivor syndrome was explored and the dimensions of different change elements offered value to this study.