... governments typically try to will the end but not the means: they try to shift the habits of the NHS while protecting buildings and people; or in Lord Darzi's pithy phrase, they change "the anatomy of the NHS rather than its physiology". p.16.
Finding the pith in Hodges' model (and the problem of refactoring - where would you like to start?):
(the 'physiology' of mindsets)
|Anatomy & Physiology|
time, events, space
| (habituated - )|
|the NHS (organisation)|
local, regional, national, global
Seddon, N. (2013) Opinion: Learning from international innovators, HSJ, 12 April. 123: 6346; 16-17.