Stephen Dorrell MP, Mike Farrar and Mark Britnell share their thoughts on The Innovator’s Prescription.

Stephen Dorrell MP, chair, health select committee and former health secretary

The Innovator’s Prescription should be compulsory reading both for politicians and civil servants shaping health policy and NHS staff delivering services. It is full of challenging material which prompts some serious questions.

Professor Christensen and his fellow authors explore the segregation between specialist and generalist medics and throw significant doubt on whether this model is still fit for purpose. They reflect the debate under way in the UK by also examining what care should be provided in hospitals and which in the community.

The book’s focus on organising healthcare around delivering solutions for patients is prescient, as is its prioritisation of self-management and early intervention and diagnosis.

Perhaps most importantly it stresses the importance of clear business models in the organisation of healthcare which are both sustainable and address the changing needs of the population. This is, of course, precisely what the NHS is in the process of trying to do in the context of the government’s reforms and the Nicholson challenge.”

Mike Farrar, chief executive, NHS Confederation

“Disruptive innovation? What’s that got to do with waiting lists and financial balance? Absolutely everything.

Clayton M Christensen’s excellent book challenges chief executives in the health sector to think about why they do what they do and whether they are locked into a business model or set of business processes that are logically but unwittingly denying patients the best care, and scuppering the transformational change we know the NHS needs.

Christensen’s thoughts are easily translated to the NHS. As we battle with access to primary care, dealing with dementia and obesity using traditional models of service and suffering the consequences, Christensen’s innovative prescription challenges us to think again.

For chief executives trying to break out of their usual approaches, Christensen explains why the prevailing business model is likely to defeat them, and offers the exciting prospect that only by creating change outside the organisation itself might real developments and solutions might be found.

This winner of the Circle Prize for Inspiring Innovation is a must read for anyone keen to be a chief executive or survive as a chief executive for the foreseeable future.”

Mark Britnell, global health chair and partner, KPMG

“Commissioners face two choices – pay for existing services as currently configured or specify new services which transcend traditional pathways. It’s a difficult job but The Innovator’s Prescription offers a radical case for changing our current business and care models.

By arguing that care pathways have been conflated, confused and captured within existing infrastructure and thinking, Christensen has delivered an impressive approach to making healthcare better and more affordable.The book points to innovation in healthcare that can be used by purchasers and providers alike. Moving from theory to practice is a most difficult art but this book offers a conceptual framework which is both cogent and coherent.

Across the developed world, increased old age, chronic diseases and consumer demands are already confronting traditional models of care. If we are to provide affordable healthcare in a sustainable fashion, we will need to innovate like never before. This book reminds us that innovation is not a theory but a state of mind that prepares practitioners for action.”

The NHS has a proud history of clinical innovation and our business models must also change accordingly.”