Nagina Khan

When long-term staff become part of the furnitureI often hear the same frustration: ‘why can’t we change the culture, no matter how many initiatives we launch?’ New values are drafted, consultants are brought in, workshops delivered but day-to-day reality barely shifts. Often, the answer is in plain sight: those who have been there longest quietly shape the culture the most, not always in ways that help the organisation evolve. Over years or decades, people accumulate informal authority.

engagement sustainability Social Justice Recruitment patient involvement Background In the UK, the local populations are made up of a wide range of communities, groups and individuals from different backgrounds.

Health and social care research is undertaken to inform and broaden our understanding of different topics and phenomena before we make decisions in practice (National Institute for Health Research, n.d.). Diversity is an important element to consider when conducting this kind of research, but seems to have posed something of a challenge for both qualitative and quantitative researchers in the social sciences.