Table 1 Description of key influences on success and related NPT construct

 1. Achieving clarity of purpose amongst site leads and all key stakeholders

Sense-making

Coherence

 2. Capacity (time and resources) to lead and effective team working/project support

Relational

Cognitive participation

3. Turing ideas into action

Making change happen

Collective action

 4. Learning from own and others’ experience

Learning from change

Reflexive monitoring

 5. Creating additional capacity to do emergency cholecystectomies

Surgical/theatre capacity

N/A

 6. Coordinating/managing the patient pathway

Patient pathway/flow

N/A