Complexity Creep: How Stable Care Packages Quietly Become High Risk Systems

Complex care packages can change significantly over time even when the basic structure appears unchanged. In this QCG White Paper, Simon van Os explores the concept of Complexity Creep, where gradual changes in health, staffing, technology, responsibilities and commissioning requirements can combine to create a very different risk profile.

The paper considers why individually manageable changes can accumulate into organisational risk plus why providers should periodically reassess whether a service still reflects the one originally assessed, commissioned and insured.