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  • Author: Korteweg,Mirna
  • Publication date: 12 July 2018
  • Date added: 12 July 2018




Rating: ZZG Zorggroep - Intrapreneurship; ‘win, win, win’

ZZG Zorggroep - Intrapreneurship; ‘win, win, win’

ZZG Zorggroep - Intrapreneurship; ‘win, win, win’


2017 - ZZG Zorggroep (care group) is a large intra- and extramural care organisation that works in Nijmegen, Wijchen and the Maas- and Waal area. The care group offers district nursing, recovery care, protected living and maternity care. De care group works with around 2600 employees and around 900 volunteers.


Social Innovation

In 2014/2015 the care group worked on a pilot; during one year they experimented with intrapreneurship. The pilot, called ‘Gewoon Thuis’ (Just at home), was executed within the department ‘district nursing’, in the team ‘stable care’ in Wijchen, Beuningen, Ewijk, Druten and Beneden Leeuwen. With ‘Gewoon Thuis’ the clients could get extra support, on top of their indicated care, in the form of services (for example help with groceries or accompanying a hospital visit). A group of twelve intrapreneurial employees (later divided in teams of 4-5 employees) took part in the pilot. They got a special contract in which was recorded that the employee would partly work in permanent employment (a set number of hours, most of the time 20 hours) and partly in flexible employment (most of the time 4 to 5 hours). In this team the employees had a lot of responsibilities and autonomy. As a team they were responsible for all the participating clients. These clients could buy a package of points which they could use for extra services on top of their indicated care. The employees themselves scheduled their own working hours, taking into account the needs of their clients. In this way they were able to deliver customised care and because of the intensive contact with the clients they were able to pick up new needs in care quickly. The manager of the team gave them practical support.


Reason and approach

In the last few years people who need care have to arrange a lot themselves and they are supposed to stay in their own home for a longer period of time. Employees in care organisations are longing for more autonomy, they want to provide care in their own way and they want to be able to deliver customised care. Many employees left organisations that deliver care for elderly to start working independently. Experimenting with intrapreneurship is one of the ZZG Zorggroeps answers to these trends. The employees in the pilot group were supported by their manager and the HR-department of Zorggroep.



In the period of the pilot the number of clients increased from 5 to 35. The clients received tailor made care, they built a relationship of trust with the employees and were very satisfied with the fact that the employees were very flexible and were able to quickly respond to what they needed. The services were somewhat expensive for the clients, but this didn’t have any influence on their satisfaction.

The employees had more autonomy within the pilot, and afterward they said that they had the feeling that they were really able to mean something for their clients.

The organisation Zorggroep is better prepared for the future, thanks to the pilot. Besides that there also was a positive financial result.

Despite this ‘win, win, win’ result, at this time the concept of ‘Gewoon Thuis’ isn’t in service anymore. The reason is that the care group has made the decision to deliver high complex care only, after the last system change in the care branch in the Netherlands.

A number of employees who took part in the pilot left the organisation to work as self-employed workers. The care group is still looking for new opportunities for intrapreneurship within the organisation.


Lessons Learned

The intensive interaction with the clients and the required flexibility of the working process in the pilot can be a burden for the employees. Therefor the personality of the participating employees determine the success for a large part.

Many employees working in the regular district nursing in the same area, saw the employees working in the pilot as their competitors and were not inclined to enthuse their clients to participate in the pilot.



Korteweg, Mirna. ‘ZZG Zorggroep – Ondernemend Werknemerschap; ‘win, win, win’. 2017. Rotterdam, Erasmus University & Leiden, TNO. The full case description (in Dutch, pdf) is attached.



Sector: Care

Source: Case