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Managing health & social care final essay

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Final assignment discussing the political agenda of May 2010 and the implications to the NHS of a coalition government.

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Managing health & social care final essay

  1. 1. A review of how organisations are having to change, to meet the demands for modernising Health and Social Care; With a focus on Birmingham East & North PCT BUSM 3913
  2. 2. What is Structure, Culture and Management Style ? <ul><li>“ Structure is more than boxes on a chart; it is a pattern of interaction and co-ordination that links to technology, tasks and human components of the organisation to ensure that the organisation accomplishes its purpose” Robert Duncan, 1979 </li></ul><ul><li>Culture is about a set of norms; deep-set beliefs, the way authority is organised, how authority should be exercised, people rewarded, people controlled, degrees of formalisation........ Charles Handy, 1999 </li></ul><ul><li>Management Style focuses on the where the power lies. The two main styles are Authoritarian and Democratic </li></ul>
  3. 3. NHS Structure in 2010
  4. 4. Current Structure of CHS within BENPct
  5. 5. An overview of types of Structure
  6. 6. Why have a structure ? <ul><li>“ Structure” includes the allocation of formal responsibilities and relationships </li></ul><ul><li>It covers the linking mechanisms between the roles </li></ul><ul><li>To provide opportunities for the information flows that are required, allowing decisions to be made and actions to be taken by those who are given responsibility for a particular task </li></ul><ul><li>To co-ordinate the activities of the variety of individuals, teams and departments that make up the organisation </li></ul>
  7. 7. The Culture of BENPct <ul><li>The culture of an organisation is paramount as the customs and traditions of a place are a powerful way of influencing behaviour, known as ecological (Handy, 1999). </li></ul><ul><li>Four main types of Culture include; </li></ul><ul><li>Power </li></ul><ul><li>Role </li></ul><ul><li>Task </li></ul><ul><li>Person Harrison. 1970 </li></ul>
  8. 8. Imminent Changes and Challenges happening within BENPCT <ul><li>Challenges </li></ul><ul><li>Budgetary-recession </li></ul><ul><li>Government Initiatives </li></ul><ul><li>Information Demands </li></ul><ul><li>The Law and Inf. Gov </li></ul><ul><li>Demands on Care </li></ul><ul><li>Patient information available at the point of health care delivery </li></ul><ul><li>Changes </li></ul><ul><li>Merger of 3 PCT’s </li></ul><ul><li>of senior managers </li></ul><ul><li>Decommissioning </li></ul><ul><li>Political influences </li></ul><ul><li>Darzi’s vision </li></ul><ul><li>Provider/Commisioner split </li></ul><ul><li>Options Appraisal </li></ul>
  9. 9. Political Influences and manifestos for the NHS – Conservative Policies <ul><li>Retain the fundamental structures of PCT’s and overarching bodies; SHA’s </li></ul><ul><li>Reduce NHS administration costs by 0ne third </li></ul><ul><li>Develop an independent NHS Board to allocated resources and commissioning guidelines </li></ul><ul><li>Rename the Dept of health to the Dept of Public Health </li></ul><ul><li>Develop a new Watchdog, called “Health Watch” to deal with patient complaints </li></ul><ul><li>Access to cancer drugs, outside NICE guidance </li></ul>
  10. 10. Liberal Democrat Policies <ul><li>Private treatment will be funded when the NHS fail to deliver treatment or diagnosis “on time” </li></ul><ul><li>Patients will have the choice to register with which ever GP they wish, irrespective of postcode </li></ul><ul><li>The right to contact your GP by email </li></ul><ul><li>Scrapping Strategic Health Authorities and Quangos </li></ul><ul><li>A reduction to the size of the Department of Health by 50% </li></ul><ul><li>NHS IT projects to be cut dramatically </li></ul><ul><li>Limit the salaries of top NHS managers </li></ul>
  11. 11. Labour Policies <ul><li>Treated within 18 weeks, or the NHS will pay for private treatment </li></ul><ul><li>Patients can use any provider for elective treatment, who provide NHS standard care and prices </li></ul><ul><li>The right to register with any GP </li></ul><ul><li>Routine NHS health checks for all between 40 and 74 </li></ul><ul><li>The right to see a cancer specialist within 2 weeks of referral and results in one week </li></ul><ul><li>Palliative care available to all who want it in their home </li></ul>
  12. 12. How BENPCT communicates <ul><li>Consultation Process and Options Appraisal system </li></ul>Inputs Transformation Process Outputs
  13. 13. Communicating with the masses to achieve change <ul><li>“ The process of transforming data to information is important in creating “Organisational Wisdom”, ie. The accumulation of learning processes that help successful organisations to move forward” Milner,2000 </li></ul><ul><li>Frederick Herzberg published his findings in 1959, of peoples satisfaction or dissatisfaction at work. Herzberg found that factors affecting job satisfaction were different to those that caused dissatisfaction. The theory was subsequently titled the Motivation-Hygiene theory. </li></ul>
  14. 14. Current lines of Changes due to communication 3 PCT’s merging <ul><li>BEN Intranet </li></ul><ul><li>BEN email </li></ul><ul><li>Dedicated phone lines </li></ul><ul><li>NHS Mail </li></ul><ul><li>Mobile phones </li></ul><ul><li>Blackberry devices </li></ul><ul><li>Remote working – VPN </li></ul><ul><li>Cascade Magazine </li></ul><ul><li>Weekly E-Brief </li></ul><ul><li>Change in email addresses/phone no’s </li></ul><ul><li>Changes in badges/letterheads/cards </li></ul><ul><li>Changes in line management and SMT structure </li></ul><ul><li>Single internal and external facing website </li></ul><ul><li>A joint intranet </li></ul>
  15. 15. Examples of meeting the challenges <ul><li>BENPCT </li></ul><ul><li>Me </li></ul><ul><li>Communicate constantly </li></ul><ul><li>Include all stakeholders in decision making processes </li></ul><ul><li>Ensure flexibility with CIP </li></ul><ul><li>Support the merger and embrace change </li></ul><ul><li>Support staff through TUPE </li></ul><ul><li>Cascade relevant information </li></ul><ul><li>Continue to be a transformational leader </li></ul><ul><li>Support the PCT’s CIP </li></ul><ul><li>Liaise and network with members of the “New World” PCT </li></ul><ul><li>Support our service users through the redesign </li></ul>

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