Case Study about The Metamorphosis of Meanings and Action In Public Sector Organizational Innovation
This paper explores the early implementation of an organisational innovation in the UK National Health Service (NHS) – Treatment Centres (TCs) – designed to dramatically reduce waiting lists for elective care. The paper draws on case studies of eight TCs (each at varying stages of their development) and aims to explore how meanings about TCs are created and evolve, and how these meanings impact upon the development of the organisational innovation.
Research on organisational meanings needs to take greater account of the fact that modern organisations like the NHS are complex multi-level phenomena, comprising layers of interlacing networks. To understand the pace, direction and impact of organisational innovation and change we need to study the interconnections between meanings across different organisational levels. The data presented in this paper show how the apparently simple, relatively unformed, concept of a TC framed by central government, is translated and transmuted by subsequent layers in the health service administration, and by players in local health economies and, ultimately in the TCs themselves, picking up new rationales, meanings, and significance as it goes.
The developmental histories of TCs reveal a range of significant re-workings of macro policy with the result that there is considerable diversity and variation between local TC schemes. The picture is of important disconnections between meanings, that in many ways mirror Weick’s (1976) ‘loosely coupled systems’. Keep reading…
Case Study about Flexible Design in Public Private Partnerships: PFI in National Health Service
Abstract: The focus of this paper is improving individual Private Finance Initiative (PFI) projects to deliver better value for the benefit of the partners in PFI. Signing long term contracts of 20 to 30 years with the private sector typically enlarges demand risks in PFI. Subsequently, this report seeks a way to deliver more valuable PFI projects by the effective management of demand risks. Incorporation of flexibilities in design is found to be a promising solution to deal with greater demand risks. Flexibility can add a significant value to the project as it allows actively reacting to the unforeseen circumstances in the future. Consequently, it will enable to cut losses in downside scenarios and amplify gains in upside scenarios.
Introduction: Since May 1997, Private Finance Initiative (PFI) has been a dominant procurement process in the National Health Service (NHS) in the UK. It has been developed to ensure modern, efficient and cost effective facilities by placing responsibility for their provision with private sector firms who are experts in their provision. There are generally three ain components which drive the financial value of the projects: construction cost, operational cost and revenue during the operational period, and each component faces risks and uncertainties. PFI does more to improve the management of risks in construction costs and operating costs than other public sector procurement schemes in the UK.
Introduction: The empirical study that this paper proceeds will focus on employee retention over two years post a four-hospital National Health Service (NHS) ‘mega-merger’. It is informed by two main strands of knowledge, namely generic and NHS-specific literature pertaining to the people side of M&As and literature from the psychological school of turnover analysis. Given this abstract’s scope and word count limitations, it seems wise to focus on one single body of literature.
Employee Retention: Despite extensive and robust study in the US, the UK has only a slim, if excellent, body of employee retention literature. Although there are considerable differences between US and UK labour markets, existing research suggests marked similarities in the voluntary turnover, specifically relating to quitting-decision factors and processes, plus reactions to retention initiatives (Taylor, 2002). For these reasons, this review will draw on both US and UK research..
The WHO and the European Union recognise that poor nutrition is a leading cause of the major non-communicable diseases, including CVD, type 2 diabetes, certain types of cancer, and contributes substantially to the global burden of disease, death and disability. Therefore, it is no surprise that Rayner and Scarborough report that, in the UK, food-related ill health is responsible for approximately 10% of morbidity and mortality and costs the National Health Service approximately £6 billion annually. In addition, the diets of those on low incomes may contribute significantly to health inequalities, as they can fall considerably short of the latest nutritional recommendations. Read more..
“If you want to create a better National Health Service with less money… you need to put the right information in front of the right people. A BI solution based on SQL Server 2012 helps us do that in a managed, straightforward, and intuitive way.“
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Business Needs: Anglia Support Partnership (ASP) is the leading provider of support services to healthcare organizations in eastern England, including general practitioners, primary care trusts, and National Health Service (NHS) trusts. A business division of the NHS, the support group focuses on helping healthcare organizations improve efficiency and cut costs. With new healthcare reforms taking effect, ASP wanted better BI tools to support healthcare commissioning processes…
Solution: ASP turned to Ascribe, a Microsoft partner with a gold competency in business intelligence, to help design a centralized BI platform with self-service tools based on Microsoft SQL Server 2012 data management software. Ascribe provides IT solutions to healthcare organizations worldwide, and has worked with more than 70 NHS trusts. ASP decided to implement the Ascribe Commissioner Accelerator data warehouse and BI solution with Microsoft SQL Server 2012 Enterprise. The Ascribe platform provides the contracting and budgetary information required in the commissioning process. ASP wanted enhanced BI tools and a database solution it could rely on… Find out more on Anglia Support Partnership