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Burgess N, Radnor Z. Service improvement in the English National health service: Complexities and tensions. JOURNAL OF MANAGEMENT & ORGANIZATION 2015. [DOI: 10.5172/jmo.2012.18.5.594] [Citation(s) in RCA: 9] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 11/08/2022]
Abstract
AbstractThe English National Health Service (NHS) is a public sector organisation with a longstanding objective to deliver high quality healthcare that is free at the point of use. In order to achieve this, the NHS has endured an evocative and controversial theme of reform across many decades. Despite such high levels of reform, the recent Operating Efficiency Framework declared that the NHS is about to enter its toughest ever financial climate. This paper will illustrate the complexities and tensions of implementing service improvement in the NHS in a climate of persistent policy reform, reduced budgets and tough regulation. The paper reports findings of three case studies of hospital trusts in the UK in relation to the implementation of Lean improvement methodologies, highlighting key complexities of a hospital context and the corresponding tension with service improvement activity.
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Service improvement in the English National health service: Complexities and tensions. JOURNAL OF MANAGEMENT & ORGANIZATION 2015. [DOI: 10.1017/s1833367200000559] [Citation(s) in RCA: 13] [Impact Index Per Article: 1.4] [Reference Citation Analysis] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 11/07/2022]
Abstract
AbstractThe English National Health Service (NHS) is a public sector organisation with a longstanding objective to deliver high quality healthcare that is free at the point of use. In order to achieve this, the NHS has endured an evocative and controversial theme of reform across many decades. Despite such high levels of reform, the recent Operating Efficiency Framework declared that the NHS is about to enter its toughest ever financial climate. This paper will illustrate the complexities and tensions of implementing service improvement in the NHS in a climate of persistent policy reform, reduced budgets and tough regulation. The paper reports findings of three case studies of hospital trusts in the UK in relation to the implementation of Lean improvement methodologies, highlighting key complexities of a hospital context and the corresponding tension with service improvement activity.
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The role of management consultancy in implementing operations management in the public sector. INTERNATIONAL JOURNAL OF OPERATIONS & PRODUCTION MANAGEMENT 2013. [DOI: 10.1108/ijopm-07-2010-0202] [Citation(s) in RCA: 21] [Impact Index Per Article: 1.9] [Reference Citation Analysis] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 11/17/2022]
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Burgess N, Radnor Z. SERVICE IMPROVEMENT IN THE ENGLISH NATIONAL HEALTH SERVICE (NHS): COMPLEXITIES AND TENSIONS. JOURNAL OF MANAGEMENT & ORGANIZATION 2012. [DOI: 10.5172/jmo.2012.1045] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 11/08/2022]
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Albizu E, Olazaran M. BPR implementation in Europe: the adaptation of a management concept. NEW TECHNOLOGY WORK AND EMPLOYMENT 2006. [DOI: 10.1111/j.1468-005x.2006.00162.x] [Citation(s) in RCA: 10] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/30/2022]
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Hagedorn-Rasmussen P, Vogelius P. What is value-adding? Contradictions in the practice of BPR in a Danish Social Service Administration. NEW TECHNOLOGY WORK AND EMPLOYMENT 2003. [DOI: 10.1111/1468-005x.00108] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/28/2022]
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