Introduction
The Royal College of General Practitioners in its recent published paper has predicted that in the next ten years, the number of patients with one or more long term conditions will increase to 18 million in England alone. Currently this group of patients make up fifty per cent of all GP appointments, sixty four per cent of all outpatient appointments and seventy per cent of all inpatient admissions. The total cost is as much as seventy per cent of the total health and social care expenditure in England.
Between 2001 to 2011, the number of full time GPs in England increased from 28,854 to 35,319. This represents an average annual growth of only two per cent. This current rate of growth in the general practice workforce is not
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However, studies have shown that structural organisation changes alone do not deliver the expected improvements in the quality and performance of health care (Ham, 1999). Redesigning service pathways and implementing changes are relatively easy at a functional level. However, attempting to understand the distinctive thought processes adopted by organisations, the underlying resistance factors to change and how new practices can be sustained is far more challenging. Therefore, a deeper analysis and understanding of organisational culture is crucial to the success of change management.
This paper aims to explore the different challenges of organisation culture and change management using the implementation of a recent telehealth project in North Yorkshire to discuss the key success factors of change management derived from different research studies.
Organisation culture
There are many definitions of organisational culture available in the literature, many of which are based on the fact that culture consists of values, beliefs, and assumptions shared by the majority of members of an organisation. These characteristics and shared views are then translated into common and repeated patterns of behaviour. Although it is difficult to come up with a single definition that would cover
The National health services (NHS) provides a comprehensive healthcare services across the entire nation. It is considered to be UK’s proudest institution, and is envied by many other countries because of its free of cost health delivery to its population. Nevertheless, it is often seen as a ‘political football’ as it affects all of us in some way and hence everyone carry an opinion about it (Cass, 2006). Factors such as government policies, funding, number of service users, taxation etc all make up small parts of this large complex organisation. Therefore, any imbalances within one sector can pose a substantial risk on the overall NHS (Wheeler & Grice, 2000). This essay will discuss whether the NHS aim of reducing the nations need
It has been widely accepted that rationing of the National Health Service (NHS) is paramount to maintaining and balancing public resources. In a utopian world it would be possible to provide every patient with every medical treatment that they would require, however this is not possible and therefore rationing has to be applied by local health authorities. Simply, there are not enough resources and medical staff available to keep up with the ever evolving demands of the public, and once more, these medical resources can’t at times tend to the needs of the medical advancements made every day. Some equipment and medicines are extremely costly and the NHS struggles to balance public budgets in the face of such advancements. One survey of a primary care trust in the NHS found that the panel that made that decision about funding new treatments was faced with applications that would have
Today’s changes to the NHS have been called the most radical in the whole of the 60 years that it’s been in existence. In today’s NHS charities and private firms are now involved much more widely, in areas such as mental health and end of life care. Although they do have a much smaller role in hospital setting than they used to have. One of the biggest changes is that doctors now have budgets from which they buy healthcare, it could be from NHS trusts or private sectors, the new scheme is called GP
Doctors were unwilling to join the NHS at first and this lead to a shortage of GP’s but with practice mangers being appointed and a change in the training of nurses, hospitals
The National Health Service has seen many political and financial changes since it began. The advance in medicine since the 19th century impacted the Britain significantly. The health of the nation has improved dramatically since the NHS formed. The timeline of events leading up to its formation are crucial.
The Department of Health ensures healthcare organisations such as the National Health Service (NHS) in England are able to provide the nation with all the care, treatment and support they require to live comfortably. The government’s aim to modernise the junior doctors’ contract helps them in ensuring British healthcare remains at its best. The negotiations between the Department of Health, NHS Employers and the BMA are way of ensuring healthcare in England evolves guaranteeing the safety of both doctors and patients.
The United Kingdom utilizes a national health service. This service is government owned and controlled. Most practitioners are employees of the government and hospitals are government run. Taxes provide nearly 80% of the funding for their health program. The remainders of the cost are covered by employee and employer contributions. Most providers and hospitals are public, although there is a small but growing private sector. The citizens of the United Kingdom pay nothing for visits to their physician or hospital stays. They also can choose which providers they want to visit and have “good access to primary care” (Hohman, 2006). The United Kingdom ranked number 18 in overall healthcare (WHO 2000) while spending only 8.4% of its gross domestic product (Kaiser EDU). In a recent poll, 79% of UK citizens “agreed that the NHS provided them with good service” (Health Science Journal, 2009).
Lifestyle choices such as smoking, drinking alcohol, poor diet and lack of physical exercise have many diseases associated with them. In 2006-07, patients with these diseases cost the NHS a combined total of £18.4bn (Scarborough et al. 2011). If the NHS limited treatment to these groups of people, it would be able to invest this money into other areas of need. This could lead to improved facilities for people who become ill through no fault of their own.
Socio-cultural - The Office for National Statistics (ONS) state that, since 1964, the population of the UK has grown by over ten million (about half of this growth has occurred since 2001), in addition the average age of a UK citizen has increased by four years. This means that not only does NHS
At the heart of NHS care stands general practice as an integral part of population health care. The challenge is catering to an ever-changing population; at present an aging population that is living longer with long-term conditions and requiring local access to care that is focused around them.
Pearson’s Private Hospital’s management have realised that they need to change some of the policies and procedures to ensure more of a connection between nurses and patients. Therefore Pearson’s Private have hired an Organisational Development Practitioner to help implement the change within the organisation. They help implement business strategy’s, organisations design, quality management and both information and business technology strategy’s (Brown, 2015). Change can successfully be implemented into any organisation if the correct procuration and steps are taken when doing so. This is why hiring an Organisational Development Practitioner is the most effect way to implement change. They implement the correct method and help by motivating
What I discovered and know from my research about change management is that “Change can be described as the approach to transitioning individuals, teams, and organizations to a desired future (Kotter, 2009). Change management also speeds the process of delivering desired behavior change, to achieve anticipated results. The evolving nature of healthcare also has its attendant impacts on the health system. However, bringing about a change in a hospital to a set standard, according to McCarthy & Eastman (2011) involves multiple steps. Some of the steps discussed below will give an insight into the change management process.
general practitioners under the scheme. This set the tone for nearly two years following, during
Culture is collective conditioning of minds helping a the members of one organisation to differ themselves from the other one. (Hofstede, 1980) It is a collection of diverse values and behaviours able to increase performance. (Schein, 1990) Other scientist argued that the culture is defined as “a set of norms and values that are widely shared and strongly held throughout the organisation” (O’Reilly and Chatman, 1996: 166) It is important to understand and share a culture in an organisation. Culture is helpful to reconstruct the cognition and decisions of employees and has a variety of beliefs, values and assumptions required for each organisation to conduct its business. (Pettigrew,
A well-known fact that organizational culture is hard to define because of its complexity, and it seems that most of existing definitions are general and macroscopic. For example, organizational culture supplies members of organization with principles of behaviors with the help of essential, common values in the organization, and these principles are usually approved and accepted by internal members (Baird et al. 2007; Chatman & Jehn, 1994; Deshpandé & Webster, 1989; Narver & Slater, 1998; as cited in Cynthia Webster & Allyn White, 2010). And organizational culture means correspondingly fixed faiths, manners and norms that are agreed by organizational members commonly (Williams, Dobson & Walters, 1993; as cited in Catherine T. Kwantes & Cheryl A. Boglarsky, 2007). Organizational culture is also defined as “shared normative beliefs and shared behavioural expectations” or “a particular set of