scholarly journals The application of a reflective practitioner methodology by clerks to college governing bodies in England: reviewing the benefits for clerks, and also for college governors and college senior staff

2020 ◽  
Vol 25 (1) ◽  
pp. 110-124
Author(s):  
Ron Hill ◽  
Joss Kang
2021 ◽  
Vol 74 (6) ◽  
pp. 10-13
Author(s):  
Markus Zimmermann ◽  
Tim Peters

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Elizabeth Sutton ◽  
Julian Bion ◽  
Russell Mannion ◽  
Janet Willars ◽  
Elizabeth Shaw ◽  
...  

Abstract Background National standards are commonly used as an improvement strategy in healthcare, but organisations may respond in diverse and sometimes negative ways to external quality demands. This paper describes how a sample of NHS hospital trusts in England responded to the introduction of national standards for 7-day services (7DS), from an organisational behaviour perspective. Methods We conducted 43 semi-structured interviews with executive/director level and clinical staff, in eight NHS trusts that varied in size, location, and levels of specialist staffing at weekends. We explored approaches to implementing standards locally, and the impact of organisational culture and local context on organisational response. Results Senior staff in the majority of trusts described a focus on hitting targets and achieving compliance with the standards. Compliance-based responses were associated with a hierarchical organisational culture and focus on external performance. In a minority of trusts senior staff described mobilising commitment-based strategies. In these trusts senior staff reframed the external standards in terms of organisational values, and used co-operative strategies for achieving change. Trusts that took a commitment-based approach tended to be described as having a developmental organisational culture and a history of higher performance across the board. Audit data on 7DS showed improvement against standards for most trusts, but commitment-focused trusts were less likely to demonstrate improvements on the 7DS audit. The ability of trusts to respond to external standards was limited when they were under pressure due to a history of overall poor performance or resource limitations. Conclusions National standards and audit for service-level improvement generate different types of response in different local settings. Approaches to driving improvement nationally need to be accompanied by resources and tailored support for improvement, taking into account local context and organisational culture.


2015 ◽  
Vol 18 (2) ◽  
pp. 225-225
Author(s):  
Michael T. Gabbett

Dr John MacMillan, Senior Staff Specialist at Genetic Health Queensland and Associate Professor of Medicine at The University of Queensland, passed away on December 21, 2014, aged 55 years. John was founding director at Genetic Health Queensland and was well known for his research contribution into the genetic basis of neurological disease.


2011 ◽  
Vol 11 (4) ◽  
pp. 1-21 ◽  
Author(s):  
George Holmes

Global conservation has changed over the last two decades. As conservation NGOs have grown in size and stature, they have increasingly turned to businesses and market mechanisms and they are increasingly replacing the state in delivering conservation programs. This article argues that at the heart of global conservation lies a small, well-connected elite, made up of directors and senior staff of key conservation NGOs, state politicians and bureaucrats, corporate directors, scientists, celebrities, and media actors. This elite network works as influence, ideas, and money are spread in formal spaces, such as conferences and meeting rooms, and in informal occasions such as social events. Drawing on emerging studies of conservation bureaucracies and NGOs, this article outlines the workings and structure of this elite, illustrated through four detailed vignettes. It situates the elite in the emerging literature on neoliberalism, arguing that this elite is at the forefront of driving the neoliberalization of conservation.


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