Regulatory Capitalism and the UK Labour Government's Reregulation of Commissioning in the English National Health Service

Law & Policy ◽  
2010 ◽  
Vol 33 (1) ◽  
pp. 27-59 ◽  
Author(s):  
JOHN S. F. WRIGHT
Keyword(s):  
National Health Service ◽  
Health Service ◽  
National Health ◽  
The Uk ◽  
English National Health ◽  
English National Health Service

Service improvement in the English National health service: Complexities and tensions

2012 ◽  
Vol 18 (5) ◽  
pp. 594-607 ◽  
Author(s):  
Nicola Burgess ◽  
Zoe Radnor
Keyword(s):  
National Health Service ◽  
Health Service ◽  
National Health ◽  
Operating Efficiency ◽  
Service Improvement ◽  
Quality Healthcare ◽  
Improvement Methodologies ◽  
The Uk ◽  
English National Health ◽  
English National Health Service

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.

Service improvement in the English National health service: Complexities and tensions

2012 ◽  
Vol 18 (5) ◽  
pp. 594-607 ◽  
Author(s):  
Nicola Burgess ◽  
Zoe Radnor
Keyword(s):  
National Health Service ◽  
Health Service ◽  
National Health ◽  
Operating Efficiency ◽  
Service Improvement ◽  
Quality Healthcare ◽  
Improvement Methodologies ◽  
The Uk ◽  
English National Health ◽  
English National Health Service

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.

Changing Management Cultures in the English National Health Service

2010 ◽  
pp. 19-30 ◽  
Author(s):  
Russell Mannion ◽  
Huw Davies ◽  
Stephen Harrison ◽  
Frederick Konteh ◽  
Rowena Jacobs ◽  
...  
Keyword(s):  
National Health Service ◽  
Health Service ◽  
National Health ◽  
English National Health ◽  
English National Health Service
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