A Public Management Approach to the NHS

1989 ◽  
Vol 2 (1) ◽  
pp. 10-19 ◽  
Author(s):  
Lewis Gunn

This paper considers a public management perspective on management in the public sector. It begins by setting out two contrasting perspectives, those of business management and of public administration. It contends that the present Conservative government has strongly backed a business management approach to the public sector, with the emphasis being placed on the ‘Five Es’ of economy, efficiency, effectiveness, excellence and enterprise. However, it notes the relative neglect of effectiveness in favour of a rather narrow and short-term concern with economy and efficiency. The paper considers the public administration approach which emphasises the normative differences between the public and private sectors. The paper concludes with an examination of the emerging public management perspective which aims to combine the instrumental insights of business or generic management with the normative orientation of public administration.

Author(s):  
Alasdair Roberts

This introductory chapter provides a background of public administration. In the United States, the field of public administration was launched almost a century ago by people with bold aspirations. They were not interested only in the efficiency of government offices; they wanted a thorough overhaul of the American state so that it could manage the pressures of modern-day life. Unfortunately, this expansive view of the field's purpose has been lost. Over the last four decades in particular, the focus within the field has been mainly on smaller problems of management within the public sector. This is sometimes called the “public management approach.” This narrowing of focus might have made sense in the United States and a few other advanced democracies in the waning decades of the twentieth century, but it does not make sense today. Many people have recently protested this shrinking of ambitions. Thus, there is a need for a change of direction and to recover an expansive view of the field. This book proposes a way to do so.


Author(s):  
Denita Cepiku ◽  
Filippo Giordano

The last global financial and economic crisis started in 2007–2008; it had serious effects on public sectors of OECD countries and was still affecting some of them when the COVID-19 pandemic began. Different streams of literature contribute to understanding the public management and governance challenges emerging from economic crises: the public administration literature on cutback management of the late 1970s and 1980s, the contemporary literature on managing austerity, and the more generic management literature on organizational decline. Although public administrations are reacting to the same global crisis, they are expected to adopt a variety of approaches when designing policy and managerial responses, including strategic approaches, across-the-board approaches (cheese-slicing or piecemeal incremental shifts), or rhetoric and inertia, avoiding real change and manipulating discursive frames. A strategic approach is based on systematic, selective, or targeted measures, and it includes different reactions to the crisis, such as a directive, hollow, or communitarian approach. In light of the different approaches available to public administrations for addressing an economic crisis, attention turns to the factors that determine such a choice. Public administrations’ responses to austerity are shaped by external and internal determinants. The external drivers make the crisis faced by each public administration longer or more severe and shape the way public managers react. External forces include economic and social features of the environment in which the public administration operates as well as national austerity policies. According to the literature, the harsher the fiscal stress, the more likely it is that targeted cuts will be adopted, instead of an across-the-board approach that doesn’t take into account the different levels of efficiency of public administrations or the strategic priority of different policy areas. Internal forces influencing crisis management approaches are financial and fiscal dimensions, such as financial autonomy (reliance on central government for revenue), spending autonomy and flexibility, degree of fiscal stress, and financial vulnerability. All these forces influence a proactive response to the crisis. Another key factor is leadership: the literature is excessively focused on incentives faced by political leaders, and few studies examine the role of administrative leadership. Finally, the crisis management approach matters in terms of impact; the literature developed after the 1970s and 2007–2008 global economic crises all agrees on this. Such a link, however, is difficult to assess. Strategic and longer-term approaches seem to favor the strengthening of trust, resilience, and avoidance of electoral costs, whereas shorter-term changes lower employee morale, create recruitment and retention problems, cause loss of managerial expertise, cause distraction from the core purpose of the service, and increase costs.


2021 ◽  
Vol 14(63) (1) ◽  
pp. 71-84
Author(s):  
Maria Popescu ◽  
Lidia Mândru

"The paper addresses to the Public Administration (PA) from the management perspective. The first part of the study defines the conceptual framework of the two management doctrines, generically called the New Public Management and New Public Government. The second part of the paper reviews the transformation movement in PA management and governance in Romania in the last two decades. The methodology of the study consists in the analysis of the recent theoretic studies on PA modern approach, and official documents, national and European reports, and other publications related to the PA reform in Romania. "


2018 ◽  
Vol 32 (1) ◽  
pp. 255-279 ◽  
Author(s):  
Ileana Steccolini

Purpose The purpose of this paper is to reflect various pathways for public sector accounting and accountability research in a post-new public management (NPM) context. Design/methodology/approach The paper first discusses the relationship between NPM and public sector accounting research. It then explores the possible stimuli that inter-disciplinary accounting scholars may derive from recent public administration studies, public policy and societal trends, highlighting possible ways to extend public sector accounting research and strengthen dialogue with other disciplines. Findings NPM may have represented a golden age, but also a “golden cage,” for the development of public sector accounting research. The paper reflects possible ways out of this golden cage, discussing future avenues for public sector accounting research. In doing so, it highlights the opportunities offered by re-considering the “public” side of accounting research and shifting the attention from the public sector, seen as a context for public sector accounting research, to publicness, as a concept central to such research. Originality/value The paper calls for stronger engagement with contemporary developments in public administration and policy. This could be achieved by looking at how public sector accounting accounts for, but also impacts on, issues of wider societal relevance, such as co-production and hybridization of public services, austerity, crises and wicked problems, the creation and maintenance of public value and democratic participation.


2015 ◽  
Vol 4 (4) ◽  
pp. 23
Author(s):  
Wael Omran Aly

Abstract:After the Second World War, the newly emerged independent third world countries faced immense problems such as poverty, illiteracy, poor health, low agriculture and industrial productivity and social instability. The idea of development administration was born with the above-stated pragmatic concern. Since then, third world countries strived to adopt development administration principles and techniques; in order to transform their conventional traditional public administration into modern development administration that can lead the prospective development.Such conventional public administration deals with regulatory aspects of administration such as law and order, judicial administration and revenue collection, development administration is concerned with the socio-economic developmental activities. Thus, traditional public administration is structure-oriented while developmental administration is action- oriented. Many third world countries failed in realizing such desired shift by converting its conventional public administration to effective development administration; able to achieve the intended national development via the formulation and the implementation of plans, policies, programs and projects necessary for sustainable development purposes. Such bad governance had led the people to go up against such government; as it happens lately in some Arab countries like Egypt and Tunisia.Therefore, the public sector in Egypt need to be deregulated, a new results-based management is a must; to hold managers accountable. This is a fundamental change: holding managers accountable for what they do, not how they do it. The public sector reform initiatives (especially the New Public management –NPM) have resulted in changing the accountability concept; from accountability in terms of procedural compliance to accountability in terms of efficiency and results (effectiveness and cost effectiveness).  


Author(s):  
Babak Sohrabi ◽  
Amir Khanlari

Public administration has been challenged by “new public management” and “government redesign” paradigms. In addition, the relationship between government and citizen has been changed dramatically based on the mentioned paradigm shift. Customer orientation in the public sector is one of the changes originated from the private sector’s principles and paradigms. Nowadays, scholars emphasize applying concepts and techniques of customer orientation in e-government. In this text, firstly, customer orientation and its importance in government activities, especially e-government, is described. Then, principles, applications, and experiences of citizen relationship management as a technique of customer-oriented governments are described.


2015 ◽  
pp. 2183-2199
Author(s):  
Babak Sohrabi ◽  
Amir Khanlari

Public administration has been challenged by “new public management” and “government redesign” paradigms. In addition, the relationship between government and citizen has been changed dramatically based on the mentioned paradigm shift. Customer orientation in the public sector is one of the changes originated from the private sector's principles and paradigms. Nowadays, scholars emphasize applying concepts and techniques of customer orientation in e-government. In this text, firstly, customer orientation and its importance in government activities, especially e-government, is described. Then, principles, applications, and experiences of citizen relationship management as a technique of customer-oriented governments are described.


2015 ◽  
Vol 28 (1) ◽  
pp. 72-83 ◽  
Author(s):  
Poul Erik Flyvholm Jørgensen ◽  
Maria Isaksson

Purpose – The purpose of this paper is to test whether organisations in the public domain have embraced a corporate type of discourse, mirroring the private sector’s preferred orientation towards expertise, or whether they maintain their traditional discourse of goodwill towards the publics they serve. At a critical time for the public sector with inadequate funding and dominance of New Public Management approaches, will it be more motivated to portray itself as expert and efficient rather than altruistic? Design/methodology/approach – The paper applies a rhetorical framework to provide a detailed analysis of organisational value statements posted on the web sites of public and private organisations. The research considers the value priorities of 50 organisations in the UK and Scandinavia in order to gauge the extent of convergence between the two sectors’ preferred discourses. Findings – The research shows that the public sector sticks to its guns in maintaining a web-transmitted values discourse which forefronts goodwill towards its clients. It also shows that the public and private sectors take different approaches to goodwill. Originality/value – Strategists and communication specialists are encouraged to contemplate the extent to which their organisation’s projected web image equates their desired image to avoid alienating important public audiences and reinforce levels of trust. The current framework brings attention to the complex nature of goodwill and may be employed to better balance a discourse of organisational expertise against a discourse of goodwill in planning authentic value statements.


2015 ◽  
Vol 16 (29) ◽  
pp. 1-4
Author(s):  
Sergio Armando Prado De Toledo

Abstract Currently, corruption has been so generalized and sophisticated that threatens to undermine the own society structure. Corruption is a problem identified in all the countries. What changes is how we deal with it. Nevertheless, why is there so much corruption? Within the group of factors, it is possible to highlight the high bureaucracy that reduces the efficiency of the public administration; the presence of a slow Judiciary Branch which is very low is terms of efficiency, when reprimanding illicit practices that incite everything ending up in pizza (this sentence was literally translated from Portuguese, it does not exist in English, but it means that impunity prevails in Brazil.); the existence of a corporatist sense among the Administration industries in the public sector in relation to the private sector and so facilitating corruption. The penalty for corruption should be constrained to mechanisms that allow the system of criminal justice to carry out actions of arrest, prosecution, penalty and repair to the country. Combating corruption complies with the republican ideal for the reduction of costs in Brazil. Moralizing the public-private relations offers juridical security to the market. The fact that some countries, especially Brazil, are seriously combating against corruption brings hope, with an eye on a more rigid legislation and less bureaucratic as well, with the end of the corporatist sense and the equivalence of salaries between the public and private sector. We shall provide effective criminal, administrative and civil penalties of inhibiting nature for future action; we shall provide cooperation between the law applicator and the private companies; we shall prevent the conflict of interests; we shall forbid the existence of “black fund” at the companies and we shall encouraged the relief or reduction of taxes to expenses considered as bribery or other conducts related


2008 ◽  
Vol 23 (1) ◽  
pp. 19-47
Author(s):  
Cho Tae Jun ◽  
Faerman Sue R.

One hundred thirty on responses from public employees and 154 responses from private employees were analyzed to compare employee attitudes towards individualism-collectivism across public and private sector organizations. The present study provides knowledge to public management by showing that some organizational characteristics of public sector organizations (i.e., goal ambiguity, red tape, and public-service motivation) make the public-private distinction, whereas others do not. Additionally, we found that the distinction has been blurred as New Public Management (NPM) has been adopted recently in the public sector. Finally, we support the two-factor model of organizational collectivism and individualism, as well as report that organizational individualism differentiates public and private sector organizations. The theroretical and practical implications of the findings are discussed.


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