Preview

A Critical Analysis of Change & Resistance Within the Nhs

Best Essays
Open Document
Open Document
5138 Words
Grammar
Grammar
Plagiarism
Plagiarism
Writing
Writing
Score
Score
A Critical Analysis of Change & Resistance Within the Nhs
“A Critical Analysis of Change & Resistance within the NHS.”

Introduction

The rate of economic and political change in recent decades has been dramatic. The Anglo-Saxon emphasis on neo-liberal economic ideology has drifted East, with the (Brown, 2000) ‘rise of China’ and other emerging economies. The trend in recent decades has focussed on the need to privatise great swathes of the economy and to reduce trade barriers, leading to less protectionism. This emphasis on private sector control became apparent in the 1980’s with (Hutchinson, 2008) ‘Thatcherism’ and ‘Reaganism’ seeking to reform the post-War consensus. The dramatic changes in America and the United Kingdom were not restricted to those economies however. The European Union (Salmon et al, 1997) progressively looked to integrate politically and economically placing more emphasis on ‘free trade’ and market based solutions. The power of the Soviet Union was beginning to diminish, with the collapse of the Berlin Wall and in China (Ruan et al, 1995) Deng Xiaoping was moving the communist party of China towards considering economic reforms that would lead to a drift towards market based solutions away from the Centrally-planned ideology.
All of these enormous changes resulted in significant conflict within respective Countries, societies and organisations. The results of these changes have seen debates rage about the positives and negatives of globalisation in the 21st Century. There is an argument that Western society has sought to (Learmonth, 1999) ‘exclude and marginalise others’ in the pursuit of hierarchical pre-eminence to traditional Western thought, in the process organisations and Government have ‘neo-colonial logical and ontological assumptions’ Banerjee et al (2004, pp. 226-227) of different viewpoints, however there are those that believe there are moves to respect the pragmatic plurality of opinion and formulate organisational strategy that focuses on understanding local conditions.



References: Banjerjee, B & Linstead, S. (2004) Masking subversion: Neo-colonial embeddedness in anthropological accounts of indigenous management. SAGE Publications. 57 (2) pp. 221.247. Besanko, D. Dranove, D & Shanley, M. (1996) Economics of Strategy. John Wiley & Sons, Inc. Bower, D (1994) Innovation in Health Care: Development in NHS Trusts. Emerald. 8 (4) pp. 54-61. Bright, Barry P. (1989) Theory and practise in the study of adult education: the Epistemological debate. New York: Routledge. Brown, Michael. E (2000) The rise of China. MIT Press. Buchanan, D & Badham, R (1999) ‘Politics and organisational change: the lived experience’, Human Relation 52(5) pp. 609-630. Buchanan, D. A et al (2007) ‘Nobody in charge: distributed change agency in healthcare,’ Human Relations . 60 (7) pp. 1065-1090. Burnes, B (2004) Managing change: a strategic approach to organisational dynamics. 4th Edition. Financial Times/ Prentice Hall Clegg, S Denzin, Norman K. Lincoln, Yvonna S. (2005) The SAGE handbook of qualitative research. 3rd Edition. London: SAGE Publications Ltd. Dillon, J (2001) Report 'shows backdoor NHS privatisation ' [Internet] Independent Newspaper Online. Foucault, M (2002). Archaeology of Knowledge. 2nd Edition. Routledge. Friedman, T. L (2005) The World is Flat: A Brief History of the 21st Century. Farrar, Straus and Giroux. French, R & Grey, C (1996) Rethinking Management Education. Sage Publications Ltd. Garfinkel (1986) Ethnomethodological Studies of Work Hammer, M. & Champy, J. (1993). Reengineering the Corporation: a Manifesto for Business Revolution. London: Nicholas Brealy. Hennessey, P (2003) Blair facing new revolt as Labour MPs oppose foundation hospitals. The Evening Standard (London, England) [Internet] March 4, 2003. Hutchinson, C (2008) Reaganism, Thatcherism and the Social Novel. Palgrave Macmillan. Imai, M. (1986) Kaizen (Ky’zen), the key to Japan’s competitive success. McGraw-Hill: New York. Kettl, D (2005) The global public management revolution. 2nd Edition. Brookings Institution: U.S. Learmonth, Mark (1999) The National Health Service Manager, Engineer and Father? A Deconstruction. Journal of Management Studies. 36(7) pp. 999-1012. Lewin, K. (1951). Field Theory in Social Science. New York: Harper Row Managing Change at Fumac – implementing TQM in UK manufacturing. Mintzberg, H. (1989). Mintzberg on Management: inside our strange world of organisations. Chicago: Free Press Moda, C & Martinovic-Zic, Aida.(2004) Discourse across languages and cultures Mullins, Laurie J., (2008). Essentials of organisational behaviour. 2nd Edition. Harlow: Pearson Education Ltd Ovretveit, J Rose, Ed. (2008) Employment Relations. 3rd Edition. Pearson Education Limited. Ruan, M. Liu, N. Rand, P & Lawrence, R.(1994) Deng Xiaoping: chronicle of an empire. Westview Press Inc. Russell-Walling, E. (2007) 50 Management Ideas: you really need to know. Quercus Publishing Plc. Salmon, T & Nicoll, W. (1997) Building European Union: a documentary history and analysis. Manchester University Press. Tushman, M & O’Reilly, C. A. (2002) Winning through Innovation: a practical guide to leading organisational change and renewal. 2nd Edition. Harvard Business School.

You May Also Find These Documents Helpful

  • Powerful Essays

    Risk Scenario

    • 4258 Words
    • 18 Pages

    Preker, A, (2003), Innovations in health service delivery: The corporatization of public hospitals, Washington, DC: The World Bank, pp. 60-80.…

    • 4258 Words
    • 18 Pages
    Powerful Essays
  • Good Essays

    Nhs Reform

    • 1670 Words
    • 7 Pages

    The Secretary of State for Health, Andrew Lansley, has set out the government’s plans to reform the NHS in England. The plans, documented in a new white paper entitled ‘Equity and Excellence: Liberating the NHS’, state that more power will be given to patients and professionals in the design and delivery of health and social care. This briefing outlines a summary of the key reforms. Please note, some terms which require further clarification are explained in a glossary at the end of this document. The white paper focuses on four key areas: 1. 2. 3. 4. Putting patients and the public first Improving healthcare outcomes Autonomy, accountability and democratic legitimacy Cutting bureaucracy and improving efficiency…

    • 1670 Words
    • 7 Pages
    Good Essays
  • Good Essays

    It is utterly essential to maintain the NHS under public control. For quite some time there has been a debate on whether the National Healthcare Service should go under private management or stay under Government control. I believe that this valuable service should not go private. Privatisation of the NHS is detrimental to the public and will lead to many negative events. Privatisation is definitely not in the public interest and will only benefit the richest 1% of Britain who can afford a stake in the service. Privatisation is risky, irrational and dangerous.…

    • 767 Words
    • 4 Pages
    Good Essays
  • Satisfactory Essays

    Development of the Nhs

    • 367 Words
    • 2 Pages

    The war had created a housing crisis - alongside post-war re-building of cities, the New Towns Act (1946) created major new centres of population which needed health services. Hospitals had little claim on the few building materials available - housing and schools came first. The distribution of consultant services was poor, for specialists were centred in the major hospitals in large cities where private practice was possible, not rural areas.…

    • 367 Words
    • 2 Pages
    Satisfactory Essays
  • Good Essays

    Furthermore, I will introduce a case study performed by the University College of London student Trisha Greenhalgh, How do You Modernize a Health Service? A Realist Evaluation of Whole-Scale Transformation in London. (6) Whole Scale Change is often seen within the health care industry, this case study is an evaluation of a major change in large health care organizations covering three services, stroke, kidney and sexual health. The British Government recognized the need for change to the National Health Service in the late 1990’s, the National Health Service was perceived as “inaccessible, disease oriented, inflexible, disjointed, error-prone, and inconsistent and to be delivered by overworked, unmotivated staff”. (7) The change effort goal was to make a significant change to the nature of services offered and delivered,…

    • 535 Words
    • 3 Pages
    Good Essays
  • Powerful Essays

    for buy-in, enabling action, creating short-term wins, don’t let up, and making it stick). Bridges…

    • 10469 Words
    • 42 Pages
    Powerful Essays
  • Powerful Essays

    Inside Fedex Express

    • 15674 Words
    • 63 Pages

    Friedman, Thomas L., The World is Flat; A Brief History of the 21st Century, New York: Farrar, Straus, and Giroux, 2005…

    • 15674 Words
    • 63 Pages
    Powerful Essays
  • Powerful Essays

    Michael Hammer and James Champy (1993). Reengineering the Corporation: A Manifesto for Business Revolution, Harper Business…

    • 1824 Words
    • 8 Pages
    Powerful Essays
  • Better Essays

    The World Is Flat

    • 2134 Words
    • 9 Pages

    Friedman, Thomas L., The World is Flat: A Brief History of the 21st Century, New York, Farrar, Straus and Giroux, 2005…

    • 2134 Words
    • 9 Pages
    Better Essays
  • Powerful Essays

    Management

    • 1938 Words
    • 8 Pages

    Blake, A. M., & Moseley, J. L. (2011). Frederick Winslow Taylor: One Hundred Years of Managerial Insight. International Journal Of Management, 28:4, 346-353.…

    • 1938 Words
    • 8 Pages
    Powerful Essays
  • Best Essays

    5. Friedman, T. L.: The World Is Flat: A Brief History of the Twenty-First Century, Farrar,…

    • 3103 Words
    • 13 Pages
    Best Essays
  • Good Essays

    First, we are putting the NHS on the side of the patient by going further than ever before in finding things that are going wrong and fixing them. So we have created a new job for a Chief Inspector of hospitals. We are giving proper protection for whistleblowers to expose poor quality of care and the culture of secrecy which so fatally undermined Mid-Staffordshire NHS Trust. Our surgeons and GPs are beginning to share data on outcomes more freely than anywhere else in the world. And our Friends and Family Test gives patients and staff chance to say whether they would recommend a hospital to their loved ones, with all that information published and real consequences for the board of the hospital if the figures are bad.…

    • 819 Words
    • 4 Pages
    Good Essays
  • Best Essays

    Organizational Development

    • 2630 Words
    • 11 Pages

    Burnes, B. (2009) Managing change: A strategic approach to organizational dynamics (5th edition), Financial Times Pearson Education Limited: GB, 320-359.…

    • 2630 Words
    • 11 Pages
    Best Essays
  • Powerful Essays

    10. Wren, D. A., (1994), The Evolution of Management Thought (4 Ed) New York: John Wiley.…

    • 2001 Words
    • 9 Pages
    Powerful Essays
  • Best Essays

    Qn 2: From these summaries, prepare a case for globalisation and prepare a case against globalisation, integrating both the ‘Western’ & local perspectives’…

    • 837 Words
    • 4 Pages
    Best Essays