The election: Implications for the future of the NHS

YesOn the 8th of June 2017 the United Kingdom will go the polls. The NHS will be central to the campaign. This will not just be a campaign concerned about NHS funding it never really is, there are always so many other issues. However, it will be either be consciously or subconsciously about the nature of the NHS in the immediate foreseeable future

The case of the missing skills - Business development opportunities using a holistic approach to CSR, incorporating figurational dynamics

yesThis paper examines the feasibility of using a holistic approach to sustainability in a business context. The aim is to help organisations from a healthcare perspective increase their adaptability to volatile business environments, by aligning external and internal elements with success, based on internal validation of output. A literature review on existing sustainability theory was conducted and the results divided into versions of sustainability from an initial idea (1.0), to a situation where sustainably will become the nature of business rather than one of its objectives (4.0). In order to align business health and strengthen self-healing powers of businesses, eight pillars of relevance were identified as post conditional. The method adopted to interpret the approaches was informed by a structured process of healthcare perspectiveness healing using figurational dynamics as an analytical lens. Findings indicate that for implementation of an improvement structure based on holistic governance to be successful, acceptance of changes in economic, political and social spheres towards holistic business development need to exist. Secondly, figurational dynamics has to evolve as an overarching or inclusive system to include influences and inspiration from various specialist arenas

The crisis of management in the NHS - The absence of leadership

yesThe on-going changes in England and Wales health policy that aimed to promote competition, provide enhanced performance information and create small health organisations produce significant attention within management. As the organisation of health system has moved from what a ‘loose-coupled’ system to an integration control system, there is an issue regarding the roles of healthcare providers as professionals and mangers roles as leaders of healthcare organisations. It could be concluded that the financial challenge for staff and the institution besides the pressure of expectation influence the healthcare leadership. This resulted in involves them fully and without bias in this process whilst being pragmatic enough to develop ideas, theories and techniques despite pronounced resistance. Therefore to engage with these changes and the policy, which underpins it, this paper explore the behavioural aspect of leadership style and its effect on management practice. It also considers the management of change and the impact of leadership during the change process.From email attached when submitting to Bradford Scholars on 10th Mar 2017: 22-Feb-2017 Dear Dr. McIntosh: Thank you for submitting a paper to Health Services Management Research. I am emailing to confirm that your manuscript entitled "The crisis of management in the NHS - The absence of leadership" has been successfully submitted online and is presently being given full consideration for publication in Health Services Management Research. We aim to complete peer review and make a decision on papers within 12 weeks". 10/03/2017 - smVal queried this is not in the journal yet. If it isn't we can discuss with Satu whether we keep the entry. Pre-prints are allowed by the publisher, but are we keeping them in Bradford Scholars. - sm 08/12/2017Pre-print submitted for peer-review

Entrepreneurship - A new dawn

YesGol

Developing a national learning health system

yesThere is increasing recognition among policymakers that health systems are no longer fit for purpose. Our hospital-centred systems, originally created to deal with communicable disease epidemics, are now faced with the challenge of delivering care to the exponentially increasing number of people living with (typically multiple)≈non-communicable disorders (NCDs). Global economic stagnation has also contributed to the pressures facing health systems – such that there is an imperative to develop new models of care

Fad or panacea - Lean management

yesThe NHS will need to make real term cost savings whilst maintaining and, where possible, enhancing the quality of essential services. The require-ment for efficiency savings to enable reinvestment in quality is estimated to be up to £21.1 billion by 2014 (Department of Health, 2010; Appleby, 2009.). This requires the NHS to increase productivity by 6 percent per annum (Appleby, 2010) while the Office of National Statistics estimates that productivity1 actually fell by approximately 0.3 percent per annum over the period 1995-2008 (ONS, 2010). Productivity is highly variable within the NHS and even within trusts (NHS Institute for Innovation and Improvement, 2004). Given these pressures, the productivity of healthcare organiza-tions is an incredibly salient topic; lean management is a particular pertinent and topical issue

Editorial

Ye

Entrepreneurship – an undiscovered country

yesThe Body Shop’s business has been an entrepreneurial enterprise of remarkable success. Its core lies on the principle, pioneered by founder Anita Roddick, that ‘(…) the business of business should not be just about money, it should be about responsibility.’ The company is the symbol of the 1970’s corporate social responsibility (CSR) revolution

A new hope: Public social partnerships

Ye