Communication between managers and staff in the NHS: trends and prospects

Article Abstract:

Little attention has been given to communication as an element in the management of the UK National Health Service (NHS) until recently. Research indicates that there are still considerable differences in approaches to communication within the NHS, but that more NHS organizations are focusing on communication. At present, NHS internal communication can be judged to be poor, but this is not surprising given the amount of change that has taken place within the NHS. It appears that basic channels of communication are generally not used to maximum benefit and that major management sources of information are often under-developed.

Admin. of public health programs, Public Health Service, Analysis, Telecommunications systems, Organizational communication

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The influence of middle managers in the business planning process: a case study in the UK NHS

Article Abstract:

Middle managers play a vital role in the implementation of deliberate strategic change. A case study involving the National Health Service of the UK reveals that middle managers have the power to change the implementation of deliberate strategy by contesting the performance indicators which serve as the basis of the business planning framework. Specifically, they utilize features of inner and outer context of the organization to contest the validity of business planning.

Planning, Health Care Services, Case studies, Medical care, Business planning, Middle managers

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Managing through networks: some issues and implications for the NHS

Article Abstract:

Higher managers within the National Health Service (NHS) in Britain have no direct authority over networks of clinical and management activities. The organisation is complicated and heavily interconnected with other private and public sectors, which means that management decisions are based on negotiating skills rather than power. Hierarchies and markets are alternative management arrangements which, like networks, have their disadvantages.

Management services, Office Administrative Services, Hospital Management, Management science, Reports, Hospital administration

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