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Dissertations / Theses on the topic 'NHS Trusts'

Author: Grafiati

Published: 4 June 2021

Last updated: 18 February 2022

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1

Crilly, Teresa Elizabeth. "The Objectives of NHS Trusts." Thesis, London School of Economics and Political Science (University of London), 2000. http://etheses.lse.ac.uk/134/.

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This thesis explores the motivation and goals of NHS Trusts which were set up under statutory instrument from 15t April 1991 by Margaret Thatcher's Conservative Government and which continue to have a role under the Labour Government elected in 1997. The research question asks 'What are the objectives of Trusts? What is the extent of the constraints under which they operate?' The central piece of empirical work uses a questionnaire survey to explore individuals' objectives, yielding 1,577 responses. A second exercise uses cost and volume data to review the performance of 100 Trusts. A third st

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2

Uslu, Pinar GuÌˆven. "Implementation of benchmarking in NHS Trusts." Thesis, University of East Anglia, 2002. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.247204.

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3

Chuang, Jia-Jiann. "Financial performance reporting by NHS Trusts in England." Thesis, University of Aberdeen, 2002. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.395050.

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This research examines financial reporting by National Health Service (NHS) Trusts in England. The particular aspects examined are financial reporting, financial performance and reporting of financial performance. National Health Service Trusts in England were examined over the period from 1991/92, the launch year of the NHS internal market, to 1997/98. The objectives of the research are to conduct an empirical examination of financial reporting and financial performance of NHS Trusts in England. The research methodology involved: collecting data; piloting a study on Northern & Yorkshire NHS T

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4

Ravaghi, Hamid. "Organisational failure and turnaround process in NHS hospital trusts." Thesis, University of York, 2007. http://etheses.whiterose.ac.uk/9959/.

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Since 1997, public services improvement has been at the centre of the national policy agenda in the UK. The greater visibility of poor quality and performance has led to an increasing interest among policy makers, health care managers and clinicians in understanding the processes by which underperforming organisations can 'turnaround' their situation. The aim of this thesis is to contribute to a wider understanding of organisational failure and turnaround processes in the public sector, particularly health care organisations. A conceptualisation was carried out concerning organisational failur

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5

Greenwood, Margaret. "Financial accountability and managerial incentives in English NHS Hospital Trusts 2003-2008." Thesis, University of Bath, 2012. https://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.558860.

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A continuing programme of NPM reforms, grounded in quasi-market modes of governance and private sector best practice, have been applied to English NHS hospitals over the last thirty years in response to concerns about their performance efficiency and accountability. However, in the transition to market modes of governance, the retention of hierarchical features gave rise to a multi-layering of accountability. From 2001-02 balanced scorecard inspired performance measurement systems (PMS), were introduced into the NHS, aimed at improving service standards through improved cost efficiency. Study

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6

Rich-Mahadkar, Sameedha. "Strategic asset management for improved healthcare infrastructure planning in English NHS Trusts." Thesis, Loughborough University, 2015. https://dspace.lboro.ac.uk/2134/16782.

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The management of physical healthcare assets is vital for efficient delivery of healthcare services along with improving quality and productivity, amidst significant structural and funding re-organisation within the NHS. Capital allocations are under pressure and advanced strategic planning of healthcare infrastructure is required to maintain services. In doing so, the complexity of multiple interacting systems and mixed stakeholder expectations and competencies need to be addressed. The relationship between stakeholder public consultation and estates strategy development in theory and practic

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7

Maxwell, Sharyn Ann. "Contextualising the coordination of care in NHS trusts : an organisational perspective." Thesis, Durham University, 2007. http://etheses.dur.ac.uk/2563/.

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This thesis has two principal aims. The first is to understand why change oriented towards improving the coordination of care for long term users of healthcare (and related) services is so difficult to achieve. The second is to identify possibilities for how these difficulties may be overcome. During the three-year period 2002-2004, two NHS Trusts instituted a particular means for coordinating care, integrated care pathways (ICRs), as 'the way that clinical work is done here'. These change efforts were instigated as part of a collaborative NHS modernisation project. Despite similarities betwee

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8

Brocklehurst, Neil John. "An evaluation study of clinical supervision programmes in six NHS trusts." Thesis, University of Birmingham, 1999. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.322382.

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9

Bailey, Chantelle. "The evaluation of the antimicobial self-assessment toolkit for NHS trusts." Thesis, University of Manchester, 2013. https://www.research.manchester.ac.uk/portal/en/theses/the-evaluation-of-the-antimicobial-selfassessment-toolkit-for-nhs-trusts(4d6f04ab-0011-48e3-818c-dd8c878e69ab).html.

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Introduction: The Antimicrobial Self-assessment Toolkit for Acute NHS Trusts (ASAT) was developed by a pharmacist reference group of an Advisory Non-Departmental Public Body on Antimicrobial Resistance and Healthcare Associated Infections (ARHAI). It was developed in conjunction with the Department of Health. The primary purpose of the ASAT is to identify and to measure the methods of implementation of antimicrobial stewardship programmes in acute NHS trusts. The face validity was previously tested by ARHAI. The overall aims of this programme of work were to investigate the validity of the ASA

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10

Donnelly, Pamela Christine. "Marketing planning in the National Health Service : implementation and consequences." Thesis, Anglia Ruskin University, 2000. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.325397.

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11

Hwang, Li-Jen Jessica. "An investigation of the quality of meal service in NHS Acute Trusts." Thesis, University of Surrey, 2001. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.365140.

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12

Macdonald, Rachel. "Excellent patient environments within acute NHS trusts : the leaders who enable them." Thesis, Sheffield Hallam University, 2007. http://shura.shu.ac.uk/19992/.

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13

Manzoor, Humera. "Emotions as performance in public sector board governance : the case of NHS Foundation Trusts." Thesis, University of Essex, 2012. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.571505.

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This thesis explores emotions within the context of the public sector board governance of two NHS Foundation Trusts. In this study, emotions emerge not as static but dynamic, emergent, and processional. It takes a social constructionist stance as emotions are viewed as 'lived' experiences, which are situated in a dynamic relational context as part of daily practice, and reflected in everyday language. It particularly looks at the way board members give meaning to their emotional experiences and use emotions strategically and tactfully to attain their personal agendas. This alternative view of

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14

Makings, Julie. "Environmental responsibility in the National Health Service : a critical analysis of English NHS Trusts." Thesis, University of Sunderland, 1999. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.298134.

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15

Roberts, Clair Hannah. "Intraprelearning (corporate entrepreneurship, organisational learning and change) within two Welsh NHS Trusts : an autoethnography." Thesis, Bangor University, 2007. https://research.bangor.ac.uk/portal/en/theses/intraprelearning-corporate-entrepreneurship-organisational-learning-and-change-within-two-welsh-nhs-trusts(f2b8e057-3403-46d7-bde8-69f0e162eda2).html.

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16

Egan, Tom. "The impact of risk management processes on clinical negligence claims across NHS acute hospital trusts." Thesis, University of Nottingham, 2012. http://eprints.nottingham.ac.uk/12767/.

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The pursuit of healthcare quality is a global trend as countries attempt to maximise the usage of resources amidst concerns about increasing costs and patient safety. The incentives for high quality care were traditionally provided by the tort system of medical negligence; however, modifications to this system saw it replaced in the UK in 1990 with a fault-based enterprise liability system (NHS Indemnity) - NHS trusts were now indemnified for clinical negligence claims in return for the payment of insurance premiums to the NHSLA which assumed responsibility for claims management. The incentive

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17

Laing, Angus Wallace. "Marketing in NHS trusts : adoption and adaptation of marketing concepts in a public sector setting." Thesis, University of Aberdeen, 1997. http://digitool.abdn.ac.uk/R?func=search-advanced-go&find_code1=WSN&request1=AAIU099566.

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The concept of marketing has typically been perceived as an overtly commercial concept by both nature and origin amongst public sector professionals. Consequently marketing has conventionally been viewed as at best irrelevant and at worst antipathetic to the delivery of public services. The widespread adoption of market based approaches to the organisation of public services in Western economies, together with the emergence of active public sector consumerism has, however, forced a fundamental reconsideration of the potential role of marketing in the delivery of public services. Focusing on th

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Giles, Sally J. "Exploring the attitudes of health care professionals towards incident reporting within three NHS trusts : a mulit-method approach." Thesis, University of Manchester, 2006. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.511212.

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ABSTRACT OF THESIS submitted by Sally J. Giles for the degree of Doctor of Philosophy and entitled, "Exploring the attitudes of health care professionals towards incident reporting within three NHS trusts: a multi-method approach". August 2005 Adverse events are thought to occur in up to 16% of hospital admissions. As a result there has been a drive towards establishing incident reporting systems as a an error prevention tool. In health care these systems are typically based on those developed in other high-risk industries. However they are often subject to high levels of underreporting and th

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19

Cavenagh, Penelope Elaine. "Doctors and management : the factors that determine whether or not doctors take on management roles in NHS trusts." Thesis, Birkbeck (University of London), 2003. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.397239.

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20

Soares, Sara Raquel Costa. "Financial and operational management of nuclear medicine dapartments in the NHS within the London area." Master's thesis, FEUC, 2015. http://hdl.handle.net/10316/29783.

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Dissertação de mestrado em Gestão e Economia da Saúde, apresentada à Faculdade de Economia da Universidade de Coimbra, sob a orientação de Carlota Quintal.<br>Os departamentos de Medicina Nuclear têm uma organização estrutural muito complexa. Estes fornecem uma grande variedade de procedimentos diagnósticos e terapêuticos, que muitas vezes desempenham um papel central na gestão paciente. Diversos profissionais trabalham em conjunto para proporcionar os melhores cuidados possíveis aos pacientes, usando da maneira mais eficiente os recursos disponíveis. A gestão operacional e financeira des

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21

Gerova, Vania Nikolova. "Association between mode of birth, staffing and structural characteristics in NHS trusts with maternity services in England (2010/11)." Thesis, King's College London (University of London), 2014. http://kclpure.kcl.ac.uk/portal/en/theses/association-between-mode-of-birth-staffing-and-structural-characteristics-in-nhs-trusts-with-maternity-services-in-england-201011(05474111-c115-4e7f-9c13-2908d8d7f64c).html.

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Background: Growing international research evidence, mainly from the acute general service sector, suggested that there was a strong link between nurse staffing and patient outcomes. There was a gap in the literature addressing other clinical and non-clinical workforce groups outside acute hospitals. Aim: To investigate the relationship between mode of birth and maternity staffing levels in NHS trusts in England, after accounting for maternal socio-demographic characteristics, individual clinical risk and structural characteristics including type and configuration of trusts. Method: This cross

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22

Myers, A. "A benchmark study and analytical framework, applying demography theory to research on NHS trusts' top management teams in times of change." Thesis, Cranfield University, 2000. http://dspace.lib.cranfield.ac.uk/handle/1826/11112.

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Seminal research at the Camegie school sparked studies in the early 1980s by Pfeffer and by Hambrick and Mason. Their development of demography and upper echelon theory promised to explain organizational performance in terms of the demography of top management teams (TMTs), primarily the average length-of-service or tenure of team members. Later research brought in mediating and management processes, and intervening variables as explanations of performance. Building on this research, the present study surveyed TMTs in NHS Trusts, the data collection being conducted in the mid-1990s. At the tim

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Myers, Andrew. "A benchmark study and analytical framework, applying demography theory to research on NHS trusts' top management teams in times of change." Thesis, Cranfield University, 2000. http://dspace.lib.cranfield.ac.uk/handle/1826/11112.

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Seminal research at the Camegie school sparked studies in the early 1980s by Pfeffer and by Hambrick and Mason. Their development of demography and upper echelon theory promised to explain organizational performance in terms of the demography of top management teams (TMTs), primarily the average length-of-service or tenure of team members. Later research brought in mediating and management processes, and intervening variables as explanations of performance. Building on this research, the present study surveyed TMTs in NHS Trusts, the data collection being conducted in the mid-1990s. At the tim

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24

Jones, Helen Claire. "Exploring the experience of Clinical Research Nurses working within acute NHS trusts and determining the most effective way to structure the workforce : a mixed methods study." Thesis, King's College London (University of London), 2017. https://kclpure.kcl.ac.uk/portal/en/theses/exploring-the-experience-of-clinical-research-nurses-working-within-acute-nhs-trusts-and-determining-the-most-effective-way-to-structure-the-workforce(7334ff35-2c8e-4061-ac92-bbfb15991736).html.

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Background The Clinical Research Nurse (CRN) workforce has developed alongside a growing National Health Service (NHS) research infrastructure. However, evidence suggests this workforce is isolated with minimal awareness in acute trusts of the work of CRNs. There is a lack of evidence concerning how best to structure CRN teams within acute trusts. Aim The overall aim of the study was to explore how the CRN workforce is currently organised within NHS Acute trusts, to explore the experience of CRNs working within acute NHS Trusts and determine the most effective way to structure this workforce.

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Davies, Jonathon. "Achieving Continuity of Care for People with Serious Mental Illness: An Evaluation Emphasising the Role of Social Workers Integrated Working with Other Professionals' in Two UK NHS Mental Health Trusts." Thesis, London South Bank University, 2007. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.487085.

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26

Truman, Susan Mary. "The impact of successive neoliberal policy reforms since 1980 on a case study group of doctors, nurses and managers in Primary Care Trusts (PCTs) in the National Health Service (NHS) in England." Thesis, University of East London, 2015. http://roar.uel.ac.uk/6509/.

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This study investigates the relations between doctors, nurses and managers in a primary care trust in South East England in an era of neoliberal reform since the 1980s. Using two concepts from the work of the cultural theorist Raymond Williams – ‘epochal’ analysis and ‘structures of feeling’ – the case study group is seen as an ‘occupational tripartite’ within a dynamic cultural totality. Using interpretive phenomenological analysis, interview data is examined and reveals aspects of tradition being used by both doctors and nurses in ways that tend towards organisational inertia and support exi

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Agrizzi, Dila Arlette. "Steering the NHS : costing information in a NHS Trust." Thesis, Royal Holloway, University of London, 2003. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.404419.

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Meudell, Karen Allyson. "A semiological analysis of organisational culture and meaning making within the healthcare sector." Thesis, University of Surrey, 2001. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.365192.

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Yinka-Adebisi, Adeleke. "Conceptualising Foundation Trust reform in the NHS : an empirical analysis of three NHS organisations." Thesis, University of Southampton, 2013. https://eprints.soton.ac.uk/364318/.

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Beginning from the 1990s when the ‘New Public Management’ was introduced in the public sector, many countries around the world embraced this new way of working, especially in the developed countries. This adoption kept public sector services in economies like the United Kingdom (UK) under a tremendous pressure to become more efficient in the delivery of effective services. This phenomenon was named - ‘Value for Money’ initiative within the UK public sector. In order to achieve these goals, the public sector has been inundated with several reform regimes, thereby adopting management techniques

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Sarra, Nicholas John. "Organisational development and power relations in an NHS trust." Thesis, University of Hertfordshire, 2005. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.421261.

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31

Joyce, P. "Risk, trust and governmentality : setting priorities in the new NHS." Thesis, University of Salford, 1999. http://usir.salford.ac.uk/2220/.

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The thesis explores priority setting in the National Health Service. It focuses on the changing way in which rationing issues are dealt with in the wake of the Health Service reforms and the separation of function between purchasing and providing health care. It examines how managers within sample District Health Authorities justify their priority-setting agenda. Two connected themes are also analysed. One is how health needs assessment and the call for a 'primary care led NHS' presage a more dominant role for Public Health medicine in informing purchasing. Secondly, how evidence based medicin

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Edwards, Martin Raymond. "Disentangling organisational identification : a case study of an NHS Trust." Thesis, King's College London (University of London), 2003. https://kclpure.kcl.ac.uk/portal/en/theses/disentangling-organisational-identification--a-case-study-of-an-nhs-trust(0f59b4a3-906a-4d3f-9800-41905206d16f).html.

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33

McCabe, Thomas Joseph. "A study of trust and commitment amongst nursing staff within NHS organisations." Thesis, University of Plymouth, 2000. http://hdl.handle.net/10026.1/2783.

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Much academic research supposes that there is a relationship between the level of trust amongst employees and their managers and the extent to which employees are committed, in terms of their attitudes and their behaviour towards the aims and objectives of the organisation and their daily tasks and duties (Kanter, 1972; Eisenstadt and Roniger, 1984; Geller 1988, Guest, 1991; Morgan and Hunt, 1994; Fine and Holyfield, 1996; Brocker, et al, 1997). This study has sought to explore and assess the level and nature of trust and the sources and the conditions which create trust between nursing staff

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Matykiewicz, Liz. "Constituting modern matron : exploring role, identity and action in an English NHS trust." Thesis, University of York, 2011. http://etheses.whiterose.ac.uk/1907/.

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The English National Health Service (NHS) is a contested organisational terrain where what it means to be ‘professional’ is under threat from a dominant ‘new managerialism’ discourse. Sustained organisational change and reform during the past thirty years has impacted on the nature of professional work and role relationships between health care practitioners, managers, patients and the public. Identity is a useful analytic frame for exploring professional role dynamics and has pertinence for studies of health care professionals as they negotiate these changes. This study considers professional

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Krishnan, Subramaniam. "Dilemmas of managing change : the case for change managers at Willow NHS Trust." Thesis, Anglia Ruskin University, 2008. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.489544.

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The focus of my research was to investigate the dilemmas of change experienced by middle managers so that I can respond to the research problem (knowledge gap) concerning the ineffectiveness of change management strategies in the NHS.

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Haines, Susan. "Talent management in nursing : an exploratory case study of a large acute NHS trust." Thesis, University of Nottingham, 2016. http://eprints.nottingham.ac.uk/37301/.

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Introduction and Background Talent management (TM) is described as an organisational process led by senior leaders that encompasses core components including; defining, attracting, developing and retaining talented employees to best meet strategic business objectives. In the pressing contemporary context of global financial and workforce challenges, including national nursing shortages and an aging population with increasingly complex health and social care needs, it is essential to ensure that nursing can compete with other industries to attract, develop and retain the full potential of the c

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Hamilton, Peter Mackenzie. "Persuasive discourse and employment relations : a rhetorical analysis of local pay within an NHS trust." Thesis, Imperial College London, 2000. http://hdl.handle.net/10044/1/8133.

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Spencer, Caroline. "Nurse leaders in an NHS Foundation Trust in England : a mixed methods study of empowerment." Thesis, London South Bank University, 2014. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.631742.

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Background Research into the structural empowerment of nurse leaders (matrons, sisters / charge nurses, senior staff nurses) in middle management positions is of importance, as it is they who set an example to their teams and attempt to overcome barriers and maximise facilitators to high quality care and patient safety. A theoretical framework developed by Kanter (1977, 1993) established that opportunity, power and proportion are key determinants of structural empowerment in organisations. Few quantitative studies conducted in acute healthcare settings have investigated empowerment in nurse le

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Day, Kathryn. "Making IT work : a study of an NHS Trust's efforts to implement a successful technochange project." Thesis, University of Kent, 2014. https://kar.kent.ac.uk/54439/.

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There is a significant amount of existing research on the topic of project management that dates back to Gaddis’ 1959 seminal paper “The Project Manager”. Most organisations recognise the role that projects play in bringing beneficial change to the business (Cooke-Davies, 2002; Kwak and Anbari, 2008; Maylor et al, 2006; Smyth and Morris, 2007; Kloppenborg and Opfer, 2002) and they increasingly use project management processes to seek to improve business results (Mathur et al, 2007). However, the “projectification” of business has not proved to be the panacea that individuals and organisations

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Oliver, Mudyarabikwa. "Evaluation of the planning and implementation of NHS Local Improvement Finance Trust (LIFT) in East London." Thesis, University of East London, 2013. http://roar.uel.ac.uk/3934/.

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Procurement of NHS primary care buildings was reserved for the DH working through PCTs until LIFT was introduced. The DH anticipated that LIFT would effectively mobilise private sector finance and expertise in improving the quality of buildings. But LIFT’s suitability to achieve this is questioned on grounds that it uses market mechanisms that may fail when applied in health. This case-study explored with people directly involved in LIFT their views and experience of how it helped them in procuring desired buildings. It was driven by desire to understand whether and how contextual factors and

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Durham, Wendy. "Factors affecting the implementation of best practice in medication administration by nurses in a UK NHS trust." Thesis, Anglia Ruskin University, 2018. http://arro.anglia.ac.uk/703805/.

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Background: Despite numerous studies that review nursing practice and patient safety, barriers exist that ultimately impact on the delivery of best practice. Best practice is defined as ‘more than evidence-based care as it represents ‘quality care’ which, is deemed optimal based on a prevailing standard or point of view’ (Nelson 2014 P.1507). Evidence suggests that to ensure implementation of best practice into the clinical environment it is important to identify methods of staff development and reduce organisational and professional conflicts in the NHS. Research Aim: The research aim in this

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Field-Richards, Sarah Elizabeth. "The lived reality and meaning of Lean Thinking for nurses and nursing at an NHS Hospitals Trust." Thesis, University of Nottingham, 2017. http://eprints.nottingham.ac.uk/45825/.

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Lean Thinking (Lean) is a management philosophy originating from the Toyota automobile manufacturing company in Japan. Lean has been widely adopted in the United Kingdom (UK) National Health Service (NHS) as a panacea for addressing challenges that threaten its sustainability. Attempts to evaluate the outcomes of Lean implementation, in order to assess its claims to improve efficiency, quality and safety, have proved challenging owing to ambiguity surrounding the definition of Lean, differences in approaches to, and the poor quality of literature reporting, implementation. Lean continues to be

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Sadler-Moore, Della. "The role of the Registered [Surgical] Nurse in the 21st century NHS acute trust hospital : an ethnographic study." Thesis, University of Wolverhampton, 2009. http://hdl.handle.net/2436/88795.

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This study focused on Registered Nurses (RNs) working in Acute Trust surgical wards in the context of their role development, role expansion and role extension. The study originated from concerns raised by RNs undertaking the surgical pathway of the BSc Hons in clinical nursing practice, who alerted me to their dissatisfaction with their working conditions and their role. This revelation was made at a time when modernization was cascading into Acute Trusts as a result of the NHS plan (DOH 2000); simultaneously the European Working Time Directive (EWTD) was being implemented, sequentially reduc

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Lubitsch, Guy. "A longitudinal study into the impact of theory of constraints (TOC) on three departments in an NHS trust : an investigation into the impact of theory of constraints (TOC) on individuals and occupational groups in an ENT department at an NHS trust." Thesis, University of East London, 2002. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.532497.

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This study took place in the UK, National Health Service (NHS), against a background of poor staff morale, continuous lack of funding and a perverse management performance measurement system. The study investigated the impact of Theory of Constraints (TOC), a change methodology previously employed in the private sector and now adapted to the health sector, on three NHS Trust departments, Neurosurgery, Eyes and ENT, especially in relation to reducing waiting lists in the system and improving throughput of patients. Data were collected over a period of forty months, on a number of NHS performanc

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Munro, Kathleen Margaret. ""Learning through work" : a case study of a bounded system of learning within an NHS Trust in Scotland." Thesis, University of Strathclyde, 2001. http://oleg.lib.strath.ac.uk:80/R/?func=dbin-jump-full&object_id=23943.

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The idea that knowledge is generated from practice and that nurses learn through their work was the starting point for this thesis that examines the system of learning through work for experienced nurses and their managers working in a National Health Service Trust in Scotland. The thesis includes a pursuit of the meaning of work-based learning, life long learning and continuing professional development. The implications for the NHS as a learning organisation and the emerging conceptual issues generated questions about the current system of learning at work for nurses. Thirteen nurses and six

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Leverment, Yvonne. "The implications for professional roles and occupational identities of an organisational change process in an NHS trust hospital." Thesis, Loughborough University, 2002. https://dspace.lboro.ac.uk/2134/6774.

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This thesis explores reactions to changing occupational roles and identities precipitated by a Business Process Re-engineering management change programme within a National Health Service setting. The thesis offers further understanding of the changing nature of professional roles and occupational identities within health care. Taking a qualitative approach, through the use of interviews and focus groups, the empirical core of the PhD examines professional employees' responses to changes in their own working practices. The main thrust of the argument is that work reorganisation that changes th

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Gray, Keith Edgar. "Evaluating the significance and determinants of relationship marketing strategies within the former NHS internal market : a comparative analysis of NHS trust and district health authority perspectives in England." Thesis, University of Leicester, 2000. http://hdl.handle.net/2381/31109.

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This thesis evaluates the extent to which relationship marketing (RM) strategies were prevalent within the former NHS Internal Market and the determinants of such strategies. The research achieves its aims through the analysis of a postal survey of NHS Trust hospitals and District Health Authorities in England and case studies of the Warwickshire and Dudley health markets. The impetus for the research is the paucity of literature evaluating RM in the NHS context, resulting from the predominance of the traditional economics perspective on the purchaser - provider relationship. The latter is una

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Tweed, Joy. "Governing the English NHS : exploring the role and contribution of the Primary Care Trust Chair and Non-Executive Director." Thesis, Birkbeck (University of London), 2017. http://bbktheses.da.ulcc.ac.uk/313/.

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The area of research interest for this study was the governance role of non-executive directors (NEDs) and Chairs on NHS Primary Care Trust (PCT) boards across England. This interest arose from the experience of the author, herself a PCT NED, who was aware of some of the tensions of the role that resulted from a model of corporate governance and accountability imported from the private sector to the public sector. The NED role was more complex within PCTs as there were additional stakeholder expectations of providing public accountability. The changing policy landscape also saw NEDs responding

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Narayanasamy, Melanie Jay. ""Gateway to the gatekeepers", single point of access meetings : evaluating the client case referral procedure within an NHS Trust." Thesis, University of Nottingham, 2014. http://eprints.nottingham.ac.uk/14083/.

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This ESRC funded CASE studentship PhD project provides a comprehensive investigation into the referral allocation process within an NHS Trust’s adult mental health facilities, known as Single Point of Access (SPA) meetings. These meetings provide a multidisciplinary environment in which mental health practitioners consider client referrals in the form of letters from, primarily, General Practitioners (GPs) and direct them to appropriate services and interventions. Participants in these meetings can be seen as gatekeepers authorising access to other mental health services. The study was formall

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Dias, Beatriz de Freitas. "Fatores que afetam a avaliação nas universidades federais brasileiras." reponame:Repositório Institucional da UFSC, 1993. http://repositorio.ufsc.br/xmlui/handle/123456789/75854.

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Dissertação (mestrado) - Universidade Federal de Santa Catarina. Centro Socio-Economico<br>Made available in DSpace on 2012-10-16T05:03:40Z (GMT). No. of bitstreams: 0Bitstream added on 2016-01-08T18:08:28Z : No. of bitstreams: 1 92448.pdf: 4171876 bytes, checksum: ac5b2f4a080225efddf0ea7ee419465c (MD5)<br>Os objetivos deste trabalho foram levantar os principais fatores que afetam a avaliação das universidades federais, na percepção dos segmentos que compõem a comunidade universitária, e elaborar uma análise comparativa das opiniões sobre esses problemas. Os dados foram obtidos por intermédio

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