This report focuses on NHS trust mergers and mergers of health authorities. It was commissioned by the HEA to summarise the available literature. It describes common causes of failure, and suggests ways in which NHS leaders involved in merger can enable the organisational aims of the merger to be achieved, ...
This document has been produced in response to the enormous growth in activity around and interest relating to the subject of quality in healthcare. As well as the introduction of clinical governance, two new national organisations, the National Institute for Clinical Excellence (N.I.C.E.) and the Commission for Health Improvement (CHImp), ...
The authors evaluated the implementation of Health at Work, a national programme of work which has begun to open up the workplace health agenda as an organisational and leadership development agenda. Through their research and evaluation strategy they established that: workplace health interventions can make a positive difference to workforce ...
The author reports on a workshop addressing future clinical staffing in different trust settings: the general acute hospital trust; the combined acute and community trust; the community/priority services health care trust; and the teaching hospital trust.
This paper discusses the role of a senior medical doctor on the board of NHS trusts who has to advise the board on medical matters and to lead the doctors within the organisation. The authors reflect on the views of medical directors who have discussed these issues with the authors ...
The first part of this briefing looks at the implications of the NHS reforms in theory and in practice and presents the six lines of enquiry which might be pursued. The second section discusses the particular impact of the NHS reforms on London which has maintained a very significant number ...
As part of its continuing efforts to reform the NHS, the government has introduced a number of incentives to help the health sector meet national targets and objectives for improving care. This paper examines whether these incentives are helping or hindering progress. Its findings are based on interviews with health ...
One in four NHS trusts in England ended 2004 in deficit. The impact of current NHS reforms will be to magnify financial imbalances at a significant number of trusts, with the risk that some of them will fail. But there is no real plan for dealing with failure in the ...
In recent years, NHS boards have often been preoccupied with financial performance, but they also have to engage with the quality of clinical care. A programme of work developed by The King's Fund, in partnership with the Burdett Trust for Nursing, has focused on the role of nurse executives in ...