Burgess, Nicola and Radnor, Z. J. (Zoe J.) (2012) Service improvement in the English National health service : complexities and tensions. Journal of management & organization, Volume 18 (Number 5). pp. 594-607.

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Abstract

The English National Health Service (NHS) is a public sector organisation with a longstanding objective to deliver high quality healthcare that is free at the point of use. In order to achieve this, the NHS has endured an evocative and controversial theme of reform across many decades. Despite such high levels of reform, the recent Operating Efficiency Framework declared that the NHS is about to enter its toughest ever financial climate. This paper will illustrate the complexities and tensions of implementing service improvement in the NHS in a climate of persistent policy reform, reduced budgets and tough regulation. The paper reports findings of three case studies of hospital trusts in the UK in relation to the implementation of Lean improvement methodologies, highlighting key complexities of a hospital context and the corresponding tension with service improvement activity.

Item Type:	Journal Article
Divisions:	Faculty of Social Sciences > Warwick Business School > Operations Management Faculty of Social Sciences > Warwick Business School
Journal or Publication Title:	Journal of management & organization
Publisher:	Cambridge University Press
ISSN:	1833-3672
Official Date:	September 2012
Dates:	Date Event September 2012 Published
Volume:	Volume 18
Number:	Number 5
Page Range:	pp. 594-607
Status:	Peer Reviewed
Publication Status:	Published
Access rights to Published version:	Restricted or Subscription Access

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