Journal of Management in Medicine: Volume 13 Issue 6

Total purchasing in primary care: three case studies

Stephen Abbott, Stephen Harrison, Nicola Walsh

Total purchasing in primary care (TPPC) was piloted in the mid‐1990s, first by four “pioneer sites”, and later by over 80 first and second waves of “pilot sites”. Separate…

Sources of career disadvantage in nursing: A study of NHS Wales

Nikala Lane

Despite the numerical predominance of women in nursing there is a marked concentration of women, especially those working part‐time, in the lower echelons of the profession. The…

Integrated care management: applying control theory to networks

Arno van Raak, Aggie Paulus, Frits van Merode, Ingrid Mur‐Veeman

Delivery of integrated care by interorganisational networks attracts much attention in Europe. Such care is required to meet the demands of multi‐problem patients. Many efforts…

Limits to employee empowerment in the UK NHS: Locality managers in a community health trust

Stephen Procter, Graeme Currie, Helen Orme

The concern of this paper lies with empowerment of middle managers in a community health trust. It considers the impact of traditional structures and cultures upon the level of…

Identifying the management development needs of senior executives in Iran’s teaching hospitals

Barry Elsey, Mansour Eskandari

This research paper reports the findings of the first comprehensive survey of senior executives in Iran’s teaching hospitals. It is based on an analysis identifying the continuing…

Best practice organisational effectiveness in NHS Trusts: Leeds Teaching Hospitals NHS Trust case study

Mohamed Zairi, Mike Cooke, John Whymark

Measuring organisational effectiveness in a health‐care delivery context is quite a challenging task. Although there are numerous performance assessment models, audit tools and…

Opinion: Clinical governance: principles into practice

John Wright, Michael L. Smith, David R.H. Jackson

This paper describes the early development of clinical governance in an acute NHS Trust. Three Trust‐wide workshops and 17 individual departmental workshops were held between…