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Available. Open Access. Open Access
Article
Publication date: 17 March 2023

Russell Mannion, Frederick Hassan Konteh and Rowena Jacobs

This study aims to compare and contrast the core organisational processes across high and low performing mental health providers in the English National Health Service (NHS).

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Abstract

Purpose

This study aims to compare and contrast the core organisational processes across high and low performing mental health providers in the English National Health Service (NHS).

Design/methodology/approach

A multiple case study qualitative design incorporating a full sample of low and high performing mental health providers.

Findings

This study suggests that the organisational approaches used to govern and manage mental health providers are associated with their performance, and the study’s findings give clues as to what areas might need attention. They include, but are not limited to: developing appropriate governance frameworks and organisational cultures, ensuring that staff across the organisation feel “psychologically safe” and able to speak up when they see things that are going wrong; a focus on enhancing quality of services rather than prioritising cost-reduction; investing in new technology and digital applications; and nurturing positive inter-organisational relationships across the local health economy.

Originality/value

Highlights considerable divergence in organisation and management practices that are associated with the performance of mental health trusts in the English NHS

Details

Journal of Health Organization and Management, vol. 37 no. 2
Type: Research Article
ISSN: 1477-7266

Keywords

Available. Open Access. Open Access
Article
Publication date: 15 February 2016

Maria Goddard, Panagiotis Kasteridis, Rowena Jacobs, Rita Santos and Anne Mason

The purpose of this paper is to explore the link between one aspect of primary care in England – the annual review by general practitioners for dementia patients – and length of…

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Abstract

Purpose

The purpose of this paper is to explore the link between one aspect of primary care in England – the annual review by general practitioners for dementia patients – and length of hospital stay (LoS). The annual review should identify the needs of both patients and carers and co-ordinate services across health and social care to address those needs. If this is done well, timely discharge from hospital may be facilitated.

Design/methodology/approach

The study uses linked national data from 2006/2007 to 2010/2011 on over 36,000 patients, employing sophisticated statistical techniques to isolate the effect of the annual dementia review on LoS.

Findings

Hospital patients discharged to the community have significantly shorter stays if they are cared for by practices that reviewed a higher percentage of their patients with dementia. However, this effect is small and is not evident for patients discharged to care homes or who died in hospital. Longer LoS is associated with a range of co-morbidities, markers of low availability of social care and with intensive provision of informal care.

Practical implications

Although the dementia review has only a modest effect on LoS, the components of the review could improve the health and well-being of those with dementia and their carers.

Originality/value

The study is the first to employ a robust methodology to investigate the impact of the annual dementia review on hospital LoS, an important aspect of the interface between primary and secondary care. There are implications for clinical and financial aspects of health and social care policy.

Details

Journal of Integrated Care, vol. 24 no. 1
Type: Research Article
ISSN: 1476-9018

Keywords

Available. Content available
Book part
Publication date: 10 November 2014

Abstract

Details

Factors Affecting Worker Well-being: The Impact of Change in the Labor Market
Type: Book
ISBN: 978-1-78441-150-3

Available. Content available
Book part
Publication date: 10 November 2014

Abstract

Details

Factors Affecting Worker Well-being: The Impact of Change in the Labor Market
Type: Book
ISBN: 978-1-78441-150-3

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