The need for change within the National Health Service (NHS) to improve
performance and increase value for money has been discussed for many years by
academics, practitioners and political parties. Change initiatives have come and
gone and yet the problems still exist. This research explores possible changes
in practice that may be required to improve the performance of operating
theatres within a diagnostic and treatment centre in England - Trust X. The
research investigates the difficulties of implementing such changes within Trust
X, gives some insight into why these difficulties arise, and suggests possible
future options as to how the aforementioned difficulties may be addressed.
Salter B
. The Politics of Change in the Health Service.
London: Macmillan
, 1998.
2.
Klein R
. The Politics of the NHS.
London: Longman
, 1989.
3.
Osborne D
,
Gaebler T
. Reinventing Government.
Reading, MA: Addison-Wesley
, 1992.
4.
Bevan P G
. Study of the Management and Utilisation of Operating Departments.
NHS Management Executive
, 1989.
5.
National Audit Office
. Use of National Health Service Theatres in England. 1991.
6.
NHS Management Executive
. Day Surgery: Making it Happen. 1991.
7.
Royal College of Surgeons of England
. Guidelines for Day Surgery. 1992.
8.
NHS Executive
. Good Practice in Operating Theatre Management. 1994.
9.
Patterson P
.
Turn over time: is all the study worth the effort?OR Manager1999; 15 (3);
7-14
.
10.
Dexter F
.
Efficient method to schedule surgery
. OR Manager2000; 16 (5);
20-21
.
11.
Pettigrew A M
,
Ferlie E
,
McKee L
. Shaping Strategic Change.
London: Sage
, 1992.
12.
Gabel R A
,
Kulli J C
,
Lee S B
,
Spratt D G
,
Ward D S
. Operating Room Management.
Boston: Butterworth-Heinemann
, 1999.
13.
Warhurst R. Unpublished PhD thesis, forthcoming.
14.
Page S
.
Organisational culture and information systems
. In Proceedings of the United Kingdom Academy for Information
Systems Conference, The Future of Information Systems,
10-12th April 1996, School of Management,
Cranfield University.
15.
Page S
.
Information technology impact: a survey of leading UK companies
. International Journal of Management Literature2002; 2 (3, 4);
187-210
.
16.
McCracken G
. The Long Interview, 2nd edn.London: Sage
, 1989.
17.
Department of Health
. Day Surgery: Operational Guide. 2002.
18.
Audit Commission
. Operating Theatres: Review of National Findings. 2003.
http://www.audit-commission.gov.uk, 15 July 2004.
19.
Levinson H
.
Management by whose objectives?Harvard Business Review2003; 81 (1);
107-116
.
20.
Dopson S
. Managing Ambiguity and Change: The Case of the NHS.
London: Macmillan
, 1997.
21.
Audit Commission
. Operating Theatres: A Bulletin for Health Bodies.
2002. http://www.audit-commission.gov.uk, 14 July 2004.
22.
Burns A
.
Nurse is it still breathing?Human Resources2000; July;
46-51
.
23.
Porter L W
,
Bigley G A
,
Steers R M
. Motivation and Work Behaviour, 7th edn.New York: McGraw-Hill
, 2003.
24.
Armstrong M
,
Baron A
. Performance Management: The New Realities.
London: Institute of Personnel and Development
, 1998.
