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A critical commentary on management science in relation to reforms after institutional National Health Service failures
Author(s) -
Regan Paul,
Ball Elaine
Publication year - 2017
Publication title -
journal of nursing management
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.925
H-Index - 76
eISSN - 1365-2834
pISSN - 0966-0429
DOI - 10.1111/jonm.12425
Subject(s) - alliance , public administration , service (business) , project commissioning , public relations , economics , political science , business , publishing , marketing , law
Aim(s) A discussion paper on the United Kingdom ( UK ) National Health Service ( NHS ) market reforms. Background NHS market reforms reliance on management science methods introduced a fundamental shift in measuring care for commissioning. Evaluation A number of key reports are discussed in relation to NHS market reforms and management science. Key issues NHS market reforms were influenced through a close alliance between policy makers, the department of health, free market think tanks and management consultancies. The timing of reforms coincided with reports on NHS failings and the evolution of measurement methods to focus on finance. Conclusions The balance in favour of measurement practises is of concern. Management science methods are criticised in the Francis Report yet promoted as the solution to some of the key findings; why may be explained by the close alliance. Implications for Nursing Management A return to principles of management involving consensus, trust and involvement to promote quality care and use management science methods to this end.