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Managing people: the breakfast menu.

D Thompson1, J Harrison, H Flanagan

  • 1Health Services Management Centre, University of Birmingham, England.

Health Manpower Management
|December 9, 1993
PubMed
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NHS reforms have shifted staff management from fostering a supportive environment to viewing employees as mere factors of production, causing significant staff alienation. Future strategies must balance market demands with a more flexible human resources philosophy.

Area of Science:

  • Healthcare Management
  • Organizational Psychology
  • Public Administration

Background:

  • National Health Service (NHS) reforms introduced market-driven principles.
  • Shift in management philosophy from employee welfare to labor as a production factor.

Purpose of the Study:

  • To explore the impact of NHS reforms on staff management.
  • To analyze the resulting staff alienation.
  • To propose strategies for addressing these challenges.

Main Methods:

  • Exploratory study design.
  • Qualitative analysis of management and staff perspectives (implied).
  • Review of reform impacts on human resources.

Main Results:

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  • Perception of staff as a 'factor of production' rather than valued employees.
  • Significant levels of staff alienation observed.
  • Market forces increasingly dominate NHS objectives.
  • Conclusions:

    • Short-term strategies involve accepting market dominance and critically examining the business model of NHS Trusts.
    • Long-term investment in a flexible, less rigid human resources philosophy is recommended.
    • Anticipation of a tightening labor market and scarcity of skilled staff necessitates a strategic HR approach.