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Management retention in the NHS.

Janet Scott1

  • 1School of Health and Social Care, University of Greenwich, London, UK.

Journal of Management in Medicine
|December 5, 2002
PubMed
Summary

High turnover among National Health Service (NHS) service managers is linked to their decision-making involvement, feedback, and feeling valued. Addressing these factors may improve manager retention and organizational stability.

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Area of Science:

  • Healthcare Management
  • Organizational Psychology
  • Public Administration

Background:

  • High turnover among middle managers poses risks to strategic and operational stability in organizations.
  • The National Health Service (NHS) internal market reforms have resulted in flatter management structures, increasing responsibilities and spans of control for middle managers.
  • This increased burden exacerbates the negative consequences of high turnover among service managers within the NHS.

Purpose of the Study:

  • To investigate the factors influencing the retention of service managers in health trusts.
  • To examine the relationship between service managers' intention to stay, participation in decision-making, feedback, and perceived value.
  • To discuss the implications of these findings for health trust management strategies.

Main Methods:

  • A small-scale study was conducted.
  • The study examined the correlation between service managers' desired tenure and their engagement in directorate decision-making.
  • The research also assessed the impact of feedback and perceived value on manager retention.

Main Results:

  • Preliminary findings indicate a connection between service managers' desire to remain with an organization and their involvement in decision-making processes.
  • The study suggests that the feedback received and the perception of being valued are significant factors influencing manager retention.
  • These elements appear to play a role in mitigating the high turnover rates observed.

Conclusions:

  • Service manager retention in health trusts is influenced by their participation in decision-making and their feelings of being valued.
  • Health trusts should focus on enhancing these aspects to improve stability and reduce operational issues.
  • Addressing middle manager turnover is crucial for maintaining strategic and operational integrity within the NHS.

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