Research Papers [of The] Royal Commission on the National Health Service PDF Download
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![Research Papers [of The] Royal Commission on the National Health Service PDF](https://books.google.com/books/content/images/frontcover/syjetgAACAAJ?fife=w150-h200)
Author: Great Britain. Royal Commission on the National Health Service
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Languages : en
Pages :
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![Research Papers [of The] Royal Commission on the National Health Service PDF](https://books.google.com/books/content/images/frontcover/syjetgAACAAJ?fife=w80-h100)
Author: Great Britain. Royal Commission on the National Health Service
Publisher:
ISBN:
Category :
Languages : en
Pages :
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Book Description
Author:
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Languages : en
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Languages : en
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Author: Kogan M. A. O.
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Languages : en
Pages : 236
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This report results from an invitation by the royal commission on the national health service to study the decision making processes in the reorganised service. The whole study consisted of four main elements: A) A pilot study undertaken within the oxford region, b) A field interview survey which is the main source of our data, c) Case studies which attempt to describe and evaluate a range of decision making processes in more detail than proved possible in the field interview survey, d) Conclusions derived from the field interview survey and the case studies. Conclusions: Within the pre- sent structure it is unlikely that decision making can be efficient. The multiplicity of levels, the overelaboration of consultative ma- chinery, the inability to get decision making completed nearer the point of delivery of services and wasteful use of manpower resources were recurrent themes in most of the areas. The principal recommen- dation is that health authorities should begin to make attempt to enhance delegation, to remove levels of administration, many of which are known to fail to contribute towards efficient working.
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Languages : en
Pages :
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Languages : en
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Author: Great Britain. Royal Commission on the National Health Service
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Category :
Languages : en
Pages : 99
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Author: Gordon Forsyth
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Category : Medicine
Languages : en
Pages : 24
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Author: Harold Copeman
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Languages : en
Pages : 29
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Author: Perrin J. A. O.
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Category :
Languages : en
Pages : 258
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The management of resources embraces planning, control and the flow of intelligence which they both require. The team found that planning was reaching the stage of effectiveness in only a few authorities, though achievement was likely to improve with the strong lead being given by dhss. Trained staff were often lacking, and clinical in- volvement and information were often deficient. In shorterterm mana- gement of resources, limits on expenditure set by higher authorities are usually kept to, though there has been some confusion over the change from income-and-expenditure limits to the present system, based on cash drawings. The management of budgets has recently been delegated within districts to managers of various levels: This system of 'budget holders' does not always marry nominal responsibility with the taking of real decisions. The report recommends experiments in making clinicians themselves responsible for expenditure within a budget limit, and in costing their activities. The marshalling of in- formation could be much improved to allow monitoring of activities which have been delegated by higher authorities, to give a quick flow of financial information so that the accounting system is applied efficiently to management purposes.
