Managing Improvement in Healthcare by Aoife M. McDermott Martin Kitchener & Mark Exworthy

Author:Aoife M. McDermott, Martin Kitchener & Mark Exworthy
Language: eng
Format: epub
Publisher: Springer International Publishing, Cham

Direct Engagement with Individual Healthcare Practitioners

As indicated above, the desire to change the way the service was provided and which, and how, practitioners performed their roles was articulated in The NHS Plan. This document sent out a clear signal that it intended to improve productivity through the ending of ‘old-fashioned demarcations between staff’ and ‘unnecessary boundaries … between staff’ (Department of Health 2000, p. 27). This section indicates the manner in which the state directly engaged with individual healthcare practitioners to blur professional boundaries across these three initiatives.

The study of CWP indicates how healthcare practitioners were initially engaged in the process of redesigning roles by invitation to a CWP facilitated ‘Role Redesign Workshop’ at each pilot site. Instructions were for workshop participants to:… generate ideas to improve the service through new ways of working… pick a small number (say four or five) of areas which are priorities in terms of high risk or greatest potential for benefit, and concentrate on these. (Hyde et al. 2004)

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