Managing People and Change - Case Study Example

These reforms included having a financial budgeting that was strict. The job specifications were revised. Fund holding was also reintroduced by the Blair government. The Blair government emphasized outsourcing of medical services. (Rudolf, 2006) Research shows that the medical staff are demoralised since the Blair government came to power. This is because of the NHS redundancies and staff cuts. The NHS has encountered problems since the initiation of the Blair reforms. This is in relation to IT innovations and incorporation into the organization.

The National Programme for IT was though to be the worlds largest. This project had conflicts with programme contractors and the Blair government. The estimated budgets for this program kept on rising from 2.3 billion to 30 billion. (David, 1989) The National Health Service Act was passed in the year 1946. It was implemented in the year 1948. Nigel Lawson described it as a national religion. The services in the NHS are free of charge. After the World War II there were great reforms which were initiated by William Beveridge.

Large sums of money were used by the NHS in funding. During the 1980s there was the reformation of the management processes in NHS. This organization had tough strains in financing until the year 1987. During this year the government provided 101 million for use in NHS. There are various NHS agencies such as NICE and SIGN. (Allyson, 2004)Improvement agencies role in health sector used to implement changes in NHSThe role of the modernization agencies is to give assistance to the local clinicians.

They help in the redesigning of the local services in the health sector. They ensure that the health sector provides services that are patient oriented. They also provide clinical governance services to the health sector. Modernization agencies help in leadership development in the health sector. They ensure that there is the improvement of the services that are given to patients and other customers in the health. There is provision of a regulatory oversight that is independent. (DoH, 1997)Improvement agencies have helped in implementing various changes in the NHS.

These include ensuring that the length of waiting time for the patients is greatly reduced through variations in the discharging of the patients. The admission process of the patients is also changed. The patients follow up has been changed such that it is only done when necessary. There is the reduction of the queue numbers such that patient access to the services is greatly improved. (DoH, 1999)Care & Repair EnglandThis health improvement agency established with an objective of meeting the health needs of older and disabled citizens.

Its roles are; to act as agents of service users in the health sector. It also provides the necessary policy framework for the other agencies within the mandate offered by the department of health. (Rampton, 2003)Organisational change models used by improvement organizationsNIATx process improvement modelThis process model is based on some key principles which entail; involving and understanding the customer, fixing key challenges for the chief executives, picking powerful change leaders, adopting rapid-cycle testing procedures and obtaining ideas from partners outside the organizational field.

(Burnes, 2004)Penn State improvement model