Critical Analysis Of Change And Resistance Within The NHS

Can we really trust the NHS after the recent junior doctor strike? Dr Ethan Copeland explains.

The argument can be made that economic freedom is a necessary precondition to political freedom, yet the unilateral focus of these reforms begs the question whether during the writing of the Washington Consensus, economic liberalization was solely a means to international development, or an end in itself. The historical support is for the latter, as John Williamson later reflects that there was, “a widespread attempt to tighten fiscal policy, extensive financial and trade liberalization, virtually universal elimination of restrictions on inward foreign direct investment, a lot of privatization, and quite a bit of deregulation. [But] the things that got most widely neglected were reforming public expenditure priorities, maintaining a competitive exchange rate, and extending property rights to the informal sector”

This essay aims to discuss the organisational structure of the NHS in Wales applying relevant management and organisational theory. The essay includes the traits and contingency approaches which is linked to leadership and management. In addition to this, it covers how the NHS implies leadership and management into their organisational structure. In similar to this, the improvement the NHS in Wales tend to make, will be discussed.

Nations have debated on which economic direction their country will direct its footsteps since the creation of societies. The United States, being one of the most stereotypical capitalistic nations, began as a Laissez-faire nation, but throughout the centuries America’s economic standpoint has shifted more into Socialism rather than Laissez-faire. The second largest economy in the world, China, is widely understood as being a socialist country, however, for the past years they have been inclined towards a more capitalist nation, but are still officially socialist. Socialism and Laissez-faire both have fatal flaws, but both concepts can be blended and pragmatic to the new millennium while having a positive future.

Modernisation of the British economy was one of the key priorities for the Labour government. By 1964, it was widely accepted that Britain was lagging behind other countries such as West Germany and Japan. Britain’s economy seemed to be trapped in the cycle of “stop-go”, with

In clinical practice, there is lack of use of evidence-based practice which is commonly referred to as EBP. The concept of evidence-based practice is that all decisions that are made regarding patient care should be made based on research studies that have been conducted and that these research studies that are selected and interpreted should be according to certain norms of the evidence-based practice. These norms include the disregarding of qualitative and theoretical studies. Therefore, quantitative studies are used in accordance to a narrow set of criteria of what exactly counts to be termed as evidence ADDIN EN.CITE Reichow2010595(Reichow et al., 2010)5955956Reichow, B.Volkmar, F.R.Doehring, P.Cicchetti, D.V.Evidence-Based Practices and Treatments for Children with Autism2010Berlin, HeidelbergSpringer9781441969736http://books.google.co.ke/books?id=znCCkL6XvFAC( HYPERLINK l "_ENREF_7" o "Reichow, 2010 #595" Reichow et al., 2010). This narrow set of criteria is important in making sure that evidence-based practice achieves its desired effects and is not just a broad practice based on all the available research which is referred to as research-based practice. It must be a practice based on concrete evidence from research studies thus the need for these narrow criteria ADDIN EN.CITE Sackett19961107(Sackett et al., 1996)1107110717David L SackettWilliam M C RosenbergJ A Muir GrayR Brian HaynesW Scott

1. In the past year, we have seen a militant brand of populism take hold in the American political conversation. Nominees from the two major political parties sung, to varying degrees, the glories of economic protectionism. Trade agreements like the North American Free Trade Agreement and the Trans-Pacitic Partnership came under universal attack throughout the election season. Such assaults vilify the progress of globalism. In the Journal of International Business and

As you all know, the United States of America is undergoing the most severe economic period since the Great Depression of the 1929-1933. Like then, the current economy is linked to several internal concerns, but is also influenced by several external features, mostly revealed by its economic relationships with the various international partners. At this level, it is necessary to understand the national economy as the intersection of national politics, national economic affairs, but also global politics and economy. Today, in the era of globalization, not the United States or another country, can live and function in an isolated context.

Political factors including factors like government policies and legislation drive change in the health and social care sector. The political factors are known to have influence on the structure of the organization, the professional practice, the distribution of services and the quality of services. An example of a recent government policy on the NHS, is the introduction of charges to overseas patients introduced by the British government led by the Tory party. Which makes it illegal for the NHS to see overseas patients free of charge.

How do we know when communication has served to strengthen relationships between people and expand individual viewpoints? When does communication reach beyond individual goals to promote and develop a sense of community? We can attempt to answer questions like these by exploring Martin Buber’s theory of Dialogue.

Dialogue is not just a path of productive conversation but it also implies reflectiveness or positive response. It is not just improving the effectiveness of business and proving objectives but its create the relation between two parties eg. Stakeholder and owner, manager and worker, owner and manager etc. in dialogue “each person is participating, is partaking the whole meaning of the group and also taking part in it.” ( david bohm- 1996,p. xiii)

The result of these ideals winded up in a revolution in economic policy and three elections won by Margaret Thatcher and the Conservative Party. However there is a thin line between the fact that these ideals were not firstly hers – Victorian values, free trade, monetarism, etc. - making Thatcherism seem as a mixture of well-known goods, and the fact that Margaret Thatcher did introduced such a new statecraft that as a consequence the new ‘ism’ after her name continued for years after she was no longer Prime Minister.

Many societies have experienced post-modernization as the “de-centralization” of society, politics, and economy as well as the decline of the various dominant modernization paradigms, which structured industrial society both formally and informally in the past decades (Best and Kellner 1997; Drake 2010). In social are, for example, the ethnic or cultural bases of many nationalities have started to dissolve and societies have become more multiethnic, multicultural, fragmented and ‘melting pots’ of various ‘hybrid’ postmodern identities (Jessop 2015:157). In political era, scholars have advanced the ‘end of ideology’ thesis during the end of the 1980s and especially with the collapse of the Soviet Communist Bloc. The liberalism, individualism, post-modernist discourses were triumphant and announcing the dawn of a new era in which early ideological conflicts would disappear as a source of political conflict on the global scale (Fukuyama 1993). In economy field, at the start of the twenty-first century, almost everyone can realize the significance of economy not just in deciding elections but also in shaping the broader processes of the state. Scholars also argue that we are now living in an age of ‘pocket-book politics’, which means that with the decline of traditional political ideologies, narrowly conceived economic self-interest has been the overwhelming driving force of the political processes (Pierson 2011:81).

1990). On the other hand, resistance is any conduct that tries to keep the status quo, i.e.,

Neo-liberalism is a political ideology that suggests that ‘human well-being can be advanced by the maximisation of entrepreneurial freedom, characterised by private property rights, individual liberty, free markets and free trade’ (Geografiskar, A 2006). In today’s modern society neo-liberalism is widespread around the globe with various stakeholders offering conflicting views. Some advocates, namely the capitalistic portion of society argue that a liberal market is