By Mervyn Conroy (auth.)
MacIntyre's narrative established advantage ethics have for the 1st time during this e-book been utilized to a firm present process switch pushed via industry forces and a society that wishes extra for much less with scant regard for the skill wherein that's completed. the sensible power of those insights is explored within the case learn that runs in the course of the book.
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Additional info for An Ethical Approach to Leading Change: An Alternative and Sustainable Application
Collins and Rainwater argue that stories create organisational meaning and organisational realities (Collins & Rainwater 2005: 20). To take this argument further, stories create change in the social reality to participants and therefore to the organisation. Downing (1997) analyses organisational change based on the stories of managers and employees about it. He analyses the plots of the stories and how these function as guidelines for the characters when making sense of change (Downing 1997: 230).
Evidence: The tasks confronting OMH only differ in detail from elsewhere across the country. Integration: The emerging plans must be such that the service users experience the service as an integrated system of care. Requirements that cut across some of the above are: Clinical governance ● ● ● ● Patient-centred vision Shared values Commitment to continuous quality improvement System of accountability and responsibility Developing the workforce ● ● ● ● ● ● Improving recruitment to increase capacity in undergraduate and postgraduate education Developing existing clinical staff to deliver services in new ways Enhancing clinical and managerial leadership Innovative approaches to lifelong learning Developing multidisciplinary teams Capacity and skills to become a learning organisation The Healthcare Sector and the Modernising Agenda 29 Service ● ● ● Partnership with social services, primary care and third sector User involvement Public consultation In addition to these government health service modernisation requirements there are also local requirements for improvement.
2 The national service frameworks A number of medical conditions were selected by the government for early modernisation, and the NSFs were the vehicles designed to achieve this. The conditions chosen were either those with a high morbidity/ mortality rate, such as cancer (DoH 2000b) or coronary heart disease (DoH 2000c), or those which consume significant amounts of health care funding such as mental health (DoH 1999). Later the NSFs were based on care groups such as children or older people. An NSF represents an attempt to standardise the management of a medical condition, so that wherever patients live they receive broadly the same type and level of treatment.