Business management and leadership : NHS health care

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Business management and leadership
[Type the document subtitle]
4/9/2020
student name

Business management and leadership 1
Abstract
The case analysed for this research report is case study of NHS health care home in United
Kingdom. The research objective and aim was to understand the impact of diversity
management in NHS healthcare. The research questions were what does Impact of diversity
management on equality constraint and innovation in NHS health care in United Kingdom?
Considering the research method or approach is to be used with this research project includes
the qualitative research. The diversity management of NHS has been represented through its
plan provided in 2019, which reflect to work towards diversity and equality using one of its
council that is equality and diversity Council.

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Contents
Abstract......................................................................................................................................1
Introduction................................................................................................................................3
Literature Review.......................................................................................................................4
Role of diversity and NHS reforms........................................................................................7
Private sector and NHS..........................................................................................................8
Healthcare at home for older people......................................................................................9
Methodology............................................................................................................................11
Findings and discussion...........................................................................................................13
Conclusion................................................................................................................................17
References................................................................................................................................18

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Introduction
Diversity reflects distinctive people working together for a common objective. Diversity
includes different culture, ethics, language, education background, and values may reflect
various challenges for the organisation working with diverse group of people. This research
paper will reflect the diversity management in health care, while understanding the need and
impact of diversity management within the healthcare system. The case analysed for this
research report is case study of NHS health care home in United Kingdom. Thus, the research
title for this research project is “Diversity management: A case study of NHS health care
home in UK.”
The research problem identified is need for diverse group of people in health care system.
The NHS reformers included encouragement of diversity considering the providers with the
improvement in service quality and freedom to innovate. This reflects the research problem to
understand the relationship between diversity management and healthcare service quality and
innovation (Soranno, 2014).
Considering the research objective and aim that is to understand the impact of diversity
management in NHS healthcare, the research questions are as follows
1. What is the need of diversity management in NHS healthcare in United Kingdom?
2. Why is diversity management important or relevant to NHS in United Kingdom?
3. What does Impact of diversity management on equality constraint and innovation in NHS
health care in United Kingdom?

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Literature Review
Diversity is a phrase to reflect ranges of different things or state of being diverse. The
diversity could be different group of cultural individuals, diverse group from various nations,
diverse group from various ethics and values. There are various industries which require
diversity management along with the impact of this aspect on the organisation. The research
reflects the aspect of diversity management, which reflects actions taken by organisation in
order to enhance or promote the inclusive of individuals from various backgrounds in an
organisation to work towards the organisational objectives. Health system reforms in United
Kingdom were introduced in 1990 which was relaunched in 2000 with the NHS plan (Sheaff
et al., 2018).
The literature reflected that considering inpatient hospital services, supply health services that
are the diverse providers which reflect a good quality as compare to NHS traditional
providers also there are various opportunities that reflects expansion in scope and scale as
providers of commission services by NHS. The study has utilised patient experience through
analysing survey data in order to assess if the hospital ownership is impacting the services
quality as reported by NHS patient considering the area except clinical quality. The data
collected through the research reflected to show that higher quality services has been
provided in private hospitals then compare to the public hospitals. Other than this the
empirical study reflected that understanding of the performance difference has led to a more
nuanced (Sheaff et al., 2018).
Firstly the research reflected that the analysis from all the sectors has provided greater quality
in some of the specific speciality that is the expertise in some or the other area. On the other
hand the analysis reflect that the quality of patients have reflected differences when it comes
to Experience of different sectors mainly reason due to attributable characteristics of patient,

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characteristic of each Hospital, selection of patients in every hospital instead of hospital
ownership as such. Considering the control over such differences reflect the NHS patients to
be average likely when it comes to the experience considering the quality of public as well as
private sector Hospital. However it has been analysed that some of the patients with
relevance to specific treatment types, especially straightforward treatments, private sector is
able to provide better experience and an improved experience for patients instead of public
sector. Nevertheless, NHS found to provide a high-quality service and also reflected
overcoming the performance of private sector for various clients and services
(england.nhs.uk, 2020).
The literature also reflected distinguish between the ways services have been delivered by the
diverse providers. Take it to Account innovation, the qualitative research and literature
reflected the relevance of the process innovation that has majorly been introduced by thought
sector provider and new private sector which is not as strong for the case of traditional NHS
providers. This reflects lack of quality constant and innovation in NHS providers which
support the research problem identified previously (england.nhs.uk, 2020).
Taking into account current situation of NHS when it comes to diversity, equality and
diversity Council of this plan reflected to work in order to bring organisations and individuals
together in order to accomplish the personal vision, diverse healthcare system and a fair
system in healthcare. This has reflected everyone to count towards NHS constitution and
values in order to bring to the individuals of United Kingdom. This council has provided
visible equality and leadership towards the diversity issues around the healthcare services in
the nation. The purpose of this council is to shape healthcare for future constraints. This is to
assess improvement in accessibility, health outcomes and experiences for all the communities
and patients. Also this includes support to the NHS in order to consider optimum utilisation
of diverse talent and staff and become more inclusive organiser or employer in order to serve

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the community. This equality and diversity Council of NHS establish and share a clear
evidence-based understanding while addressing the emerging issues and key issues by
acknowledging the strengths and opportunities for council networks and members in order to
make them participate in strategic conversation and challenges in order to encourage change.
Other than this the council also consider enhancing the awareness of council vision of
diversity and equality among the workforce, communities and patients. The council has been
co-chaired by John Sadler who is from NHS confederation and Simon Stevens who is NHS
England chief executive. It also considered a diverse membership list that has prepared across
the NHS, comes from the partner organisation of NHS and staff groups and from the patients
(Allen et al., 2018).
The equality and diverse Council has also reflected current review of function, form and the
impact. The major purpose was to ensure that the EDC is working towards more aligned
towards the objective as per the NHS five-year forward view. In July 2017 the meeting
conducted which has refreshed EDC, where the three high-level themes were considered for
the work program of EDC. First theme included enabling leadership capacity and capability.
As per this theme growing new leaders, externalising assets, prioritising and setting the core
local objectives along with focusing of bold aspiration, workforce being one major. Second
theme reflects embedding accountability and levers. As per this theme embedding and
developing allow the organisation to provide facilitation for continuous improvement on
aspect of quality, improvement on equality and including concentration towards influencing
matrix example quality accounts while linking to policy levers. Moreover it also focuses
towards major drivers for NHS. The third theme is crosscutting theme that is support to
system architecture. This include mainstreaming diversity and equality towards new
healthcare architecture which reflect unable others to highlight the leadership and
accountability or neighbours. Moreover this included the role of health watch that is for

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meaningful engagement and production. Other than this it also reflects better use of data
intelligence and equality Data (england.nhs.uk, 2020).
Role of diversity and NHS reforms
The research reflected that NHS plan was set out as per the government vision in 2000
considering the modernisation in this industry and provision of the healthcare service through
radical reform and sustained investment. The objective for this reform was to provide patient
led NHS which reflects embodies a decisive shipped by the organisation from top down to
watch the bottom up. Along with this the development of self-improvement healthcare
service and divide service has been considered, where in the key drivers for this change
included clinicians, commissioners and patients instead of performance management and
national aspects. This reform have reflected decentralised commissioning, centralisation of
price setting, encouragement to diversity along with increased freedom to improve service
quality and freedom to innovate. Considering the commissioners, they are more engaged with
diversify providers considering Independent sector treatment. This reflect driver city of
providers as per the NHS reforms which reflect new provider to be enter for-profit private
sector, from the not-for-profit sector that include registered charities, local voluntary groups,
cooperatives, non-profit enterprises and also from public sector which includes new
community foundation trust (Sheaff et al., 2018).
A large set of reforms ranging from English National Health Service that is NHS, design in
order to replace by decentralise quasi-market then centrally directed targets. This has been
considered for autonomous providers in order to stimulate innovation and improvement when
it comes to quality, efficiency, new innovative ideas and response to the services. Various
aspects have been considered to reform in order to embed incentives for performance
improvement of self-sustained individuals. This include demand-side reform, with the

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objective is to provide more options for patients. Second includes transactional reform which
reflects ensuring level of reimbursement which will be sensitive pertaining to choices of
patients, other than this rewarding to the ones who provide better health care quality. Third,
system management reforms designed how to regulate overseas market for insurance of
fairness, guarantee quality and equity. Fourth is supply-side reform which reflects
encouragement of diversified range of healthcare providers to NHS patients (Corbett et al.,
2018).
Moreover, telephone project is considered towards focus on little aspects like increase in
diversity of service providers and their type of providers in order to ensure appropriate care to
NHS patients. This reflects the need of increasing diversity so as to provide variety of
organisation which includes transformation of NHS incumbents. Moreover this also include
new entry considering the Independent sector which, latter include third sector organisation
and for profit organisation including the social enterprises. NHS foundation trust is said to be
the former which included public and providers, where governance agreement are making
them able to control autonomously from government. However the reform has been argued
by government that the diversity of providers which would be from various organisational
sectors and ownership will possess complimentary abilities. Moreover the advantages of
diverse providers were also included an argument for health care so as to ensure fairness,
equity and quality (Alvai & Wahab, 2013).
Private sector and NHS
The NHS plan reflected intention of the government to enhance the diversity of providers
along with the Independent sector to be increase their presence in secondary care. In 2003,
the statistics reflect that 68% of hospitals were from Independent sector which were for-profit
providers. However the statistics in 2006 reflect domination of five Hospital providers that

Business management and leadership 9
were UK-based with three of them, others were US-based companies and UK subsidiaries of
Swedish. The policy for increasing diversity of providers that included as part of NHS plan
has reflected various other opportunities to secure NHS contracts to private enterprises. This
plan specifically focuses towards importance of commissioners and additional capacity of the
health care centres Other than NHS in order to serve more patients. It has been analysed that
for various years for profit hospitals have considered some of the surgeries for patients of
NHS. The reform reflected increase in the use of such providers which are being used to
consider NHS surgical work on routine. Independent treatment centres were conducted by the
providers for profit, where someone found to be a relatively large chain and also include
publicly quoted companies (Brathwaite, 2020).
Healthcare at home for older people
The literature reflects collection of quality data considering healthcare drawn from local
health economy is that is PCTD, PCTB, BCTC and PCTA. The purpose of this aspect was to
consider mapping the distribution of health care providers considering the health care for
older patients which reflects various ownerships that is by private for profit organisation,
public sector and social enterprises. The commission for social care inception reflected the
data for the research which present local health economy for health providers. CQC reflected
domiciliary healthcare along with the social care provided by supplying healthcare based on
web and company’s house supplementary research and phone enquiries. This reflects the
service provided by NHS instead of any local authority (Davies & Gordon, 2016).
Community health services reflect the activity by social enterprises as one of the major area.
The research identified that among the health services they were not any majorly stream
service that were delivering nursing or services to older people at their homes . This reflected
the transformation of NHS community health services and consider further enquiry into

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social enterprises around the Nation. This also reflects the innovation and understanding the
needs of the patients while also considering the quality conference. Understanding the
awareness of the founders concerning home infusion therapy, the organisations were
established with diverse range of staff in order to deliver more than one lakh patients a year.
The organisational distinctiveness reflect through the delivery of healthcare services at home
of individuals which will have administered in various other hospital areas or settings.
Considering the recent your research the services has found to be increase repeatedly that is
to deliver the health services for people at their home with various types of healthcare
services like providing oral oncology services (Goodman et al., 2018).

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Methodology
Research methodology chapter of the project reflects the practice by the researcher with the
significant procedure and process to be considered which is related to this research topic with
the objective to make the research and more systematic way. Considering the research
method or approach is to be used with this research project includes the qualitative research.
Qualitative research reflects the behaviour, qualitative information which will reflect the
depth knowledge towards the research concern and topic. Moreover this research approach
includes the direction towards analysing the impact of diversity management in health care of
United Kingdom. For this NHS plan is being considered for discussion and findings as the
impact of diversity management. Considering the research method, the data collected for this
approach will be secondary data collection method. As per this method it reflects that the data
that was collected for the purpose of this research analysis is use of already existing data in
order to search for the literature gaps and analysing the future scope for research. Their
secondary research strategy reflects the answering research question while analysing the
current information on the previous information that has already been researched. For this
majorly NHS official websites, Peer review articles, news articles and information from
government report would be considered for assessing as part of external sources in order to
achieve their research objective and answer research questions (Hancock & Algozzine,
2017).
The literature review is one of the most important and useful tool which will be considered
for this report which will reflect the comprehensive understanding and knowledge towards
the diversity management considering the health care and NHS plan in United Kingdom’s.
This research strategy reflected the inclusive way for research problem evaluation and
reflecting the explanation towards the research investigation.

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Data analysis is also one of the important parts of research methodology which reflected
ways to get the research outcome with efficient feasibility and authenticity. For this research
study content analysis method has been used which reflect the cause and effect of the
variables and associated information. Considering this, submitted content analysis reflected to
be utilised towards this research project in order to get the precise information and data.
Considering the ethical consideration for this research report, the study reflected off training
the secondary data from various articles, authentic websites and books. Other than this
considering the resources the pleasure is an issue has been avoided for this research study so
as to increase the ethical approach. While analysing the secondary method and existing
research ethical issues has been eliminated while considering federalism and data
manipulation. Other than use of authentic secondary data the research strategy also reflected
the code of conduct and guidelines to be followed that is provided by university so as to
reduce the ethical obstacles considering this research project.

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Findings and discussion
1. Considering the findings it can be discussed upon equality and diversity council plan 2019,
which reflect recent studies of NHS health care in UK with concern to diversity management.
Considering this agenda of 2019, the principal for action that was considered on inequalities
by NHS as per the report included
 Urgent action that is required on experience, accessibility and outcomes pertaining to
joint working with various system partners
 The council must consider learning from places where health inequalities has been
reduced and the places that has made progress in this aspect.
 Action has to be considered by the council which reflect linking all the diverse
partners who are able to influence the health determinants in wider aspect
(england.nhs.uk, 2020)
2. As supported from literature, the strategy of NHS towards workforce reflects through
people plan overview as per the report of EDC 2019. People plan overview from the graph
below reflect the bifurcations of professional work streams and LTP national service
programmes which would be working towards making NHS best working place for
individuals, improving cultural leadership, realising time for healthcare, workforce
redesigning in order to optimise individual skills and competencies, securing Supply to
healthcare, urgent actions to be taken in 2020 considering nursing supply, and working
towards new operating model for workforce. This reflects strategy towards diversity
management by NHS in order to achieve world largest workforce. As per this strategy some
of the constraints include

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 Spending review included to increase 3.4 times increased considering health
education England’s budget.
 Focus has shifted towards development of high impact actions that are considered to
be practical and targeted which will help in delivery of long-term plan that includes
shortage roles, affordability, long-term plan of service models or clinical priorities,
and impact.
 Major aim of this strategy is to release a future plan with an updated progress towards
setting the direction of travel and against the interim plan. New role and new
organisational structure is included in the graph below (england.nhs.uk, 2020).
Figure 1: (Source: (england.nhs.uk, 2020)

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Figure 2: (Source: (england.nhs.uk, 2020)
3. Capitalising on engagement with communities and VCSE on inclusion and diversity. As
per NHS equality and diversity council plan of 2019 this is one of the included
representations towards better health and well-being alliance. This plan reflected engagement
with communities in order to represent diversity issues.
According to this plan lack of clarity has been identified towards purpose of contribution of
VCSE towards this council. This reflects the potential to have engagement with diverse
communities and various challenges for communities in receiving high quality care.
It has been identified that diverse community engagement reflected to be more vital. Equality
issues has reflected some of the important influence on individual’s ability to get access to
healthcare and is also reflected towards healthcare experience and resulted into healthcare
inequalities when it comes to diverse group of people. This council reflected opportunity with
the support of engagement event in 2019.

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It includes engagement with communities on diversity and equality and inclusion, which
reflects the ability to access and experience different engagement with healthcare that will be
conducted through NHS assembly (england.nhs.uk, 2020).

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Conclusion
From this research project, it can be concluded that the impact of diversity is quite major on
healthcare quality and innovation, as analysed through literature and the findings. The
equality and diversity Council of NHS has been working towards the similar issue concerning
various plan in 2019, which reflect towards working diversity and reflect diversity
management of NHS health care. Other than this it has been analysed there have been
increasing healthcare at home in United Kingdom supported by NHS which reflect use of
Diverse Health care providers. This is done to improve the freedom to innovate along with
the improved quality of healthcare service, especially to the old age people at homes. The
findings included that Engagement with communities on diversity and equality and inclusion
which reflect the ability to access and experience different engagement with healthcare that
will be conducted through NHS assembly.
The diversity management of NHS has been represented through its plan provided in 2019,
which reflect to work towards diversity and equality using its one of its council that is
equality and diversity Council. The use of qualitative method approach has reflected the
answer to research questions which represent the role of diversity management in healthcare
using literature as one of the tool and the findings reflect the answer to the impact of diversity
management in NHS which concluded with engagement with diverse community through
findings.

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Brathwaite, 2020. Diversity, health inequality and nursing. Diversity and Cultural Awareness
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