TABLE OF CONTENTS INTRODUCTION...........................................................................................................................1 MAIN BODY..................................................................................................................................1 Area 1: Leadership and Management.........................................................................................1 Area 2: Training and Development.............................................................................................3 Area 3: Talent Management........................................................................................................4 CONCLUSION................................................................................................................................6 REFERENCES................................................................................................................................7
INTRODUCTION People Management is one of the important criteria which determines the success rate of functionalities and operations of an organization (The Art of Managing People Effectively,2016). In regard to this, currently National Health Services (NHS) is struggling with several causes that has impacted its work environment and led to adverse influence on the overall working practices. This assignment will shed light on three areas that act as the pillars of this organization. This will highlight about the theoretical models and their applications with respect to NHS. Along with this, it will include about the roles of management and HR department with NHS's internal and external influences and few recommendations to understand it. MAIN BODY Area 1: Leadership and Management Application of theoretical models to the current NHS scenario There are many models that can be applied to the current NHS scenario. Here, it is necessarytounderstandthatthisorganisationisundertakingashiftfromtraditionalto transformational leadership on the basis of collaboration and engagement. The communication gaps must be filled with application ofParticipative Theorywhich will shed light on theParticipative Leadership Style. This lays emphasis on democratic approach to make decisions through encouragement and team working spirit by taking inputs from all members(Amanchukwu, Stanley and Ololube, 2015). Along this, it focuses on developing the skills of staff to meet the expectations of patients by improving commitment and collaboration. NHS must highlightTransactional TheoryincludingTransactional Leadership Stylewith participative to adopt compliance among team members with efficiency (What is Transactional Leadership? How Structure Leads to Results,2018). For NHS, this model would pave the path to maintain the safety and quality of their services by enhancing their supervision and use of rewards-system, punishments, pay-cuts etc. Role of NHS Management with HR function The major role of NHS Management is to bring a more collaborative leadership style, by incorporating few physical changes in their HR functional unit. Their role is to provide services with the prime aim to maintain sustainability in the longer run as UK's major population consists 1
of elderly. Currently, they want an extension in their workforce in order to maintain and manage the excessive workloads. They must also look after minimising the risks associated with patient care and shortage of staff as well(Brailsford and et.al., 2013). Along with the support from CQC (Care Quality Commission), NHS has started a single “Well-Led” Framework. In this regard, the HR can bring transparency in their recruitment process and use strategic planning for improved performance by engaging their staff in profound manner. They can also promote weekly sessions, informal meetings among the staff to understand their problem areas. Further they must assist in reducing the pressure, additional stress and discrepancies due to the dependency of third- party agency. Different internal and external influences There are few internal and external influences that affected NHS working practices. Incompetent recruitment procedure, use of traditional heroic leadership, low wages, stressed working environment, shortage of staffare few internal factors that impacted this organisation's professional setup. These not only affect the patients care plan but also has an impact on the overall working practices at this organization. The staff goes on leaves either due to maternity or short-term illness. Along with, HR must be more aware about the specifications in relation the job role to hire the suitable candidates. This lead to an intense working environment for the staff to work and give their best efforts. Furthermore,externalfactorsinvolveuseofthird-partyagencyandlocalstaff, dissatisfaction in the permanent staff due to inefficiencies from the agency staff, an increased target scales, lack of motivation, more risks towards the patient's health care planetc. led to spiralling effects on the overall retention rate at NHS and caused burnout amongst the permanent staff who are working on poor pay-scales. Recommendations NHS's Management has their priority to improve the STP (Leading Sustainability and Transformation Plans) footprint by underpinning the system wide programme that has been already implemented. There is a need of more number of consultants, practitioners, doctors and nurses and thus, their management must innovate their training programmes to educate them in proper manner. Hereby, with help of “The King's Fund”, NHS is providing a leadership program to enhance the utility of resources and is more practical oriented. This would support in better 2
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retention rate by giving performance based rewards or incentives and also to organise meetings to have an update on their tasks and overall performance. Area 2: Training and Development Application of theoretical models to the current NHS scenario Theory of Reinforcementis one of the important theories for training and development to gain the competitive advantages. It assists in sustainability and progression of the organization in positive order. This theory shed light on NHS scenario by making all the employees to work together through several programs for improving their learning behaviour. With the help of this theory, the NHS's human resource department can conduct sessions by marking the rewards systems such as promotion, bonuses, incentives etc. This would give confidence to the staff to do their jobs with more commitment and dedication. Another model isSocial Learning Theory, which emphasis on innate skills that health and social care professionals must have to understand the pain or suffering of their patients. Such skills cannot be taught, however, with observations and consistent hard work, one can develop behavioural strategies to face any challenging situation(Brauer and Tittle, 2012). Thus, NHS management must focus on developing such problem solving abilities with proper guidance from organising such programs to create a positive mind frame of their employees. Role of NHS Management with HR function NHS Management has been struggling at its core operations. Therefore, the management along with HR department focuses on bringing solid changes in the training and development of their employees. This will aid in maintaining their brand value and credibility. Their priorities are similar in nature to maintain the quality of services and monitor the risk management (Stacey and et.al., 2014). With development of an Improvement Hub, there has been great responsibility on both management and HR to use it effectively in order to promote cooperation by sharing of ideas and suggestions through proper channels in between the staff. This would support NHS to maximise their resources allocation in better approaches. Moreover, it would lay the foundation of transparency and clear integrative frameworks for better installation of equipments and continuous improvements in quality of services and health-care systems. Such changes would bring better coordination and adaptability in various situations and challenging crisis. 3
Different internal and external influences Few Internal factors that affect the training and development area consists oflack of proper training and education, communication gaps leading to non-cooperation amongst the staff without any interaction etc., demotivated workforce etc.These influenced the practices at NHS in adverse manner. There was lack of collaboration while working. For instance, when nurses gets changed with respect to allotted practitioner's, then they had no clue about their patients whereabouts and affecting the quality and safety of services. External factors involvesno awareness regarding the availability of resources among all the employees, installation process of equipments and their related principles while applying in use, following the mandate of government to the HEE (Health Education England) and more. Such factors influence the entire work environment at NHS and realise the management to work towards bridging these problem areas by developing a framework and encouraging the staff to attend the improvement hub. Recommendations In this regard, NHS training and education programme like Nurse First programme, new advances clinical practices etc. have been boosted by a funding of five billion pounds to understand the strategic operational goals. This would lead the management to conduct sessions, meetings and official training programs with better technical support, e-rostering and expertise. It would make their employees interact and cooperate with each other in more unified modes. Along with this, Sir Peter Carr Award has also been made available to encourage the clinicians, managers for better collaboration to improve the professional development. This tactic would help the NHS professionals to attain the shared objectivity of overall improvisation methods in terms of using equipments and giving proper facilities and care to patients. Area 3: Talent Management Application of theoretical models to the current NHS scenario The application of AARRR Model would assist NHS cur-rent's scenario in better manner. There are five phases in this model such as acquisition, activation, revenue, referral and retention. This model has formed the basis for understanding the components required in the talent management. When NHS implement this model in practical mode then it would aid in 4
making this organization more inclusive and diversified by taking full advantages of the availableresources(Thunnissen,BoselieandFruytier,2013).Theseresourcesarethe professionals including practitioners, counsellors, nurses etc. This model has put insights on the funnel growth where the management would use each step with proper performance metrics. This metrics would be beneficial in demonstrating the growth drivers for NHS as a whole. Role of NHS Management with HR function NHS Management priority is to acquire and develop the hired talented individuals into professionals with impeccable performance. Their role is to establish a framework which focuses on achieving the objectives with dedication and high standards of quality. Nonetheless, the HR department can assist them by formulating such programs to improve their technical skills, competencies and knowledge (Mestre, Oliveira and Barbosa-Póvoa, 2012). Along with this, their purpose is to make them realise the importance of NHS's values and behavioural approaches to treat their patients. Such approachability would pave the path for the management to design the talent management in better manner. This would lay the foundation where the vacancies get filled with internal recruitment process either through transfer or promotion. For instance, introduction of STP's with ACSs (Accountable Care Systems) in the framework of NHS structural unit. Different internal and external influences Therearefewstaticinternalandexternalcausesaswellthatmightaffectthe functionalities of talent management at NHS. The internal factors containlack of awareness among staff in context to the latest technologies, discoveries etc., low morale in fulfilling the needs and requirements of patients, shortage of nurses, inflexible working practiseshas affected the operational activities of NHS.These factors led the professionals to counter their own decisions while working in this setup. Along with, it might lead to scope of any errors or mistakes, affecting the reputation of NHS. In addition to this, the factors that might affect this management of talent through external means arejoining the agencies or locam work parties that has put negative influence on thefull-timejobprofiles,re-alignmentofplanningofworkforce,additionalcosting, requirementsofsupplementaryresources,contactingbasisonavailabilityofindividual's timeline and adoption of annualised hours pattern. Suchfactors affect the working ethics of 5
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professionals and make them disorientated from the selfless purpose of this profile, affecting the services and risking their credibility. Recommendations Use of STP's and ACS's would help the NHS management to become flexible through de-risking service changes in relation to an individual. Furthermore, they must change in planning of workforce so that NHS can work in accordance with the guided instructions of HEE. There is a general mindset that strategic management is important to facilitate the organisation's morale and commitment. Henceforth, NHS plan to develop their professionals through one of their plans, named as Ward To Board would assist in growing their individual competencies to sustain in their field and tackle pressures with confidence and motivation. Overall, such changes would help in increasing productivity at workplace and growing number of Gps from campus recruitment. CONCLUSION It has been summarized that People Management is necessary for maintenance of quality, safety and delivery of services to the patients in the health and social care sector. Along this, NHS has realigned its structure in specific order to bring reliable changes to sustain their name in the market with pride and dignity of 70 golden years. 6
REFERENCES Books and Journals Amanchukwu, R.N., Stanley, G.J. and Ololube, N.P., 2015. A review of leadership theories, principles and styles and their relevance to educational management.Management.5(1). pp.6-14. Brailsford, S.C. and et.al., 2013. Overcoming the barriers: a qualitative study of simulation adoption in the NHS.Journal of the Operational Research Society.64(2). pp.157-168. Brauer,J.R.andTittle,C.R.,2012.Sociallearningtheoryandhumanreinforcement. Sociological Spectrum.32(2). pp.157-177. Mestre, A.M., Oliveira, M.D. and Barbosa-Póvoa, A., 2012. Organizing hospitals into networks: a hierarchical and multiservice model to define location, supply and referrals in planned hospital systems.OR spectrum.34(2). pp.319-348. Stacey, G. and et.al., 2014. An integrated educational model for graduate entry nursing cirriculum design.Nurse education today.34(1). pp.145-149. Thunnissen, M., Boselie, P. and Fruytier, B., 2013. Talent management and the relevance of context: Towards a pluralistic approach.Human Resource Management Review.23(4). pp.326-336. Online TheArtofManagingPeopleEffectively.2016.[Online].Available through:<https://negosentro.com/the-art-of-managing-people-effectively/>. What is Transactional Leadership? How Structure Leads to Results.2018. [Online]. Available through:<https://online.stu.edu/articles/education/what-is-transactional-leadership.aspx>. 7