Impact of Management on London Ambulance Service

This dissertation investigates the impact of management on the service provided by the London Ambulance Service. It explores the concept and importance of management, reasons for lack of management, strategies to overcome it, and the influence of lack of management on organisational performance. The study aims to provide insights into the role of management in the effective functioning of the ambulance service.

Dissertation
(London Ambulance Service An investigation to analyse the impact of management on
organisation service A case study on London Ambulance Service)

Table of Contents
INTRODUCTION ..........................................................................................................................3
Background of the research....................................................................................................3
Background of the company...................................................................................................3
Research aim and objectives..................................................................................................4
Research rational....................................................................................................................4
Overview of other chapters....................................................................................................5
LITERATURE REVIEW ...............................................................................................................6
RESEARCH METHODOLOGY...................................................................................................13
Research Onion....................................................................................................................13
DATA ANALYSIS........................................................................................................................15
Questionnaire........................................................................................................................15
Frequency distribution table.................................................................................................16
Data analysis.........................................................................................................................17
Discussion.............................................................................................................................27
CONCLUSION AND RECOMMENDATIONS .........................................................................29
REFERENCES .............................................................................................................................31

INTRODUCTION
Background of the research
Management is defined as set of principles which are helpful in planning, organising,
monitoring, controlling and directing people working within an organisation in order to gain
higher business insight. With the help of appropriate management effective utilisation of
physical and financial resources can be executed due to which full edge flow of information can
be rendered (Chatzoglou and Chatzoudes, 2018). Management is regarded as the most significant
aspect existed within business due to which an organisation can work in effective manner. In the
current report ambulatory care is undertaken in which outpatient and non-emergency medical
services are provided so that to deal with medical problem can be solved. Ambulatory services
are defined as the matter in which medical emergency can be undertaken in which life of a
person can be saved. Management is holding prominent significance in which promptness is
required by medical ambulance so that health care facilities can easily be rendered to an
individual when needed. In relation to this it can be analysed that ambulance services are
ensuring quality delivery in which the person who is facing high pain or suffering from some
particular disease can be relived. The current research has been conducted over London
Ambulance Services which is known as the busiest emergency ambulance service provider
giving their services in the periphery of UK. The service provider is providing urgent and
emergency healthcare services to their patient without charging any money. The organisation is
associated with NHS and giving healthcare services all over London. London Ambulance
Services are facing various issues in respect of lacking of managerial skills and which is
hampering growth and development aspect of their business.
Background of the company
London Ambulance Services is a NHS Trust which is associated with operating
ambulances and responding over various medical situations in order to deal with situation of
urgency over the region of London. The association was founded in the year of 1965 and in
current time they have staff of 5797 employees or workers. The association is the only single
provider trust which is managing 9 million people living in London. The entity is answering two
million 999 calls in a year and attend more than 3000 emergencies in a day. The entity is playing
leading role in integrating emergency and urgent care services so that to given significant

response to patients within right place. The service provider is covering area of 620 square miles
from Heathrow to Up-minster which is west to east. The major role of this emergency service is
to respond 999 calls in which 24*7 medical emergency services are given. It is a government
Trust board which is made up of 18 members and they are managing overall business in
appropriate manner. Each year the venture is spending approximately £58 million on wide range
of products and services. As they are associated with responsibilities of spending public money
in resourceful manner in order to attain value for money solution.
Research aim and objectives
Research aim
"An investigation to analyse the impact of management on organisation service." A case study
on London Ambulance Service.
Research Objectives
 To understand the concept and importance of management within an organisation.
 To investigate the reasons which lead in lack of management at London Ambulance
Service.
 To analyse several strategies through London Ambulance Service can overcome lack of
management.
 To evaluate the influence of lack of management over organisational performance of
London Ambulance Service.
Research questions
 What is the concept and importance of management within an organisation?
 Which are the reasons that lead to the lack of management at London Ambulance
Service?
 What are the strategies through which London Ambulance Service can overcome lack of
management?
 How does the lack of management influence organisational performance?
Research rational
The major aspect associated with this research is to understand importance of
management and some strategies which can be helpful for the management to deal with issues of
mismanagement (Pourmola and et. al., 2019). For every entity management is playing vital role
in order to deal with organisational assets and to overcome with certain complexities which may

be hampering organisational functions. The major reason of selecting this topic is to satisfy dual
perspective of from the view point of researcher which is personal and professional. In the terms
of professional aspect with the help of this research, researcher is able to analyse the way in
which managerial functions can be analysed so that during working tenure professionalism can
be attained. In terms of personal aspect this research is aiming at developing various skills such
as critical thinking skills, reflective skills, research skills and many more. So these skills will be
helpful in managing future researches in appropriate manner.
Overview of other chapters
There are numerous chapters associated with this research and all of them are holding
similar degree of importance. With the help of all these chapters researcher is analysing the ways
in which the whole research can be conducted in appropriate manner. By adding these chapters
answers of differentiated questions can be analysed in such a way that objectives pertained to
this research can be accomplished. In the first chapter introduction is executed in which
examination regarding management over ambulatory services are given which is aligned with
satisfying safety and medical needs of an individual. This chapter also includes introduction of
selected organisation which is London Ambulance Services. Next chapter is named as literature
review in which by undertaking various theories and aspects research objectives are addressed by
accumulating information through secondary data sources. The next chapter is named as research
methodology in which differentiated methods are explained in terms of research that are useful in
taking out prominent outcome out of research. After this data analysis is executed in which
collected data is accumulated in such a manner that, it can be expressed in some appropriate
outcomes. The last chapter is called as conclusion in which overall summary related to research
outcomes can be demonstrated in proper manner.

LITERATURE REVIEW
Literature review can be defined as the aspect of research project which is helpful for
gathering secondary data related with research so that to align efforts of investigator within
research objectives. This ultimately assists investigator in accumulating valid and reliable
information related to research topic so that they can conclude valid outcomes. This section is
allowing the researcher to look after over view point of various authors so that to accomplish
research objectives. As according to current research literature review is provided as under:
Importance of management within an organisation
According to Easterby and et. al., (2018), This is being analysed that management is
playing vital and typical role in growth of an organisation as this makes easier for the business
manager to use their available resources in optimal manner so that high return can be provided to
the business in order to survive for longer period of time. With the help of effective
incorporation of management current goal of the business can be attained in minimal time frame
due to which sustainability and longevity can be increased. When a business is pertained with
appropriate management this will lead in increasing organisational and employee efficiency so in
this manner in lesser time employees can perform in better way along with required skills as
well. According to Caputo and et. al., (2019), Management of a business is playing significant
role for meeting business targets and dealing with market complexities as well so for these
aspects role of management is elaborated as under:
Attaining group goals with harmony: The major role of management is to provide harmony
within employees so that to align their working with attaining business objectives. Management
of the business provide directions to people in which they can align their own efforts in direction
of attaining organisational goals. The vital role of managing people is executed by management
and in this manner common goal of the business can be attained. Management of a business is
trying to integrate with efforts made by every single individual and in this manner they can make
their employees highly active to attain organisational objectives in approachable manner.
Management improves overall efficiency: In a business management is associated with
reducing cost and enhances chances of succession by making appropriate planning and execution
of the same. In order to enhance organisational efficiency this is imperative that overall functions
are covered and this is defined as the major role of management. Besides this management is

putting such practices in business by which collaborative working can be promoted in order to
acquire higher success and appropriateness within business functions.
Management creates dynamic organisation: Organisation is trying to survive in dynamic
environment in which they are adapting change management in appropriate manner. Under this
management is having perspective to deal with such change and to inhale change management in
appropriate manner. For this various policies are initiated by organisation in order to provide
appropriate change management strategy within business which will lead in managing
organisational competitiveness in significant manner. Employees are regarded as the foremost
asset for a business and management is trying to encourage them in such a manner that overall
creation of alignment with dynamic environment can be made.
Management helps in developing society: Effective management is helpful in developing
society in which they are completing societal obligation in appropriate manner. Employees,
customers and suppliers are the responsibilities of management so by employing such practices
developing aspects can be rendered to society by the business.
Management provides sense of focus and direction: Management of the business provides
their employees a sense of focus and direction in which they can elaborate various roles and
responsibilities delegated to them in appropriate manner. Structure of management is made in
such a way that employees can mitigate their faced issues in early manner in which they can
anticipate those challenges which may cause barriers. Active planning is one of the significant
movement which is required to be included by management so that all the functions within
organisation can be completed within time.
To minimise workload: Management of an organisation is associated with providing work to
various employees in such a manner that with the help of appropriate communication proper
delegation can be made. This enable the employees to provide such assistance in which all the
employees can perform their obligation in apt manner.
In this manner it can be concluded that management of a business is playing significant
role in attaining success and providing them assistance related to manage business with most
efficiency. Management is defined as backbone of the organisation and this is the major reason
that controlling and planning activities are performed by them. Management is performing with
higher accuracy in order to accomplish organisational objectives and to provide attainability
power to the organisation in respect of dealing with market complexities.

Management theory
Scientific Management Theory: This theory is associated with examining philosophy and
required efforts to increase productivity. On the other hand in order to manage business
objectives in significant manner scientific management theory is managing all the business
dimensions in such a manner that team work and collaborative working can be promoted.
Contingency theory
The major concept of this theory is associated with analysing internal and external factors
so that organisational structure can be identified within management approach. There is no
specific measures that can be helpful for the business to provide flexible working.
Reasons that lead to the lack of management at London Ambulance Service
According to Easterby and et. al., (2018), Lack of management is the aspect which may
arise in any business due to which organisations can perform in higher manner. Lack of
management may impact efficiency and capabilities of the business and due to which overall
impact is seen in negative way. In the context of London Ambulance Service the entity is
performing wide range of services due to which there are a lot of chances of mismanagement
situations which is impacting organisational performance in negative manner. Effective
management activities are prior for the organisation as by organisational mismanagement various
challenges are created such as job insdraftecurity, lack of resources, ineffective leadership
practices and many more. This is observed that due to these mismanagement practices image of
the organisation in marketplace can be tarnished. Besides this there are significant impact over
managerial aspect in which overall functioning can be conveyed. This is observed that various
system failure is seen over London Ambulance Services which is due to various discrepancies
within business functions. According to Drummond, McGrath and O'Toole, (2018), There are
various reasons due to which mismanagement created within London Ambulance Services and
some of them are elaborated as under:
Poor communication: Poor communication is one of the significant reason due to which various
problems arises and this enhances the level of confusions. With the help of ample
communication all the aspects and duties can be delegated to people in effective manner but due
to poor management miscommunication arises within organisational activities. Similarly for
London Ambulance Services this can be said that in the organisation there are various areas due

to which employees are not able to get appropriate guidance which may create such reason by
them miscommunication and mismanagement may arise.
Lack of training: Training is playing an integral part for the business due to which efficiency in
working may arise. On the other hand this can be said that training is the major function of the
business due to which succession opportunities for the business can be enhanced by the
operational efficacy and this may lead in minimising growth opportunities. In the context of
London Ambulance Services as the organisation is wholly dependent over providing services so
this is imperative aspect that to provide appropriate amount of training to their employees so that
to associate them with appropriate working in such a way that they can help large audience and
deal with several complexities as well.
Lack of leadership: Leadership is defined as the activities in which appropriate guidance is
rendered to employees in which they can get to know about those aspects which are required and
helpful as well. Leadership is blood of the organisation as this accumulates efforts of every
single people and align the same with attaining organisational objectives as well. Managers are
associated with the duty to make employees learn how they are required to perform functions
and in this case management is playing significant and vital role as well. If consideration is given
to London Ambulance Services then this can be said that in the presence of dis-satisfactory
leadership various dimensions can be avoided by the organisation which may negatively impact
the organisation and its productivity as well.
Disagreements: Disagreements are denoted as not satisfied over a single decision. This is the
major reason in which complex situation may arise and these are impacting organisational
creativity and progression in negative manner as well. This may provide various negative manner
due to which overall significance can be lost by organisation. For London Ambulance Services
this is clear that as the organisation is engaged in public service so this is imperative for all the
working employees that they provide their consent on every made decision by the management
so that to avoid situation of conflicts.
Strategies through which London Ambulance Service can overcome lack of management
According to Ramli, (2019), For an organisation the major aspect is to minimise
mismanagement so that all the objectives can be attained in specific time frame without facing
any prominent dodge. As in current scenario needs and expectations of customers are dynamic
due to which an organisation is required to manage such change in such a manner that barriers

can be dealt and empowerment can be attained. Leader and management of a business are
having role to provide such obligations in which change management can be adopted within
business and at the same time. Responsibilities of management is associated with providing such
practices by which potential concern of the business can be tackled and lack of managerial
profile can be avoided. Besides this management of a business is having role to acquire such
proficiency by which all the plans for the business can be succeeded in prominent way.
According to Park, Lee and Kim, (2018), For London Ambulance Service as the
management is facing issue of mismanagement and they are required to adopt such practices by
which they can minimise these challenges in which come of them are elaborated as under:
Trainings: Trainings are playing vital role in providing such assistance and proficiency
to employees by which they can perform in desired manner. Besides this it can be said that there
are numerous aspects in which trainings are playing significant role in managing overall business
and dealing with such complexities of business which may eradicate various challenges. For
London Ambulance Service trainings are vital as employees are working to save life of citizens
so this is imperative that appropriate trainings are provided to them in order to avoid any
discrepancy. On the other hand this can be said that when appropriate trainings are provided this
is very hard to find out those areas in which loopholes are created. Loopholes within an
organisation may lead in obtaining of mismanagement due to which performance get tarnished.
Management strategies are essential for an organisation for dealing with such aspects in which
they can enhance overall prominence for the business. When appropriate trainings are provided
then overall development within business can be exerted and the same may be aligned with
attaining business objectives. For healthcare services trainings are suggesting major change
within working of an individual as in terms of developing role and providing sustainability as
well.
Establishing clear goals: For executing tasks and objectives in clear manner this is
imperative that goals and aims are adjusted and conveyed in clear manner so that efforts of
related people can be aligned in same direction. By setting of goals in clear manner this will be
easier for the employees to execute their roles and obligations. Delegation is the major aspect in
which clear goals can be established so that the same can be helpful in maximising
organisational efficacy. For London Ambulance Service as employees are dedicated to provide
such working to the business by which proper management system is the primal aspect which is

required to be inculcated. So for such organisation in order to deal with mismanagement this is
significant that they inhale such obligations by which goals and objectives can easily be
understood and conveyed.
Communication: Communication is the other aspect in which things can be
communicated to various employees in appropriate manner so that possibilities of
mismanagement can be avoided. Communication is the key to success in which all the
responsibilities and tasks can be given and conveyed to varied people in proper manner. For
rendering appropriate delegation of authorities and tasks managing communication is primal as
this will lead in developing such aspects in which possibilities of mismanagement can be
avoided. For London Ambulance Service communication may play significant role in developing
those roles by which the organisation can acquire appropriate prominence in managing varied
roles. On the other hand internal operations of an organisation are also managed by employees
due to which communication is highly important so that to provide appropriate understanding in
relation to their delegation and appropriateness.
Leadership: For a business this is essential that leadership style is opted in significant
manner so that all the discrepancies can be eliminated and prominence can be attained. For
providing appropriate communication and management this is necessary that to adopt impactful
leadership style so that to eradicate problems faced related to mismanagement. For London
Ambulance Service leadership may help the organisation to grow and provide such assistance in
which they can deal with such aspects of business in which problems are faced. Leadership could
help the organisation to attain such assistance by which they can minimise organisational
complexities and mitigate such discrepancies in which challenges can be tackled.
In this manner challenges of mismanagement can be mitigated by organisation which
could lead in attaining higher success. Using these aspects may lead into developing those
business aspects in appropriate manner so that organisational goals achievement can be made
easier.
Lack of management influence organisational performance
According to Hislop, Bosua and Helms(2018), Lack of management is defined as the
aspect in which mismanagement may be created over dealing with organisational goals and
objectives. Lack of management can lead in lacking of such skills in which constant losses may
be borne by the organisation. There are various functions existed within a business such as

HRM, finance, operational and many more. All these functional areas are playing prominent role
within organisational functions and to execute the same with high edge effectiveness. HRM
practices can improve organizational performance by increasing employee skills and abilities.
HRM can improve quality of products and productivity. In this way the when mismanagement is
seen within HRM practices this will impact on recruitment and various training sessions of the
organisation. For managing such functions this is necessary that all the dimensions are covered
so that chances of discrepancies can be eliminated. This way lack of HRM may impact the
business to loose its efficiency and in this way business functions can be executed in transparent
manner. Besides this operational functions are categories as those aspect in which internal
workings are executed. When lack of management is seen over operational efficiency then
overall impact can be drawn over minimised operational quality and organisational performance
as well.
According to Wijethilake., Munir and Appuhami (2018), Management is having role to
provide such corner to their staff by which they can provide fuller efficacy to the business and
accumulate their efforts within organisational functions. Financial functions are defined as those
aspects of the business in which finance related functions are executed and in this manner
challenges of shortage of funds can be mitigated. Effective performance management is essential
to businesses. Through both formal and informal processes, it helps them align their employees,
resources, and systems to meet their strategic objectives. Productive employees need instant
access to business information, data, and their team; mobile-friendly technologies are a sure-fire
way to provide that. Bad management can impact employees and a company's overall operations.
Incompetent managers exist, and they can have challenges relating to staff members and keeping
them motivated. In addition, substandard supervisors may not be able to balance budgets,
increase revenues or capably perform other crucial tasks. When mismanagement is generated
within business this may lead in developing lowered employee harmony due to which they
become demotivated and this situation leads them to face job dissatisfaction. Managers of the
business are having role to empower such obligation by which collaboration and team building
can be performed in effective manner. When mismanagement is created within business then
legal risk can also arise due to which market image can be tarnished. Management of resources
may be acquired by such organisation so that to provide an obligation to deal with those business
opportunities in which all major discrepancies can be eliminated. So this can be said that at the

time of lacking of management direct negative impact can be seen over minimising
organisational performance.

RESEARCH METHODOLOGY
Research Onion
Research methodology is defined as the procedure in which research is associated with
determining and selecting information which is related to the research. Research methodology is
the assistance in which guidance is drawn for researcher in relation to provide significant
conclusion. Under this research, onion framework in order to understand various aspects of
research and the same are elaborated as under:
 Research Philosophy: This is regarded as those set of principles which are used by
researcher in order to execute the research process in appropriate manner. There are two
types of research approach such as Positivism and Interprivistism. Under this research
Positivism philosophy is selected in which higher degree of assistance can be provided to
researcher in context of analyse data in statistical manner (Buhalis and et. al., 2019). The
another reason for selecting positivism philosophy as this is assisting researcher to
analyse the given research topic.
 Research Approach: As accordance with variations of research onion, approach is
associated with framing of various plans in which research objectives can be attained.
Research approach is providing detailed information in which research outcomes can be
analysed in appropriate manner. There are two types of research approach such as
inductive and deductive. Within this research deductive approach is used by the
researcher so that to provide scientific investigation within research. This would help
researcher to apply such theories which may deal with research hypothesis so that to
scrutinise research outcomes.
 Research Strategy: Research strategy is categorised as the method in which basic
procedure of the research study in effective manner. There are various types of strategies
such as qualitative and quantitative and qualitative (Eling and Lehmann, 2018). Under
this research survey method is used by researcher in which various questions are asked in
order to gain research objectives. This is allowing the research to get associated with
gathering information in appropriate manner so that differentiated responses can be
gathered.

 Research Choice: This is defined as the manner in which information can be gathered by
researcher. In the manner of offline and online media information can be gathered by
investigator. There are two types of research choice such as qualitative and quantitative.
Under this research quantitative research choice is being used by researcher in order to
satisfy need of research in significant manner (Huang and et. al., 2019). Quantitative
research choice is providing assistance to researcher for undertaking view of various
people at once so that in statistical manner conclusion can be drawn.
 Time Horizon: This is defined as the time gap which is needed for completing the
research in effective manner within allocated time. There are two types of time horizons
which are used by researcher such as longitudinal and cross-sectional. Under this
research cross-sectional time-horizon is used by researcher in order to prepare such path
for meeting research objectives. By undertaking cross-sectional time-horizon various
tasks within research can be executed in collective manner.
 Data Collection: Under this dimension of research onion data is collected using various
dimensions so that to align research objectives in clear manner. There are two major
sources of data collection such as primary and secondary. Within this research primary
and secondary both the methods of data collection are used. In the terms of primary, data
is gathered through questionnaire whereas in terms of secondary data journals and books
are used by researcher.
 Sampling: Sampling is defined as the process in which a particular people are selected
out of whole population so that to draw significant research results. There are two types
of sampling such as probabilistic and non-probabilistic sampling (Al-Emran and et. al.,
2018). Under this research probabilistic sampling will be used by researcher in order to
take out desired information in appropriate manner and to draw research results as well.
Under this research sample size is taken as 30 respondents.

DATA ANALYSIS
Questionnaire
Q.1: Are you aware regarding services provided by London Ambulance Service?
a) Yes
b) No
Q.2: Have you ever taken services by London Ambulance Service?
a) Yes
b) No
Q.3: How did you feel regarding services provided London Ambulance Service?
a) Satisfactory
b) Highly satisfactory
c) Dis-satisfactory
Q.4: What is the importance for management within London Ambulance Service in providing
appropriate services?
a) Improving overall efficiency
b) Attaining group goals with harmony
c) Providing sense of focus and direction
Q.5: According to you is there any mismanagement within London Ambulance Service?
a) Yes draft
b) No
Q.6: What are the major reason of lack in management within London Ambulance Service?
a) Poor communication:
b) Lack of training:
c) Lack of leadership
Q.7: How does lack of management may impact business operations of London Ambulance
Services?
a) Decreased employee harmony
b) Minimised operational quality
c) Incompetent management over functions
Q.8: What are the strategies which can be used by London Ambulance Services to manage

business functions in appropriate manner?
a) Effective leadership style
b) Effective communication
c) Providing appropriate trainings
Q.9: Are these strategies effectively providing such edge within the business of London
Ambulance Services?
a) Yes
b) No
Q.10 Are these strategies for London Ambulance Services improving their organisational
management?
a) Yes
b) No
Frequency distribution table
Q.1: Are you aware regarding services provided by London Ambulance
Service?
Frequency
a) Yes 20
b) No 10
Q.2: Have you ever taken services by London Ambulance Service? Frequency
a) Yes 22
b) No 8
Q.3: How did you feel regarding services provided London Ambulance
Service?
Frequency
a) Satisfactory 20
b) Highly satisfactory 8
c) Dis-satisfactory 2
Q.4: What is the importance for management within London Ambulance
Service in providing appropriate services?
Frequency

a) Improving overall efficiency 10
b) Attaining group goals with harmony 10
c) Providing sense of focus and direction 10
Q.5: According to you is there any mismanagement within London Ambulance
Service?
Frequency
a) Yes 20
b) No 10
Q.6: What are the major reason of lack in management within London
Ambulance Service?
Frequency
a) Poor communication: 10
b) Lack of training: 10
c) Lack of leadership 10
Q.7: How does lack of management may impact business operations of
London Ambulance Services?
Frequency
a) Decreased employee harmony 12
b) Minimised operational quality 8
c) Incompetent management over functions 10
Q.8: What are the strategies which can be used by London Ambulance
Services to manage business functions in appropriate manner?
Frequency
a) Effective leadership style 20
b) Effective communication 5
c) Providing appropriate trainings 5
Q.9: Are these strategies effectively providing such edge within the business of
London Ambulance Services?
Frequency
a) Yes 20
b) No 10

Q.10 Are these strategies for London Ambulance Services improving their
organisational management?
Frequency
a) Yes 25
b) No 5
Data analysis
Question1: Aware regarding services provided by London Ambulance Service
Q.1: Are you aware regarding services provided by London Ambulance
Service?
Frequency
a) Yes 20
b) No 10
a) Yes b) No
0
2
4
6
8
10
12
14
16
18
20
20
10
Frequency
Interpretation: From the above bar chart this can be concluded that awareness regarding
London Ambulance Services are higher within market of UK. In this manner the organisation is
having appropriate presence in market and significantly managing business functions as well.
London Ambulance Services are providing emergency ambulance services in which they are

trying to serve people in higher manner. Out of 30 respondents, 20 are having opinion that they
are aware regarding services of London Ambulance Services whereas 10 said that they are not
aware about these services. This can be concluded that services of London Ambulance Services
are prominently known in the market.
Question2: Services by London Ambulance Service
Q.2: Have you ever taken services by London Ambulance Service? Frequency
a) Yes 22
b) No 8
a) Yes b) No
0
5
10
15
20
25 22
8
Frequency
Interpretation: From the above chart this can be concluded that London Ambulance Services is
appropriately managing their services in UK, due to which overall significance is being rendered
to the organisation within marketplace. Out of 30 respondents, 22 are having opinion that they
have taken services of London Ambulance Services. This is clear from this that as there are
numerous people which had taken services of London Ambulance Services. Besides this 8 have
said that they have not services of London Ambulance Services that means the organisation is
still need to manage their functions.
Question3: Feeling regarding services provided London Ambulance Service

Q.3: How did you feel regarding services provided London Ambulance
Service?
Frequency
a) Satisfactory 20
b) Highly satisfactory 8
c) Dis-satisfactory 2
a) Satisfactory b) Highly satisfactory c) Dis-satisfactory
0
2
4
6
8
10
12
14
16
18
20
20
8
2
Frequency
Interpretation: From the above bar chart this can be concluded that services of London
Ambulance Services are prominently providing satisfactions to needs generated by people in
relation to emergency services. After dealing with their services most people had experience
which is good. Out of 30 respondents, 20 people had satisfactory experience after taking services
of London Ambulance Services which is a sign that management is appropriately working within
organisation. Besides this 8 had opinion that they were highly satisfied with services of London
Ambulance Services. At last 2 respondents have said that they were dis-satisfied by taking
services of London Ambulance Services.
Question4: Importance for management within London Ambulance Service in providing
appropriate services
Q.4: What is the importance for management within London Ambulance Frequency

Service in providing appropriate services?
a) Improving overall efficiency 10
b) Attaining group goals with harmony 10
c) Providing sense of focus and direction 10
a) Improving overall efficiency
c) Providing sense of focus and direction
0
1
2
3
4
5
6
7
8
9
10
10 10 10
Frequency
Interpretation: From the above chart this can be concluded that management is having high
importance within managing organisational functions. Management is holding high degree of
importance for a business and managing overall functions as well. This way it can be said that
there number of essentialism existed within the business. Out of 30 respondents, 10 are having
opinion that management is helpful in improving overall efficiency. Besides this 10 are having
opinion that management is associated with providing such assistance to business by which goals
and objectives within organisation can be attained. At last 10 are having opinion that
management is providing sense of focus and direction to the organisation in which succession
opportunities can be enhanced.
Question5: Is there any mismanagement within London Ambulance Service
Q.5: According to you is there any mismanagement within London Ambulance
Service?
Frequency

a) Yes 20
b) No 10
a) Yes b) No
0
2
4
6
8
10
12
14
16
18
20
20
10
Frequency
Interpretation: From the above bar chart this can be analysed that mismanagement is existed
within London Ambulance Services due to which this is not easier for the organisation to
manage their services in significant manner. This way need of upgrading services are necessary
for the business in which overall management can be rendered. Out of 30 respondents, 20 are
having opinion that the organisation is required to upgrade their services so that to gain
appropriate insight within organisation. Besides this 10 are having opinion that there is no
mismanagement existed within business due to which there is no need within the business in
relation to management.
Question6: Major reason of lack in management within London Ambulance Service
Q.6: What are the major reason of lack in management within London
Ambulance Service?
Frequency
a) Poor communication: 10
b) Lack of training: 10
c) Lack of leadership 10

a) Poor communication:
b) Lack of training:
c) Lack of leadership
0
1
2
3
4
5
6
7
8
9
10
10 10 10
Frequency
Interpretation: From the above bar chart this can be concluded that there are various reason due
to which mismanagement within organisational functions get initiated. These reasons may
impact functions of the organisation in negative manner. Out of 30 respondents, 10 are having
opinion that poor communication is the reason due to which lack of management may be created
within organisation. Besides this 10 are having opinion that lack of training is the major reason
due to which mismanagement may faced within organisation. At last 10 are having opinion that
lack of leadership is the major reason of lacking behind of management.
Question7: Lack of management may impact business operations of London Ambulance
Services
Q.7: How does lack of management may impact business operations of
London Ambulance Services?
Frequency
a) Decreased employee harmony 12
b) Minimised operational quality 8
c) Incompetent management over functions 10

a) Decreased employee harmony
c) Incompetent management over functions
0
2
4
6
8
10
12
12
8
10
Frequency
Interpretation: From the above bar chart this can be concluded that lack of management may
impact the business in negative way as this will lead in damaging market image of the business
along with loosing their share as well. Out of 30 respondents, 12 have said that by
mismanagement within business organisation this will lead in decreasing employee harmony due
to which employee cannot perform their tasks in appropriate manner. Besides this 8 have said
that mismanagement within organisation may lead into minimisation of operational quality
which leads in decreased operational effectiveness. At last remaining 10 have said that by
mismanagement within organisational functions this will lead in obtaining of incompetent
managerial functions. These are the challenges which may arise during mismanagement in
managerial functions but at the same time this can be said that these functions are directly or
indirectly linked with organisational performance.
Question8: Strategies which can be used by London Ambulance Services to manage business
functions in appropriate manner
Q.8: What are the strategies which can be used by London Ambulance
Services to manage business functions in appropriate manner?
Frequency
a) Effective leadership style 20
b) Effective communication 5

c) Providing appropriate trainings 5
a) Effective leadership style
b) Effective communication
c) Providing appropriate trainings
0
2
4
6
8
10
12
14
16
18
20
20
5 5
Frequency
Interpretation: From the above bar chart this can be concluded that in order to deal with several
challenges and issues management is required to eradicate the same so that to get high market
prominence and edge as well. Out of 30 respondents, 20 have said that by adopting effective
leadership style business functions can be managed in appropriate manner. Besides this 5
respondents have said that by rendering effective communication, the managerial challenges can
be mitigated. On the other hand remaining 5 have said that by giving appropriate trainings to
employees issues and challenges in respect of management can be mitigated. These strategies
may give specific edge to the business in respect of providing such assistance in which major
problems can be handled.
Question9: Strategies effectively providing such edge within the business of London
Ambulance Services
Q.9: Are these strategies effectively providing such edge within the business of
London Ambulance Services?
Frequency
a) Yes 20
b) No 10

a) Yes b) No
0
2
4
6
8
10
12
14
16
18
20
20
10
Frequency
Interpretation: From the above bar chart this can be analysed that using strategies to improve
management may lead the organisation to provide such opportunities by which growth
opportunities can be inhaled. Out of 30 respondents, 20 have said that these strategies are helpful
for the business in gaining such business insights. Besides this remaining 10 have said that these
strategies are not helpful in gaining business insights. This is the major reason in which
businesses are required to implement basic terminology in which proper assistance can be given
for gaining growth opportunities.
Question10: Strategies for London Ambulance Services improving their organisational
management
Q.10 Are these strategies for London Ambulance Services improving their
organisational management?
Frequency
a) Yes 25
b) No 5

a) Yes b) No
0
5
10
15
20
25
25
5
Frequency
Interpretation: From the above bar chart this can be concluded that for improving
organisational management this is imperative that differentiated strategies are used so that an
organisation can enhance their operations and functions as well. In this way this can be said that
there are number of strategies which are required to be adopted by organisation so that to attain
opportunities for succession. Out of 30 respondents, 25 have said that by using these strategies
organisational functions can be improved. Besides this 5 have said that these are not aligned with
dealing with organisational functions.
Discussion
Theme1: Importance of management within an organisation
From the above mentioned information collected through secondary sources for literature
review this can be analysed that management is associated with higher degree of importance
within an organisation and this may lead in developing various business insight in significant
manner. In the context of London Ambulance Services for the management authorities this is
significant that they understand importance of managerial activities in such a way that objectives
within business can be attained. There are several importance of management as in terms of
maintaining employee internal harmony and increase overall business efficacy as well.
Theme2: Reasons that lead to the lack of management at London Ambulance Service

As from the above collected information through secondary sources for literature review
this can be examined that there are lots of loop holes which may be impacting their operational
and functional areas. On the other hand this can be said that poor communication and poor
leadership are the major reason by which major mismanagement is created within an
organisation. For London Ambulance Services training are also playing significant role so lack
of training may also play a rigid role for the organisation to face various barriers.
Theme3: Strategies through which London Ambulance Service can overcome lack of
management
According to information collected as secondary sources for literature review this can be
examined that there are various strategies that can be adopted by businesses in order to acquire
higher prominence and in this case these will be reflecting in enhanced business functions. Using
appropriate tools for communication and inhaling prominent leadership styles will lead the
business to deal with lack of managerial system. For London Ambulance services this is
imperative that using such resources in order to provide such edge to the business for improving
varied skills.
Theme4: Lack of management influence organisational performance
According to information collected as secondary sources for the purpose of literature
review this can be investigated that lack of management is the most dangerous aspect existed
within business as the same is providing negative impacts as in term of facing delays in attaining
organisational objectives. For London Ambulance Services organisational functions are holding
such capacities in which overall sustainability can be attained.

CONCLUSION AND RECOMMENDATIONS
From the above research this can be concluded that Management is the process of guiding
the development, maintenance, and allocation of resources to attain organizational goals. By
using the four functions, managers work to increase the efficiency and effectiveness of their
employees, processes, projects, and organizations as a whole. Originally identified by Henri
Fayol as five elements, there are now four commonly accepted functions of management that
encompass these necessary skills: planning, organizing, leading, and controlling. For an
organisation management is holding significant aspect in order to provide such insight to
business working and to tackle the entire functions in systematic manner (Pak and Kim, 2018)).
Mismanagement leads due to facing various issues which may obtain several minus points to the
business. In the context of London Ambulance Services mismanagement may lead the
organisation to sacrifice their efficiency due to which functioning of the business get tarnished.
Management is providing differentiated aspect within business in order to align goals and
objectives of the business. There are certain reasons due to which working of the organisation get
hampered. Due to ineffective leadership and ineffective communication various problems may
be faced within business. Besides this due to these inefficiencies numerous issues are faced such
as employee turnover, mismanagement and poor communication. There are some
recommendations which are required to be given to London Ambulance Services in order to
mitigate issue of mismanagement and to acquire higher prominence as well.
 Communication: Communication is the key to success as in this term by rendering
appropriate communication within organisation London Ambulance Services can
enhance their management system and deal with all market complexities. In order to
provide significant services this is necessary that to maintain such communication in
which all the aspects can be covered (Hamdoun, Jabbour and Othman, 2018).
 Leadership styles: Leadership is playing significant role in order to enhance managerial
functions as by rendering appropriate style of leadership all the tasks and processes can
be delegated in such a way that various discrepancies can be avoided. So appropriate
leadership style is required to be attained by management in order to align their efforts
with organisational activities.
 Trainings: Trainings are playing significant role for employees in order to intensify their
skills and provide assistance to business for attaining its goals and objectives. By

rendering significant trainings to employee the business can grow and acquire such edge
in marketplace.
 Building trust: In order to provide assistance over managing functions in appropriate
manner. In this manner by building trust all the functions can be executed in significant
manner in which proper attainment of research objectives can be drawn out.
As by using such methods managerial functions can be executed in most effective manner so that
to provide such adjustment over business and gaining business objectives
These are the strategies which are required to be enlightened by HR manager of business
in order to succeed the business operations and to analyse loopholes within business in
successful manner (Okumus and et. al., 2019). By utilising these strategies in effective manner
this is imperative that all the complexities can be minimised along with this significance over
productivity can be seen in business. So at last this can be concluded that there are various
functions performed by HR In which they are successfully dealing with business operations and
managing diversity within organisation as well.

REFERENCES
books and journals
Al-Emran and et. al., 2018. The impact of knowledge management processes on information
systems: A systematic review. International Journal of Information Management, 43,
pp.173-187.
Buhalis and et. al., 2019. Technological disruptions in services: lessons from tourism and
hospitality. Journal of Service Management.
Caputo and et. al., 2019. A knowledge-based view of people and technology: directions for a
value co-creation-based learning organisation. Journal of Knowledge Management.
Chatzoglou, P. and Chatzoudes, D., 2018. The role of innovation in building competitive
advantages: an empirical investigation. European Journal of Innovation Management.
Drummond, C., McGrath, H. and O'Toole, T., 2018. The impact of social media on resource
mobilisation in entrepreneurial firms. Industrial Marketing Management, 70, pp.68-89.
Easterby and et. al., 2018. Management and business research. Sage.
Eling, M. and Lehmann, M., 2018. The impact of digitalization on the insurance value chain and
the insurability of risks. The Geneva papers on risk and insurance-issues and practice,
43(3), pp.359-396.
Hamdoun, M., Jabbour, C.J.C. and Othman, H.B., 2018. Knowledge transfer and organizational
innovation: Impacts of quality and environmental management. Journal of cleaner
production, 193, pp.759-770.
Hislop, D., Bosua, R. and Helms, R., 2018. Knowledge management in organizations: A critical
introduction. Oxford university press.
Huang and et. al., 2019. The influence of service quality on customer satisfaction and loyalty in
B2B technology service industry. Total Quality Management & Business Excellence,
30(13-14), pp.1449-1465.
Okumus and et. al., 2019. Strategic management for hospitality and tourism. Routledge.
Pak, J. and Kim, S., 2018. Team manager’s implementation, high performance work systems
intensity, and performance: a multilevel investigation. Journal of Management, 44(7),
pp.2690-2715.
Park, S.H., Lee, T. and Kim, S.C., 2018. Investigating the Impacts of the Quality of Project
Management Information System on Project Performance and User Satisfaction.
Journal of the Society of Korea Industrial and Systems Engineering, 41(3), pp.50-60.
Pourmola and et. al., 2019. Investigating the impact of organizational spirituality on human
resources productivity in manufacturing organizations. Management Science Letters,
9(1), pp.121-132.
Ramli, A.H., 2019. Compensation, job satisfaction and employee performance in health services.
Business and Entrepreneurial Review, 18(2), pp.177-186.
van Assen, M.F., 2018. Exploring the impact of higher management’s leadership styles on lean
management. Total Quality Management & Business Excellence, 29(11-12), pp.1312-
1341.
Wijethilake, C., Munir, R. and Appuhami, R., 2018. Environmental innovation strategy and
organizational performance: Enabling and controlling uses of management control
systems. Journal of Business Ethics, 151(4), pp.1139-1160.