Organisational Structure and Culture

Organisational Structure and
Culture

Table of Contents
INTRODUCTION...........................................................................................................................3
P1.Assessment of organisational structure..................................................................................3
P2.Different types of public sector organisational structure.......................................................6
Organisational culture, its role and influence on employee's behaviour.....................................6
P3.The impact and role of local government and central government policies on NHS............7
Monitoring and accountability in NHS ......................................................................................8
P4.Management style and approach in NHS...............................................................................9
P5.The concept of organisational behaviour.............................................................................10
P6.The impact of performance at the workplace in relation with motivation, organisational
behaviour and reflection............................................................................................................11
CONCLUSION..............................................................................................................................12
REFERENCES..............................................................................................................................13

INTRODUCTION
Organisational structure can be defined as the hierarchy followed in the organisation for
communicating, decision-making and its implementation, chain of command, span of control and
handling of grievances. Such structures helps in avoiding confusion among subordinates
regarding who will reports to whom. On the other organisational culture can be understood as the
working environment, policies, practices and procedures followed in the organisation by the
management. Both organisation culture and structure have its role in the conduct of
organisational affairs and success of the whole organisation. In this report we will be discussing
organisational culture and structure in the context of National Health Services, England.
P1.Assessment of organisational structure
National Health Services or NHS follows hierarchical organisational structure which has
large chain of command beginning from top till bottom level. It describes who is responsible for
management and who is accountable to whom. It also describes span of control which states that
how many people are effectively managed by a manager. Here we have an organisational
structure of NHS has been given which flows from top level that is, board of directors to bottom
level that is, different departments carrying out different activities.
Board of directors: On the top level of the organisation which is NHS, we have board of
directors which includes chairman, executive directors and non-executive directors. They are
responsible for devising strategy for public and its stakeholders welfare which ensures that their
health is in reliable hands (Ali Taha, Sirkova and Ferencova, 2016).
Chief Executive: The role of chief executive include assurance of the best quality to patients and
all the facilities are being delivered efficiently. They are also responsible for financial and
management related activities of the NHS. Now its duty has been extended with the clinical
governance introduction which also include the duty to follow clinical standards.
Associate medical directors: The key roles of this position includes devising clinical strategy
by taking into considerations the innovations in medical field and ensures the implementation of
the same. They are responsible for timely follow up on clinical standards and advice the board on
improvements in clinical facilities. They bridge gap between board and medical staff. There are

four divisions under Associate medical director, that is surgery and cancer division, division of
medicine and emergency care, women and children care and diagnostics and clinical support
services division (Bishwas and Sushil, 2020).
Divisional directors of estates and facilities: They are responsible for managing estates of the
NHS which includes ensuring good infrastructure, safe environment for patients and staff,
managing audit related activity and ensures that whatever improvements are demanded must be
followed. They are responsible also to fulfil the statutory requirements. They have one division
under them that is estates and facilities division to carry out its responsibilities.
Executive team: This is a team of various executives who are professional of different field
performing different activities for ensuring the management of NHS (Chandwaskar, 2019). This
include functions such as finance, HR, communications, service developments, learning and
development, governance, organisational developments and information management and
technology.