A Critical Analysis of Management in NHS Performance and Efficiency

This report presents a critical analysis of the impact of management on performance and efficiency within NHS Peterborough. It begins with an introduction highlighting the importance of management in the healthcare sector, followed by a theoretical background exploring key publications and themes related to management's influence. The report examines the relationship between management and performance, analyzes challenges faced by management, and recommends enhancing strategies for improved efficiency. The methodology section outlines the research approach, design, and data collection techniques. The study focuses on a null hypothesis regarding the impact of management on performance and efficiency. The research aims to critically analyze the impact, evaluate the relationship, examine challenges, and recommend strategies, addressing specific research questions related to management's influence, relationships, challenges, and improvement strategies within the NHS Peterborough context. The justification and contextualization sections explain the importance and rationale of the research, linking it to existing evidence and addressing timely needs. The report concludes with ethical considerations and research limitations, providing a comprehensive overview of the study's scope and methodology.

The impact of management on
performance and efficiency in
NHS England

Table of Contents
TITLE..........................................................................................................................................................3
(A) INTRODUCTION................................................................................................................................3
(B) THEORITICAL BACKGROUND AND RESEARCH FOCUS...........................................................3
(C) JUSTIFICATION AND CONTEXTUALISATION.............................................................................7
(D) METHODOLOGY...............................................................................................................................9
(E) BIBLIOGRAPHY...............................................................................................................................13

TITLE
A critical analysis of impact of management on performance and efficiency in NHS
Peterborough
(A) INTRODUCTION
The main aim of conducting this study is to understand the essentiality of management in
performance within healthcare sector. It represents the impact of management on the
performance and efficiency in NHS Peterborough. Management reflects the positive correlations
between clinical and economic performance (Cantor and Poh, 2018). However, there is still an
argument on the type of management that an administration team of healthcare industry is
adopted to manage the healthcare system. Therefore, it is concluded that the healthcare
interventions mainly depends on the ability and willingness of management in providing the
health care services to patients. Thus, to complete this study, researcher adopts the use of
knowledge streams on the specific topic of the impact of management on performance and
efficiency in NHS Peterborough. NHS is an umbrella term that offers services to public related to
healthcare in UK (Welcome to Cambridge shire and Peterborough NHS Foundation Trust, 2021).
To complete this research proposal researcher undertakes NHS Peterborough that is one of the
six centers used for offering medical services to patients. This report studies that the NHS
Peterborough operated by service users who perform their task much better than any other health
care system sector. This research also discussed the relationship between management with
performance of health system and NHS Peterborough to effectively examine the impact of
management. To effectively understand the topic several aspects are to be demonstrated such as
theoretical aspects and methodology so that appropriate results are to be presented.
(B) THEORITICAL BACKGROUND AND RESEARCH FOCUS
Review key publications and themes
Analysis of influence of management upon performance, efficiency

According to the viewpoint of “Ralph Heibutzki, (2021)” it is stated that the influence of
management upon performance and efficiency on employees of NHS Peterborough in several
ways. Manager within healthcare industry impact in numerous manner on the performance and
efficiency of an employees by using constructive feedback, performance reviews etc. The
performance of organisation does not rise unless management does not motivate their employees
for effective working in healthcare sector. In this management follow control and command to
inspire loyalty and productivity for getting sustainable results. It is high important to analyse
impact of management on productivity by using several aspects that are presented below:
 Behaviour modelling- it is an aspect that reflects the influence of management on
performance and efficiency of those who works under the management team. In NHS
Peterborough, correlation among the performance and career path of managers examine
that CEOs of NHS Peterborough, gathered the experience to structure the health care
properly. In this they spend more time in hospitals to maintain the managerial
performance at higher level.
 Constructive feedback- It is very essential for the management of NHS Peterborough to
take regular follows ups of the members who involves in offering health care services to
patients so that efficiency within the premise of NHS Peterborough is maintained. In this
manager of NHS, provides regular training to their team members for maintaining the
culture and improves engagements of service provider in emergency services (Kohl and
et. al., 2019). If management does not fulfil the criteria of improving engagement of
health service providers in management process then it affects the good performance
along with negatively impact the culture of hospital.
 Employee recognition- This aspect shows the management of NHS Peterborough
provides recognition for achieving the emergency case that helps in influencing
positively on the performance and efficiency of NHS Peterborough.
Relationship between management and performance of NHS Peterborough
As per the viewpoint of “Cowper, (2020)” it is stated that there is positive relationship
between management and performance of NHS Peterborough because the practice of
management in hospitals can develops the efficiency of decision making processes along with
overall performance. This also helps in improvising the quality of patient results and their

satisfaction level. In NHS Peterborough, the performance of firm is based on cultural activities,
leadership style and management practice and all these based on behavioural model, employee
recognition etc. In this the management of healthcare interventions depends on the ability to
provide quality health care services. In NHS Peterborough if management is well implemented in
working premise than it provides the valuable outcomes performance and efficiency that
provides rewards in terms of gaining reputation within marketplace. The relationship between
management and performance is mainly depends on the HR Practice in healthcare. It reflects the
proper managerial decision making that improves the healthcare and management process. HR
Practices are motivation, recognition, training and developments if these practices are provided
effectively than relationship between management and performance is represents in a positive
manner. Thus the management does not exist in healthcare system without the HR practices that
includes attracting, managing, retaining human capital which are required within NHS
Peterborough to attend the patients with emergency services (Mandal, 2018). At the time of
implementing management practices, performance plays pivotal role in developing the results of
efficiency of hospital like NHS Peterborough for maximising the quality healthcare and patients
services that is more important to sustain in the healthcare sector.
Challenges faced by management upon performance, efficiency
As per the viewpoint of “Ma and et. al., (2018)” healthcare is the widest and fastest
growing industry in the business world.to provide the quality service care to patients it is very
essential to create a pool of dedicated, experienced medical professional along with cost effective
clinical activities. Besides employing doctors, medical residents and interns healthcare sectors
supports staff people that involve front desk to transactional operations. Managing the
performance and efficiency within NHS Peterborough is very complicated due to this several
challenges are to be faced by management related to performance and efficiency that are
presented below:
 Limited performance improvement opportunities- It is one of the major challenge that
is faced by NHS Peterborough while managing performance and efficacy. Inadequate
training and development opportunities dissatisfied the medical professional due to this
their focused towards working effectively is reduced (Top 5 Performance Challenges
Faced in Healthcare Industry, 2020). It is very essential for NHS Peterborough to satisfy

the medical professional because at their emergency services are offered to patients for
saving their life. As training is not only improving the performance but also efficiency of
working within healthcare system and also creates ample of opportunities to develop the
reputation of NHS Peterborough.
 Lack of coordination- It is another challenge that is faced by management of NHS
Peterborough in maintaining performance and efficiency. Integration is very essential in
performance management where leaders contribute in setting measures of performance to
effectively set the strategic direction. Due to lack of coordination between the
departments, NHS Peterborough facing the issue in performance management that shows
negative impact on attending patients.
Recommend enhancing strategies for management upon performance, efficiency within NHS
Peterborough
As per the viewpoint of “Lin and et. al., (2018)” there are several strategies for
management upon performance. Efficiency within NHS Peterborough that are presented below:
 Precautionary Management with proper recognition- It is one of the best strategy that
is opted by NHS Peterborough management to manage performance and efficiency. In
this management team prepares for all expected and unexpected circumstances by
communication activities to medical professionals so that overall goals and objectives are
to be met successfully. This satisfied the patients who need emergency services.
 Set regulars meetings for discussing the results and outcomes- It is another strategy
for management upon performance and efficacy within the NHS Peterborough so that
authentic and satisfied results are faced. Regular meeting includes the several aspects so
that performance and efficiency would be maintained. These are:
o Discussing plans and procedures for attending the emergency case related to
maternity or surgery.
o Appreciating medical professionals who are working under the NHS
Peterborough for meeting goals and objectives.
o Discuss areas for bifurcating types of emergency cases so that patients are
attended prominently.

Hypothesis
In this research, investigator focus on null hypothesis i.e.:
H0: it shows that there is significantly impact of management on performance and efficiency
within NHS Peterborough.
Aim of research
The aim of conducting this research is “to conduct critical analysis of impact of management on
performance and efficiency in NHS Peterborough.”
Research objectives
 To conduct critical analysis of influence of management upon performance, efficiency
within NHS Peterborough
 To evaluate relationship between management and performance of NHS Peterborough
 To examine challenges faced by management upon performance, efficiency within NHS
Peterborough
 To recommend enhancing strategies for management upon performance, efficiency
within NHS Peterborough
Research Questions
 How management put impacts upon performance, efficiency within NHS Peterborough?
 What is relationship between management and performance of NHS Peterborough?
 What are challenges faced by management upon performance, efficiency within NHS
Peterborough?
 What are enhancing strategies for management upon performance, efficiency within NHS
Peterborough?
(C) JUSTIFICATION AND CONTEXTUALISATION
Importance of research

To conduct this research is highly important for investigator because it provides the
information related to efficiency of management and performance within Healthcare industry. To
effectively gain the knowledge on impact of management on performance and efficiency within
healthcare investigator conduct this research so that NHS Peterborough achieves the highest
quantity of output. In this management reflects as an activity of leading, planning, encouraging,
controlling and staffing the several resources of firm to reach the particular goal on time. Within
this performance refers to how efficient and effective an individual is while performing their job
role. As it is very essential for NHS Peterborough to focus on management and performance so
that successful results are enjoyed while offering services to customers (Tasi, Keswani and
Bozic, 2019). Hence, the main importance of research is to gain knowledge on efficiency of
management and performance to get profitable outcomes.
Research Rational
One of the main aims of conducting this particular research is to critical analyses the
impact of management on performance and efficiency in NHS Peterborough. However, carried
out the particular research is based on researcher personal and professional interest. The study on
this research helps in enhancing skills and knowledge which is quite useful for developing the
career in healthcare industry. It also provides huge opportunity in business world for better the
growth of individual career. With the help of this dissertations organization also collect and
gather detailed information on impact of management on performance and efficiency of NHS
Peterborough so that targets related to managing resources and services would be done properly
and authentically. This research is effective in personal terms also because it provides huge
knowledge of impact of management on healthcare industry and enhancing the skills based on
management concept.
Linked with existence evidence body
This particular research is based on the influence of management on performance and
efficiency within NHS Peterborough so that effective and successful services are provided to
patients. To maintain the linkage between management with performance and efficiency
leadership is a term that is highly supportive in nature and helps in smooth function of activities
within healthcare system (de Oliveira Gobbo, Mariano and Gobbo Jr, 2020). In this several

challenges are to be faced to maintain the performance and efficiency in managing the thing. To
overcome these challenges this reports provides several strategies so that fruitful results are to be
enjoyed.
Timely and respond to existing need
To conduct the research effectively and efficiently, it is very essential for researcher to
set the time for every activities so that whole research would be conducted appropriately. For this
researcher used the Gantt chart in which every activity is to be done on priority basis within
allocated time. This also helps in completing activities systematically that helps in concluding
best results at the end of particular research (Morgan and et.al., 2020).
Gantt chart
It is a type of bar chart that illustrates the project schedule which shows dependency
relationship between activities along with present schedule status. To conduct this research
researcher adopts the use of Gantt chart that are presented below:
(D) METHODOLOGY
Research methodology refers to a specific procedure that is implementing by researcher
to identify, select, process and analyses information related to the topic. This involves several

methods and techniques which are applied by investigator to collect reliable data so that valid
results are attained. To get accurate outcomes research onion would be presented below:
Research paradigm- While conducting research, it is very essential to focus on
development of knowledge based on specific topic or area. It is a type of way for collecting,
analyzing and interpretation the data for getting effective conclusion in the end of dissertation.
This paradigm is divided into two methods such as positivism and interpretivism research
paradigm. To conduct the current investigation researcher focus on positivism research paradigm
because it provides the factual knowledge on observation that is mainly linked with the
quantitative research where data and information would be collected in numerical manner
(Bloomfield and Fisher, 2019) .
Methodological approach- This aspect of research is consider as a crucial factor that is
based on appropriate plan and procedure which involves wide assumptions for collecting,
analyzing and interpretations of data. This aspect is divided into two categories that are
deductive and inductive approach (Rey and Martínez, 2019). Inductive approach refers to
emergence of new theories whereas deductive approach is used to developing hypothesis and
converts it into observation test to accept outcomes. In terms of conducting this research
deductive approach is to be used to test the validity of assumption of research objectives. This
approach is effective for gathering quantitative data that helps researcher to make appropriate
decisions within research activities.
Research methods- While conducting the research activities there are several research
methods to acquire the data towards research topic. It is very crucial for researcher to choose best
method for conducting particular research so that valid conclusion would be drawn. There are
two methods such as quantitative and qualitative research. Both methods are effective in nature
to gather the information in appropriate manner. To conduct this particular research, researcher
adopts the use of quantitative method in order to collect data in measurable form. In terms of this
investigation, quantitative data is effective in nature because it provides numerical information to
address the research objectives in effective manner. It helps investigator to get reliable results at
the end of dissertation.

Research techniques- It refers to the procedures for collecting and analyzing data
(Kumar, 2018). There are several techniques for conducting the research such as interviews,
questionnaire, survey, observation, experiments etc. To conduct this particular research,
researcher used the questionnaire technique where number of respondents are included who
provide their viewpoint related to research objectives so that valid conclusion would be drawn at
the end of particular research.
Sample size- This is an appropriate aspects of selecting sample size from the large
population so that accurate information is to be gathered at the end of particular dissertation. It is
basically based on two methods such as probability and non-probability method. Probability
research is that where respondents are selected on random basis on the other hand non-
probability method is that where sample are selected on non-random basis. To conduct the
particular research probability sampling is to be undertaking for collecting the sample size from
large population. this method of collecting sample is effective because it does not creates
biasness in respondents that helps in assisting reliable results at the time of drawing conclusion.
Data analysis- In this research, conducting data analysis is essential and important in
nature because it represents an appropriate procedure of inspecting, transforming or modeling
data to discover useful information (Daniel, Kumar and Omar, 2018). With the help of data
analysis, researcher takes valid decisions that assist in developing the chances of attaining
authentic outcomes at the time of drawing conclusions. In order to collect all the information
researcher uses the thematic analysis where several themes are developed to evaluate the whole
information of research. However, in this MS Excel is also used to present a statistical approach
for gather the information properly so that authentic conclusion is to be drawn for the particular
research.
Accessibility and ethics- it is very important for investigator to conduct the research in
ethical manner so that it provides the successful outcomes at the end of dissertation. Within this
term, investigator has the right to access for collecting information by using questionnaire
method with the management team of NHS Peterborough. It is highly effective to maintain the
authenticity within particular research activities. This term is also prominent in eliminating the
issues related to legal terms so that particular research should be done properly. In terms of
conducting secondary research for data collection it is very essential for researcher to get the

proper access of using websites of company and publications of authors so that effective
outcome would be drawn while collecting information on research objectives. This represents
that entire activities are done in ethical manner so that successful results are drawn. However, it
is important for investigator to adopt all principles of ethics while doing research activities.
Ethical principles involve consent forms, honesty, trust etc. that are maintained between
researchers of particular research so that harm of leaking information is to be eliminated. All
these ethical principles are helpful in concluding the outcome at the end of particular dissertation
(Alderson and Morrow, 2020).
Research limitations- While implementing research activities, researcher faced several
issues and limitations that impact negatively on end results of investigation. At the time of
implementing questionnaire method several limitations are to be faced such as difficulty in
preparing questions, lack of personalization, lack of time, hidden data of respondents, unethical
behavior of respondents etc. all these impact negatively on completing the research activities. It
is very essential for research to manage all these limitations by adopting ethical principles and
develops Gantt chart and WBS for managing time properly while conducting research. However,
researcher also needs to allow respondents to provide their views on specified topic on which a
research is conducting. With the proper assistance of this, investigator simply accomplishes the
dissertation and enjoy authentic outcome.