Great Ormond Street Hospital: Operations, Logistics Report

This report analyzes operations, logistics, and supply chain management within the context of Great Ormond Street Hospital (GOSH) in London. It examines the hospital's location, layout, and its application of location theory, specifically focusing on transportation, patient convenience, and essential facilities like electricity and water. The report also explores the hospital's fixed-position layout and its impact on patient care. Furthermore, it delves into managing people in operations and supply chains, including GOSH's hiring processes and the application of Maslow's self-actualization theory to employee motivation, comparing it to the Arnold Palmer Hospital. The report also touches upon Hertzberg's motivators theory and concludes with an overview of the Triple Bottom Line framework, highlighting its economic and social considerations for broader business value and effectiveness within the healthcare sector.

UNDERSTANDING
OPERATION, LOGISTIC
AND SUPPLY CHAIN
MANAGEMENT

Operations management refers to the managing operations and activities of an
organisation for achieving the organisational goals effectively and efficiently. Operations
management must be effective for handling the various processes of an organisation as with
effective management of operations, organisations can deliver their products and services
quickly to their end users as well as also through this, the efficiency of the organisation can b e
increased. Logistics refers to the management of the different things and processes from the
point of origin to the final point for fulfilling the demands and requirements of consumers.
Supply chain management refers to the process of supplying products and services from the
company to the end users for satisfying their needs and demands. Suitable supply chain medium
must be selected by the engagement of the organisations for delivering the unharmed products
and services on the right time. In this report the taken organisation is Ormond street hospital
which is UK based children hospital providing treatment and care to the patients in UK. This
report will discuss the location, layout and managing people in operations and supply chains
along with the motivational theories for increasing the motivation of employees.
Ormond street hospital is the chosen company in this assignment essay. It is a UK based
hospital who is providing treatment and care to the children mainly and is situated in
Bloomsbury area of the London. This hospital is one of the largest centre for heart surgery of
children in the UK and also one of the biggest centres for heart transplant in the entire world. In
1962, this hospital developed a heart and lung transplant machine for the children. The hospital
also developed an improved shunt valve for the children. Also this hospital did the first trail of
the rubella vaccine along with the first bone marrow transplant. This hospital is working with
University College London in partnership and is the largest centre for research and postgraduate
teaching in the area of children's health (Rushton, Croucher and Baker, 2014).
The taken topics in this report is location and layout as well as managing people in
operations and supply chains. Location is the place of hospital which is chosen for the
establishment. Layout is the structure of the hospital for carrying out their activities and
operations. These both impacts the profitability and scope of future expansion. Proper analysis
must be done for choosing these both location and layout (Closs, Speier and Meacham, 2011).
Without proper understanding of place and structure, company's can face problems and issues in
expansion of business. With suitable location, the patients can come to the hospital easily and
also with this, the sales and profitability of the organisation can improve.

The location is the place at which the facility or plant of an organisation is established.
The take n theory for location is Location theory. This theory addresses the various questions
related to the economic activities based on the reason for choosing the location and why the
location is chosen for the establishment. This theory states that the organisations choose the
locations which best fits their interest for increasing their profits as well as their utility. In this
theory, various factors are discussed which needs to be consider for choosing the suitable
location in order to gain maximum output. According to this theory, The most necessary factor
for choosing the location is transportation. Proper transportation facilities and road network must
be considered before choosing a location for hospital as these are essential for transferring the
patient in times of emergency. Convenience of patients is the second option to consider. In this
organizations prioritise the comfort and ease of patient for accessing their facilities which results
in a good experience of customer and also it contribute to the probability that they will return and
refer the hospital to the other in case of treatment and care. These accessibility options includes
proximity to a highway interchange, parking etc. Third thing to consider is electricity and water
facilities which are essential in any organisation for treating the patients with the necessary care
and treatment (Christopher, 2016). Without these electricity and water facilities, survival of the
patients, families and staff in the hospital will be difficult and without these proper facilities,
people tends to ignore the hospital even if the technology of the hospital must be updated. The
technologies available in that area is also crucial for the hospital. Pharmacy shops must be close
so that the medicines are provided to the patients when not available in the hospital. Environment
also plays an important role in choosing the location as people tends to go good and healthy
environment while taking treatment.
The location of Great Ormond street hospital is in Bloomsbury area of the London which
is perfect place with all the facilities mentioned above and are essential for hospitals. This
location of the hospital is close by train, buses and air transport along with the necessary
electricity, water and other facilities (Jacobs, Chase and Lummus, 2014). When comparing these
facilities with Arnold Palmer hospital and Great Ormond street hospital, Locations of both
hospitals are located on suitable place which are available with all the facilities as discussed
above. The technology is also updated in these both hospitals along with the equal level services
are provided to patients at both facilities.

The layout of the both Arnold Palmer hospital and Great Ormond street hospital is based
on Fixed position layout in which the required machineries are placed at a fixed location. The
heavy tools, technology and machinery are taken to the fixed location of both the hospitals at
where they treat the patients. This layout is necessary for the hospitals in providing appropriate
treatment and care to the patients. From this layout, both hospitals can provide the necessary
tools and machinery to the patients at one place. Through this, they can do diagnosis, treatment,
operation and other tests at a single location so that the patients don't need to go anywhere for the
tests and other procedures of treatment (Wang and et. al., 2016). Through this, the patients can
take their treatment at a single place without worrying to go for other place for the test,
medicines etc. The layout and location both needs to be at such a place which is available and
accessible to the patients for the treatment. If these are chosen carefully, then both hospital can
attract a large number of patients due to the availability of machines and proper facilities for
reaching there and to take the proper treatment without any problem.
Managing people in operation and supply chains is very crucial for the organisations in
order to improve their productivity and profitability. The people are the most essential elements
of any organisation for improving the performances of their operations and supply chain. They
needs to be motivated and encouraged for doing their tasks with full efficiency. With proper
motivation and encouragement, these individuals can enhance their performance of performing
their job effectively and efficiently. The hiring process of Great Ormond street hospital is very
complex as they tends to hire only skilled and potential candidates who can perform their work
with full capability. This hospital is mainly hiring through agencies such as hard rock café. The
first process includes posting the application on company's website. The management of the
hospital then analyse the applications and then reply the potential candidates through e-mail via
NHS Jobs or by telephone, 1 week prior to the closing date. After that interview process is
conducted by the HR department and questions related to personal and professional
qualifications are asked (Schönsleben, 2016). Selected candidates then goes through Criminal
records background checks for ensuring the safety of the patients and staff. This check is strictly
checked at an enhanced level for determining that the selected candidates are not potentially
harmful for the hospital image and for their various stakeholders. Whereas in Arnold Palmer
hospital, candidates goes through mental and physical tests along with the interview process for
determining the mentality and potential level of new recruitment. After these tests, group

discussions and criminal records background checks are also conducted just like in the case of
Great Ormond street hospital.
The motivational theory which is used by the hospital is Maslow's self- actualization
theory. This theory states that when a level of needs is satisfied of employees, then they move to
higher level of needs (Hugos, 2018). There are 5 level in this theory which are self actualisation,
esteem needs, love needs, safety needs and physiological needs. When the basic needs such as
shelter, water and food are fulfilled, then the people move toward safety needs which includes
health, job safety etc. When these needs are fulfilled, then people moves toward love needs. In
the last self actualisation needs are fulfilled in which people becomes creative and works with
their full capabilities for achieving the desired goals. In the self actualisation needs, people works
for appreciation of their work and also gives their maximum efforts for completing the given
task.
Through this theory, employees of Great Ormond street hospital are improving their
motivation level as all the other needs are fulfilled. Through this, they are working with their full
efficiency for increasing the productivity and profitability of the hospital which in result will also
increase their performance. Also hospital is providing them rewards and compensation based on
their improved performance which is also in favour of employees. This theory can also be used
by the Arnold Palmer hospital for increasing the motivation level of their employees. This
hospital can also offer the appraisals and rewards on the employee's performance which also
leads to improved performance and productivity of the organisation (Wisner, Tan and Leong,
2014). Through this theory, employees of both hospitals can improve their performance and
productivity for getting the required appreciation from the management.
These hospitals can also use the Hertz berg's motivators theory for bringing required
efficiency in the tasks performed by the employees. This theory states that the employees feels
satisfied and dissatisfied in their job based on several factors which are known as motivators or
hygiene factors. Factors for satisfaction are achievement, recognition, the work itself,
responsibility, advancement, growth etc. whereas factors for dissatisfaction are company
policies, supervision, relationship with supervisor and peers, work conditions, salary, status,
security etc. This theory states that management of any organisation must provide extra benefits
and healthy working environment to their employees for their job satisfaction otherwise the
employees feels demotivated in doing their work. This satisfaction can be increased by providing

additional benefits such as rewards, appraisals and incentives based on their performance. If the
employees feels motivated and satisfied in their work, then their efficiency for performing their
roles and activities can be achieved effectively. Healthy working environment also plays an
essential role in the motivation of employees as they feels encouraged and also get the required
support from other employees in executing their work. Through these theories, both hospitals can
improve the performance of their employees if these theories are applied systematically and
properly (Waller and Fawcett, 2013). The enhanced motivation and encouragement is helpful for
the employees and hospital to provide the quality and best services to their customers. Motivated
employees will serve the customers properly in treating them with utmost care. Also these
employees can communicate with patients properly for ensuring that the patients are getting the
required services and care from the staff and doctors of the hospital.
Triple Bottom Line: It refers as an accounting framework with different three parts such
as social, environmental and economical. This framework is adopted by the Great Ormond street
hospital to analysis their performance and effectiveness in a broader perspective to develop
greater business value (Ellram and Cooper, 2014). This framework also help an organisation to
manage people in supply chain and identify layout and locations where they put their business
idea.
Economic measure: It is a main part of this framework which mainly deal with the flow
of money and bottom line. It is identify income, expenditure, business climate factor, taxes,
business diversity factor and many other (Sanders and Sanders, 2012). All this are effect on
business for identifying best layout and location for the hospital.
Environmental measure: This is another variable that should show measurement or
activity of natural resources and effect potential influence. This actor could incorporate water
quality, air, natural resources, energy consumption in Great Ormond street hospital. Thus all
this aspects are essential and important for the hospital to enhance their logistic, supply chain
management and operation smoothly.
Social measure: This is introduce as a last part of Triple Bottom Line framework which
is related with the dimensions of region or community and could cover measurement education,
health and well-being, social capital, quality of life etc. All this are identify as an essential and
important for the hospital to fulfil needs of their patients and accomplish better results and
outputs within predetermined time period (Huo, 2012). This factor includes different aspects

which highly impact on business operations such as relative poverty, average commute time,
well-adjusted life expectancy etc.
The Great Ormond street hospital is using the maslow theory for motivating their
employees to provide the best services to the customers. The Great Ormond street hospital is
doing their job effectively due to the location as well as because of their employees. The
motivation level of employees of Great Ormond street hospital is increasing which is beneficial
for the hospital in providing the services effectively to the patients (Wolf, 2011). When the
employees of hospital becomes motivated in doing their assigned roles and responsibilities, then
the productivity and efficiency of the hospital will also increase as well. The Great Ormond
street hospital can further improve the motivation level of their employees by using Hertz berg's
motivators theory. Through this theory, they can provide benefits and rewards to the employees
on the basis of their performance which is performed by them while doing their regular work.
Through Hertz berg's motivators theory, hospital can increase their customer base as well as can
also increase the job satisfaction in their employees. Also the location and layout of the hospital
is at a good place for providing the necessary treatment to the patients at a single place. Through
the Fixed position layout, Great Ormond street hospital can provide the different machines and
tool at the single place for treating the patients with their full capacity and resources.
From the above mentioned information, it can be concluded that understanding of
operations, logistics and supply chain management is essential for the success and growth of an
organisation. In order to motivate employees, company used different types of motivation theory
which will also support an enterprise to enhance their operations easily. Along with this, to
identify effective location and layouts, business entity used location theory which will also
essential for the company to retain better reputation at marketplace. Along with this Triple
bottom line framework support an organisation to identity their social, economic and
environmental resources easily. Therefore, all this framework and model are useful for the
company to improve their supply chain management, logistic and operations systematically.

REFERENCES
Books and Journals
Christopher, M., 2016. Logistics & supply chain management. Pearson UK.
Closs, D.J., Speier, C. and Meacham, N., 2011. Sustainability to support end-to-end value
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Ellram, L.M. and Cooper, M.C., 2014. Supply chain management: It's all about the journey, not
the destination. Journal of Supply Chain Management. 50(1). pp.8-20.
Hugos, M.H., 2018. Essentials of supply chain management. John Wiley & Sons.
Huo, B., 2012. The impact of supply chain integration on company performance: an
organizational capability perspective. Supply Chain Management: An International
Journal. 17(6). pp.596-610.
Jacobs, F.R., Chase, R.B. and Lummus, R.R., 2014. Operations and supply chain management
(pp. 533-535). New York, NY: McGraw-Hill/Irwin.
Rushton, A., Croucher, P. and Baker, P., 2014. The handbook of logistics and distribution
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Schönsleben, P., 2016. Integral logistics management: operations and supply chain management
within and across companies. CRC Press.
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Wisner, J.D., Tan, K.C. and Leong, G.K., 2014. Principles of supply chain management: A
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