Healthcare Management: Roles, Structure, and Culture Analysis

This report delves into the multifaceted realm of healthcare management, exploring the critical roles of healthcare managers within NHS foundation trusts. It examines the diverse responsibilities, including service delivery, planning, budgeting, and staff management. The report further investigates the impact of organizational structure on organizational culture, contrasting centralized and decentralized structures and their effects on employee behavior and performance. Finally, the report presents different organizational structures in business, health, and social care settings, emphasizing how these structures influence decision-making, communication, and overall operational efficiency within these sectors. The analysis highlights the interconnectedness of organizational structure and culture, underscoring their combined impact on achieving organizational goals and fostering a positive work environment.

Health care
environment

Table of Contents
 INTRODUCTION
3
 MAIN BODY
3
 Role of health care manager in NHS foundation trust.
3
 2) Impact of organisational structure on its culture
4
 Scenario three – Present different organisational structures in business, health and social
care organisation 7
 CONCLUSION
10
 REFERENCES 11
 Books & Journal:
11


INTRODUCTION
Health care environment is undertaken as key concern into the field of medical services.
Moreover, this is needed to be considered within main concern when this comes to societal
health (Aljuwaiber, 2016). Also, this is one of the safe, empowering as well as satisfying
(Bolden, 2020). Along with this, for maintaining the health environment, the heath care
systems are rendering additional services for making patient’s feel healthier as well as fresh.
The topics which are going to be covered in this report are role of health care manager in
firm, impacts of organisational structure upon their culture. Apart from this, several entities’
structure into business, health and social care organisational are discussed in this report.
MAIN BODY
Role of health care manager in NHS foundation trust.
As the health care manager have various responsibilities into remit of its practices for
assuring that effective provision of health and social care services is maintained. So, the NHS
foundation trust is a semi-autonomous organisational unit into NHS within England.
Moreover, it has a degree of independence from the Health and social care department. Also,
within it there are various managers that plays different role such as clinical manager,
operational manager, practice manager, finance manager, information manager and others
(Dent and Whitehead, 2020). Some of the role of health care managers that plays in NHS
foundation trust are discussed below:
 To deliver health care service as well as treatment to their patients.
 To plan for future development for their operations as well as functions.
 Setting the priorities task so that important aspects can be attained at first.
 Managing the clinical practices budget.
 Assuring money value as well as quality into services and others
 To organise as well as coordinate day to day practices and resources, liaising with
clinical staff members and many other professionals.
 Managing a group of individuals within office atmosphere.
 Overseeing developing maintenance, environmental facilities, security and
others.
 To assure that reusable medical equipments is cleaned, sterilized as well as repacked
for higher standards, also ready for utilise into places like operating theatres (NHS,
2020).

It is a responsibility of healthcare managers is to provide all necessary
activities and effective operations of business. A manager without responsibility is
unable to achieve growth within an organisation. Therefore, it is essential for them to
assigned responsibilities in appropriate way so that positive results.
 Monitor staff- This is being considered as most important responsibility of a
healthcare manager as monitoring and controlling staff and members within a
management is important and which is being managed by healthcare manager through
which better productivity is produced. Also, by properly focusing on staff as well as
members it is easy to engage everyone at work environment (Bentrott, 2017).
 Maintaining discipline- It is another is possibility of a healthcare manager in which
main duty is to maintain discipline and behaviour of an employee as well as their
attitude towards each other. By following this responsibility manager of health care is
able to build effective team. Also it has been stated that discipline has been it is the
top most important responsibility of manager within these enterprises.
 Implement strategies for successful planning- In context of healthcare manager,
their duties to regulate and adapt new policies, implement effective tactics as well as
strategies so that planning is being done in most efficient way. Also, to manage and
give review of an implemented strategy for planning for further processes (Chalk,
2016).
 Carry out induction & other programmes- In this type of responsibility duty of
manager are to introduce new reference and employees and introduce them to the
management and other colleagues through carrying out induction programs as well as
different activities. Managers are responsible for initiative of programs and other co-
curricular activities within enterprises the purpose of meeting new employees engaged
with the work environment.
After analysing the above roles as well as responsibilities of a healthcare manager it
has been stated that by preparing managing and carrying out these it is easier to achieve
objectives. It has been also specified that these are the critical and important part of health
care to make ensure that all the stated roles and responsibilities are fulfilled by their
managers and leaders in most appropriate way.

2) Impact of organisational structure on its culture
Organisational structure is considered as a system which highlights how specific
practices are guided for attaining organisational objectives. These practices may incorporate
accountabilities, roles and norms. Along with this, it also ascertains that how flows of
information go among various levels into entity.
Organisation structure is considered as a process in which their focus is on allocating
role as well as responsibilities for progress in organisation, how resource will controlled or
monitor and the communication flow with various department is also discussed in this report.
There are two important component of organisation structure named as centralised and
decentralized. In centralised structure of organisation, all power related to decision taken
which put in hand of higher authority of organisation. There are various department as well as
function of organisation which is monitored or controlled in order to conduct different
activities in an appropriate manner.
Organisation culture it signifies belief, shared, value as well as ritual of organisation in
order to perform their work in an appropriate manner. It is important for organisation to
follow culture in an appropriate manner. In culture of organisation includes experience,
expectation values as well as philosophy that organisation required to perform by a person in
together if the culture of organisation is not superior than it imposes direct effect on
performance level of organisation and its productivity level. A culture within enterprise
reflect the work environment of a company and also it is being counted as important part
because on the basis of this retain period of employee depends at all level. Therefore, it is
essential for both the sectors to have a positive work culture so that both employees and other
people have a good image brand. In enterprise culture, it also reflects the practices which are
followed by entity at workplace (Ciasullo, 2017). In addition to this, in reference of
organisational culture there are various points which are going to be mentioned below:
 It is determined as a method and organisation organised its activities related to
company and deal with subordinate in an appropriate manner.
 They focus on providing freedom to it subordinates for taking decisions and
introducing innovative ideas during particular phase of time period.
 Apart from this, under decentralized structure of organisation the power of
taking decision is provided to its subordinate who performs their work in lower as
well as middle level management to enhance execution of activity and functions of
organisation and provide satisfaction to individual person during particular phase of
time period. Organisation culture signifies the particular set of values that is provided

with subordinate in order to interact with one another in an appropriate manner. The
culture business organisation is determined as a wider concept and it is difficult for
organisation to explain but it is considered as a personality of organisation. The
culture of organisation imposes positive effect on structure which is used by
organisations that help in achieving goal in timely manner. Therefore, the company
named focus is on providing different facilities to its customer by using formal
structure during particular phase of time period. The management team emphasised
on providing guidance to its employees in order to perform different work in an
appropriate manner and achieve favourable outcome in future period of time.
The organisation cannot operate without subordinates so it is necessary to have a informal
structure that help in giving shape to its perception, behaviour as well as attitude of individual
person. This make sure that there are various number of employees who focuses on
performing work together in order to achieve objectives of business organisation. The culture
of company use several ways signifies organisation structure which is connected to Enterprise
and completely different from one another. The organisation structure signifies framework
which is executed by culture of organisation. The organisation focuses on using appropriate
structure of organisation that help in including quality of services that is provided to its
nurses in order to satisfy its client. The performance of company under functional structure of
organisation imposes direct impact on communication process handling and managing
technical issue as well as so on (Dueñas, 2016).
Matrix structure of Organisation imposes direct effect on production as well as decision
which is taken by company. There are different kind of structure of organisation which
imposes a direct impact on quality and appropriateness of functions which is executed by
organisation. The overall structure of organisation signifies the role of every subordinate and
culture that provide them guidance to perform work in an appropriate manner. The culture of
business organisation focuses on encouraging its subordinate in order to complete its works.
Moreover, it helps it subordinate in to resolve problem in an appropriate manner.
Organisation culture signifies the particular set of values that is provided with subordinate in
order to interact with one another in an appropriate manner. The culture business organisation
is determined as a wider concept and it is difficult for organisation to explain but it is
considered as a personality of organisation.
The organisation structure as well as culture of organisational interconnected with one
another. Therefore the organisation focus on launching any types of changes which is related

to structure of organisation that includes a direct effect on role of organisation and enhance
productivity levels during particular phase of time period. The culture of organisation
provides guidance to subordinate how to behave with other individual person involving
supplier, customer as well as so on by using effective as well as simple organisation structure.
In addition to this, they focuses on providing guidance to its nurses as well as other
supporting staff in order to behave with its user in an appropriate manner and resolve critical
condition in proper way. The whole structure described responsibility of individual person in
order to perform their work in better way. The business organisation and culture signifies
information regarding what is determined as right as well as wrong. Apart from this, the
business organisation focuses on providing take care to its nurses in order to enhance quality
of activities and functions during particular phase of time period (Hinteregger, 2017).
After examining of above matter, it has been seen that both organisation structure as well
as culture are different from each other but are interconnected too. Furthermore, the impact of
structure on culture of enterprise is wider and broader which makes it difficult to make
decisions with within a management. Employees with another entity often get affected by
culture of an enterprise and their motivation as well as moral get impacted by this structure
and culture simultaneously.
Scenario three – Present different organisational structures in business, health and social care
organisation
Organisation structure plays important role in business and social care enterprises as it
reflects the working system of company and how decision are being made with the
management. It is being seen that true carrying out an organisational structure in effective
manner so that arise of problems are reduced at larger scale. Health and social care
organisations are different from each other and according to which they carry out their
enterprise structure. Managers and leaders both ensure that everything is being carried out in
proper manner so that goals are accomplished and higher productivity is achieved. It is a time
consuming process to make decisions within enterprise structure as because it is a time
consuming process and has a deep impact on employee as well as other people. To have
appropriate type of structure within of business, health and social care the conduct of market
analysis and internal analysis on the basis of which workflow is carried out in effective
manner. It is often seen that in social and health care sectors organisation structure please
important rule as because on the basis of which their workflow is executed and carried out.
Also, it is examined that it reflects work system who is responsible to whom is specified in a

proper manner. Also it has been stated that each and every entity has different organisation
structure on the basis of which they carry out their functions, operations and other activities
health and social care which are being mentioned below-
 The frontline- in this it comprises of nurse, nurses practitioners, physical therapist,
ward boys, comes under this category and are being considered as front line service
providers within a social as well as health care sector. People who are involved in this
basically are trained as well as professional’s people in their own field and are
responsible for handling as well as managing patients their members of the family and
other facilities within an enterprise. Due to this core responsibilities assigned to them
front line structure of a social and healthcare organisation. The front line department
are most essential part of health and social organisations without which it is not
possible for them to handle of manage patience and other individuals as because they
are the people who and computer such people on daily basis (Lamster, 2017).
 Supervision- In context of health and social care organisations, the first most
important things which are being focused by them is quality within a management. So,
the team of quality assurance and registered nurse & they are mainly responsible for
managing and controlling the supervision of quality and resolving issues linked with
patience and their questions. Supervision it is easier to improve the weak areas within our
organisation and accordingly facilities are provided to staff.
 Management- Management is being considered as a base of organisation without
which it is not possible to carry of functions or operations. So, the nursing and nursing
director is responsible for handling of policies and procedures with the management
in appropriate manner. Nursing administrator are also responsible for checking and
analysing of the problems or other facilities have in properly managed or not by the
registered nurses. Further, evaluation is being done by management of nurses on the
basis of which appraisal is given (Lyu, 2017).
Senior management- In health and social care enterprises, senior management is crucial
as because they perform distance making and other important process as well as procedures
within management which increase the importance at higher level. Main function of senior
management is to ensure that function of entity which is linked with inspection marketing
laws and registrations and complaints of customers are being properly examined and updated
on timely period. The senior management of health and social care comprises of nursing and
distributors executive administrator as well as directors. They are most important people of

entity because they have higher authority and power to make decisions within a company's
structure (Pollock, 2018).
The above explained matter shows that and cooperation without for structure is unable to
survive in market for longer period of it is necessary to implement strategies and tactics it is
necessary to implement strategies and tactics on the basis of which structures are properly
followed and monitored. Moreover, when implementing these types of structures within a
specific sector it is important to focus on work environment so that decisions are made and
carried out effectively (Tran, 2020).

CONCLUSION
On the basis of above given report, it has been analysed that health care environment
is undertaken as key concern into the field of medical services. Moreover, this is needed to be
considered within main concern when this comes to societal health. Also, this is one of the
safe, empowering as well as satisfying (Bolden, 2020). Along with this, for maintaining the
health environment, the heath care systems are rendering additional services for making
patient’s feel healthier as well as fresh. The topics which are going to be covered in this
report are role of health care manager in firm, impacts of organisational structure upon their
culture. Health and Social Care professionals use growth and developmental milestones in
order to measure whether an individual is in line with the expectation of others at the same
age. Apart from this, several entities’ structure into business, health and social care
organisational are discussed in this report. Thus, it has been stated that it is necessary to be
aware about healthcare environment so that structure as well as culture are being carried out
effectively. Moreover, it is necessary to have a proper eye on progress and responsibilities of
a manager within a sector so that everything is done properly.

REFERENCES
Books & Journal:
Aljuwaiber, 2016. Communities of practice as an initiative for knowledge sharing in business
organisations: a literature review. Journal of Knowledge Management.
Bentrott, 2017. Adopting a multilevel approach to protecting residents’ rights to sexuality in
the long-term care environment: Policies, staff training, and response
strategies. Sexuality Research and Social Policy,14(4), pp.359-369.
Chalk, 2016. The hospital discharge game: A game theory-inspired workshop to encourage
cooperation between health and social care organisations.
Ciasullo, 2017. Improving health care quality: The implementation of whistleblowing. The
TQM Journal.
Dueñas, 2016. A review of chronic pain impact on patients, their social environment and the
health care system. Journal of pain research,9, p.457.
Hinteregger, 2017. Integrating organisational culture and human resource management in the
context of corporate entrepreneurship: a review and research agenda. International
Journal of Business Environment,9(2), pp.152-181.
Lamster, 2017. Oral health care in the future: expansion of the scope of dental practice to
improve health. Journal of Dental Education,81(9), pp.eS83-eS90.
Lyu, 2017. Incentives for knowledge sharing: impact of organisational culture and
information technology. Enterprise Information Systems,11(9), pp.1416-1435.
Pollock, 2018. Uncertainty about UK’s new Accountable Care
Organisations. PharmacoEconomics & Outcomes News,797, pp.5-24.
Tran, 2020. Organisational culture, leadership behaviour and job satisfaction in the Vietnam
context. International Journal of Organizational Analysis.

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