Report on NHS Management, Organisation, and Brexit Impact

This report provides a comprehensive analysis of the National Health Service (NHS) in the UK, focusing on its management and organizational structure. The report begins with an introduction to the NHS, detailing its size, scope, and market value, followed by an examination of its hierarchical organizational structure, including the use of a flat organizational structure for effective functioning, particularly in light of the challenges posed by Brexit. The report then explores modern management approaches, with a focus on the situational approach, which is deemed suitable for the NHS in the context of Brexit. The report concludes with a strategic environmental analysis of the NHS, utilizing PEST factors (Political, Economic, Social, and Technological) to assess the external environment and identify the key innovative strategic objectives, such as procurement of medical equipment, in response to Brexit. References to relevant books and journals support the analysis.

MANAGEMENT
AND
ORGANISATIONS

INTRODUCTION
Management and organisation refers to the practice of leading, controlling and planning
resources within an organisation for the purpose and aim of achieving organisation's objectives
In order to become effective and beneficial, the organisational management of the business needs
to be able to make decisions and resolving of issues(Reix and et.al., 2016). Present report is
based on National Health services (NHS) which is a publicly funded national system of health
care for England with one of the four NHS for each constituent country of UK. This report
includes introduction to organisation with its size, scope and market value. Further this repost
have modern approach to management which could help the company with Brexit imminent.
Lastly this report comprise of strategic environmental analysis with achieving objective of the
company through current innovative strategy.
TASK 1
Introduction to NHS with its size, scope and market size
NHS is a national healthcare system which is funded publicly by England and it is one of
the four NHS for the each constituent country of UK. It was formed on 5th July 1948 around 71
years ago with all its jurisdiction in England and headquartered at Richmond House, London,
England. It provides healthcare for each of the citizens of UK that is based on their needs for
healthcare rather than their capability to pay for this. It is overseen by the department of health
and social care and it is funded primarily by the government funding. All the English residents
are being provided by the services of NHS England healthcare and most of the services are free
at the point of use(Boselie, 2017).
NHS is having around 1.4 million employees working for it. There are more than 300 of
official National Health Service charities in Wales and England with holding assets in excess of
£2 Billion with having an annual income over £300 Million. With these charitable foundations
NHS department of health's total budget in England for the year 2017-18 was £124.7 billion
from which £13.8 billion were spent on medicines. Major objective of the organisation is to keep
its all the citizens healthy by providing healthcare services to the maximum number of people.
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TASK 2
Organisational structure of NHS and use of structure for effective functioning of organisation by
considering effects of Brexit
NHS is using a hierarchical structure which can be determined as flat organisation
structure. The structure with few layers or sometimes only one layer of management can be
known as flat organisational structure. It is such a type of organisational level with either no
involvement of managers or only few managers are being involved which have some advantages
and some disadvantages too. In this structure employee involvement is being promoted by
decentralisation of process of making decisions with elevating the levels of responsibilities of
employees. This organisational structure of NHS can be used for effective functioning of
organisation by several ways and considering Brexit effects. These uses involve cost efficient
technique, promotes faster decision making, requires less supervision and dominance and it
allows clear communication(French, 2015).
 It is cost efficient: In a flat organisational structure there are few number of manager
layer between executives and staff which can help to save the money which is being paid
to managers for their work. In a position of Brexit, NHS will face some issues of funding
which can result in shortage of funds so this structure allows to reduce the expenses of
the organisation by decreasing the number of mediators between executives and staff. By
this manner this structure can be used for effective working of the organisation(Samson,
Donnet and Daft, 2018).
 Promotes faster decision making: It is a major advantage in flat organisational structure
as it promotes less decision making issues as very less people are to be considered for the
decisions by allowing the management for the purpose to provide rapid response to any
issue or concern. In the implementation of Brexit, decision making play a major role in
effective functioning of NHS. As it creates a direct line between the executives and
employees it is easier for the organisation to determine the issues and make quick
decisions(Calvo-Mora and et.al., 2016).
 Requires less dominance and supervision: By providing more responsibilities to
employees, they will be able to make decisions for their work and work effectively and
efficiently. NHS can work effectively by this structure and delegates responsibilities as it
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is a easier method through which an organisation can effectively function its operations.
This structure is useful when Brexit is being implemented as less supervision can result in
effective working by easy decision makings directly by employees which can help them
by evaluating the problems by making decisions themselves(Fernandes, Ward and
Araújo, 2015).
TASK 3
Modern Management approach which can be used by an organisation in imminent of Brexit.
There are several approaches for management which can be undertaken by NHS that
includes situational approach, systems approach and contingency approach. The approach which
could be appropriate for NHS is situational approach which could be used by an organisation in
Brexit imminent. There are four styles through which situational approach is implemented which
includes directing, delegating, supporting and coaching. One style is being opted by the leader
according to the situation and level of readiness of the followers for the purpose of particular
style of leadership. This approach can help NHS in recognising the need for flexibility, creating a
comfortable environment for employees, taking different development phases into account and it
increases the awareness of leader(Gregory, 2016).
Situational approach can help NHS in recognising the need of flexibility by creating an
environment where people can be encourage for coming head first and sharing so that everyone
can find a way towards success. This approach also help in creating a comfortable environment
for workers as situational leadership creates such kind of style which is being based on the
readiness level of their team or their needs. This allows the leader to work effectively by
motivating his employees in that manner which matches their wants by providing each of them a
better chance which they deserve. By using this approach NHS can function in Brexit imminent
more fluently.
This approach uses different stages into account instead of part all the employees into a
particular generic category, here situational leader looks at the individual situation which can
help NHS in Brexit imminent as it deals with a particular situation which lets the organisation to
perform as per the situation which will come with the Brexit imminent. This also increases the
awareness of leaders which helps in dealing with the situation of Brexit imminent by developing
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the same time, empathy within the leadership of the agency as each worker is approached
correctly(Walker, 2015).
TASK 4
Strategic environmental analysis of EMA with a current innovative strategic objective in the
result of Brexit
Strategic environmental analysis of NHS can be proceeded with the help of PEST factors
which includes political, economic, social and technological(Boselie, 2017).
Political
It is one of the major factor affecting the workings of organisations as the managers are
not able to focus on making of long term strategies because of which regular change of political
environment. Through this, the government of the country influences NHS to a greater extent as
the politicians are not aware about the management, So the managers are getting stressed
because of continuous change.
Economic
The movement of money can cause by environmental change. These are the changes
which are being caused to NHS due to change in economic environment includes the
requirement of qualified staff and the cost of labour has increased drastically which is resulting
in lack of human resource at NHS and the the organisation has to spend more money to hire the
new staff. This is the major factor which is being faced by NHS in order to achieve its objectives.
It can increase the profit and losses of NHS so that the needs are analysed and changes that are
required can be implemented(Samson, Donnet and Daft, 2018).
Technological
As the technology is moving fast, NHS must consider as a factor of lacking behind and
implement it so that it can stay ahead in the competition. The current factors which affect NHS
may include changing of surgical equipments as per the improving technology and tracking of
patients who are visiting the hospital. These two factors are to be undertaken by NHS in order to
implement technology(Gregory, 2016).
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The innovative strategic objective which is being undertaken by NHS includes procurement of
medical equipments and consumable and No-deal Brexit which was the last thing that NHS
procurement required. These both strategies played a major role in wake of Brexit.
CONCLUSION
From this report it can be concluded that effective management and organisational
practices play a major role in functioning of an organisation. This reports have introduction to
the EMA organisation with its size, scope and market size. Further this report concludes the
organisational structure of an organisation which consist of flat organisational structure and the
use of structure for effective functioning of the company by considering the achievable effects
Brexit. Lastly this reports have a management approach which can help the organisation in
imminent of Brexit and a STEEPLE framework is being used for conducting a strategic
environmental analysis in which technological, political and economic factors are being
discussed.
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REFERENCES
Books and Journals
Boselie, P., 2017, July. Balanced Approach to Understanding the Shaping of Human Resource
Management in Organisations. I Human Resources, Labour Relations and Organizations
(pp. 43-64). Nomos Verlagsgesellschaft mbH & Co. KG.
Calvo-Mora, A. and et.al., 2016. Excellence management practices, knowledge management and
key business results in large organisations and SMEs: A multi-group analysis. European
Management Journal. 34(6). pp.661-673.
Fernandes, G., Ward, S. and Araújo, M., 2015. Improving and embedding project management
practice in organisations—A qualitative study. International Journal of Project
Management. 33(5). pp.1052-1067.
French, R., 2015. Cross-cultural management in work organisations. Kogan Page Publishers.
Gregory, A., 2016. Public relations and management. In The public relations handbook (pp. 76-
100). Routledge.
Kakabadse, A. and Bank, J., 2018. Working in organisations. Routledge.
Reix, R. and et.al., 2016. Systèmes d’Information et Management des Organisations-7ème
édition (No. hal-01493256).
Samson, D., Donnet, T. and Daft, R., 2018. Fundamentals of Management [6th Asia-Pacific
Edition]. Cengage.
Walker, A., 2015. Project management in construction. John Wiley & Sons.
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