Organizational Structure, Culture, and Monitoring in the NHS

This report provides a comprehensive analysis of the organizational structure and culture within the National Health Service (NHS). It begins with an introduction to organizational structure and culture, followed by an examination of different types of public sector organizational structures, including vertical, horizontal, matrix, and divisional structures. The report then delves into the concept of organizational culture and how it applies to the public sector, discussing various types such as power, role, task, and person cultures. A significant portion of the report is dedicated to analyzing the structure and culture of the NHS, including its mission, vision, and current assumptions. The role and impact of central and local governments in public services, including funding, management, and accountability, are also assessed. The report also explores the impact and role of monitoring in making public services accountable, including the roles of police and crime commissioners, public complaints bodies, and public authorities. Finally, the report examines how the structure, culture, role of government, and monitoring apply to the NHS, concluding with a summary of the key findings and their implications.

ORGANIZATIONAL STRUCTURE
AND CULTURE

Table of Contents
INTRODUCTION...........................................................................................................................2
MAIN BODY ..................................................................................................................................2
Different types of public sector organizational structure............................................................2
Concept of culture applies in organization .................................................................................3
Structure and culture of public service .......................................................................................4
Impact and role of central and local government in public services...........................................5
Impact and role of monitoring in making public services accountable......................................6
Structure, culture, role of government and monitoring apply in chosen public services ...........7
CONCLUSION ...............................................................................................................................8
REFERENCES ...............................................................................................................................9
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INTRODUCTION
Organizational structure defines that way of direction of task allocation, coordination and
supervision towards achieving goals and objectives of the business. In addition, culture of
company encompasses values and behaviours that contributes unique social environment of
business(Ashkenas and et.al., 2015). This study is based on National Health Services(NHS).
Organisation is publicly funded national healthcare system for England. This assignment will
explain different types of public sector organizational structure. It will concept of culture applies
to public sector company. It will analyse structure and culture of chosen public services.
Furthermore, report will assess impact and role of monitoring organizational in making public
services accountable. It will explain structure, culture, role of government and monitoring apply
in chosen public services.
MAIN BODY
Different types of public sector organizational structure
Organizational structure orders that employees and management communicate within
company. Public sector utilizes organizational structure to achieve their tasks for good of all
citizens. These companies trust on strict definition of roles within organizational structure to
carry out their missions. There are many types of public sector organizational structure such as
vertical, horizontal, matrix, divisional( Withey and Gellatly, 2015).
Divisional organizational structure: Employees are separated employees according
their job speciality or geography in this structure. Each department oversees its own operations
with minimum input from other section. Within State Department are departments that manage
affairs relating economic growth, political affairs, arms control and human rights. This structure
is adopted in large and complex companies that handle diverse products. In such structure, firm
is divided into separate business units or departments in their operations.
Matrix organizational structure: This structure utilize system in which established
relationship among workers as well as administration as facility or enclosure rather than in
accepted series(Van der Voet, 2014). Enclosure construction allows organizations with related
responsibilities to interact with other, but its can also track to copy of attempt. It is combination
of two or more types of organizational structures. Matrix organization is the structure to give
balance.
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Functional organizational structure: The grouping is based on functions. This means
that similar jobs are incorporated into function and major roles are further classified as divisions
that are handled by respective coordinating heads.
Vertical organizational structure: Many of government agencies utilizes this structure
at every level. Straight organizational construction are characterized through someone directors,
top division with numerical of center, with number of middle manages and even lower level
positions(Alvesson and Sveningsson, 2015). Top level manager handle functional process, centre
level managers make programs to utilize those process and lower level managers carry out
required tasks.
Horizontal organizational structure: This structure focuses more balanced
surroundings. Crosswise structure utilizes fewer secular among administration as well as labour.
It allows for wide-open interaction among those secular. In this structure, top level heads
communicate with directly lower manager and other employees instead using middle manager.
With the help of organizational structure, improving employees relationship, effective
communication, easy decision making, strategic planning in the organization. In public services
organization, it helps in providing the best services to public. This also assists in achieving
objectives and goals of organization(Lee and Kramer, 2016).
Concept of culture applies in organization
Civilization is societal activity as well as standard recovered in manlike social group. It is
considered important idea in social science broad scope of phenomena that are inherited by
social learnedness in manlike social club. In order to that, organization civilization is scheme of
contributed presume, beliefs that regulate group conduct in companies. In this context, there are
many kinds of organizational culture such as person, role, task, power etc.
Power culture: In this civilization, ability is held by some individuals those influences
distributed throughout organization. Here few concepts and modulates in power culture. Workers
are evaluated by their achievement instead of their actions(Naranjo-Valencia and et.al., 2016).
This civilization is normally powerful culture though it can fleetly turn deadly.
Role culture: This culture is supported on regulation. They are highly contained with
every employees in company informing that are their functions and duties. Ability in this
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civilization is to discovered through function of individual in organizational construction. This
type of culture build tall structure with long series of guidelines.
Task culture: This type of civilization forms when teams are forming for particular
project and difficulties. Task in the essential situation, so power within team is rarely change
calculating on mixture group unit as well as position of difficulty or task(Bortolotti, Boscari and
Danese, 2015). With the right mixture of abilities, attributes, leading practical in teams can be
incredibly productive and creative.
Person culture: Some employees are seen themselves as superior and unique to
organization. Company simply exist working of people. Company with individual civilization is
just aggregation of person who occur to be employing for similar company.
The organization civilization of National Health Services(NHS) is easily described in
their mission statements. The mission of NHS is highlighting and reducing insupportable
variation in health care, encouraging innovation in services are provided now and in the future.
They are also providing clinical advices and leadership to support decision making and strategic
planning(Lee and Kramer, 2016). Organizational culture start with committee that models open
connection, reliance as well as regard for its units that pay care to choice of its working
relationships. Organizational structure means mission and vision of NHS. With the help of
organizational structure, NHS provide the best health and safety services to public. NHS is not
adopted particular culture of organization.
Structure and culture of public service
National Health Services(NHS) is welfare and security services organization. Culture of
organization is to describe in their mission statement. It also includes sharing assumption, vision,
systems, values impact on performance etc. Current assumptions for NHS providers inflation
over the period of 2016. These inflation premises are under continuous review and are subject to
change as new information becomes available. In order to that, these elements are assessed
continuously annually and recognised through adjustments to national tariff(Helms Mills, and
Mills, 2017).
The aims and objectives of NHS is providing health care for revealing and causing
federal and global plan of actions on occupational welfare matters. They are also building
strapping information basic and encourage the high-grade objective and enterprise activity in
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advanced transfer welfare and work employment to NHS employee. Therefore, government also
helps by providing funds, allocating budget to NHS for giving the best health and social care
services to public and their security and welfare.
Impact and role of central and localized authorities in public services
Function of Localized Authorities:
A facility is given through localized authorities when it is essential for national who assist
the regime. There is no indebtedness for localized authorities to give some services in almost
nations, but giving facilities is disposal favourite as well as common practices(Ashkenas and
et.al., 2015). There are various types of public services such as police, fire, security and welfare
etc. Local government play various roles of providing services to the public. Such as:
Funding: Local government play role as provides funds for localized facilities. This
supporting mostly takes two forms. Local authority give annual budget and charges fee from
people for services.
Management: Localized authorities also give management for these facilities. Voters
allows management facilities that depending upon government.
Accountability: Localised authorities offers accountability is one of the best benefits.
This makes status of facilities that are offering to public. (Withey and Gellatly, 2015).
Public health allocation: Government recreates obligations for empowerment various
national welfare facilities affected form NHS to localized control. Government's sound enclosed
semi public welfare allocation to localized government.
Wider legislation: Semi public welfare duties trades that purposes to activity with
business on freewill basis to modify nation's welfare in five countries such as solid, alcoholic
beverage, activity alteration as well as welfare at business was the most visual semi public health
plan of actions. The latter was freshly passed into legislation devising UK only third country in
global(Van der Voet, 2014).
Role and impact of Central Government:
Central government play various roles such as providing funding, implementing policies
and strategies relating health and welfare services to public. But some times, central authorities
effects on health and social care services such as improper funding for health care services.
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Budget: Central government prepare proper budget for public sector organization, so that
they are providing better services to citizen such as health and social care services. But some,
central authorities dose not given effective budget to organization that effects public services.
Funding: Central government also provides funds to different public services
organization. This also helps in improving health and social care of people(Alvesson and
Sveningsson, 2015).
Impact and role of monitoring in making public services accountable
Role of monitoring organization:
Observing is regular as well as regular aggregation of data from business activities for
main purpose such as acquire from experiences to change activities and actions in upcoming,
inside as well as outside responsibility of points utilized, advised judgement on future day of
maiden as well as encourage authorization of receiver of maiden. Monitoring helps in various
organization whether private, public etc.
 With the help of monitoring, improving policies and procedures, strategies of public
services organization.
 Through monitoring of resources, NHS provides the best health care services to
patients(Lee and Kramer, 2016).
 Monitoring in terms of financing, management of strategies, policies relates health and
social care services to public.
There are many public services organizations and peoples who are monitoring all policies
and process of public services. Such as:
Police and Crime Commissioners: The role of police and crime commissioners in
monitoring of complaints related to health and social care services of NHS. These peoples are
helping of poor citizens relating to safety, security, health and social care of public. Police and
crime commissioners are making accountability of public services for safety of people.
Public Complaints Body: There are many public complaints body that are included that
police complaints commission, office of police conduct etc. These types of bodies monitoring
and taking actions against complaints. These peoples are helpings to public and making
accountability of public services.
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Public Authorities: There are various public authorities such as police department,
government departments etc. These governments are helping to public safety, security and
welfare. These persons are also making accountability of public services.
With the help of these public services organization, NHS make sure that monitoring and
evaluating all policies and strategies, procedures relating health and safety care services to
public. They also make sure that regularly monitoring and evaluating resources, so that they are
providing the best health and social care services to public.
Structure, culture, role of government and monitoring apply in chosen public services
The structure of National Health Services has tripartite of scheme that was successful up
of pursuing facilities:
 Medical institution facilities unionised into location health facility boards in complaint of
management.
 Special attention involving GP's, dental practitioner and skilled worker that are activities
as autonomous evaluators instead of paid worker of authorities.
 People work involving pregnancy, child benefit, immunization and ambulance facilities.
 Authorities issue was to present idea of an inside marketplace that still regulate NHS
present.
 Through give budgets by regional health authorities, they are putting health facility in
business relation with each other to deal their facilities.
 NHS bodies are allocated wealth supported on looking by clients. This can be cost-
efficient, it can be also risk services being mark impelled and flexible on choice of
attention.
Culture of NHS:
Organizational culture represents corporative beliefs and feelings of group who work in
company as well as is effected through their past times, particular tasks, important single,
administration scheme, outside restraints and status. It is to aspect as primal decisive in makes
safely welfare attention schemes.
 Various NHS reliance have great announcements in spot implant belief from wide flat to
advance line staff, ceremony, picture years, direction on employees, daily interaction that
are utilized to impart organization stands for.
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 It is comparatively simple to account an organization civilization as well as it is
determined in position of operation argument as well as its websites.
 The force on NHS to create fund at rising facilities nowadays. All such are forces spark
insensible features of organizational civilization and reasonless actions, table to value of
firm.
 NHS companies are pleased and based to create a automatic attribute where nature of
things can be thought about deeply, wide-open and frankly(Bortolotti, Boscari and
Danese, 2015).
Role of government:
Government contributes to person's health and welfare. It also lists some of public health
roles and career possibilities available in local government.
 They are delivering of people welfare and preventative welfare programs like
immunization and regulations of food regulation.
 Responsibilities of local government around public health, promoting health and welfare.
 Government is wary of NHS top down approach to plan illustrated in better care fund
schemes(Naranjo-Valencia and et.al., 2016).
 They concern accurate to entrée to attention without favouritism as well as within certain
instance limits for such facilities emergency and health care.
 NHS manage budget and ensure that clinical set out in an one-year mandatory through
head for health are met involving both skill fullness and welfare scores.
CONCLUSION
This report has summarised that various types of public sector companies such as
divisional, functional, matrix, vertical, horizontal organizational structure. It can be concluded
that mission statement as culture of NHS in terms of public sector organization. It can be
discussed that role of local and central government in the public services sector. Furthermore,
report completed that role of monitoring companies in making public services accountability. It
can be discussed that structure, culture of NHS. It can be completed that role of government in
public services.
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REFERENCES
Books and Journals
Alvesson, M. and Sveningsson, S., 2015. Changing organizational culture: Cultural change
work in progress. Routledge.
Ashkenas, R. and et.al., 2015. The boundaryless organization: Breaking the chains of
organizational structure. John Wiley & Sons.
Bortolotti, T., Boscari, S. and Danese, P., 2015. Successful lean implementation: Organizational
culture and soft lean practices. International Journal of Production Economics. 160.
pp.182-201.
Helms Mills, J. C. and Mills, A. J., 2017. Rules, Sensemaking, Formative Contexts, and
Discourse in the Gendering of Organizational Culture . In☆ Insights and Research on the
Study of Gender and Intersectionality in International Airline Cultures (pp. 49-69).
Emerald Publishing Limited.
Lee, Y. and Kramer, A., 2016. National Culture, Organizational Culture, and Purposeful
Diversity and Inclusion Strategy. In Academy of Management Proceedings (Vol. 2016,
No. 1, p. 11858). Briarcliff Manor, NY 10510: Academy of Management.
Naranjo-Valencia, J. C. and et.al., 2016. Studying the links between organizational culture,
innovation, and performance in Spanish companies. Revista Latinoamericana de
Psicología. 48(1). pp.30-41.
Van der Voet, J., 2014. The effectiveness and specificity of change management in a public
organization: Transformational leadership and a bureaucratic organizational
structure. European Management Journal. 32(3). pp.373-382.
Withey, M. J. and Gellatly, I. R., 2015. Organizational Structure, Situation Strength and
Employee Commitment: Test of a Process Model. In Academy of Management
Proceedings (Vol. 2015, No. 1, p. 14587). Briarcliff Manor, NY 10510: Academy of
Management.
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