A Study on NHS Resource Management: Issues and Solutions

This dissertation critically evaluates the issues faced in resource management within the National Health Service (NHS). It examines the NHS's funding model, challenges in resource allocation, and the impact of factors such as Brexit. The study explores the NHS's historical context, its founding principles of universal and free healthcare, and its current operational structure, including staffing and budget. The research delves into challenges such as inefficient resource utilization, the impact of privatization, and the need for technological advancements. The report investigates the current state of NHS funding, which relies heavily on tax revenue, and how it is distributed and utilized. The research uses qualitative inductive methods, including surveys, to analyze data and identify key areas for improvement. The findings highlight the need for better resource management, including the effective allocation of funds and the adoption of innovative strategies to address financial gaps. The study also provides recommendations for reforming the healthcare system and ensuring the NHS's long-term sustainability.

Critical evaluation of issues faced in
resource management and solutions
for them: A study on NHS

ACKNOWLEDGEMENT
For the accomplishment of the present dissertation, I would like to sincerely express my sincere
gratitude to my mentor who has provided me sufficient knowledge and greater support. Further, I
would like to thank my friends, colleagues and family members who have guided me at every
stage while conducting dissertation. Through their support, I was able to complete my thesis with
effectiveness and in an accurate manner. Lastly, in the series, I would also like to state special
thanks to my team members who have provided me with assistance in collecting data and in
analysing it further.

ABSTRACT
Aim: “To keep original the idea alive behind the formation of NHS”
Methodology: For the following research project, different ways are elaborated about the
research. Data analysis, methods, limitation, risks and issues are discussed here. Further,
reliability, validity and ethical issues are discussed in the following thesis. For this research
project, qualitative inductive methods have been chosen in which survey has been done.
Finding: From the discussion, it has been analysed that doctors and nursing staff of hospitals
have to follow indicative of NHS. It is the body which works for minimizing health issues from
the society members and works to improve their health. It has been analysed that NHS is having
more than 1.5 billion people as their employees. The funding for NHS directly comes from the
tax paid by the citizens. From the discussion, it can be interpreted that authorities are passing
funds to improve medical care services. But due to poor system, whole funds do not reach to
hospitals. It has been analysed that advanced technology and innovative equipment require more
investments which are reducing the funds of the organization. It was also estimated that if the
organization is not making any radical changes then there will be £30 million funding gap by the
end of 2020. From the discussion, it can be interpreted that NHS will not carry out those
operations who are having very less benefit to the health of the public. From the discussion, it
can be interpreted that majority of the people wanted to make modifications in the area such as
resources management. It is one of the major areas where a difficult situation is faced by the
professional services sectors in determining the future requirement of resources. Further, it can
be interpreted that after the implementation of the Brexit in the country the major changes must
be made in the financial resources and industrialization.

TABLE OF CONTENTS
TITLE: “HOW NHS CAN MANAGE AND UTILISE ITS RESOURCES MORE
EFFECTIVELY”.............................................................................................................................7
CHAPTER 1 – INTRODUCTION..................................................................................................7
1.1 Background.......................................................................................................................7
1.2 Rationale...........................................................................................................................8
1.3 Significance......................................................................................................................8
1.4 Aim and objectives...........................................................................................................9
1.5 Research questions.........................................................................................................10
1.6 Overview........................................................................................................................10
1.7 Structure of this research................................................................................................11
CHAPTER 2 – LITERATURE REVIEW.....................................................................................13
2.1 Fund generation to manage resources............................................................................13
2.2 Challenges faced by NHS...............................................................................................16
2.3 Effect of privatization on NHS resources.......................................................................19
2.4 Proper management to utilise funds effectively.............................................................22
CHAPTER 3: RESEARCH METHODOLOGY...........................................................................26
3.1 Introduction....................................................................................................................26
3.2 Research Approach.........................................................................................................26
3.3 Research Philosophy........................................................................................................1
3.4 Research Design...............................................................................................................1
3.5 Type of investigation........................................................................................................3
3.6 Data Collection Method...................................................................................................4
3.7 Sampling Method.............................................................................................................4
3.8 Data Analysis Plan...........................................................................................................5
3.9 Reliability and Validity....................................................................................................6
3.10 Ethical Consideration.....................................................................................................7
3.11 Accessibility Issues and risks.......................................................................................10
3.12 Research Limitations....................................................................................................10
3.13 Research and conclusion..............................................................................................11

Chapter 4: DATA ANALYSIS.....................................................................................................12
CONCLUSION..............................................................................................................................25
RECOMMENDATION.................................................................................................................27
REFERENCES..............................................................................................................................30
Appendix A....................................................................................................................................33

Table of figures
Figure 1: Effectiveness of guidelines of NHS in order to provide quality services to patients.....12
Figure 2: Clinical staff is proving proper care to patients.............................................................14
Figure 3: NHS is getting sufficient public fund for development in health care services.............16
Figure 4: Main problem currently faced by NHS..........................................................................19
Figure 5: Proper utilization of public funds is essential for NHS..................................................21
Figure 6: Main changes have been made by NHS to improve medical services...........................23
List of Tables
Table 1: Effectiveness of guidelines of NHS in order to provide quality services to patients......12
Table 2: Clinical staff is proving proper care to patients...............................................................14
Table 3: NHS is getting sufficient public fund for development in health care services..............16
Table 4: Main problem currently faced by NHS...........................................................................18
Table 5: Proper utilization of public funds is essential for NHS...................................................21
Table 6: Main changes have been made by NHS to improve medical services............................23

TITLE: “HOW NHS CAN MANAGE AND UTILISE ITS RESOURCES
MORE EFFECTIVELY”
CHAPTER 1 – INTRODUCTION
1.1 Background
The National Health Service (NHS) is the public health service provider of England,
Wales and Scotland. After the second war, this organization was established by the labour party.
The founding principles were universal, free delivery of services and very comprehensive. Today
also, they are providing the wide range of health services at free of cost. They are having around
1.6 million staff including nurses, doctors and other working employees. Their combined budget
was around £136.7 billion (Desai and et.al., 2016). The local resident of UK is not charged for
any of the services except some. The organization was established on 5th July 1948. This is the
world's oldest and largest single payer health care system. Their aim is to provide quality
services to the citizens of UK. NHS is having various resources but they are not utilising them in
the more effective way as they were doing a few decades back. NHS is charging very less money
for even for those services which cannot be provided free. The organization have to keep all their
equipment updated so that in case of emergency they can use and cure the patients more
effectively.
From that time, many ruling parties have managed NHS the way they wanted. The era of
Margaret Thatcher was the downfall year of this comprehensive and wonderful organization.
After that only the conservative party is known as the anti-NHS party. Not only the party, but all
the governing staff and employees are equally responsible for the downfall of this organization.
They are having all the resources but the organization is not able to manage those resources in
the most effective way (Fallaize and et.al., 2015). The public money is wasted heavily which is

not noted by anyone. The authorities are not working to improve the condition of NHS, they just
wanted to generate more money from this. They have neglected all the issues so that the
resources cannot be used positively. The equipment can be used more effectively so that the
environment of the health care provider can be improved for the patients.
1.2 Rationale
The main purpose of this research has to be clear to the readers as well as to the researcher.
Therefore, a rational has to be provided so that it will establish a clear understanding which is
related to the reasons in the context of the adoption of this strategy. The current study was to
know how NHS can effectively use their resources more effectively, it has been done to reduce
the gap present in this area. The researcher was not sure whether he can define the reasons for
not using the resources which will help the patients in more effective way. Some
recommendations are provided in this research as well so that it will enlighten these areas more
clearly.
The study on “How NHS can manage and utilise the resources more effectively” is
conducted which will contribute the academic and professional knowledge of the researcher.
Therefore, this study was conducted and then elaborated in the form of a dissertation. This will
also show the proper management of resources which can be done by NHS treat their patients
more effectively.
1.3 Significance
The aim of this study is to decide the essential element required for this study. The value
additions and contribution of this research has been made to understand the literature in the
better way. Few points which will be helpful in identifying the appropriate significance for this
study are;

 This research will be helpful in finding out the valuable information related to the
existing study of proper management of resources by NHS.
 With the help of this research, the individual will be benefited who are studying to
become doctors in NHS. This knowledge will certainly increase their field work.
 This will give guidance to the doctors so that they will utilise the resources in the
most effective way.
 The information will be helpful in developing new ways by which NHS can
effectively use the available resources.
1.4 Aim and objectives
The main aim to carry out this research was "To keep original the idea alive behind the
formation of NHS". National health services were the best thing formed in the UK after the
second world war. The main idea was to provide the quality and best health care services to the
people of UK. NHS will be run by using the public funds.
Objectives:
To achieve the aim, following objectives have to be fulfilled:
 To explore several areas of NHS, which can raise the funds through private services.
 To investigate the present challenging issues which are faced by NHS and find out the
possible solutions to overcome those.
 To explore the ways by which Brexit will affect NHS.
 To investigate, how the system of NHS is getting abused by British people as well as
non-British people.
 To identify further areas for improvements.

 To recommend certain strategies which will help them to reform the health care
system in the UK.
1.5 Research questions
These questions are developed strategically so that the quality of the research can be
increased. The proper set of questions is being developed so that the each and every aspect of
this research has been covered. Therefore, it will be helpful in producing quality informative
content. New research questions are mentioned below are:
 How to explore the areas of NHS which can increase the funds by using private
services?
 How to investigate the current challenges and issues faced by NHS?
 What are the ways to explore the effects of Brexit on NHS?
 How to investigate the NHS system which is abused by British as well as non-British
people?
 What are the areas which require further improvements?
 Which are the strategies used to reform the health care system in the UK?
1.6 Overview
The organization was launched in 1948. It is based on the idea of providing the quality
health care services to the citizens of UK irrespective of their wealth. NHS in England is dealing
with 1 million people in every 36 hours. The organization covers everything related to the health
care services like antenatal screening, routine screening, transplants, treatments for long term
conditions and emergency treatments. The organization is having more than 1.5 billion people as
their employees. The England based NHS includes 150,273 doctors, 40,584 practitioners,
314,966 nurses, 18,862 staff for ambulance and 111,127 hospitals (Ellis and Abbott, 2014). The

funding for NHS directly comes from the tax paid by the citizens. NHS transformation took
place in 2013 and after that, the payment methods have been underpinned by the legislation. At
the time NHS was launched, the total budget was £437 million and in 2016 the budget was
approximately £116.4 billion.
1.7 Structure of this research
The proper structure and flow of the research will be helpful in gathering the information
in the most accurate way. For this dissertation on “How NHS can manage and utilize their
resources more effectively”, following structure has been proposed
Chapter 1 – Introduction
This chapter includes the background of the entire research, the aims and objectives. It is
followed by the rationale, which was accompanied by the elaboration of the significance which
was also included in this chapter. This chapter will be showing the entire overview of NHS and
the questions which have to be answered if NHS want to use their resources in the most effective
way. This is having the framework which has to be followed by the researcher to conduct the
study in the most effective way.
Chapter 2 – Literature review
The critical review will be done and the scientific information will be gathered by using
books, journals or by using the internet. The review will contain all the methods and techniques
which will be used by NHS so that they will treat their patients in the most effective way. The
usage of previous research was helpful in understanding this research on the broader perspective.
The attributes will be used very well for conducting this research by using the appropriate
referencing system.
Chapter 3 – Methodology

Different tools and techniques have been used for conducting this research. The selected
methods will be helpful in getting the correct information regarding the aim which was selected.
These methods will be used for conducting the qualitative research. The design of the study will
be included in this chapter including all other aspects.
Chapter 4 – Data analysis
This particular chapter will be having the methods by which the information will be
gathered. Majorly primary and secondary data collection techniques are being used. This chapter
will be helpful in analysing the collected information. The researcher will be able to obtain the
most appropriate outcome by which the best results can be obtained.
Chapter 5 – Conclusion and recommendations
This will be the final chapter of this dissertation; therefore, it will be helpful in evaluating
the outcomes of the research. The overall conclusion will be obtained through analysing the data
which will be collected. This chapter will also provide some recommendations for the ways by
which NHS can improve their treatment techniques by using the resources more effectively.