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Does Partnership Working have a future in NHS Scotland? Professor Nicolas Bacon Nottingham University.
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Does Partnership Working have a future in NHS Scotland?Professor Nicolas BaconNottingham University
Sustaining effective partnership working requires: 1. Shared Aims2. Effective Structures3. Appropriate Behaviours1. Shared AimsLeading example of employee participation in the public sector due to a post-devolution consensus- SGHD works closely with Health Boards and staff representatives to improve health services through a shared commitment to coordinating services rather than market-driven reforms.
2. Effective Structuresi. Partnershipat both national-level and in Health Boards- effective partnership should range from the boardroom to the ward.ii. Separate integrative from distributive issues (SPF, SWAG and STAC)- firewall cooperation from difficult issues (National Scrutiny Group).iii. Match structure to purpose- large meetings are inclusive and smaller meetings engage in more problem-solving.
Conclusions- sustaining effective partnership in NHS Scotland will require:1. Maintaining a shared aim and agreement on how to address the challenges ahead.2. Ensuring structures are appropriate to:i. Engage staff in strategic, workforce and workplace discussionsii. Agree the aims and overall direction before the detailiii. Firewall difficult issues iv. Facilitate both inclusion and problem-solving3. Sustaining appropriate behaviours to maintain positive relationships.
THE MAIN AIM OF THE STUDY Undertake a critical evaluation of the role of the Employee Director within NHS Scotland in the context of Scottish Government policy of partnership with trade unions at a strategic board level
Background Employee relations in NHS Scotland took a new direction in July 1999 with Scottish Government policy developing ‘Towards a New Way of Working’
DATA COLLECTION METHODS Mixed-method approach Quantitative in the form of survey and Qualitative semi-structured interviews
CONCLUSION A main conclusion of this study is that, in the context of major organisational change and financial pressure, the partnership model practiced within NHS Scotland is fundamental to employee relations within health boards
RECOMMENDATIONSThere is a need to support and understand the knowledge base of the Employee Director. The development of a person specification, identifying the skills and qualification required to support of the scope and range to undertake the role. The establishment of a joint working group to identify the core skill set required will then be translated into the Employee Directors Personal Development Plan