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The Strathprints institutional repository is a digital archive of University of Strathclyde's Open Access research outputs. Strathprints provides access to thousands of Open Access research papers by University of Strathclyde researchers, including by researchers from the Department of Computer & Information Sciences involved in mathematically structured programming, similarity and metric search, computer security, software systems, combinatronics and digital health.

The Department also includes the iSchool Research Group, which performs leading research into socio-technical phenomena and topics such as information retrieval and information seeking behaviour.

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Consumer as king in the NHS

Bolton, S.C. (2002) Consumer as king in the NHS. International Journal of Public Sector Management, 15 (2). pp. 129-139. ISSN 0951-3558

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Abstract

Over the last two decades, in resopnse to political and financial pressures, the NHS has been subjected to considerable changes in its organisation. There is increasing emphases on containing the cost of hosptial provision and making the treatment available from hospitals more responsive to consumers' needs. "New" public sector management (NPM) philosophy clearly reflects an ideological shift toward newly valued entrepreneurial attitudes and behaviours, where patients and health service-users are re-defined as "customers" and "consumers". Through a consideration of the recent changes, this paper will argue that the increasing emphasis on efficiency, cost-cutting and most especially consumer satisfation has transformed how nurses manage their emotions at work, adding new dimensions to their caring role. Nurses now find themselves having to present the detached, calm, but caring, face of the health professional whilst also having to present a smiling face to patients who now behave as demanding customers.