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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.

Item type: Article
ID code: 16544
Keywords: national health service, NHS, customer service, public sector management, nurses, health professionals, Management. Industrial Management, Political Science and International Relations, Management, Monitoring, Policy and Law, Geography, Planning and Development
Subjects: Social Sciences > Industries. Land use. Labor > Management. Industrial Management
Department: Strathclyde Business School > Strategy and Organisation
Related URLs:
    Depositing user: Ms Hilde Ann Quigley
    Date Deposited: 18 Mar 2010 16:32
    Last modified: 05 Sep 2014 01:15
    URI: http://strathprints.strath.ac.uk/id/eprint/16544

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