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Open Access research with a European policy impact...

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 Strathclyde researchers, including by researchers from the European Policies Research Centre (EPRC).

EPRC is a leading institute in Europe for comparative research on public policy, with a particular focus on regional development policies. Spanning 30 European countries, EPRC research programmes have a strong emphasis on applied research and knowledge exchange, including the provision of policy advice to EU institutions and national and sub-national government authorities throughout Europe.

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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.