Waiting time targets and informal professional networks in English NHS

Gaming and Targets in the English NHS

Process-driven performance targets were used in the English NHS in the late 1990s and early 2000’s to drive improvement. There have been clear successes, and well-documented instances of perverse incentives leading to negative behaviours, such as data manipulation and resource diversion. Recently, policy in England has moved away from targets, focusing more on locally-negotiated metrics. The li...

Waiting list behaviour and the consequences for NHS targets

The United Kingdom’s National Health Service (NHS) is investing considerable resources in reducing patient waiting times for elective treatment. This paper describes the development of a waiting list model and its use in a simulation to assess management options. Simulation usually assumes that waiting is adequately described by simple queuing disciplines, typically first-in-first-out. However,...

Nhs Waiting times in Wales

passivity in waiting for godot and endgame: a psychoanalytic reading

this study intends to investigate samuel beckett’s waiting for godot and endgame under the lacanian psychoanalysis. it begins by explaining the most important concepts of lacanian psychoanalysis. the beckettian characters are studied regarding their state of unconscious, and not the state of consciousness as is common in most beckett studies. according to lacan, language plays the sole role in ...

Understanding culture and culture management in the English NHS: a comparison of professional and patient perspectives.

RATIONALE AND OBJECTIVES The growing interest in patient-focused health care in the National Health System (NHS), especially in the wake of high-profile failures in clinical practice, has underlined the need to involve patients in the design and evaluation of organizational change management programmes at the local level. This includes an evaluation of the relevance of culture and how culture m...