Industrial Relations and Health Services


Book Description

Industrial Relations and Health Services (1982) provides a comparative treatment of labour and industrial relations in health services in Canada, Britain and the USA. While there are differences between the systems in these three countries, such differences illuminate the particular responses and policies that need to be made in varying circumstances. It is written by practitioners as well as academics, so that it will provide practical insights into bargaining strategies, labour relations issues and conflict resolution techniques.




Industrial Relations in the NHS


Book Description

This is the first book yet written on industrial relations in the NHS and it has been completed at a time of radical and rapid change. Some of the material, particularly in the final chapter, reflects first thoughts about the impact of the new system on industrial relations. The book arose from my teaching experiences with health service practitioners from several of the NHS trade unions and professional associations. Many of these activists, as well as managers, expressed frustration that there was no single source about some of the issues which concerned them. This book is the result of their anxieties. Throughout, I have assumed that the main thrust of government policy towards the NHS, at least since the early 1980s, has been to sell off important sections of the service to the private sector. There is, I believe, strong evidence for this proposition. My argument, however, is based not only on the evidence of government's will to 'privatize', but also on the behaviour of ministers, senior civil servants and senior NHS managers which adds up to a set of policies and practices which together allow the point that government runs the NHS as if it was going to sell it.




Employment Relations in the Health Service


Book Description

Employment relations within the health sector have undergone radical reform over recent years. This book is an important new study that examines the responses of managers and workers to these different reforms, at both national and local level. Bringing together analyses of both employment relations and public sector management, the book focuses on understanding why certain initiatives have been adopted, how managers have responded to them and the consequences of the HR modernisation agenda. Topics covered include: HR strategy and structure at the workplace employee involvement and union influence pay modernisation management of work. Featuring detailed case study research in three NHS trusts, the book illustrates precisely how government policies are implemented in the workplace and in doing so offers a unique insight into the sector's changing work environment. A comprehensive study of atopical area, this book will be of interest to students and academics in health service management, human resource management and employment relations.




A New Theory of Industrial Relations


Book Description

Most existing theoretical approaches to industrial relations and human resources management (IR/HRM) build their analyses and policy prescriptions on one of two foundational assumptions. They assume either that conflict between workers and employers is the natural and inevitable state of affairs; or that under normal circumstances, cooperation is what employers can and should expect from workers. By contrast, A New Theory of Industrial Relations: People, Markets and Organizations after Neoliberalism proposes a theoretical framework for IR/HRM that treats the existence of conflict or cooperation at work as an outcome that needs to be explained rather than an initial presupposition. By identifying the social and organizational roots of reasoned, positively chosen cooperation at work, this framework shows what is needed to construct a genuinely consensual form of capitalism. In broader terms, the book offers a critical theory of the governance of work under capitalism. ‘The governance of work’ refers to the structures of incentives and sanctions, authority, accountability and direct and representative participation within and beyond the workplace by which decisions about the content, conditions and remuneration of work are made, applied, challenged and revised. The most basic proposition made in the book is that work will be consensual—and, hence, that employees will actively and willingly cooperate with the implementation of organizational plans and strategies—when the governance of work is substantively legitimate. Although stable configurations of economic and organizational structures are possible in the context of a bare procedural legitimacy, it is only where work relationships are recognized as right and just that positive forms of cooperation will occur. The analytic purpose of the theory is to specify the conditions under which substantive legitimacy will arise. Drawing in particular on the work of Alan Fox, Robert Cox and Jürgen Habermas, the book argues that whether workers fight against, tolerate or willingly accept the web of relationships that constitutes the organization depends on the interplay between three empirically variable factors: the objective day-to-day experience of incentives, constraints and obligations at work; the subjective understanding of work as a social relationship; and the formal institutional structure of policies, rules and practices by which relationships at work are governed.




Facing Up to Thatcherism


Book Description

Throughout the 1980s, Margaret Thatcher dominated political life in the UK. This work analyzes the responses of NALGO (The National and Local Government Officers Association) members, activists, leaders, and officials to the government's public sector reform and restructuring programme.




Prospects for the National Health


Book Description

The British National Health Service celebrated its thirtieth birthday in 1978. A Royal Commission was set up to consider the role of the National Health Service, and it is the debates that surrounded this Royal Commission that form the basis for the twelve topics covered by this book. The economic difficulties that the country was facing when this book was published in 1979 highlighted the widely publicised malaise in the health service, and exposed the limitation of a set of ideals developed by the NHS in the years after the Second World War. These limitations, reflected in the economic recession of all industrial countries, presented a challenge and thus an opportunity to re-examine the nature and purpose of our health service. Although this work offered no easy solutions, it did present significant implications for public debate and public appraisal of the prospects of the National Health Service, and greatly mirrors the debates that have been stirring in more recent years. This title will be of interest to students of sociology.




Employee Relations in the Public Services


Book Description

Almost a fifth of all employees work in the public sector. Employees working in the civil service, NHS, local government, education, the police and fire services also represent a large and growing body of students taking degree courses at universities. Exploring this important and rapidly changing area, this book outlines the main developments in the public sector since 1979, including topical issues such as the rise of new public management, decentralisation and contracting out. Themes which currently affect public sector employees are examined, including: * decentralization * contracting out * fragmentation and the growth of individualism in the employment contract. This stimulating, up-to-date and intellectually rigorous text is thematic, rather than sector specific, and reflects the way this subject is taught in a range of courses. It will complement alternative texts in this area and will be a valuable resource for students of public policy, public sector management, human resource management, employee and industrial relations.




Labour Relations and Health Reform


Book Description

Over the past 25 years, governments that operate publicly-funded health care systems have endeavoured to modernize service delivery and to control health spending. This has occasioned high profile efforts to reform and restructure previously stable health systems. Health organizations are typically complex, labour intensive and unionized. Health reform can have enormous consequences for workers and their unions. Governments' ideologies determine the nature of reform initiatives. This book examines the experiences of five jurisdictions - Great Britain, New Zealand, New South Wales, Saskatchewan and Alberta.




The Modernisation of the Public Services and Employee Relations


Book Description

The Modernisation of the Public Services and Employee Relations provides an integrated and up-to-date account of changes in work and employment in the public services. The book examines a range of different sectors focusing on core public services, especially local government, the NHS and the civil service.




Conflicts in the National Health Service


Book Description

Originally published in 1977, this book explored some of the major problems besetting the Health Service during the second half of the twentieth century. Now, as then, they offer both historical perspective on contemporary difficulties and invite debate about the future development of health services. The main themes are the medical care system and its organisational structures; the managers and the providers of the system, their tasks and responses; the resources available whether financial, human or material; and finally the consumers and their influence upon the overall direction of the system.