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BMC Health Services Research

, 14:566

Organization, structure and delivery of healthcare

Abstract

BackgroundImproved management of clinicians’ time and practice is advocated to address increasing demands on healthcare provision in the UK National Health Service NHS. Human resource management HRM is associated with improvements in organisational performance and outcomes within and outside of healthcare, but with limited use in managing individual clinicians. This may reflect the absence of effective and transferrable models.

MethodsThe current systems of managing the performance of individual clinicians in a secondary healthcare organisation were reviewed through the study of practice in 10 successful partnership organisations, including knowledge worker predominant, within commercial, public and voluntary sector operating environments. Reciprocal visits to the secondary healthcare environment were undertaken.

ResultsSix themes in performance related HRM were identified across the external organisations representing best practice and considered transferrable to managing clinicians in secondary care organisations. These included: performance measurement through defined outcomes at the team level with decision making through local data interpretation; performance improvement through empowered formal leadership with organisational support; individual performance review IPR; and reward, recognition and talent management. The role of the executive was considered essential to support and implement effective HRM, with management of staff performance, behaviour and development integrated into organisational strategy, including through the use of universally applied values and effective communication. These approaches reflected many of the key aspects of high performance work systems and strategic HRM.

ConclusionsThere is the potential to develop systems of HRM of individual clinicians in secondary healthcare to improve practice. This should include both performance measurement and performance improvement but also engagement at an organisational level. This suggests that effective HRM and performance management of individual clinicians may be possible but requires an alternative approach for the NHS.

KeywordsPerformance management Clinicians Human resource management Performance improvement Performance improvement Organisational studies Service evaluation AbbreviationsNHSNational health service

HRMHuman resource management

PHTPortsmouth hospitals trust

JLPJohn Lewis partnership

MINIThe MINI plant, Oxford

ONSOffice for national statistics

NATSNational air traffic services

OSOrdnance survey

Electronic supplementary materialThe online version of this article doi:10.1186-s12913-014-0566-5 contains supplementary material, which is available to authorized users.

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Author: Timothy M Trebble - Nicola Heyworth - Nicholas Clarke - Timothy Powell - Peter M Hockey

Source: https://link.springer.com/







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