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Competitive pressure in the NHS—a longitudinal analysis

✍ Scribed by Clare Kelliher

Publisher
John Wiley and Sons
Year
1998
Tongue
English
Weight
118 KB
Volume
7
Category
Article
ISSN
1086-1718

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✦ Synopsis

This article examines the longer term effect of competitive tendering in the NHS on managerial approaches to human resource management and industrial relations.

. The introduction of competitive tendering for ancillary services was designed to improve ef®ciency by stimulating competition. The labour intensive nature of many services meant that the management of labour was predicted as a major area for effecting savings.

. Evidence from the initial rounds of competitive tendering showed, however, that many of the anticipated results did not occur.

. This paper presents results of a longer term study of NHS catering services.

. These ®ndings show that the continued presence of competitive pressure led to a number of small, but signi®cant changes to the management of labour.

. It is argued that the predicted results did not occur, because the ideas on which the policy was based failed to take account of the complexity of how competitive pressure impacts on organizations.

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