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Friday, May 4, 2012

Strategic Management Perspective

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Formulating policies is an essential element in the strategic process. However, attending to the implementation of those policies is also a crucial part of strategy. This case focuses upon the implementation of care in the community in a fictional authority.


The 180s have seen the emergence of strategic legislation with bold aims & few specified provisions. The NHS & community care act 10 is an example of such ‘Strategic or Enabling Legislation’. Few of its sections provide detailed guidance on how local health authorities will actually operate to implement community care plans. However a major strand of the mission of this government has been to move the Local Health Authority away from its role as a direct provider of services. In 18 Brookes put forward the theory that as the direct role of the Local Health Authority diminishes it will need to engage in a new array of relationships with other agencies in an effort to maintain a wide sphere of influence in its local area. He stated that the key to the success of the Local Health Authority will be in the way it can establish relationships with those agencies that provide services on its behalf. He listed 6 different kinds of relationships through which the Local Health Authority might continue to exert its influence over provider agencies. They are


ɨ Control or Partial Control


ɨ Partnership


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ɨ Part Ownership


ɨ Purchasing


ɨ Support


ɨ And finally Regulation


As the government moves Local Health Authorities away from its role as a direct provider of services it needs to ensure that it implements strategies & formulates policies that force the Authorities to look at other ways of providing services. The Local Health Authorities needs to recognise how important the voluntary sector is within the community care service. This particular sector offers great potential to improve the service provided by the Local Health Authorities. The savings made because the voluntary sector provide the Meals-On-Wheels service is huge. Strategy should be implemented that enables the full utilisation of the service provided by this sector. It is after all free!


In a country where the benefits of selling Public sector businesses to the private sector can be clearly seen to all & where the government looks to push Local health Authorities away from being a direct service provider it is easy to ignore the potential that offering services by the public sector has. An example of where the public sector could possibly benefit from providing the service itself is in the private care market. Currently the private sector is employed by many Local Authorities to look after the elderly in Old peoples homes maybe only a few days per week & are receiving in many cases in excess of £400 a week. In other instances relatives could be offered the job of looking after the elderly and would in many cases be glad to receive as little as half this amount. Opportunities like these should be exploited & implementing the right strategies can help do this.





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