With responsibility for 43 trusts and a national role in liaison and communication between the outposts and the NHSME, Roger Hoyle, Chief Executive of the South West Regional Outpost, can clock up 25,000 miles on the road in a year. The way outposts work with a light touch and empowering others is a model for the rest of the NSHS.
Dentists, while recognising the need to be more marketing orientated, still have some way to go to improve the perception of themselves and their services in the eyes of the public. Nigel Coates and John Willans suggest some ways to address the barriers to visiting dentists.
In February 1992, Health Services Management (HSM) readers were invited to submit details of a proposed project that needed a designer. HSM teamed up with design consultants, the PDI Group, which offered 10,000 pounds-worth of design and project management to the reader submitting the most challenging design problem. Such was the quality of the entrants that two prizes were awarded, divided equally between The Eric Burden Community Unit at Littlemore Hospital, Oxford, and the Perth Royal Infirmary Community Unit project.
Many managers are challenged by what they see as significant ethical issues within their own areas of responsibility, in the behaviour of others around them, and in the structures of the organisations and policies within which they work.
As Hillary Clinton worked on the reforms of the US health system, three University of Minnesota fellows, Meeta Pherwani, Craig Hostetler and Sarah Miller, offered her some advice based on their experience with the NHS.
The ethos of the NHS reforms has forced mergers between district health authorities, and alliances with family health services authorities. Alan McNaught highlights some of the advantages created and the problems caused, and suggests some ways of dealing with 'merger mania'.
Since the introduction of general management into the NHS in 1985, greater emphasis has been placed on managing the service through clearly defined objectives. Jill Sandford and Christine Rollin describe Lifespan Healthcare's personal development plan for managers, and report on some of the benefits it has brought the organisation.
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