BACKGROUND The study is designed to assess the organisational and human resource challenges faced by Primary Care Trusts (PCTs). Its objectives are to: specify the organisational and human resources challenges faced by PCTs in fulfilling the roles envisaged in government and local policy; examine how PCTs are addressing these challenges, in particular, to describe the organisational forms they ...

Performance measurement traditionally focuses on financial measures, such as sales turnover, profit, debt and return on investment. However, traditional financial measures do not match entirely with the competencies and skills companies required to face today’s business environment. The complexity of managing an organisation today requires that managers be able to view performance in several ar...

Throughout 2011, and for much of this year, the national and professional press have been dominated by reports of failures in health and social care. Stories have focussed on the avoidable harm and disturbing cruelty suffered by individuals and the distress of distraught families seeking answers in the light of systemic organisational failure on an incredible scale (Francis 2010, CQC 2011a, CQC...

decentralisation has been described as an empty concept that lacks clarity. yet there is an enduring interest in the process of decentralisation within health systems and public services more generally. many claims about the benefits of decentralisation are not supported by evidence. it may be useful as an organising framework for analysis of health systems but in this context it lacks conceptu...

BACKGROUND This study identifies a promising, new focus for the crisis management research in the health care domain. After reviewing the literature on health care crisis management, there seems to be a knowledge-gap regarding organisational change and adaption, especially when health care situations goes from normal, to non-normal, to pathological and further into a state of emergency or crisi...

One important trend in enterprise-scale IT has been the increasing use of business-to-business integration (B2Bi) technologies to automate business processes that cross organisational boundaries, such as the interactions between partner companies along the supply chain. It is relatively easy to describe a pattern of interaction, or choreography, in the case where everything proceeds smoothly. H...

Enterprise resource planning (ERP) packages provide generic off-the-shelf business and software solutions to customers. However, these packages are implemented in companies with different organisational and national cultures, and there is growing evidence that failure to adapt ERP packages to fit these cultures leads to projects that are expensive and late. This paper describes research that sy...

Alignment of organisational strategy with Information Systems Strategy (ISS) has become critical as adoption of Information Systems (IS ) over the last 50 years has escalated. IS capabilities have evolved from central, internally controlled and strictly restricted data processing and automation architectures, to less structured, globally distributed and largely unregulated, Internet-linked IS. ...