Southglam Heath Authority

Organizational CHANGE

Presented to: July 2010

Dr. Gihan Osman
Agenda

 Background
 Current situation
 Problem and its dimension
 Key issues
 Alternatives
 Recommendation
 At a glance

The NHS is a health

organisation established in
1948 to meet a long term need

Southglam is a DHA, From

1948 to 1983, the (consensus
management dominance)

The political and social forces

effect
The situation

•The DHSS introduced two initiatives under the name of cost improvement
programmes

•Roy Griffith proposed the introduction of general management at all

levels of the NHS in addition to the rationalization of functional and
advisory management structures

•The health authority was moving towards a situation in which

general managers were exercising a much tighter grip on the
decision-making processes and procedures, this would lead to
much higher managerial control over resource allocation and
utilization.

•The health authorities in England and Wales quickly implemented the

change

•These organizational changes were introduced over a period of 2-3

years
Problem & Dimension

The problem: Unhealthy

organizational work place in which
anxiety, distrust and opposition,
coupled with a degree of retreat

The Dimension: Resistance to change

Key Root Causes

Perceptual errors

The implementing plan

Lack of Motivation

Strong Organizational Culture

Alternative Solutions

Positive reinforcement

Participation in the new structure

Negotiation and Agreement

Explicit coercion
 Weighting Alternatives

Positively positively
Acceptance
effect on Clear Work effect on Cost
Time level to Efficiency
Score Organization's Structure Organization' effective
(15%) change (20%)
growth (10%) s Image (18%)
(17%)
(8%) (13%)
Positive
6.1 6 7 8 4 7 5 6
reinforcement
Participation in
7.9 8 9 8 5 9 7 9 the new
structure
Explicit
6.2 4 8 5 9 3 9 5
coercion
Negotiation
6.5 7 7 9 7 7 3 7 and
Agreement
Recommendation

"Introducing the concept of board of directors”

The roles of the board to act effectively are as follows
Defining the ends goals and priorities of the organization, beginning
with its mission, vision, strategic plan and core values
Questions
Thank you!