By Mervyn Conroy (auth.)
MacIntyre's narrative established advantage ethics have for the 1st time during this e-book been utilized to a firm present process swap pushed through marketplace forces and a society that wishes extra for much less with scant regard for the potential during which that's accomplished. the sensible strength of those insights is explored within the case learn that runs in the course of the book.
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Extra info for An Ethical Approach to Leading Change: An Alternative and Sustainable Application
They also rent services from the acute trusts such as wards and the supporting infrastructure to run the ward. All the initial participants came from the core organisations, however, later as described above the study expanded through focus groups to include managers from some of the partnering organisations as well. 20 An Ethical Approach to Leading Change Collectively these partners are in the process of introducing a radically new service model with the aim of improving patient outcomes. According to a local mental health service review, produced prior to my involvement, users experience ‘good intentions and commitment but also a fragmented and unresponsive service that overlooks ordinary but important needs and one that appears overstretched and impoverished in ways that convey a lack of value and humanity’ (Omega 2003).
Broadly, acute trusts are general hospitals providing the usual range of hospital services (A&E, surgery, maternity, orthopaedics, and so forth). PCTs are community-based organisations which are responsible for a) providing community health services (such as GPs, community nursing, health visiting, school nurses) and b) commissioning health care on behalf of their local population. In other words, PCTs hold the resources for purchasing the full range of care needed to keep a population alive and well, and there are performance indicators in place to measure their success in doing this.
It has described the local situation and implementation plan and the views of some of the senior managers in the service at the time and what they wanted from the study. It has shown how this study contributes a deeper understanding of the growing cynicism towards change and the nature of support managers in the midst of change are calling for. Through a review of the healthcare reform literature its empirical contribution is highlighted as the first study to take a narrative-based virtue ethics perspective on public-sector reform.