... in the implementation of locally managed and determined pay and rewards systems. The work consisted of four highly focused interventions with different Trusts who had volunteered to join the project . © MCB UP Limited 1997 Management National Health Service Organizational change Pay structures...

... and liable to be inefficient in practice. It can involve separate paid time‐off provisions, separate provision for workplace meetings of members, interference because of inter‐union disputes over which management may have no control or influence, coupled with a tendency towards leap‐frogging claims as each...

...David Sims; Andrew Sims Reviews the management role of consultant psychiatrists in the light of recent NHS reforms. Tries to identify the needs of clinicians and their patients and what is causing dissatisfaction within the profession. Examines various reforms. Concludes that although difficult...