Consumer as king in the NHS

S.C. Bolton

    Research output: Contribution to journalArticlepeer-review

    35 Citations (Scopus)

    Abstract

    Over the last two decades, in resopnse to political and financial pressures, the NHS has been subjected to considerable changes in its organisation. There is increasing emphases on containing the cost of hosptial provision and making the treatment available from hospitals more responsive to consumers' needs. "New" public sector management (NPM) philosophy clearly reflects an ideological shift toward newly valued entrepreneurial attitudes and behaviours, where patients and health service-users are re-defined as "customers" and "consumers". Through a consideration of the recent changes, this paper will argue that the increasing emphasis on efficiency, cost-cutting and most especially consumer satisfation has transformed how nurses manage their emotions at work, adding new dimensions to their caring role. Nurses now find themselves having to present the detached, calm, but caring, face of the health professional whilst also having to present a smiling face to patients who now behave as demanding customers.
    Original languageEnglish
    Pages (from-to)129-139
    Number of pages10
    JournalInternational Journal of Public Sector Management
    Volume15
    Issue number2
    DOIs
    Publication statusPublished - 2002

    Keywords

    • national health service
    • NHS
    • customer service
    • public sector management
    • nurses
    • health professionals

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