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Compare the features of NHS Scotland's tall/hierarchical structure, as shown in Exhibit 1, to a flat structure. Justify the decision to group NHS Scotland into regi... show full transcript
Step 1
Answer
NHS Scotland's tall/hierarchical structure is characterized by several key features:
Many layers of management: This structure consists of multiple levels, leading to a more complex organizational hierarchy.
Long chain of command: Decisions typically flow from the top down, requiring longer communication paths.
More promotion opportunities: With more layers, there are potentially more roles available for employees to aspire to.
Narrow span of control: Managers tend to supervise a limited number of subordinates, allowing for closer supervision.
Slower response to changes: The layered approach can lead to delays in decision-making and responsiveness to changes.
In contrast, a flat structure has the following characteristics:
Fewer layers of management: This results in a more streamlined organization.
Shorter chain of command: Communication flows more freely with fewer levels.
Fewer promotion opportunities: With less hierarchy, there are fewer positions for advancement.
Wider span of control: Managers supervise more employees, promoting greater autonomy and less micromanagement.
Faster communication: The reduced hierarchy leads to quicker dissemination of information and responses.
Step 2
Answer
Grouping NHS Scotland into regional NHS Boards is justifiable for several reasons:
Better cater for the patients' needs: Regional boards allow for more localized healthcare services tailored to specific community needs, improving patient outcomes.
More efficient to essential changes in the area: This structure enables regional boards to quickly adapt to necessary changes based on local circumstances.
Facilitate collaboration and sharing of resources: Regional NHS Boards can collaborate more effectively to share best practices and optimize resources.
Help for government managers to identify issues with services: Having a regional focus allows management to better monitor and assess service effectiveness.
Regional boards are accountable: This structure enhances accountability, ensuring that healthcare services meet community standards and expectations.
Regional Boards are empowered to make quicker decisions: The ability to make localized decisions increases responsiveness and effectiveness in managing healthcare delivery.
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