Therapy Services: Organistion / Edition 1

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First published in 1992. Routledge is an imprint of Taylor & Francis, an informa company.

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Product Details

  • ISBN-13: 9783718652464
  • Publisher: Taylor & Francis
  • Publication date: 1/22/1992
  • Edition number: 1
  • Pages: 224
  • Product dimensions: 6.00 (w) x 9.00 (h) x 0.51 (d)

Table of Contents

BIOSS Research: A General Note
Services Provided by the Health Services Centre
Ch. 1 Introduction 1
An Outline of the Book 4
Research Methods and Sources 6
What is a "Therapy Profession"? 6
Profession Profiles 8
Ch. 2 Professional Autonomy and Organisation 13
Theoretical Issues and Perspectives in the Study of Professions 13
Professional Dominance and Autonomy 15
Professional Autonomy at the National Level 16
Extent of Occupational Control and Autonomy in the U.K 23
Ch. 3 Therapy Service Organisation (NHS) 1968-1990 27
Public Service Reorganisations 1968-1990 27
Research into Therapy Organisation 1968-1990 28
Summary of Research into the Organisation of Physiotherapy 1968-1990 29
Summary of Research into the Organisation of Psychology 1968-1990 36
Ch. 4 The 1990 Reforms and Therapy Services 43
The 1990 Reforms 44
Unit Structure 46
Financing Therapy Services 48
Public "Markets", Needs and Finance 51
Ch. 5 Models of Organisation 53
Models of Organisation 53
Influencing Structure: Do Therapists Have a Choice of Model? 62
Ch. 6 Therapy Practice and Practitioner Autonomy 66
Features of Therapy Practice 66
Levels of Therapy Practice 68
Practitioner Accountability 71
Practitioner Autonomy 74
Ch. 7 Managing Practitioners 78
Management work 78
Management Responsibility and Roles 81
Accountability and Authority of Therapy Managers 84
Co-management Arrangements 89
Ch. 8 Strategic Management 93
The Need for Strategic Management 93
Strategic Management Roles 95
Strategy: General Points 96
Strategy: Concepts and Principles 98
Practical Steps for Formulating a Strategy 100
Therapy Service Structure 105
Ch. 9 Contracts and Quality 112
"Business Autonomy" and Financing Therapy Services through Contracts 112
The Main Elements of a Contract 115
Preparing and Negotiating a Contract 118
Quality 119
Improving Therapy Service Quality 123
Introducing Quality Assurance 126
Ch. 10 Grades Pay and Career Progression 131
Problems 131
Confusion of Grade Levels and Management Levels 133
Distinguishing and Defining High-Level Practice Work 134
Career Progression: "Standing Still" with "Nowhere to Go" 136
Requirements of a Pay Assessment System 139
Ch. 11 Conclusions and the Future 141
Professional Autonomy 141
Theoretical Conclusions 143
Management Expertise and Professional Power 145
The Future 146
App. 1: The Social Analytic Method for Organisational Research 150
App. 2: Main Field Research 157
App. 3: Physiotherapy and Clinical Psychology 1968-1988 159
App. 4: Co-management of Therapy Practitioners 181
App. 5: Guidance and Data Formats for Formulating Strategy 182
App. 6: Review of Research into Professions 203
References and Bibliography 204
Index 209
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