Alison, My experience of this in a facility here in NZ following
restructuring is that dividing the Physio service into separate
"Directorates" creates a piecemeal approach to a Physio service that
doesn't seem to affect patient care, but makes teamwork very difficult. For
example, if a staff member from one directorate were sick, and needed cover
on call, the directorate would have to purchase cover from another
directorate. This led to some ill feeling between Physios from each
directorate involved, since staffing pressures were brought to bear. In
other words each directorate would become very precious about its staffing
resources, to the detriment of overall Physio effectiveness.
Good luck, Martin Kidd.
----------
From: Alison Dakin <[log in to unmask]>
To: Physio <[log in to unmask]>
Subject: Clinical Directorates
Date: Tuesday, 8 August 2000 06:04
Sorry in advance if this sounds a bit strange to some of you in other
countries!
The three acute hospitals in my county - Leicestershire, England, have just
merged to become one of the biggest Trusts in the country. We are also
going throuogh an acute service re-organisation with the idea being of
having two acute hospitals and one hospital for planned care and
rehabilitation (primarily elderly / neuro rehab and cold orthopaedics).
This is potentially very exciting for physio. However they are at present
looking at how to sort out the separate directorates eg medical, trauma &
orthopaedics, general surgery, renal, cardiothoracics etc. Currently physio
and OT are part of Clinical Support Services Directorate, but our new chief
exec is reviewing this and one option is that we are placed in the other
directorates, ie each directorate will employ it's own physio service.
We would be grateful to here from other people who have had experiences,
good or bad, of any of these structures particularly their effect on 1) pt
care and 2) staff recruitment and retention.
Thanks
Alison Dakin
%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%
|