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Next Step
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A commissioning team was created to address management issues in the
central hospital, which consisted of a core team of 5 mixed management
/administrative and clinical staff with Family Care consultants operating
in a facilitating / advisory capacity.
The team worked through the hospital management systems agreeing the guidelines
and procedures in weekly meetings that extended over more than 18 months
and looking at every aspect of management, among which were included staff
roles and responsibilities, patient length of stay, hospital budgeting,
record systems etc., This was an extremely difficult part of the work
to create a change process. However although staff have found it difficult
to respond to some of the agreed policies, approximately 70% were adopted.
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Steps in Health Assistance:
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