Case Study 1 Royal Southern Hospital, with an annual budget of 140 million from the Government, provides hospital servic

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Case Study 1 Royal Southern Hospital With An Annual Budget Of 140 Million From The Government Provides Hospital Servic 1 (43.7 KiB) Viewed 39 times

Case Study 1 Royal Southern Hospital, with an annual budget of 140 million from the Government, provides hospital services to a small city. It has total autonomy in the management of its own affairs, but it must keep within the Governments guidelines for the National Health Service A problem has emerged within the general surgery function where three posts out of an establishment of four consultants are filled and the Hospital is experiencing difficulty recruiting a fourth general surgeon. This places a work burden on the three surgeons which, they have intimated cannot continue indefinitely Something has to be done in their view, to recruit a fourth surgeon as their weekly hours of work for which they are not recompensed in full are rising to 60 or more on occasion. They believe that their good will is being exploited by the hospital management The resignation six months before of one of the surgeons to take up a post in Australia and the failure to recruit a replacement is the hospital management deliberately using the vacancy to save money about E100,000 per annum? have added to what was already a large and growing workload for an establishment of four general surgeons. With only three on hand it is becoming impossible There is also a local shortage of junior doctors in training plus a registrar (a trained surgeon not yet promoted to consultants who is on sabbatical leave for another four months The situation is due to be made even worse in three months time when one of the three surgeons takes up the prestigious and statutory part time administrative post as the Medical Director for the hospital, reducing still further the days she will be available to share in the surgery workdoad of the other two surgeons. A partire replacement will cost about E25,000 to replace her days off. The surgeons have demanded adequate remuneration for their excessive hours and/or an extension of the Hospitals waiting lists The hospital faces considerable budgetary pressure from the Government's requirement that they make 5 per cent savings in the hospitals Emilioamual administrative costs and the new Heath Minister has just announced a national campaign to reduce waiting lists in all NHS hospitals Anything the hospital agrees with the general surgeons must, if at all possible, avoid creating a precedent for the remuneration of other consultants in other departments Questions Maximum Word Limit 1200 words 1. To what extent to the interests of the general surgeons and the hospital management conflict? (8 marks) 2 To what extent are the interests of the general surgeons and the hospital management compatible? (8 marks) How might a Negotek PREP Planner be completed to show the negotiable issues, the priorities and the positions of the surgeons? (8 marks) Why is it important that the negotiators look out for signals? (8 marks) What proposal could the hospital make to resolve the pay problem? (8 marks) 3. 5