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VERSION:2.0
CALSCALE:GREGORIAN
METHOD:PUBLISH
BEGIN:VEVENT
DTSTAMP:20260923T084727Z
DTSTART:20261109T180000Z
DTEND:20261109T190000Z
SUMMARY:The Annual Teddy Chester Lecture - Why is the NHS so hard to Mana
 ge?
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 a-mu8f14
DESCRIPTION:In this lecture\, Professor Mary Dixon-Woods will focus on th
 e complexities and hardships of managing the NHS and what solutions and 
 improvements could be made.\n\nWhy is it so hard to manage the NHS?\nExp
 ected to deliver universal\, safe\, timely\, equitable\, compassionate\,
  efficient and innovative care amid intense financial\, workload and dem
 and pressures\, and under sustained public scrutiny and political exposu
 re\, the NHS is exceptionally difficult to manage.\n\nAttempts to manage
  from the top characteristically run into the messy realities of work at
  the sharp end of care\, not to mention a highly complex ecology of orga
 nisations\, professions\, estates\, path dependencies\, and local circum
 stances.\n\nAttempts to manage entirely from the bottom up bring their o
 wn risks: duplication\, localism\, inequity\, weak accountability and wa
 ste. The challenge is compounded by the fact that the NHS must act throu
 gh institutional machinery that is both necessary and constraining.\n\nT
 he legal\, regulatory and normative environments in which it operates pr
 ofoundly shape what kinds of managerial action are possible\, at what sp
 eed\, and with what impact.\n\nProcurement rules\, contracting arrangeme
 nts\, employment law\, professional regulation\, information governance\
 , policy directives\, financial incentives\, public law duties and regul
 atory regimes all exist for good reasons.\n\nBut they also mean that app
 arently simple managerial tasks – recruiting and retaining the right peo
 ple\, redesigning roles\, addressing harmful behaviour\, buying equipmen
 t\, changing a pathway\, sharing data\, or stopping ineffective practice
 s – can be frustrating\, transactionally costly\, risky\, and prone to f
 ailure.\n\nThese are all long-standing problems that have proven remarka
 bly difficult to shift. If we can avoid the naïve optimism that another 
 reorganisation will save us\, or that pulling harder on the same old lev
 ers of rules and incentives will be enough\, there is hope.\n\nThat hope
  is practical\, disciplined and evidence-based: it lies in taking manage
 ment seriously as a capability. Better management\, better managers and 
 better operational systems are not peripheral to improving care for pati
 ents\; they are the conditions that make improvement possible.\n\nTeddy 
 Chester Lecture\nThis annual lecture marks the contribution of Teddy Che
 ster\, who was the first professor of social administration at The Unive
 rsity of Manchester.\n\nFrom his appointment in the early 1950s\, to his
  retirement in the 1970s he was an influential pioneer in management dev
 elopment\, using evidence and research with policy makers\, and working 
 with clinical leaders. He was involved in founding and leading the NHS G
 raduate Training Scheme\, and in founding Manchester Business School.\n\
 nThere will be refreshments served from 5:30pm with the opportunity for 
 networking before the lecture for those attending in person at Alliance 
 MBS.
STATUS:TENTATIVE
TRANSP:TRANSPARENT
CLASS:PUBLIC
LOCATION:Aliiance Manchester Business School\, Booth Street West\, Manche
 ster\, M15 6PB
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