By Mervyn Conroy (auth.)

MacIntyre's narrative established advantage ethics have for the 1st time during this publication been utilized to a firm present process swap pushed through industry forces and a society that wishes extra for much less with scant regard for the capacity through which that's accomplished. the sensible strength of those insights is explored within the case research that runs throughout the book.

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They also rent services from the acute trusts such as wards and the supporting infrastructure to run the ward. All the initial participants came from the core organisations, however, later as described above the study expanded through focus groups to include managers from some of the partnering organisations as well. 20 An Ethical Approach to Leading Change Collectively these partners are in the process of introducing a radically new service model with the aim of improving patient outcomes. According to a local mental health service review, produced prior to my involvement, users experience ‘good intentions and commitment but also a fragmented and unresponsive service that overlooks ordinary but important needs and one that appears overstretched and impoverished in ways that convey a lack of value and humanity’ (Omega 2003).

An NSF represents an attempt to standardise the management of a medical condition, so that wherever patients live they receive broadly the same type and level of treatment. This involves specifying evidence-based standards for treatment and setting targets for patient outcomes. In the case of the NSF for mental health, which I am following, there are seven standards set in five areas covering: Titled Area Standard Description 1. 2. 1. 2. and 3. 3. 4. and 5. 4. 5. 6. 7. Mental health promotion Primary care and access to services Effective services for people with severe mental illness Caring about carers Preventing suicide We shall see most of these areas mentioned in excerpts from the transcripts which are analysed in Chapters 69.

This resonates with Shotter and Cunliffe’s (2002) view of ‘managers as practical authors’ and Czarniawska’s (1998) narrative approach to understanding organisations. ’s study hints at the importance of personal narrative, the perspective is not taken up by their study. Instead the approach taken is to formulate a set of seven ‘conclusions’ that can be viewed as building on Pettigrew et al. (1992) eight factors from a perspective of the manager as change leader: ● ● ● ● The first step in being able to achieve change is for those involved to realise that change is possible.

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