NHS Reforms and the Working Lives of Midwives and Physiotherapists
Cambridge Centre for Business Research Working Paper No. 344
36 Pages Posted: 20 Sep 2011
Date Written: June 1, 2007
From 2000 the NHS was subjected to a series of far reaching reforms, the purposes of which were to increase the role of the primary care sector in commissioning and providing services, promote healthier life styles, reduce health inequality, and improve service standards. These were seen as requiring a greater leadership role from health professionals, closer and more cooperative working between health professionals, and between health professionals, social services, and community and other service providers. The project surveyed a random sample of midwives and physiotherapists to investigate their perceptions of the effectiveness of the reforms, and their effects on working lives. The predominant perception was that NHS reforms had negatively affected the funding of their services; and had done little to improve service quality, delivery or organization. Although the potential existed for the reforms to improve services, the necessary resources and required staffing were not made available and the objectives of the reforms were only partially secured by intensifying of work. The downside of this was a deterioration of the sociopsychological well being of midwives and physiotherapists, especially the former, exacerbating the shortage of skilled and experienced. Shortage of staff and the associated increased work burdens were demoralizing and demotivating; morale and job satisfaction declined, and job insecurity and labor turnover increased.
Keywords: professional work, midwives, physiotherapists, Britain, public sector reforms, job satisfaction, morale
JEL Classification: J44, L84
Suggested Citation: Suggested Citation