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A common strategic language for clinicians and senior managers

John A. Piper (John A. Piper is Managing Director, Integrated Management Development, Castle Donnington, UK)
Barry Muir (Barry Muir is Associate Consultant at Integrated Management Development, Castle Donnington, UK)
Allister Stewart (Allister Stewart is Chief Executive at the University Hospital of Wales, Cardiff, UK)
John Willetts (John Willetts is Chief Executive at the Glenfield Hospital NHS Trust, Leicester, UK)

Health Manpower Management

ISSN: 0955-2065

Article publication date: 1 October 1997



Effective strategic analysis of existing and potential services requires a framework which is relevant and understandable to both clinicians and senior managers. Our work with NHS trusts has developed a framework based on analysis of services into four principal service streams ‐ emergency general hospital, non‐emergency general hospital, specialist general hospital and tertiary. Relating service streams to clinical specialties provides a matrix which can provide a basis for an initial analysis of the current and prospective clinical services portfolio, allowing drilling down into the detail and back up to the overall picture. Portfolio effectiveness is assessed by considering overall viability consisting of three interrelated elements ‐ clinical, market and financial viability. The inter‐relationship of service streams, clinical specialties and viability allows the trust board and key clinicians to share insights into the current and potential systemic linkages between these three elements and to develop a vision of future strategic direction.



Piper, J.A., Muir, B., Stewart, A. and Willetts, J. (1997), "A common strategic language for clinicians and senior managers", Health Manpower Management, Vol. 23 No. 5, pp. 155-158.




Copyright © 1997, MCB UP Limited