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Investigates the perception of and attitudes towards competitive tendering for ancillary services of the hospital populations in three Scottish NHS hospitals. Results suggest that: there is a discrepancy between the Government′s stated objectives and those perceived by the public; it is unclear precisely what this and other Government initiatives mean; the role of ancillary staff in the ward team has not been fully recognized in the contracting exercise. Argues for broadening of the concept of cost‐effectiveness to include some non‐financial measures.

WHEN YOU meet people for the first time and they ask what you do, do you ever hesitate about telling them you're a librarian? Do you ever qualify your self‐description with some such phrase as ‘can't you tell by looking at me?’ or ‘I don't just stamp books you know’? Do you sometimes feel diffident about describing your work? I do. The reason I react in this way is that I know people outside our information world think they know very well what we do, but in fact have very little idea. We seem to have a very strong popular image which it is difficult if not impossible to shake off.

The main purpose of present study is to model the replacement policy under uncertainty for managerial application based on grey-reliability approach by considering the subjective views of quality control circle (QCC). The study objectively links the optimality between individual replacement and group replacement policies for determining the minimum operational costs. The integrated framework between QCC, replacement theory, grey set theory and supply chain management is presented to plan replacement actions under uncertainty.

The study proposes the concept of grey-reliability index and built a decision support model, which can deal with the imprecise information for determining the minimum operational costs to plan subsequent maintenance efforts.

The findings of the study establish the synergy between individual replacement and group replacement policies. The computations related to the numbers of failures, operational costs, reliability index and failure probabilities are presented under developed framework. An integrated framework to facilitate the managers in deciding the replacement policy based on operational time towards concerning replacement of assets that do not deteriorate, but fails suddenly over time is presented. The conceptual model is explained with a numerical procedure to illustrate the significance of the proposed approach.

A conceptual model under the framework of such items, whose failures cannot be corrected by repair actions, but can only be set by replacement is presented. The study provides an important knowledge based decision support framework for crafting a replacement model using grey set theory. The study captured subjective information to build decision model in the ambit of replacement.