Therapy Services : Organisation, Management and Autonomy Book

	Preface
	Acknowledgements
	BIOSS Research: A General Note
	Services Provided by the Health Services Centre
Ch. 1	Introduction	1
	An Outline of the Book	4
	Research Methods and Sources	6
	What is a "Therapy Profession"?	6
	Profession Profiles	8
Ch. 2	Professional Autonomy and Organisation	13
	Theoretical Issues and Perspectives in the Study of Professions	13
	Professional Dominance and Autonomy	15
	Professional Autonomy at the National Level	16
	Extent of Occupational Control and Autonomy in the U.K	23
Ch. 3	Therapy Service Organisation (NHS) 1968-1990	27
	Public Service Reorganisations 1968-1990	27
	Research into Therapy Organisation 1968-1990	28
	Summary of Research into the Organisation of Physiotherapy 1968-1990	29
	Summary of Research into the Organisation of Psychology 1968-1990	36
Ch. 4	The 1990 Reforms and Therapy Services	43
	The 1990 Reforms	44
	Unit Structure	46
	Financing Therapy Services	48
	Public "Markets", Needs and Finance	51
Ch. 5	Models of Organisation	53
	Models of Organisation	53
	Influencing Structure: Do Therapists Have a Choice of Model?	62
Ch. 6	Therapy Practice and Practitioner Autonomy	66
	Features of Therapy Practice	66
	Levels of Therapy Practice	68
	Practitioner Accountability	71
	Practitioner Autonomy	74
Ch. 7	Managing Practitioners	78
	Management work	78
	Management Responsibility and Roles	81
	Accountability and Authority of Therapy Managers	84
	Co-management Arrangements	89
Ch. 8	Strategic Management	93
	The Need for Strategic Management	93
	Strategic Management Roles	95
	Strategy: General Points	96
	Strategy: Concepts and Principles	98
	Practical Steps for Formulating a Strategy	100
	Therapy Service Structure	105
Ch. 9	Contracts and Quality	112
	"Business Autonomy" and Financing Therapy Services through Contracts	112
	The Main Elements of a Contract	115
	Preparing and Negotiating a Contract	118
	Quality	119
	Improving Therapy Service Quality	123
	Introducing Quality Assurance	126
Ch. 10	Grades Pay and Career Progression	131
	Problems	131
	Confusion of Grade Levels and Management Levels	133
	Distinguishing and Defining High-Level Practice Work	134
	Career Progression: "Standing Still" with "Nowhere to Go"	136
	Requirements of a Pay Assessment System	139
Ch. 11	Conclusions and the Future	141
	Professional Autonomy	141
	Theoretical Conclusions	143
	Management Expertise and Professional Power	145
	The Future	146
	App. 1: The Social Analytic Method for Organisational Research	150
	App. 2: Main Field Research	157
	App. 3: Physiotherapy and Clinical Psychology 1968-1988	159
	App. 4: Co-management of Therapy Practitioners	181
	App. 5: Guidance and Data Formats for Formulating Strategy	182
	App. 6: Review of Research into Professions	203
	References and Bibliography	204
	Index	209