PT  - JOURNAL ARTICLE
AU  - Kline, Roger
TI  - Paradigm lost? Reflections on the effectiveness of NHS approaches to improving employment relations
AID  - 10.1136/leader-2022-000729
DP  - 2023 Dec 01
TA  - BMJ Leader
PG  - 314--318
VI  - 7
IP  - 4
4099  - http://bmjleader.bmj.com/content/7/4/314.short
4100  - http://bmjleader.bmj.com/content/7/4/314.full
SO  - BMJ Leader2023 Dec 01; 7
AB  - The National Health Service in England has largely relied on a human resources trilogy of policies, procedures and training to improve organisational culture. Evidence from four interventions using this paradigm—disciplinary action, bullying, whistleblowing and recruitment and career progression—confirms research findings that this approach, in isolation, was never likely to be effective. An alternative methodology is proposed, elements of which are beginning to be adopted, which is more likely to be effective.No data are available.