ANALYSIS OF CASE STUDIES OF ORGANIZATIONS Study

ANALYSIS OF STUDIES OF ORGANIZATIONS - Case Study Example The purpose of this paper is to examine the case studies of North Cumbria Primary Care Trust, London Borough of Redbridge, Wigan Metropolitan Borough Council and Chorley Borough Council, in which changes in the organizational culture were implemented. According to Cumbria NHS (2006) the former North Cumbria Primary Care Trusts have been replaced by Cumbria Primary Care Trust (PCT). This is a major organization for health, serving a population of nearly five lakh people. The organization is responsible for providing primary and community health services, and for commissioning a full range of hospital sercvices for local people. As with all NHS Trusts, the Cumbria Primary Care Trust is required to conduct a self-assessment related to its compliance with national Core Standards for Health. The results reflect a significant improvement in compliance levels, as compared to the previous year. The newly initiated project Closer to Home provides a unique opportunity for the people in North Cumbria to get high quality health care support as close to their own homes as possible, by working together with the NHS. For specialist care, faster access to first-class services is provided through hospitals (NHS Cumbria, 2008). The Redbridge Council of the London Borough of Redbridge has a Cabinet consisting of ten cabinet members required to carry out various duties under portfolios such as adult social services, community safety, budget and performance, housing and health, planning and regeneration and others. The five main responsibilities of the Cabinet are in the areas of budget and policy framework, promotion of the economic, social or environmental well-being of the region, leading the search for best value with the help of Scrutiny Committees, towards continuous improvement in the delivery of services, to exercise all the powers and duties of the Council, and to implement the requirements of Social Inclusion and Equal Opportunities in the delivery of services (Redbridge Council, 2008). Wigan Metropolitan Borough Council The Wigan Metropolitan Borough Council has twelve departments, with its Social Services Department employing 2500 staff appointed at more than one hundred locations in the region. The council is a unitary authority. The policy of Wigan Council is decided upon after debates held by elected councillors who sit on the full council, and the executive cabinet, with the assistance of committees and the guidance of policy panels (Wigan Council, 2008).The various issues that the Council covers include health, affordable housing, asylum seekers, police resourcing, school meals, teenage pregnancy, youth substance misuse, and several others. Select committees undertake a series of reviews of work done on the above issues and submit a final report to the Overview and Scrutiny Committee (Wigan Council, 2008). Chorley Borough Council This is a district authority that provides many public services for residents, businesses and visitors. In the local government, Chorley is regarded as a "two-tier" area, that is where district or borough councils work together with Lancashire County Council, to provide services on

Nursing mental health Case Study Example | Topics and Well Written Essays - 2000 words

Nursing mental health - Case Study Example I wondered why they wished to meet the physician in this department, as they both "looked" normal to me. I was present in the physician's consulting room when they arrived. He made them comfortable and then slowly ventured to the actual problem. Tim added that Annie was hesitant to go to a physician at first, as she did not think she had any mood swings at all. But Tim persuaded her to just accompany him. The other symptoms were noticed by Tim, and hence he had planned this visit. The physician thought it fit to perform certain medical examinations and selected investigations for Annie, before diagnosing a major depressive disorder. All the above symptoms were the same as that of clinical depression, which Annie might be suffering from, but these tests were necessary to rule out a medical illness. As expected, all the above tests had normal results. So any medical cause was ruled out. All this while, I had been observing Annie. She actually seemed to be just like any other woman you see on the road, but sometimes she suddenly became hyper and had a violent streak in her. I discussed about this with the physician, and I suggested that this case should be referred to a Psychologist. It would be better to handle this case in an interdisciplinary health care team comprising myself, a nurse, a psychologist, an occupational therapist and a social worker, if need be. I checked the schedule of the interdisciplinary team member... I discussed about this with the physician, and I suggested that this case should be referred to a Psychologist. It would be better to handle this case in an interdisciplinary health care team comprising myself, a nurse, a psychologist, an occupational therapist and a social worker, if need be. I checked the schedule of the interdisciplinary team members and requested for a meeting with the psychologist and occupational therapist. I also sent a formal request for a meeting to both the doctors prior to this. I had prepared myself with all the relevant details of Annie's case, and had put down my questions on paper. I carried a file containing the information of the symptoms and physical examination reports of Annie, so that it would be easy for the consultants to decide on the further course of action. (Ackley and Ladwig, 376) The requirement of interdisciplinary medical help was posted to all concerned. All concerned departments were informed officially that there help is needed in dealing with this particular patient. In the meeting, we discussed the possibilities that Annie could be suffering from, in an informal way. At this stage it is important to point out that interdisciplinary care was a must for this patient. As a nurse I had not only to look after the administrative issues but also needed to worry about the patient's health as well as coordinating activities to make sure she got all the right things at right places. (Katz, Carter, Bishop and Krayits, 54) Now we had a resourceful health care team, including the psychologist, occupational therapist and me, a nurse, and all of us were focused on Annie. I handed over the copies of Annie's documents to each one present, so that they could have a reference. The psychologist then