Describes the results of a postal questionnaire survey of all 1,383 hospital consultants in the North Western Region of the UK in 1994; updating a similar survey conducted in 1987. In both surveys, consultants were asked to describe their current management role, management training received and any perceived future training needs. A series of open questions in the 1994 survey explored barriers and incentives to the take-up of management training. The results show that in 1994 more doctors were taking on greater management responsibility and from an earlier age. Consequently, the proportion of consultants expressing a need for management training had risen from 62 per cent in 1987 to 73 per cent in 1994. The most useful courses were local budgeting and business planning. However, many consultants described problems in accessing training. Concludes by highlighting policy implications arising from the surveys which will need to be addressed if consultants are to fulfil their management potential.
More work needs to be done to improve the design of smoking cessation programmes, to make them more culturally appropriate for pregnant women who appear to be socially disadvantaged, have poor housing and lack a stable relationship.
There is a wide variety of theoretical models for explaining expenditure variations across local authorities. These include the demographic approach, agency models, party effect models and incrementalism. In this paper we examine inter-authority variations in housing capital expenditure, testing each of the four models against data for English local authorities for the period 1981/82 and 1986/87. We develop a comprehensive behavioural model, incorporating elements from all the models tested. Finally, we draw conclusions and briefly discuss their implications in the light of proposed changes to British local authority housing finance.
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