Abstract
The reform of the NHS in the 1990s represents the greatest change to the provision of health care in the United Kingdom since the setting up of the NHS itself in 1948. Much of the reform programme is centred around financial systems based on limiting funds and stimulating managerial controls. The industrial relations within the NHS are a main element of this new corporate strategy, and will play a key part in the success of the new methods of allocating resources. It is the allocation of resources which is the prime mover in the current situation. The Conservative governments of the 1980s argued consistently that the real issue in the funding of the NHS was not the level of available resources, but rather the management of those resources. Within that is the question of how the resources are allocated as between regions, types of health activity, specialisms and medical procedures. This in turn raises a further question of how resources are allocated as between equipment, staffing levels and the employers’ costs of employing any given mix of labour. It is this latter point which, in a labour-intensive industry, places pay determination and other industrial relations issues near the heart of the changes.
Access this chapter
Tax calculation will be finalised at checkout
Purchases are for personal use only
Preview
Unable to display preview. Download preview PDF.
Notes
Routh, G. (1980) Occupation and Pay in Great Britain 1906–1979, Macmillan Press, London, p. 1.
Thorold Rogers, J. (1923 edn), Six Centuries of Work and Wages, Fisher Unwin, London, p. 523.
Phelps Brown, H. (1979) The Inequality of Pay, Oxford University Press, Oxford, p. 7.
Flanders, A. (1970) ‘Industrial Relations: What is Wrong with the System?’, in Management and Unions: The Theory and Reform of Industrial Relations, Faber, London.
For criticisms of the pluralist approach adopted by Flanders and the Donovan Commission see amongst others, Goldthorpe, J. (1974) ‘Industrial Relations in Great Britain: A Critique of Reformism’, Politics and Society, IV.
Donovan (1968) Royal Commission on Trade Unions and Employers’ Associations, Cmnd 3623, HMSO, London.
Whitley, J. (1917) Interim Report on Joint Standing Industrial Councils, Cd 8606, HMSO, London.
Fox, A. (1966) Industrial Sociology and Industrial Relations, Research Paper 3, Donovan Commission, HMSO, London.
Miliband, R. (1973) The State in Capitalist Society, Quartet Books, London, p. 73.
Pollard, S. (1968) The Genesis of Modern Management, Penguin.
Goodrich, C. (1920) The Frontier of Control, G. Bell and Sons, London.
Smith, A. (1776) The Wealth of Nations, 1910 edn, Everyman, London, p. 59.
ACAS (1983) Collective Bargaining in Britain: Its Extent and Level, Discussion Paper 2, ACAS, London.
ACAS (1987) Labour Flexibility in Britain, Occasional Paper 41, ACAS, London. Atkinson, J. (1984) ‘Manpower Strategies for the Flexible Firm’, Personnel Management, August, pp. 28–31.
Abel-Smith, B. (1960) A History of the Nursing Profession, Heinemann, London.
Minute from the 1982 Annual Report of the then NUG&MWU (now the GMB), p. 130.
Wootton, B. (1962 edn), The Social Foundations of Wage Policy, Unwin University Books, London.
Priestly (1955) Royal Commission on the Civil Service 1953–55, Cmnd 9613, HMSO, London.
Clegg, H. (1980) Nurses and Midwives Standing Commission on Pay Comparability, Report No. 3, Cmnd 7995, HMSO, London.
Trade Union Congress Health Services Committee (1981) Improving Industrial Relations in the National Health Service, TUC, London, p. 60.
Cleminson, J. (1989) Review Body…: Sixth Report on Nursing Staff. Midwives and Health Visitors, Cm 577, HMSO, London.
Bett, M. (1991) Review Body…: Eighth Report on Nursing Staff, Midwives and Health Visitors, Cm 1410, HMSO, London pp. 25–6.
Cleminson, J. (1987) Review Body…: Fourth Report on Nursing Staff, Midwives Health Visitors, Cm 129, HMSO, London.
Holdsworth, T. (1991) Review Body on Doctors’ and Dentists’ Remuneration: Twenty-First Report, Cm 1412, HMSO, London, p. 60.
Wilkins, G. (1989) Review Body on Doctors’ and Dentists’ Remuneration: Nineteenth Report, Cm 580, HMSO, London.
Bett, M. (1991) Review Body…: Eight Report on Professions Allied to Medicine, Cm 1411, HMSO, London p. 19.
PT’A’ staff side evidence 1990, paper 2, p. 19.
Bett, Cm 1411, op. cit., p. 14–20.
PT’A’ staff side evidence paper 1, p. 17.
Wootton, op. cit., p. 125.
NALGO 1990 pay claim for NHS members, p. 1.
NUPE 1990 pay claim for NHS members.
Halsbury (1974) Report of the Committee of Inquiry into the Pay and Related Conditions of Nurses and Midwives, DHSS, London. Clegg (1980) op. cit. Megaw (1982) Report of an Inquiry into Civil Service Pay, Cmnd 8590, HMSO, London.
McCarthy, W. (1966) The Role of Shop Stewards in British Industrial Relations, Research Paper 1, Donovan Commission, HMSO, London.
Mailly, R., Dimmock, S. and Sethi, A. (1989) ‘Industrial Relations in the NHS since 1979’, in Mailly, R., Dimmock, S. and Sethi, A. (eds), Industrial Relations in the Public Services, Routledge, London, p. 116.
Carpenter, M. (1982) ‘The Labour Movement in the NHS: UK’, in Sethi, A. and Dimmock, S. (eds), Industrial Relations and Health Services, Croom Helm, London, p. 76.
Bain, G. (1970) The Growth of White-Collar Unionism, Clarendon Press, Oxford. This is one of several works by Bain on the causes of union membership growth.
Fredman, S. and Morris, G. (1989) ‘The State as Employer: Setting a New Example’, Personnel Management, August.
General and Municipal Workers Union (1949) Journal, December, 12(12), p. 370.
Webb, S. and Webb, B. (1897) Industrial Democracy, 1920 edn Longmans, Green & Co., London. The Webb’s views on the functions and doctrines of trade unionism are taken up in Chapters 2 and 3.
Turner, H. (1962) Trade Union Growth, Structure and Policy, George Allen and Unwin, London. Turner’s concept of a ‘closed’ union is discussed in more detail in Chapter 2.
Bain, G. and Price, R. (1983) ‘Union Growth: Dimensions, Determinants and Destiny’, in Bain, G. (ed.), Industrial Relations in Britain, Basil Blackwell, Oxford, p. 15.
Walton, R. and McKersie, R. (1965) A Behavioral Theory of Labor Negotiations, McGraw Hill, New York.
Mailly et al., op. cit., p. 133.
Health Circular 83[6], DHSS, 1983.
Daniel, W. and Millward, N. (1983) Workplace Industrial Relations in Britain, Heinemann Educational Books, London, pp. 20, 130 and 270. Millward, N. and Stevens, M. (1986) British Workplace Industrial Relations 1980–1984, Gower, Aldershot, pp. 62,138, 246.
See White Paper, National Health Reorganisation: England (1972), Cmnd 5055, HMSO, London.
For summary comments on the 1982 reorganization see Chaplin, N. (1982) Getting it Right: the 1982 Reorganisation of the National Health Service, IHSA, London; and Levitt, R. and Wall, A. (1984) The Reorganized National Health Service, Croom Helm, London.
See Report of the Resource Allocation Working Party (1976), HMSO, London.
Working for Patients (1989), HMSO, London, pp. 31–2
Author information
Authors and Affiliations
Rights and permissions
Copyright information
© 1992 Springer Science+Business Media Dordrecht
About this chapter
Cite this chapter
Seifert, R. (1992). Work, wages and the industrial relations tradition. In: Industrial Relations in the NHS. Springer, Boston, MA. https://doi.org/10.1007/978-1-4899-3214-3_1
Download citation
DOI: https://doi.org/10.1007/978-1-4899-3214-3_1
Publisher Name: Springer, Boston, MA
Print ISBN: 978-1-56593-040-7
Online ISBN: 978-1-4899-3214-3
eBook Packages: Springer Book Archive