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Staff in each provider preferred to continue to manage the professional tensions and syntheses they already knew, rather than be cast into more direct interaction with clinical and managerial traditions they knew less well.
This was a form of institutional work: This institutional work involved the development of a normative network of clinicians across each alliance, cheap Paxil 20 mg US. We have cheap Paxil 20 mg US described how clinicians cohered around the shared articulation of providing a more integrated experience for service users. Rather than seeking to define new ways of treating mental illness, these clinicians were involved in advocating and cheap Paxil 20 mg US new ways of blending or combining existing definitions.
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There was also evidence of productive tension between the clinical leadership perspectives of commissioners and providers. Although cheap Paxil 20 mg US groups embraced the overall goals of providing seamless and comprehensive services for users, commissioners tended to emphasise the collective responsibility of providers to fill gaps by working creatively with existing resources, whereas providers Online the responsibilities of commissioners to fill specifically identified gaps, Paxil 20 mg Cheap Online. A feature of clinical leadership on both sides was the willingness to work through such tensions.
There has been rising demand and the service has found it difficult to cope with the numbers and the expense. Many different ideas have been put forward about how to resolve the problem. Further information In this case study we focus on one cheap innovation cheap Paxil 20 mg US seeks to tackle the issue. It is a study of leadership from the CCG in the redesign of one focused aspect of cheap Paxil 20 mg US care. Leadership at the initiation stage This urgent care initiative emerged from discussions at the CCG urgent care programme board.
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