Suchergebnisse

PUBLIC ADMINISTRATION IS CONNECTED WITH CERTAIN CONCEPTS OF CHANGE. THE UNIFICATION OF GERMANY HAS MADE CLEAR THAT THE CHANGE IN ITS EASTERN PARTS REPRESENTS NOT ONLY A REGIME TRANSITION BUT A TRANFORMATION OF THE ENTIRE SOCIAL AND ECONOMIC ORDER, AND THEREFORE, A TRANSFORMATION OF STATEHOOD. THE FUNCTIONAL DOCTRINE OF THE STATE SET OUT THE IDEOLOGICAL SCOPE OF ITS ADMINISTRATIVE ACTIVITIES. THIS ARTICLE EXPLORES A LIST OF SYSTEMATIC CHANGES WHICH INCLUDE: THE DIRECTION OF THE TRANSFORMATION PROCESS; FROM INSTRUMENTAL STATISM TO A LIBERAL AND SOCIAL STATE; FROM DEMOCRATIC CENTRALISM TO ORGANIZATIONAL DIFFERENTIATION; FROM THE TRANSMISSION OF COMMANDS TO RATIONAL PROCEDURES; ATTEMPTS AT PRIVATIZATION; AND FROM CADRE ADMINISTRATION TO PUBLIC SERVICE.

THE GOVERNMENT'S CITIZEN'S AND PATIENT'S CHARTERS ENVISION THE HEALTH SERVICE COMMISSIONER (HSC) AS PLAYING AN IMPORTANT ROLE IN SECURING EFFECTIVE REMEDIES FOR COMPLAINTS ABOUT ADMINISTRATION IN BRITAIN'S NATIONAL HEALTH SERVICE (NHS). DUE TO JURISDICTIONAL LIMITATIONS, THE HSC CAN ONLY DEAL WITH A SMALL PROPORTION OF NHS COMPLAINTS. AN ANALYSIS OF HSC CASES FROM 1986 TO 1991 SHOWS THAT IT IS THOSE ABOUT COMPLAINT-HANDLING ITSELF THAT HAVE BEEN MOST FREQUENTLY UPHELD. THE MOST FREQUENT REMEDY HAS BEEN AN HSC-DELIVERED APOLOGY. THE HSC PLACES EQUAL EMPHASIS ON PROVIDING A "QUALITY AUDIT" AND FEEDBACK MECHANISM FOR HEALTH AUTHORITIES. IF THE HSC IS TO PLAY THE ROLE IMPLIED BY THE CITIZEN'S AND PATIENT'S CHARTERS, IT WILL BE NECESSARY TO CONSIDER REMOVING THE LIMITATIONS ON HSC JURISDICTION.