Failing hospitals: mission statements to drive service improvement?
OBJECTIVE
This paper aims to consider whether the hospital mission statement can be used as a management tool to improve service provision in failing hospitals.


METHODS
A literature search into the potential value and harm of hospital mission statements was done, followed by a survey of initial attitudes within a failing hospital. Do they indicate likely success of the tool?


RESULTS
Mission statement is a potentially valuable leadership tool in the hospital environment. The success of its implementation is broadly dependent on its being developed with the support of stakeholders and its real application to all management decisions and questions of asset allocation. The potential danger lies in the fact that it can be seen as an expensive expression of politically correct platitudes which leads to cynical alienation of stakeholders.


CONCLUSIONS
This was a small study within a single UK failing hospital, and extending its range will help to clarify whether its findings are typical of attitudes within such institutions.


CONCLUSIONS
The likely success of the hospital mission statement as a management tool within a failing hospital is significantly limited by initial attitudes and preconceptions. Our research suggests that implementation is likely to be detrimental without preparatory involvement of the local community and hospital staff at all levels.


CONCLUSIONS
Hospital management cannot be divorced from the local community where patient confidence must be maintained.


CONCLUSIONS
This paper complements previous research, which has looked at mission statement acceptance among the upper echelons of hospital management.
Department of Psychiatry, Elizabeth Raybould Centre, Dartford, United Kingdom.
Annabel
A
McDonald
Aamer
A
Sarfraz
D001291:Attitude of Health Personnel; D019538:Health Care Surveys; D006739:Hospital Administration / Q000379:methods*; D006752:Hospital Planning / Q000379:methods; D006779:Hospitals, Public / Q000458:organization & administration; D006801:Humans; D009937:Organizational Objectives; D006113:United Kingdom
Attitudes; Hospitals; Management; National health service; Performance; Survey