This is still the main aim up to present day and applies to Mersey Care NHS Trust. (Katherine, 2002)
When Mersey Trust intends on making severe changes in its provision, structure and any other aspects, it needs to consider the community; these are the main beneficiaries of decisions made by the trust. The NHS Trust under study has to put in mind that the number of patients is increasing and more needs to be done to reduce waiting times and quality of health care provided to these increasing numbers. They need to ensure that patients have been adequately catered for. (Katherine, 2002)
Staff members need to be incorporated in any changes that the Trust intends on undertaking. It should be aware that changes in staff payments or employee conditions are to be kept at minimum in order to reduce friction and possible confrontations that have been seen in the past from similar NHS trusts.
The Trust has to face conflicting roles. It has to fulfil its humanitarian aspect of helping out those who need assistance in terms of health care. In addition, it also has to deal with the fact that it still has to consider market forces during its commissioning activities. This can prove to be a rather daunting task. (Legge, 2004)
The Trust has to include technological advancements in its administration. Technological advancement should also be incorporated in the organisation's information system so that accountability and good governance are promoted.
Mersey Care has to deal with the increased competition among providers that has arisen after a number of independent health Care service providers have been given the mandate to provide their services to patients. Also, there have been some treatment and diagnostic centres that have been commissioned. This means that the Trust needs to focus highly on commissioning activities. (Black, 2003)
There are a number of partners that are involved in health care provision. These need to be incorporate into the management of the Trust. Policies within the organisation should be such that they promote partnerships that are already in existence or those that will be made in the future.
In the year 2005, the NHS Commissioned a patient led trust. This means that Mersey Care has to adjust to this new reform as described in the Department of Health, (2005). Besides this, the trust has to deal with recent government pronouncements that there should be more third sector contributors in statutory services. This implies that policies taken up by Mersey Trust need to be in line with these stipulations i.e. they should be contestable and plurality should be reflected in their policies. (Phegan, 2000)
The trust must also be careful when deciding who will procure health services as their decisions can be challenged in Court. This was emphasized when a Trust Care similar to Mersey was taken to court by a patient following the patient's dissatisfaction with the bidder chosen; the bidder was United Health Europe Limited.
According to the Health and Social Care Act passed in the year 2001, NHS trusts need to engage in a lot of consultation prior to reorganisation of service provision or before testing new services in the market. If Mersey Care plans on doing this, then
The organisation has to consider legal issues when deciding in a provider who will procure