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... is a small part of the broader New Public Management (NPM) ( Broadbent, et al, 2002, Hood, 1991, 1995) agenda of efforts to expand the efficiency of the public sector through the introduction of organisational change and expertise provided by the private sector.

Prior to the creation of PFI in the health services industry, the main focus of NPM concentrated on controlling current expenditure in the public sector rather than infrastructure developments or finding new approaches to fund these developments (Broadbent, et al, 2002).

Lack of capital expenditure does not present the immediate political and social impacts that result from failing to meet revenue commitments. However, ...

... of legitimate means to obtain legitimate and/or illegitimate ends is a common phenomenon in organisational politics (Mayes & Allen 1977).
According to Michael (1982, p. 68), organisational change describes “the process of adjusting the organisation to changes in the environment.” The introduction of change, whether natural or intentional, affects organisation culture.
This theory refers to several important factors which affect the success of organisational change, including:
• The availability of capable leaders who can effectively guide the process of change. (Howell & Higgins 1990; Schon 1963)
• A readiness and willingness to change for (Zeira & Avedisian 1989)
• Preparation for possible resistance to change and how to dealt with ...

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