This is exacerbated by the failure of policy to adopt either a top down approach or decentralisation, causing confusion as to which aspects of EPR implementation is the responsibility of NHS organisations or that of central government.
Possible solutions for the expanding workload in the acute care sector, expectations of the implementation of NPs, responsibilities considering the work of the NP and barriers and facilitators for the implementation of an NP in out of hours care are topics that are discussed.
Created through the implementation of corporate responsibility, one of the first CSOs in the world was appointed as recently as 2004.
(Hospital Manager 7, Provincial Hospital, North West Province)In the study provinces, the OSD implementation was the responsibility of the Human Resource divisions of the provincial health departments.
The federal government contributes $61m over three years to the framework but assessment and implementation of the standards are the responsibility of the states.
However, no timeline is specified in the action plan, and the implementation is the responsibility of the individual Federal States (e.g., by including support for the creation of waterside margins in agro-environmental programmes).
The detailed configuration and implementation of housing is the responsibility of the federal states (Länder).
These rapid changes can be seen through fact that the policies are frequently changing, particularly through the implementation of policy requiring responsibility following the expansion of support for childcare facilities.
