However, the cloud user has limited responsibility for resource management, being constrained to generating workload requests and controlling where and when workloads are placed.
These quality indicators are equally for service managers, who have responsibility for resource allocation and for protocols avoiding wastage of resources, and who, perhaps, can do something to promote equitable access.
The findings suggest that responsibility for resource allocation divided health service managers from clinicians in an adversarial 'us' and 'them' relationship.
Some of the challenges that participants felt they faced also related to recent organisational changes – for example, an increased responsibility for resource management was felt to be at odds with the GP's role as patient advocate.
3 5–7 Alongside this is the assumption that clinicians will also be given, and willingly take on, responsibility for resource allocation, service organisation and associated decision-making perhaps in full or in partnership with management.
Participants felt that their role as patient advocate was one of the strengths of primary care, and felt that this role might be compromised by recent reorganisation of primary care and increased responsibility for resource management, which they felt might negatively affect referral decisions.
Hence, there is a decentralisation of responsibilities for resource use.
Institutional changes under decentralization have thus altered the allocation of powers and responsibilities for resource management and reshaped the legitimacy of particular forms of resource governance.
These included professional associations and regulatory bodies, ministry of health officials with responsibility for human resources, training institutions and development projects focused on human resource development issues.
Just think what we could do to tackle poverty and create jobs in Scotland with responsibility for these resources".
