Causes of performance problems at Middleton NHS Trust

Analyse the indicators and possible causes of performance problems at Middleton NHS Trust. Advise the senior management team how they could build an effective High Performance Work System to address the problems you have identified.
Your response should consider:
• The multiple possible causes of poor performance and how this shapes the approach to managing performance within an organisation
• The concept and key components of a HPWS
• Possible barriers to the successful implementation of the system you recommend