Conducted by the North East Metropolitan Regional Hospital Board of Greater London, this study was designed to examine problems involved in introducing the managing productivity schemes; to consider methods of helping staff to appreciate the effects of such schemes; to identify educational and training needs in the field; and to propose schemes of training. Attempts to use variable incentive bonus plans, measured day's work schemes, and productivity agreements to improve productivity among maintenance workers, builders, laundry workers, and other hospital personnel illustrated the difficulty of formulating precise training recommendations to fit a complex and changing series of events. Suggestions were offered for improved incentives not completely tied to money, orientation of managerial and supervisory personnel, staff training, the training of shop stewards and other union representatives, and other aspects of program planning. (Nine references are included.) (ly)