BMJ 1994;308:1441 (28 May)

Letters

How to build a better manager Consider audit

EDITOR, - There is a delicious irony about the letter from Anthony Walker, a management consultant, implying that loss of clinical freedom will be the deserved consequence of the arrogance and failings of a minority of physicians.1 I suggest that another shibboleth - "management prerogative" - is a more appropriate target for criticism in the current climate. Has Walker audited the results of his profession's activities on the welfare of people working in organisation? Does he "arrogantly" base his practice on the premises of the functionalist paradigm alone, 2 or has he yet incorporated the insights derived from critical theory? My point is that even the simplicities of management are open to radically differing views on what constitutes acceptable practice.

Should Walker wish to know the damaging effects of organisational change on the morale and commitment of working people then enlightenment is available.4 Given that the exercise of managerial prerogative has . . . [Full text of this article]


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