BMJ 2001;323:1262-1263 ( 1 December )

Editorials

The "redisorganisation" of the NHS

Another reorganisation involving unhappy managers can only worsen the service

The first 150 words of the full text of this article appear below.

The NHS is being reorganised---again. Having declared on taking office in 1997 that it recognised that the NHS had suffered too much structural reform, the re-elected Labour government has embarked on the largest, and least debated, reorganisation of the NHS for two decades.1 A consultation document, "Shifting the balance of power in the NHS: securing delivery,"2 published in July proposed abolishing the executive regional offices of the NHS and two thirds of health authorities and creating new primary care trusts to take on a raft of responsibilities from health authorities. Only the acute NHS trusts emerge from these changes relatively unscathed. The consultation, which lasted six weeks, closed in early September and the government has yet to publish its results. But the reorganisation is steaming ahead regardless, with the aim of completing all the changes by April 2002. Few people outside the NHS management community seem to be aware of the . . . [Full text of this article]
Add to CiteULike CiteULike   Add to Complore Complore   Add to Connotea Connotea   Add to Del.icio.us Del.icio.us   Add to Digg Digg   Add to Reddit Reddit   Add to StumbleUpon StumbleUpon   Add to Technorati Technorati    What's this?

Relevant Articles

How to restructure-proof your health service
Jeffrey Braithwaite
BMJ 2007 335: 99. [Extract] [Full Text] [PDF]

Same shortcomings of NHS have existed for years
John Walton
BMJ 2002 324: 792. [Extract] [Full Text]

The "redisorganisation" of the NHS
Trevor Turner, Charles Normand, Annabelle Mark, Peter Barling, and Sian Griffiths
BMJ 2002 324: 672. [Extract] [Full Text] [PDF]

Urgently needed: leadership and mutual respect
BMJ 2001 323: 0. [Full Text] [PDF]

This article has been cited by other articles:

  • Walshe, K. (2009). Pseudoinnovation: the development and spread of healthcare quality improvement methodologies. Int J Qual Health Care 21: 153-159 [Abstract] [Full text]  
  • Hewison, A. (2008). Evidence-Based Policy: Implications for Nursing and Policy Involvement. Policy Politics Nursing Practice 9: 288-298 [Abstract]  
  • Greener, I., Powell, M. (2008). The changing governance of the NHS: Reform in a post-Keynesian health service. Human Relations 61: 617-636 [Abstract]  
  • Lelliott, P. (2008). Time for honest debate and critical friends. Commentary on... New Ways of Working. Psychiatr. Bull. 32: 47-48 [Full text]  
  • Braithwaite, J. (2007). How to restructure-proof your health service. BMJ 335: 99-99 [Full text]  
  • Fotaki, M. (2006). Choice is yours: A psychodynamic exploration of health policymaking and its consequences for the English National Health Service. Human Relations 59: 1711-1744 [Abstract]  
  • Lelliott, P., Bennett, H., McGeorge, M., Turner, T. (2006). Accreditation of acute in-patient mental health services. Psychiatr. Bull. 30: 361-363 [Full text]  
  • Vetter, N. (2006). The postman's dilemma. J Public Health (Oxf) 28: 1-2 [Full text]  
  • Blackler, F. (2006). Chief Executives and the Modernization of the English National Health Service. Leadership 2: 5-30 [Abstract]  
  • Oxman, A. D, Sackett, D. L, Chalmers, I., Prescott, T. E (2005). A surrealistic mega-analysis of redisorganization theories. JRSM 98: 563-568 [Abstract] [Full text]  
  • Walshe, K., Smith, J., Dixon, J., Edwards, N., Hunter, D. J, Mays, N., Normand, C., Robinson, R. (2004). Primary care trusts. BMJ 329: 871-872 [Full text]  
  • Hunter, D. J (2004). Getting a grip on clinical variations in hospital services. BMJ 328: 610-610 [Full text]  
  • Walshe, K. (2003). Foundation hospitals: a new direction for NHS reform?. JRSM 96: 106-110 [Full text]  
  • Smith, M. (2003). Devolution and 'public psychiatry' in Scotland. Psychiatr. Bull. 27: 41-43 [Full text]  
  • Walton, J. (2002). Same shortcomings of NHS have existed for years. BMJ 324: 792-792 [Full text]  
  • Turner, T., Normand, C., Mark, A., Barling, P., Griffiths, S. (2002). The ""redisorganisation"" of the NHS. BMJ 324: 672-672 [Full text]  
  • Smith, R. (2002). Oh NHS, thou art sick. BMJ 324: 127-128 [Full text]  

Rapid Responses:

Read all Rapid Responses

No my name is not Cassandra
Annabelle Mark
bmj.com, 30 Nov 2001 [Full text]
If managers don't take on change then the government will
Paul McDonald
bmj.com, 30 Nov 2001 [Full text]
Managerialism, the culture, is the albatross around the NHS' neck.
Steven Ford
bmj.com, 1 Dec 2001 [Full text]
NHS Mismanagement
Paul Reid
bmj.com, 5 Dec 2001 [Full text]
the centre is at fault
Gordon Pledger
bmj.com, 6 Dec 2001 [Full text]
apres deluge, moi
Adrian Midgley
bmj.com, 6 Dec 2001 [Full text]
Making it change by leaving it alone
Charles Normand
bmj.com, 6 Dec 2001 [Full text]
In fact its worse
Peter Barling
bmj.com, 6 Dec 2001 [Full text]
Re: No my name is not Cassandra
Ahmad Risk
bmj.com, 11 Dec 2001 [Full text]
Response to The Redisorganisation of the NHS
Professor Sian Griffiths, et al.
bmj.com, 11 Jan 2002 [Full text]
Access jobs at BMJ Careers
Whats new online at Student BMJ