The "redisorganisation" of the NHS

doi:10.1136/bmj.324.7338.672

BMJ 2002;324:672 ( 16 March )

Letters

The "redisorganisation" of the NHS

Is mass dysmorphophobia a better term?

Radical changes can be made only if the basic environment is stable

Doctors must have more managerial training

GPs' dissatisfaction with NHS plan is worse than editorial suggests

Doctors working in public health have extra worries in latest reorganisation

Is mass dysmorphophobia a better term?

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

EDITOR $---$ After six organisational reconfigurations in the course of 15 years as a consultant I was delighted to read that arespected unit (the Health Services Management Centre) considersthat there is no research evidence for the recent change.¹But would it not be useful to study the experiences of those ofus, mainly senior nurses and consultants, who have had to carryon delivering clinical services amid the routine changes ofmanagement?

For example, it takes at least two years for organisations to work out who does what, to rewrite the priorities and protocolstrategies, and to settle arguments within the region/health authority/trustsas to how much money they should have even though they don't haveit. Most typical is the reintroduction of arrangements that failedfive years ago, under the aegis of a "robust" (or "innovative")"change facilitation." There is also no research into what happensto those . . . [Full text of this article]