Views And Reviews

Managerial Issues in the Reformed NHS

BMJ 1994; 308 doi: https://doi.org/10.1136/bmj.308.6923.280a (Published 22 January 1994) Cite this as: BMJ 1994;308:280
  1. D J Hunter

    Ed M Malek, P Vacani, J Rasquinha, P Davey Wiley, £ 27.50,pp 262 ISBM 0-471-94033-X

    The need for sound empirical evidence on what is happening in (and to) the NHS after the 1991 reforms is urgent. Given that all those concerned in implementing the reforms from the secretary of state for health down are engaged in a process of learning by doing, the paucity of evaluative research is astonishing. But there is a difficulty, amply demonstrated by this collection of papers, in producing material that is scientifically sound in a short time and in a situation of great instability in which events move swiftly and are forever shifting and assuming new forms. While acknowledging the problem and bravely seeking to fill the gap in knowledge, the editors ultimately fall seriously short of delivering their ambitious promise to map out the direction …

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