Education And Debate

The rise of Stalinism in the NHS

BMJ 1994; 309 doi: https://doi.org/10.1136/bmj.309.6969.1640 (Published 17 December 1994) Cite this as: BMJ 1994;309:1640
  1. Richard Smith, editor
  1. BMJ.

    Recently I sat at dinner between a senior nurse and a senior NHS manager, and much of the talk was of Stalinism in the NHS. These people were convinced that the NHS was becoming an organisation in which people were terrified to speak the truth. This opinion is heard time and time again, and everybody seems convinced that it is becoming worse. We thought that it would be …

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