Career Focus

Briefing

BMJ 1998; 317 doi: https://doi.org/10.1136/bmj.317.7172.3a (Published 05 December 1998) Cite this as: BMJ 1998;317:S3a-7172

Hierarchy is alive and kicking in the NHS, and a good thing too, according to an article by a senior academic manager (Health Service Journal 1998;12 Nov:22-4). Hierarchies, he argues, are easy to understand, natural, and mesh with popular culture. The article includes a couple of paragraphs on the behaviour of cavemen and an illustration of an ape in a suit, all of which will keep HSJõs post-modernist readers smiling. What are the alternatives to hierarchy? Matrix management, which is flatter, but controversial for non-time limited projects. Just so you know.

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