Hospital gamesBMJ 2000; 321 doi: https://doi.org/10.1136/bmj.321.7262.713 (Published 16 September 2000) Cite this as: BMJ 2000;321:713
- Diane Harvey, consultant haematologist
- Harrow, Middlesex
Our hospital is currently consumed by politics. All our energies are spent on reorganising services and desperate attempts to establish some stability. I was appointed seven years ago to hospital A which almost immediately merged with hospital B to form trust AB. We continued working as two hospitals with two different cultures but with shared directorate structures for pathology, surgery, medicine, etc. As a result of cost improvement plans, the pathology department was centralised at hospital A which was considered to be larger and in a better state of repair than hospital B. Similar changes took place in other departments.
We need continuous evaluation of change
Power struggles were, however, occurring at a higher level than affected our immediate working lives until it became clear to even the ostriches that either hospital A or hospital B was to close. Hospital B won. Indeed it was decided to build a new hospital on site B. Staff at hospital A, including myself, wept, railed, rent our clothing, and muttered dire …