Letters Coalition plans for English NHS

We need some managers

BMJ 2010; 341 doi: http://dx.doi.org/10.1136/bmj.c4183 (Published 04 August 2010) Cite this as: BMJ 2010;341:c4183
  1. Stephen Black, management consultant1
  1. 1London SW1W 9SR
  1. steve.black{at}paconsulting.com

    The centralised drive to meet the politically attractive target of cutting management (there is no public lobby for more bureaucracy) runs a serious risk of undermining the capacity of the new NHS to improve and spend its money well.1 We need some people who know how to spend NHS money wisely.

    Primary care trusts spent 1-2% of …

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