Letters When managers rule

The NHS has a corporate management system

BMJ 2013; 346 doi: http://dx.doi.org/10.1136/bmj.f212 (Published 15 January 2013) Cite this as: BMJ 2013;346:f212
  1. Christoph C Lees, consultant1
  1. 1University Teaching Hospital, Cambridge, UK
  1. christoph.lees{at}btinternet.com

Jarman omits a key word that explains the current predicament of the NHS.1 That word is “corporate.”

The founding of a huge organisation such as the NHS inevitably led to the need to manage its workers, and the process of doctors becoming de facto civil servants began in 1947. The Griffiths Report …

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