Views & Reviews If I Ruled the NHS

Stop trying to integrate organisations

BMJ 2015; 350 doi: https://doi.org/10.1136/bmj.h1271 (Published 12 March 2015) Cite this as: BMJ 2015;350:h1271
  1. Michelle Drage, chief executive, Londonwide Local Medical Committees
  1. Michelle.Drage{at}lmc.org.uk

If I ruled the NHS I would value and take care of my frontline workforce. I would let them show me how good they were and not forever tell them how bad or inadequate they were. I would not perversely incentivise them, and I would not bully them. I would restore their trust and goodwill in return for a cull of bureaucracy and an end to hyper-regulation, which as with hyper-inflation can lead only to bad things. …

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