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Purchasing decisions in the NHS: Made by managers ignorant of health care

BMJ 1994; 308 doi: (Published 29 January 1994) Cite this as: BMJ 1994;308:344
  1. J G Palmer
  1. Caldew Hospital, Carlisle CA2 5NW.

    EDITOR, - I suggest that the reason why decisions on purchasing in the NHS are still not explicit three years after the introduction of the NHS reforms1 is that all too often those making the decisions are not appropriately qualified. On Thursday 18 November an advertisement appeared in the appointments section of the Times for a general manager …

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