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Urgent reform of NHS governance needed

BMJ 2002; 324 doi: (Published 23 February 2002) Cite this as: BMJ 2002;324:446
  1. Caroline White
  1. London

    The government's plans to improve and modernise the NHS will fail unless management is radically reformed, concludes a report from the Royal Society for the Encouragement of Arts, Manufactures and Commerce (RSA), published last week.

    Over 140 chairs, chief executives, non-executive directors, and trustees of public and voluntary sector organisations, including 62 from the NHS, were surveyed. Additional input came from a further 100 board members.

    The findings showed that NHS board management was guilty of tokenism, lack of focus and cohesion, and confusion about its roles and responsibilities and the legislative framework within …

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