New structures of governance are neededBMJ 2003; 326 doi: https://doi.org/10.1136/bmj.326.7392.764 (Published 05 April 2003) Cite this as: BMJ 2003;326:764
- Kieran M J Walshe, director of research management (firstname.lastname@example.org)
- Manchester Centre for Healthcare Management, University of Manchester, Manchester M13 9PL
EDITOR—Klein sees the “cacophony of accountabilities” for new NHS foundation hospitals as a weakness,1 but I would argue that it may be their greatest strength.
For half a century, the NHS has been organised as an administrative bureaucracy led from Whitehall, and the many structural reforms of the past …