Fixing the NHS: We need fewer and better managers

BMJ 2006; 333 doi: https://doi.org/10.1136/bmj.333.7565.447 (Published 24 August 2006) Cite this as: BMJ 2006;333:447
  1. Paul L Thorpe, spinal surgeon (plpjt@doctors.org.uk)
  1. Musgrove Park Hospital, Taunton TA1 3PX

    EDITOR—Black's article embodies the problem in the NHS at the moment—a polarised position with government, Department of Health, NHS Executive, and managers often on one side, and healthcare professionals on the other.1 To the author, anyone who criticises the current direction of the NHS is “anti-reform.”

    Many points in the article show the problem that management consultants have in oversimplifying the …

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