Intended for healthcare professionals

Rapid response to:


The “redisorganisation” of the NHS

BMJ 2001; 323 doi: (Published 01 December 2001) Cite this as: BMJ 2001;323:1262

Rapid Response:

No my name is not Cassandra

Dare one thus predict that the next crisis will be because,
disillisioned managers leave the NHS, GPs are found not to have sufficient
managerial never mind leadership skills to undertake the agenda now placed
in their lap, so the delivery of the government agenda is not achieved,
and the public suffer.This is but one scenario and I hope I am wrong, but
surely one of the lessons of Bristol is that without sufficient managerial
(as opposed to professional) expertise operating at the top of these large
and complex organisations, professional skills alone will prove inadequate
to meet the task.

Should we be surprised if some doctors and even nurses of the future
disclaim responsibility for managerial failures on the grounds that they
have not been given sufficient mangerial training and development for
these roles now thrust upon them by both default and design, and no my
name is not Cassandra?

Competing interests: No competing interests

30 November 2001
Annabelle Mark
Professor of Healthcare Organisation
Middlesex University Business School