Appreciating managers in the NHS

The redefined roles within the NHS, and the changed organisational structures required to meet the challenges of the purchaser/provider environment, are bringing an unprecedented state of flux between organisations and their staff. New roles and altered responsibilities, more fluid organisational structures, all increase the risk of individuals being placed in inappropriate positions. Each one of these mismatches, argue Michael Church and Derek Houghton, represents a misuse of our most valuable resource--people, and is a cost or waste for the organisation.