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Managers. Bureaucracy: hit and myth.

N Pettinger1

  • 1Royal Infirmary, Edinburgh Trust.

The Health Service Journal
|January 25, 1998
PubMed
Summary

NHS management

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Area of Science:

  • Healthcare Management
  • Public Administration

Background:

  • The public perception of National Health Service (NHS) management is often negative.
  • Managerial expansion in the NHS occurred prior to significant market reforms.

Purpose of the Study:

  • To critically evaluate the perception of NHS management.
  • To analyze the historical context of managerial growth within the NHS.
  • To assess the bureaucratic implications of proposed NHS reforms.

Main Methods:

  • Historical analysis of NHS management roles.
  • Review of policy documents and white papers.
  • Qualitative assessment of proposed organizational structures.

Main Results:

  • The expansion of NHS management predates the internal market.
  • Proposed reforms, such as primary care groups, are likely to increase bureaucracy.
  • Current negative perceptions of NHS management may not fully reflect historical trends.

Conclusions:

  • The negative image of NHS management is largely unwarranted given historical context.
  • Future NHS reforms risk significant bureaucratic expansion.
  • A nuanced understanding of NHS management evolution is necessary.

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