The NHS manager. A view from the bridge

The changing role of the manager has been a growing area of both academic and popular literature over recent years. In addition, the interest of the popular press has made terms like "grey suit" and "fat cat" common terminology. Management roles and managerial authority within today's organisations have seen many changes. This has led to frustration and anxiety for managers as they have watched their role change. In the NHS, like other sectors, managers have become a target for organisational redundancies and have experienced increased responsibility, closer monitoring of performance and heightened job insecurity. This paper aims to offer a contribution to the empirical data on managers by investigating one group of NHS managers' own perceptions of how others see their role. The findings suggest that NHS managers are very aware of the largely negative perceptions that surround them but accept this as an integral part of their role.