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This study examines management systems and their appropriateness to
the National Health Service. The text considers the role of
clinicians in management, recommending increased involvement by
clinicians, and arguing that they must take on a greater management
role in the reformed health service. The author suggests that
conultants are best placed to manage the NHS efficiently and
cost-effectively. In a system where non-clinical staff have come to
dominate NHS management, and where purchasers determine what
services are to be provided and the Patient's Charter defines the
parameters of practice, doctors have genuine reasons to be hostile
to the idea of involvement in hospital management. However, the
author of this book warns of the danger to the health service and
to patient care if consultants are sidelined. He considers
management systems and the most suitable roles of clinicians in
practice. In proposing models for change, he aims to transform the
professional lives of clinicians.
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