The NHS is not a sausage factory: Centralisation will destroy it further

cover provocation 2



• The relentless focus on efficiency in the UK National Health Service has led to a mass production mindset in management practice – with destructive consequences. A third of doctors plan to retire early and a quarter plan to leave the NHS

• The NHS is more akin to a professional services firm and needs to be managed as such

• We need:

• Leadership NOT micromanagement

• Management that provides support to professionals NOT dictates action

• Small self-directed units NOT hierarchical structures

• Recognizing process-based targets doing more harm than good

• The current NHS management mindset is demotivating and counter-productive to the delivery of health outcomes

• Further centralization as proposed will simply make matters worse as will continued use of the NHS for political point scoring.

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