PROVOCATION 2
OUR PROVOCATION
• 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.
