Abstract
In 1983 a small committee of inquiry headed by Sir Roy Griffiths was set up to advise on management of the NHS. The committee comprised people with a considerable amount of business experience and found the lack of leadership in the organisation remarkable. This was particularly true at Regional and District level where consensus management held sway, so much so that any professional officer in the management team had the right of veto. When inquiry members suggested to those they interviewed that management principles from the business world might be applicable to the NHS the response was unfavourable. It was held that the Health Service, unlike business, was not founded on the profit motive. However, Griffiths pointed out that the latter is not a significant factor in industry below board level and that levels of service, quality, meeting budgets, cost improvements, staff motivation and research and development were much more important. All these were also essential for efficient and effective management in the NHS.
If Florence Nightingale were carrying her lamp through the corridors of the NHS today she would almost certainly be searching for the people in charge.
Griffiths 1983
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References
Griffiths, R. (1983) NHS Management Inquiry. DHSS, London.
Chantier, C. (1990) Paediatricians and the new National Health Service. Archives of Disease in Childhood, 65, 357–360.
Department of Health (1990) NHS Hospital Activity Statistics for England, 1979–89/90. Department of Health, London.
Secretaries of State for Health, Scotland, Wales and Northern Ireland (1989) Working for Patients. HMSO, London.
Raftery, J. and Gibson, G. (1994) Banking on knowledge. Health Service Journal, 104, 28–30.
Polnay, L., Bingham, H. and Tamhne, R. (1993) Contracting for child health services in the community. Archives of Disease in Childhood, 68, 517–520.
DHSS (1985) Health Service Management. Management Budgeting. Health Notice HN (85)3. DHSS, London.
DHSS (1986) Health Services Management. Resource Management (Management Budgeting) in Health Authorities. Health Notice, HN (86)34. DHSS, London.
Packwood, T., Keen, J. and Buxton, M. (1991) Hospital in Transition. Open University Press, Buckingham.
Bernstein, A. (1993). What should a clinical director do? British Journal of Hospital Medicine, 49, 351–353.
Institute of Health Services Management (1990) Models of Clinical Management. Institute of Health Services Management, London.
Harris, N. D. (1989) Service Operations Management. Cassell Educational, London.
Moores, B. (1989) Management of service quality, in Management in Service Industries, (ed. P. Jones). Pitman Publishing, London.
Gamble, P. (1989) Management information systems, in Management in Service Industries, (ed. P. Jones). Pitman Publishing, London.
Guest, D. E. (1992) Human Resource Management in the UK, in Handbook of Human Resource Management, (ed. B. Towers), Blackwell Business, London.
NHSME Value for Money Unit (1992) The nursing skill mix in the District Nursing Service. HMSO, London.
Pava, C. (1986) New strategies of systems change: reclaiming nonsynoptic methods. Human Relations, 39, 615–633.
Stoelwinder, J. U. and Clayton, P. S. (1978) Hospital organization development: Changing from ‘better management’ to ‘better patient care.’ Journal of Applied Behavioural Science, 14, 400–414.
Burns, J. M. (1978) Leadership. Harper and Row, New York.
Belbin, R. M. (1981) Management Teams: Why they Succeed or Fail. Butterworth-Heinemann, Oxford.
Tjosvold, D. (1991) Team Organisation: an Enduring Competitive Advantage. Wiley, Chichester.
Odiorne G. S. (1970) Management by Objectives. Pitman, New York.
NHS Management Executive (1992) Business Planning. NHSME, London.
Bloom, K. and Maynard, A.(1992) Rewarding excellence? Consultants’ distinction awards and the need for reform. University of York: Centre for Health Economics.
Mintzberg, H. (1973) The Nature of Managerial Work. Harper and Row, New York.
Time Manager International (1986) Time Manager Philosophy. Time Manager International, Henley in Arden.
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Owens, J. (1998). Management skills in the new NHS. In: Rigby, M., Ross, E.M., Begg, N.T. (eds) Management for Child Health Services. Springer, Boston, MA. https://doi.org/10.1007/978-1-4899-3144-3_2
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DOI: https://doi.org/10.1007/978-1-4899-3144-3_2
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