GENERAL MANAGEMENT IN THE NHS: THE INITIAL IMPACT 1983–88 |
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| Authors: | CHRISTOPHER POLLITT STEPHEN HARRISON DAVID J HUNTER GORDON MARNOCH |
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| Institution: | Christopher Pollitt is Professor of Government at Brunel University;Stephen Harrison and David J. Hunter are, respectively, Senior Lecturer in Policy Studies and Director at the Nuffield Institute for Health Services Studies, University of Leeds;Gordon Marnoch is Senior Lecturer in Public Policy at Lancashire Polytechnic. |
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| Abstract: | The Griffiths report of 1983 resulted in radical changes (to which the label 'general management' has been applied) to the formalities of organization and management in the national health service. We report the findings of a major study (involving more than 300 interviews) of the impact of these changes up to 1988. Although general management has been widely accepted in the service, and seems to have resulted in some improvements to management processes, there has been no substantial change in organizational culture. We conclude that the impact of the Griffiths model of management has been limited in comparison with the continued influence of medical autonomy and financial limitations. |
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