Management skills in the new NHS



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.


Human Resource Management Child Health Service Health Service Management Management Budget Constructive Controversy 
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  1. 1.
    Griffiths, R. (1983) NHS Management Inquiry. DHSS, London.Google Scholar
  2. 2.
    Chantier, C. (1990) Paediatricians and the new National Health Service. Archives of Disease in Childhood, 65, 357–360.CrossRefGoogle Scholar
  3. 3.
    Department of Health (1990) NHS Hospital Activity Statistics for England, 1979–89/90. Department of Health, London.Google Scholar
  4. 4.
    Secretaries of State for Health, Scotland, Wales and Northern Ireland (1989) Working for Patients. HMSO, London.Google Scholar
  5. 5.
    Raftery, J. and Gibson, G. (1994) Banking on knowledge. Health Service Journal, 104, 28–30.Google Scholar
  6. 6.
    Polnay, L., Bingham, H. and Tamhne, R. (1993) Contracting for child health services in the community. Archives of Disease in Childhood, 68, 517–520.CrossRefGoogle Scholar
  7. 7.
    DHSS (1985) Health Service Management. Management Budgeting. Health Notice HN (85)3. DHSS, London.Google Scholar
  8. 8.
    DHSS (1986) Health Services Management. Resource Management (Management Budgeting) in Health Authorities. Health Notice, HN (86)34. DHSS, London.Google Scholar
  9. 9.
    Packwood, T., Keen, J. and Buxton, M. (1991) Hospital in Transition. Open University Press, Buckingham.Google Scholar
  10. 10.
    Bernstein, A. (1993). What should a clinical director do? British Journal of Hospital Medicine, 49, 351–353.Google Scholar
  11. 11.
    Institute of Health Services Management (1990) Models of Clinical Management. Institute of Health Services Management, London.Google Scholar
  12. 12.
    Harris, N. D. (1989) Service Operations Management. Cassell Educational, London.Google Scholar
  13. 13.
    Moores, B. (1989) Management of service quality, in Management in Service Industries, (ed. P. Jones). Pitman Publishing, London.Google Scholar
  14. 14.
    Gamble, P. (1989) Management information systems, in Management in Service Industries, (ed. P. Jones). Pitman Publishing, London.Google Scholar
  15. 15.
    Guest, D. E. (1992) Human Resource Management in the UK, in Handbook of Human Resource Management, (ed. B. Towers), Blackwell Business, London.Google Scholar
  16. 16.
    NHSME Value for Money Unit (1992) The nursing skill mix in the District Nursing Service. HMSO, London.Google Scholar
  17. 17.
    Pava, C. (1986) New strategies of systems change: reclaiming nonsynoptic methods. Human Relations, 39, 615–633.CrossRefGoogle Scholar
  18. 18.
    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.CrossRefGoogle Scholar
  19. 19.
    Burns, J. M. (1978) Leadership. Harper and Row, New York.Google Scholar
  20. 20.
    Belbin, R. M. (1981) Management Teams: Why they Succeed or Fail. Butterworth-Heinemann, Oxford.Google Scholar
  21. 21.
    Tjosvold, D. (1991) Team Organisation: an Enduring Competitive Advantage. Wiley, Chichester.Google Scholar
  22. 22.
    Odiorne G. S. (1970) Management by Objectives. Pitman, New York.Google Scholar
  23. 23.
    NHS Management Executive (1992) Business Planning. NHSME, London.Google Scholar
  24. 24.
    Bloom, K. and Maynard, A.(1992) Rewarding excellence? Consultants’ distinction awards and the need for reform. University of York: Centre for Health Economics.Google Scholar
  25. 25.
    Mintzberg, H. (1973) The Nature of Managerial Work. Harper and Row, New York.Google Scholar
  26. 26.
    Time Manager International (1986) Time Manager Philosophy. Time Manager International, Henley in Arden.Google Scholar

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© Springer Science+Business Media Dordrecht 1998

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