Originally Posted by
Bubble
Most of the management schemes that have ever been tried for the NHS were probably not run for long enough to produce maximum benefit. I think that's the natural outcome of changing the system too frequently, you get huge disruption, huge costs, but the system is never allowed to settle down for long enough to reap any benefits.
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Therefore, I suggest the biggest problem in the NHS management has been, and continues to be the frequency and scale of meddling carried out by the Secretary of State for Health (rather than the actual management system in place at any one time).
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