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60 years of transition in NHS management

Posted on 03/11/2009

Dr Mark Exworthy, Dr Fraser Macfarlane (Surrey University) and Micky Willmott (independent researcher) have conducted a study of the changing role of NHS managers. The research was prompted by the 25th anniversary of the Griffiths Report which formally introduced management into the NHS in the 1980s but also by a concern that regular reorganisations (creating a more diverse health-care environment) were harming the NHS's ability to learn from the past, especially regards the management of services.

The research took a long-term perspective by conducting in-depth interviews with managers who had over 25 years experience in the NHS. It concluded that managers are an established interest group in the NHS but there is a danger that frequent structural reforms are eroding the organisational memory of the NHS. If so, the NHS is in danger of failing to learn from its own history. The research was funded by the Nuffield Trust. 


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