This study arose from an invitation from the King's Fund to study the job of the district administrator in the NHS and to find out what it is really like. 41 senior administrators were interviewed and eight of them observed at work for three days. The findings show wide variation ...
As the government seeks to accelerate change in the NHS and make services more responsive to public demands, the argument for market discipline versus planned provision is being hotly debated: can a highly centralised system sit comfortably alongside a market-led approach?; can market forces provide an effective response to the ...