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Is the NHS over-administered and under-managed? I think it is certainly over-regulated; something which has, in turn, necessitated a focus on administration.
In hospitals with strong managers, this administrative burden can be managed quite comfortably alongside the local vision for patient services and clear strategic priorities. Elsewhere though, there is a danger that this burden results in servicing the regulator becoming more of a priority than serving the patient.
This is where the value of strong management can be seen; in ensuring that clinicians are not distracted from their core, patient-facing work. The idea that healthcare managers are somehow superfluous is therefore ill conceived.
Similarly, the criticism leveled at management costs, fails to appreciate the value management can bring and that those costs are actually quite low when benchmarked against other industries.
For more information on healthcare thought leadership please email firstname.lastname@example.org.
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