@article {Winyard465, author = {Graham Winyard}, title = {Doctors, managers and politicians}, volume = {3}, number = {5}, pages = {465--469}, year = {2003}, doi = {10.7861/clinmedicine.3-5-465}, publisher = {Royal College of Physicians}, abstract = {Doctors and politicians have rarely seen eye to eye on what a health service should provide and how it should be managed. The introduction of general management in 1984, while initially successful, created new fault-lines between doctors, managers and politicians that were compounded by a succession of NHS reorganisations. These changes brought politics too close to front-line management, highlighted the incompatibility of managerially determined targets with the essence of professional practice, and have led to the development of a management agenda disconnected from healthcare. Remedies are suggested here that reflect the particular roles and contributions of each group that could restore a sense of shared purpose in the running of the NHS.}, issn = {1470-2118}, URL = {https://www.rcpjournals.org/content/3/5/465}, eprint = {https://www.rcpjournals.org/content/3/5/465.full.pdf}, journal = {Clinical Medicine} }