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Consultants and clinical team management

Published online by Cambridge University Press:  02 January 2018

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Over the past 10 years or so, management has gained greater significance as a career choice for doctors. They see enormous opportunities to improve clinical care by having a greater say in setting the agenda of their organisation and directing the deployment of the local healthcare budget. While doctors have always enjoyed a position of major influence over the direction of the health service, real opportunities to operate as managers only became available in the mid 1980s with the implementation of the Griffiths Report (Department of Health and Social Security, 1983). Although mental illness hospitals had Medical Superintendents until the 1970s, professional hierarchies and consensus decision making, combined with incremental planning and an administrative culture, resulted in few opportunities for meaningful involvement of doctors in management.

Type
Research Article
Copyright
Copyright © The Royal College of Psychiatrists 1996 

References

Department of Health and Social Security (1983) NHS Management Inquiry. Letter – DA(83)88. London: DHSS.Google Scholar
Department of Health and Social Security (1989) Working for Patients. Cm 555. London: DHSS.Google Scholar
Joyce, L. & Perkins, R. (1996) A managerial perspective on consultant psychiatrists. Advances in Psychiatric Treatment, 2, 1116.Google Scholar
Labour Party (1995) Renewing the NHS. Labour's Agenda for a Healthier Britain. London: Labour Party.Google Scholar
Mascie-Taylor, H., Pedler, M. J. & Winkless, A. J. (1993) Doctors and Dilemmas. Leeds: NHS Executive.Google Scholar
NHS Executive (1994) Developing NHS Purchasing and GP Fundholding. Executive Letter EL(94)79. Leeds: NHSE.Google Scholar
Peters, T. (1988) Thriving on Chaos. London: Guild Publishing.Google Scholar
Rogers, A., Pilgrim, D. & Lacey, R. (1993) Experiencing Psychiatry. Users' Views of Services. London: Macmillan in association with MIND publications.Google Scholar
Senge, P. M. (1990) The Fifth Discipline – The Art & Practice of the Learning Organisation. New York: Doubleday.Google Scholar
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