Premium
The Management of Clinicians in the National Health Service
Author(s) -
Scrivens Ellie
Publication year - 1988
Publication title -
social policy and administration
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.972
H-Index - 63
eISSN - 1467-9515
pISSN - 0144-5596
DOI - 10.1111/j.1467-9515.1988.tb00288.x
Subject(s) - commit , public relations , service (business) , process (computing) , business , resource (disambiguation) , political science , marketing , computer science , computer network , database , operating system
The Griffiths Report recommended that doctors be looked on as natural managers in the National Health Service, and recommended that general managers should make renewed attempts to bring clinicians into the management process. Many attempts had been made in the past to commit doctors to management. A survey was conducted of District General Managers in England to find out what mechanisms they are devising to encourage clinicians to become involved in management. The survey results indicate that two mechanisms dominate general management thinking. One method is to increase clinician participation and involvement in discussions of policy and resource use. The other is to allocate budgets to clinicians and to encourage them to become financially accountable for their actions. The latter view is the most commonly held, though it is not clear what precise purpose the budgets are to serve. The paper concludes that the success of devolved budgets as a management tool will depend upon understanding the factors which motivate clinicians.