Slash Bureaucracy in the NHS

April 23, 2018


We waste phenomenal amounts of money on countless layers of bureaucrats and have done so ever since the introduction of the NHS 'internal market' in 1990. This has been further compounded by clumsy over-centralisation of services through the regional trusts, which did away with the old tri-partite system which had allowed doctors to have the greatest say in how hospitals were run, and for community services to be administered at the local level.


The result of the 'internal market' and over-centralisation has been the emergence of a class of bureaucrats who have foisted layer upon layer of management on our hospitals, and taken away the voices of doctors and nurses in how they are run.


We believe that doctors and nurses should be given a greater say in how our hospitals are run and that there needs to be a significant reduction in the number of bureaucrats.

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