Written by two experts who saw through an NHS Merger, this hard-hitting critique of the rationale behind mergers and the management of mergers gives a unique look behind the scenes of an NHS system in turmoil. A detailed commentary on the PFI to date designed to serve as the basis for consultation with IHSM members and key external players. The IHSM's research into acute services reconfigurations continues. Separate attention is given to significant national increase in emergency admissions, which is slowing the progress of resource shifts into primary care. Looks at the involvement of clinical staff in the management of NHS trusts.
Companion volume focuses on management arrangement in demonstration trusts.
The author, who was a speaker at the 1995 IHSM annual conference for practice managers, is an American academic with international expertise in healthcare systems and experience with managed care systems. He brings a fresh perspective to the healthcare debate. Management in primary care must be creative, flexible and strategic. This publication aims to promote discussion of management development for primary care managers. A small bibliography of training materials for managers in general practice.