'Nor, on the other hand, are the needed changes
(to the NHS) really likely to flow from the
culture of inspections, audits, league tables and
'stars' on which the Labour Government currently
relies. As Michael Power has shown, this culture
belongs to the world of commerce, where trust is
at a discount, whereas in health care it is
always at a premium - trust between patients,
nurses, doctors, technicians, cleaners, everyone.
To achieve true modernisation of the NHS, based
on trust, what is needed is neither competition
nor bureaucratic policing but a sophisticated and
profound kind of democratisation.'
Colin Leys. Is consumerism a problem for the NHS?
Renewal, 2003, 11(2), 20-28
www.renewal.org.uk
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