Another classic Midge post. Seriously.
<<Which management approach is most evident in NHS IT, within the NHS,
and outside the NHS?>>
First reaction, looking at both NHS IT and the NHS in general, is to
paraphrase Martin Sheen in Apocalypse Now when asked by the mad colonel
what he thinks of his (the colonel's) methods and Sheen looks slowly
around the horrible camp with enemy heads on poles etc and says, slowly,
"I see no method at all, sir."
I'm not sure I see any kind of management anywhere in the NHS above the
level of small units where _sometimes_ they get lucky and it works. I
exclude GP surgeries from this, since they are not strictly speaking
part of the NHS management hierarchy despite increasing attempts to suck
them into it. Also, they work, by and large.
NHS IT---too much incompetence for anyone to attempt to manage.
NHS in general--no method at all. Sir.
Outside the NHS---varies a lot, doesn't it? Far too many places which
seem to survive and make some kind of profit for far too long despite an
ethos of contempt for both customers and staff. I agree they tend to be
short strategy types who seem to have got stuck in something which keeps
trundling along.
Or to quote Tom Peters---You can't shrink your way to greatness.
Declan
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