The Maureen Dixon Essay Series has been established in order to place her contribution in context and the essays are intended to contribute to informing the debate about the organisation and design of work, whilst at the same time stressing the importance of values in health care organisation and management.
The constant reorganisation of the NHS has been unduly influenced by managerial fads and fancies, confusing style with structure and the illusion that there is a perfect organisation solution, if only it could be found, states Andrew Wall. He concludes that managers have a duty to patients but also to government and this accountability is best honoured through well defined hierachies.
Wall A (1999) Icebergs and deckchairs: Organisational change in the national health service. Essay. Nuffield Trust.