A critical commentary on management science in relation to reforms after institutional National Health Service failures

Abstract

Aim(s)

A discussion paper on the United Kingdom (UK) National Health Service (NHS) market reforms.

Background

NHS market reforms reliance on management science methods introduced a fundamental shift in measuring care for commissioning.

Evaluation

A number of key reports are discussed in relation to NHS market reforms and management science.

Key issues

NHS market reforms were influenced through a close alliance between policy makers, the department of health, free market think tanks and management consultancies. The timing of reforms coincided with reports on NHS failings and the evolution of measurement methods to focus on finance.

Conclusions

The balance in favour of measurement practises is of concern. Management science methods are criticised in the Francis Report yet promoted as the solution to some of the key findings; why may be explained by the close alliance.

Implications for Nursing Management

A return to principles of management involving consensus, trust and involvement to promote quality care and use management science methods to this end.