NHS: Too Big to Manage?
The financial crisis gave us to the concept of organisations too big to fail, but are their also organisations too big to run? With 1.5m staff and a £100bn annual budget, is the National Health Service literally unmanageable? The NHS tops ministerial problem piles but constant re-organisations have failed to find a solution. Restructurings cause more problems or expose new ones that seem too great for its management. Private sector executives who study the health service are shocked at what they see but fail to implement serious changes, not least because the scale of the problem requires a massive solution. The prospect of failure, besides the financial rewards, prevent top corporate executives taking on the public sector role. The scale…
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