![]() ![]() There is international consensus that health systems with strong primary care achieve better population outcomes and health equity, when compared with those with greater reliance on hospital specialists. This is where most resource and development programmes are usually targeted. ![]() 4 In the UK, discussion of healthcare management and leadership typically assumes an NHS trust (or even more likely) hospital context. Good management is critical to effective delivery of high quality services and improves health outcomes and staff wellbeing. But there is extensive UK and international evidence that healthcare management matters. 3 Managers are often characterised as bureaucrats who take up resources that would be better spent on frontline clinical care. Healthcare management is a broad, highly complex, and politically exposed discipline, typically under valued by the public, media, and politicians alike. 1 The Messenger Review is the latest in a long line of such stocktakes, often undertaken by “NHS outsiders,” dating back to Sainsbury’s boss Roy Griffiths’ review of NHS management in the 1980s which led to the introduction of general management. ![]()
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