Abstract
They swoop in, they swoop out, they * leave a nasty mess behind them and they both have large bills’. This cheeky, but nonetheless vivid, image comparing management consultants with seagulls cropped up during a healthcare debate last week in a speech opposing the motion that the NHS internal market is starting to work. Management consultants and not patients have been the main beneficiaries of NHS reforms, the speaker argued. The fact that the speaker was not, strictly speaking, a professional health care insider’ but director of the Association of Community Health Councils of England and Wales may or may not have influenced the outcome of the debate.
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