Abstract
In many countries governments and other funder of health services have become increasingly reliant on the advice of management consultants. In this chapter we focus on the nature and impact of this change drawing on a variety of secondary sources. Following a review of the wider literature on management consulting we look mainly at the UK experience to discuss how the role of consultants in health has evolved over the past four decades and with what consequences. A key conclusion is that the involvement of management consultants in health has been extensive, helping, as partners in government, to shape both the implementation and inception of new public management (NPM) reforms. However, we also point to the need for more research on this topic to better understand the impact this consulting advice is having and how the role of consultants might vary within and between different national health systems.
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