Abstract
All readers of this journal will know of the Griffiths Inquiry and its Report. The main concern of Griffiths was to change the ‘management style’ of the British National Health Service (NHS). This was to be achieved by the introduction of ‘general managers’ at national, regional, district and unit levels. General managers would provide a focus of authority and accountability, and their integrating role would replace the team ‘consensus’ management which had been orthodox doctrine in the NHS since the 1974 reorganisation, if not before. But Griffiths also had advice on the reform of financial management and control in the NHS. It advocated annual cost‐improvement programmes, and also the use of ‘management budgeting’.
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