ABSTRACT
Supporters of the management class believe that workers are either too dumb or are incapable of managing their work-place. In order to level down the power of the health professionals, the new National Health Service (NHS) management has gone to extraordinary lengths to conceal its real motives. NHS free-marketeers believe that a venture can only succeed when its market is completely isolated from the social and political arena. Manager empowerment is enshrined in the Trust concept, which allows managers exclusively to run our hospitals and other units. The managerial involvement of doctors in the reformed NHS has been largely confined to clinical directorates. The directorate structure is good because it organizes an NHS unit into its constituent functional parts. In order to level down the power of the health professionals, the new NHS management has gone to extraordinary lengths to conceal its real motives.
