Successive reorganisations of the British NHS have been designed to optimise effective resource use and to hold professionals to account for what they do. The various changes have proceeded in isolation from any evidence that they will succeed. This book reviews all published research evidence on the organisation and management of the NHS and reports findings of a major study carried out by the authors on the introduction of general management into the NHS using two key concepts:Power and Culture. The book considers the implications of the research findings for the major market principles and competition into the NHS.