The Council of Procedural SpecialistsThe Council of Procedural Specialists

  • Home
  • About COPS
  • Members
    • Australian Society of Orthopaedic Surgeons (ASOS)
    • Interventional Radiology Society of Australasia (IRSA)
    • Australian Society of Ophthalmologists (ASO)
    • Australian and New Zealand Association of Oral and Maxillofacial Surgeons (ANZAOMS)
    • Australian and New Zealand Society for Vascular Surgery (ANZSVS)
    • Medical Surgical Assistants Society of Australia (MSASA)
    • Australian Society of Anaesthetists (ASA)
    • National Association of Specialist Obstetricians and Gynaecologists
  • Health Facts
  • Reports
  • Articles
  • News
  • Contact Us
  • Log In
  • Home
  • Articles
  • Growth of Bureaucracy in the British National Health Service

Growth of Bureaucracy in the British National Health Service

Monday, 04 September 2023 / Published in Articles, News

Growth of Bureaucracy in the British National Health Service

By Max Gammon MB BS

Summary

I would like to begin with two propositions that I hope will be obvious to many, if not most readers:

  • administration does not necessarily involve bureaucracy;
  • bureaucracy does not necessarily involve administration.

In this paper, evidence will be presented that suggests that increasing numbers of National Health Service (NHS) staff, irrespective of their designated function, are spending increasing amounts of time engaged in bureaucratic activities not directly related to the care and treatment of patients, leaving fewer available for that purpose.

British Hospitals Before The Inception Of The NHS

No new hospitals were in fact built during the first thirteen years of the NHS.

Bed Losses And Growth In Numbers Of Staff

A total of 544,000 beds in voluntary and local authority hospitals were taken into the NHS in 1948. By 1973 the number had fallen to 491,000. Beds per thousand of the population had fallen from 11 to just under nine.

NHS 1974-1985

Accelerating bed losses and growth in numbers of staff Between 1974 and 1985 the number of NHS hospital beds in England fell by 71,000 from 396,000 to 325,000 (18 per cent), an average loss of 6,400 beds per year compared with an average loss of 2,000 per year for Britain as a whole between 1948 and 1973.

Bureaucratic Displacement

It is important to note that it is not suggested that the growth in numbers of designated administrative and clerical staff is, in itself, of major significance in the dissipation of NHS resources. The theory proposes that this growth is significant primarily as an indicator of a changing pattern of activity, involving the bureaucratisation of the service as a whole ('concealed bureaucracy'). (See Figure 2.)

Figure-2

The bureaucratisation of the nursing profession The growth of concealed bureaucracy is well illustrated by changes that have been occurring in the nursing profession, notably since the implementation of the Salmon Report 8 in the late 'sixties and early 'seventies.

Conclusion

The greatest tragedy in the NHS does not lie in the loss of nearly one-third of Britain's hospital beds built up over many generations, a loss of national resources that will take many years and require huge expenditure to remedy. Nor does it lie in the increasing numbers of patients waiting ever longer for hospital treatment, though their suffering is sometimes appalling and can never be compensated.

The greatest tragedy in the NHS lies in the damage that the system has done to the nursing profession, the medical and allied professions and the profession of hospital administration.

Full Version - Growth_of_bureaucracy_in_the_British_NatDownload
Tagged under: buraucracy, NHS

What you can read next

APRA Quarterly Private Health InsuranceReport
APRA Releases Quarterly Private Health Insurance Statistics for Sep 2017
Draft Determination – Honeysuckle Health and nib application for Authorisation
Dr Bruce Shepard
Dr Bruce Shepherd’s Obituary

Recent Posts

  • AIGW Hospital's at a Glance 2024

    AIGW – Hospital’s at a Glance 2024

    Hospitals play an important role in Australia’s...
  • Vale John Allan Buntine – MMBS FRACS

    Vale John Allan Buntine a Fellow of the Royal A...
  • APF: Too late? The new normal, State government slurps up all patient information

    The Victorian government acts in haste to pass ...
  • Managed Care In the USA – a doctor’s experience

    Have a look at Dr Brown's presentation on Manag...
  • COPS Final Submission to Honeysuckle Health application

    Attached is the COPS/ASOS submission to the ACC...

Our Members

  • Australian Society of Orthopaedic Surgeons (ASOS)
  • Interventional Radiology Society of Australasia (IRSA)
  • Australian Society of Ophthalmologists (ASO)
  • Australian and New Zealand Association of Oral and Maxillofacial Surgeons (ANZAOMS)
  • Australian and New Zealand Society for Vascular Surgery (ANZSVS)
  • Medical Surgical Assistants Society of Australia (MSASA)
  • Australian Society of Anaesthetists (ASA)

Members

  • Australian Society of Orthopaedic Surgeons (ASOS)
  • Interventional Radiology Society of Australasia (IRSA)
  • Australian Society of Ophthalmologists (ASO)
  • Australian and New Zealand Association of Oral and Maxillofacial Surgeons (ANZAOMS)
  • Australian and New Zealand Society for Vascular Surgery (ANZSVS)
  • Medical Surgical Assistants Society of Australia (MSASA)
  • Australian Society of Anaesthetists (ASA)

Latest News

  • AIGW Hospital's at a Glance 2024

    AIGW – Hospital’s at a Glance 2024

  • Vale John Allan Buntine – MMBS FRACS

  • APF: Too late? The new normal, State government slurps up all patient information

  • Managed Care In the USA – a doctor’s experience

Contacts Us

(02) 9567 7329

  • Disclaimer
  • About COPS
  • Contact Us

Council of Procedural Specialists © 2015. All rights reserved.
The COPS logo is a registered trademark.

TOP