The rise in the number of practice managers has nothing to do with the Department of Health or Mrs Bottomley. General practitioners are independent contractors and can choose whom they employ. That they have chosen to employ managers (80 per cent of whom are women and 50 per cent from a clinical background) shows that perhaps GPs take primary care more seriously than the Labour Party which has failed yet to put forward any convincing alternative arrangements.
Primary care has become more complex since the introduction of fundholding. According to our recent survey of practice managers, many are managing organisations worth more than pounds 3m. Such organisations need high- quality managers. If Labour does come to power, it too will discover that good management is an essential ingredient of high- quality health care, especially during periods of major change.
Institute of Health Services Management
3 AugustReuse content