Challenging medicine: how to influence the agenda in foot surgery
Challenging medicine: how to influence the agenda in foot surgery
Challenging medicine: how to influence the agenda in foot surgery
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Podiatric Surgery and <strong>the</strong> NHS<br />
Margaret Thatcher and <strong>the</strong> ‘New Right’ (1979)<br />
free market economy and ‘competition’<br />
anti-professional/ ‘anti-monopolistic’<br />
Managerialist Agenda: Griffiths reforms empowered general<br />
managers <strong>to</strong> select services on basis of cl<strong>in</strong>ical effectiveness (through<br />
audit), cost effectiveness and accessibility (‘best value’) (1983)<br />
Orthopaedic ‘failure <strong>to</strong> satisfy demand’ for <strong>foot</strong> <strong>surgery</strong> created<br />
opportunities for competitive services – growth <strong>in</strong> NHS podiatric<br />
<strong>surgery</strong> (Sharrard 1982; Bell 1982; BOA Newsletter Autumn (November)<br />
1981:1-2; )
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