Target setting should be left to clinicians
Sir, Further to John Spivey’s letter (Herald, 5th August), the management tier was introduced by the then Health Secretary, Sir Keith Joseph, with the mistaken idea that the NHS would work more efficiently as a business, which it is not.
Its job is to make sure doctors meet targets, which are necessarily arbitrary given the nature of medicine, and to keep costs down, whatever.
However, performance should be left to the judgement of clinicians, given that nature and undue rigidity can result in consequences for patients’ health. Yours etc,
R. J. ROSCOE
Mill Brow, Armathwaite.