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The Central Administration and the National Health Service
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achieved administrative appeared appointed areas argued BBC Radio budget bureaucracy cash limits cent central centre Committee concern Conservative Party considerable consultants cost criticism cuts debate decisions DHSS District Health Authority doctors dominant economic effective efficiency savings evident example expenditure figures funding government's Griffiths reforms Guardian health policy Health Service hospital House of Commons identified ideology impact important included increase interests issues Kenneth Clarke King's Fund Labour Party linked long-term look Management Board managerial medicine Michael Meacher million Minister National National Health Service NHS Management Norman Fowler nurses operations patients planning policy-making political presented pressure groups private sector problems QALY RAWP reduce relationship response Richard Crossman role Royal College scrutiny Secretary seeking Social Services specific spending staff strategic structure suggested targets Thatcher Tony Newton treatment United Kingdom waiting lists