Management arrangements for the reorganised National Health Service (‘The grey book’) (1972)

A group chaired by then Permanent Secretary Sir Phillip Rogers produced the Management arrangements for the reorganised National Health Service report, which detailed management roles and responsibilities. Senior management teams would be multidisciplinary and would make decisions that had to be agreed by all members (consensus management). The report rejected the idea of introducing a chief executive role given the complexity of the NHS. The report prescribed in detail the role of managers of services including nursing, pharmacy and speech therapy. While there were supporters of the ‘consensus’ management approach, disadvantages included confusion and a lack of visible leadership.