There is evidence that disengagement can have a detrimental effect on NHS organisations. Statement from Academy of Medical Royal Colleges, Audit Commission, DH, Royal College of Nursing, NHS Institute for Innovation and Improvement, and the Healthcare Financial Management Association. They say "Clinicians should be encouraged to take financial responsibility for their service with the freedom to make changes and use the funds available to improve services". Are we going full circle to consensus management and medical superintendant?
Summary of a Prescription for Partnership. "Clinical engagement depends on effective communication and good working relationships." As I said in relation to the Ian Kennedy interview "[C]reating a manageralism that fails to provide the organisational infrastructure to support doctors in the exercise of their responsibilities is not the way forward." Eminent bodies seem to be agreeing with me.