This report presents the results of an examination by the National Audit Office of administrative and clerical staffing arrangements within the Hospital and Community Health Services in England. It concludes that the introduction of the National Health Service Reforms in April 1991 will emphasize the need for better assessments of staffing requirements across and within manpower groups. It calls for manpower costs to be closely related to patient activity in order to cope with the purchaser-provider market of the reorganized NHS.
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