Management and organisational structure of the NHS Watch
How is the management and organisational structure of the NHS best described? Is it semi-military with highly stratified ranks and a tightly defined chain of command?
Nowadays I feel it's not as clear cut. Obviously the Agenda for Change banding provides a bit of structure, but the roles within them vary hugely and a move up a band doesn't necessarily mean a role with more responsibility. Almost all staff have some leadership responsibilities and it's fairly normal to have more autonomous staff and different, specialised roles which don't really fit into the traditional model.