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Relationships in the NHS: Bridging the Gap

The first chapter, about the agenda of this study, relates to the widespread disillusionment regarding relationships in the NHS and their impact on health. When the project started in 1996, the authors were struck by the despair that pervaded the outlooks of many healthcare professionals and managers. This despair reached far beyond concerns about the implementation of ‘‘internal market’’ mechanisms in the NHS. Although many applauded the improvement of performances, for instance in hospital care, there were many negative feelings.