Juniors at the sharp end.
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The frustrations leading to the maintenance dispute go back four years. Author highlights the NHS's inability to handle internal disagreements, and the problems of a bureaucratic and politically-directed profession.
The NHS has been lagging in industrial relations compared with other industries. In an attempt to correct this, greater emphasis is now being placed in IR training for personnel staff. In addition, there is a trend towards separate IR officers. Author looks at the developments.
The incomprehensible web of committees and councils that constitute the General Whitley Council and the attitudes of both staff and management to the 1976 Lord McCarthy report on the Whitley Council are discussed.
Author considers whether the present centralised Whitley structure causes the NHS to invite many of its problems by its inability to respond to local issues before they become disruptive.