Professionals in the NHS – a case study of business process re-engineering

Rather than providing evidence of business process re-engineering (BPR) as another example of cultural change rhetoric, this case study shows BPR as a substantive initiative that has had a considerable impact on health care professionals. A hybrid of differing bureaucratic professions allows for a diversity specific to the health service. The study highlights a number of controversial issues unique to health care professionals, particularly in the areas of job redesign, multiskilling and empowerment.