Towards an improved collaboration model for the national healthcare system in England and Wales: a critical and constructive approach using operational research

Soft systems methods have a proven record in tackling problems in healthcare and are used to model interactions within the National Health Service (NHS). The precepts set down by Stringer and other OR scientists guide an evaluation according to quality and effectiveness of aspects of healthcare management in the NHS from the viewpoints of government, software consultants, health professionals and patients. Effective management of a shared system requires the commitment of all stakeholders to an agreed agenda. It is argued that recent organisational changes and liberalised funding schemes frustrate the co‐operative efforts of those working to provide good healthcare.