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The UK National Breast Screening Programme provides a challenge to management in terms of the substantial effort its establishment will require. There are problems of manpower resources and availability of training. If the objective of reducing mortality from the disease is to be achieved, process objectives will have to be met by managers whose role will be to marshal the resources, match these to the population to be served, motivate both providers and recipients of the service, maintain standards and monitor both process and outcome.

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