I recommend this book to anyone having an interest in their great institution, which has for so long been the envy of so many other countries. After a concise but fascinating history of the evolution of modern medicine, we are led into the narrative of an insidious process of devolutionary control which undermines the principles behind the concept. This has already removed much authority and respect from the clinical operators of this well-loved service, which has become much more beaurocratic. Since this book was published, the process has continued, endorsing much of what Dr. Goddard has predicted.
Most of us are now aware that something is happening to the NHS, and whilst I continue to work in it after more than forty years, my experiences in my sphere of the organization mirror Dr. Goddards, which makes me feel uneasy.