HC Deb 24 November 1993 vol 233 c97W
Mr. Blunkett

To ask the Secretary of State for Health what steps she intends to take to reduce bureaucracy within NHS hospitals and trusts.

Dr. Mawhinney

It is expected that after 1 April 1995 virtually all national health service hospital care will be provided by trusts. As trusts have to compete for contracts from purchasing authorities for the provision of care, their management should have the most cost-effective structure possible which is compatible with the proper discharge of their function.