With neo-liberal ideologies, in 1979, the then Conservative
government within the UK envisaged a National Health Service
(NHS) that would move away from its public ethos and
instead be run like a private business (Griffith 1983) – NPM.
The UK government introduced organizational changes into
the NHS such as drive for efficiency and value for money
within policy guidelines and the introduction of general
managers (Harvey 2005, Evans 2009).