nology. An article in The Economist suggests that the fundamental question for whatever government is currently in power remains how best to organize and manage the NHS to allow it to provide the highest possible quality of health care, and how to fund it. The article describes the struggle between doctors, their patients, administrators in the form of civil servants, and the national government have with issues including rationing of services, attempts to manage the doctor-patient relationship, and the trade-offs and value judgments necessary to balance budgetary pressures with patients' rights. NHS management must find a way to balance the conflicting demands and expectations of patients, staff and taxpayers, how to ensure finite resources are targeted where they are most needed (Health - Milburn's balancing act 67).
Sussex suggested that even with rationing and some degree of oversight of treatment protocols by non-medical personnel, at the national level the NHS must concentrate both on allocative efficiency and productive efficiency (59).
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