§ Lord Tebbit
asked Her Majesty's Government:
How many layers of management exist in the National Health Service between a staff nurse in a hospital and the Secretary of State. [HL3668]
§ Lord Hunt of Kings Heath
A staff nurse in a hospital ward in the National Health Service works within a team led by a ward sister or charge nurse. Wards are managed within clinical directorates in NHS trusts, but management structures vary. NHS trusts and health authorities are performance-managed by the NHS Executive whose chief executive reports to the Secretary of State for Health.