Cogwheel Report

"[4] John Howie Flint Brotherston was appointed to head a similar committee for the NHS in Scotland.

[5] Members included Dr John Owen Fisher Davies, Howard Granville Hanley, J.A.

Lewis, Dr Richard Mayon Mayon White, Gordon McLachlan (Secretary of the Nuffield Provincial Hospitals Trust), Geoffrey Anderson Phalp (Secretary and Principal Administrative Officer, United Birmingham Hospitals), Sir Arthur Porritt, Sir John Richardson, Dr Kenneth Robson (registrar of the Royal College of Physicians), T.B.

[4] The Report noted that the three branches of the NHS (hospitals, general practice and local authority care) were unwieldy though efforts were being made to improve connections between them.

[4][2] One critique of Cogwheel was that divisional structures were not always obvious, and sometimes resulted in medical physics, diagnostic radiology and pathology being grouped into a section for administrative purposes though they were quite different specialisms.

[4] The second report noted and approved local variations but disapproved of situations where junior doctors, nurses, administrative staff, general practitioners or medical officers of health were not included.