The paper addresses the paradoxical question of why, given two decades of i
deological and structural reforms in the public sector has bureaucracy surv
ived both as a concept and in practice. The findings of research conducted
in the British National Health Service suggest that bureaucracy is both use
ful and durable because it means that governments can rely upon the obedien
ce of bureaucrats. In turn, it is suggested that this obedience is a functi
on of bureaucratic vocation, the protection of professional reputation and
a form of instrumental motivation. In conclusion, there is a theoretical di
scussion about the relevance of using Labour Process Theory to explain how
state workers (bureaucrats) have experienced social and cultural adaptation
to public sector reforms.