Target centred medicine

… and fail patients too

BMJ 2003; 327 doi: 10.1136/bmj.327.7416.680-a (Published 18 September 2003)
Cite this as: BMJ 2003;327:680.2

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  1. Anthony A D'Sa, senior house officer orthopaedics (antdsa@hotmail.com),
  2. Sapna Agrawal, senior house officer accident and emergency,
  3. Alistair Tindall, orthopaedic specialist registrar,
  4. Alfred Franklin, orthopaedic consultant
  1. Princess Royal University Hospital, Orpington, Kent BR6 8ND

    EDITOR–According to MPs, NHS staff are cheating to hit government targets.1 Many readers will not be surprised to read of stories of wheels being removed to rename a trolley as a bed, this problem has a more serious side. Through the use of punitive targets the government has …

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