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BMJ 2004;328:126 (17 January), doi:10.1136/bmj.328.7432.126-c
Katherine Burke
Health tsars: spin or substance?: Eight health directors ("tsars") were appointed from 1999 to 2002. Katherine Burke asked them to summarise their achievements and other people to assess their work. A ninth "tsar", Dr Sue Roberts, was appointed in March 2003 to cover diabetes. The full text is accessible at www.bmj.com
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Another achievement has been the development of intermediate care services to bridge the gap between patients' acute care in hospital and their returning home. More than 200 000 elderly people have benefited.
I have also maintained change while taking people with me. I have set up a coalition of over 50 organisationsprofessional groups and advocacy groupswhich are working with me nationally.
Dr David Black, consultant geriatrician and chairman of the England
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