BMJ  2006;332:1518 (24 June), doi:10.1136/bmj.332.7556.1518

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Personal views

It is time to separate the NHS from direct government involvement

The first 150 words of the full text of this article appear below.

Precious NHS resources have been wasted in constant structural changes. The government and all political parties should endorse the proposal that as part of the modernisation agenda the management of the NHS should be totally separated from direct government involvement. This can be achieved by delegating overall NHS management power to an all party elected body, which would include experts in professional, clinical, and health service management and which would be advised by an accountable body (see figures).

Such an independent management body would bring balanced political and electoral representation to the NHS as well as the expertise of highly experienced health professionals elected to represent the NHS staff from within their clinical, professional, and health service management organisations. It would be better placed to deal with the difficult issues of prioritisation and future funding of the NHS and would oversee policy, planning, performance management, and quality assurance.

As . . . [Full text of this article]

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Layla Jader, consultant in public health medicine

Welsh BMA Committee of Public Health Medicine and Community Health, CardiffLayla.Jader@nphs.wales.nhs.uk


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Relevant Articles

An NHS board is the way forward
Layla Jader
BMJ 2007 334: 1336. [Extract] [Full Text] [PDF]

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This article has been cited by other articles:

  • Jader, L. (2007). An NHS board is the way forward. BMJ 334: 1336-1336 [Full text]  
  • Jader, L. (2006). An independent NHS?: Why it really is time to separate from direct government involvement. BMJ 333: 354-354 [Full text]  

Rapid Responses:

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Common sense at last
William G Notcutt
bmj.com, 24 Jun 2006 [Full text]
Separating the NHS from Government
John W Norris
bmj.com, 25 Jun 2006 [Full text]
Let's Lose the Apathy and Get Involved
Seemab Ashraff
bmj.com, 25 Jun 2006 [Full text]
Removing HM Governement from the NHS
Richard J Holmes
bmj.com, 26 Jun 2006 [Full text]
Not the first time
Neville W Goodman
bmj.com, 28 Jun 2006 [Full text]
It is time to separate the NHS from direct government involvement
Anthony P Winston
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The Poll Results
Michelle E Tempest
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What sort of freedom?
stephen black
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Author’s reply
Layla Jader
bmj.com, 2 Aug 2006 [Full text]
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