BMJ  2006;333 (2 December), doi:10.1136/bmj.39049.547442.F7

Editor's Choice

Editor's choice

Jam tomorrow

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

Too many doctors and nurses, said the health secretary Patricia Hewitt last week when asked to explain NHS deficits. Lisa Hitchen demurs (doi: 10.1136/bmj.39044.677280.DB). People interviewed for the BMJ said that rising debts were because of primary care trusts struggling with their new role as commissioners and over hasty reorganisation. Is this special pleading? Chris Ham thinks not. Government policies have accentuated the challenges of long term change in service provision, he writes (doi: 10.1136/bmj.39044.592662.BE). Improvements will not come simply through the invisible hand of the market.

Does this mean that practice based commissioning is not the panacea policy makers had hoped for? Ian Greener and Russell Mannion find that it shares many of the problems of fundholding (as well as some of its potential benefits) and will have little effect on hospital care (doi: 10.1136/bmj.39022.486921.94). They think the way forward is to go back to the . . . [Full text of this article]

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