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BMJ 2007;335:465 (8 September), doi:10.1136/bmj.39317.635579.BE
| The first 150 words of the full text of this article appear below. |
I am not alone in my surprise at seeing Delamothe join Dearlove on the moral low ground to support his position on the public and professional impacts of Bristol, Alder Hey, and Shipman.1 Above the shuffling of closing medical ranks I can catch the words of Hampton's 1983 editorial on the end of clinical freedom, "at best a cloak for ignorance, at worst an excuse for quackery."2
Dearlove demands evidence, as if an opiate. Lack of evidence of effect is not the same as evidence of lack of effect. The Department of Health's MORI polls, whose responses are likely to be driven largely by recent direct medical contact, show that 14-17% of patients have reservations or negative opinions about the competence of doctors.3 4 5 In the British social attitudes surveys 16% of respondents expressed dissatisfaction with general practice and more with the NHS generally (www.data-archive.ac.uk/findingData/bsaTitles.asp). After Alder Hey, Cancer
Roger H Jones, Wolfson professor of general practice
Department of General Practice, King's College, London SE11 6SP
roger.jones@kcl.ac.uk
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