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REVIEWS: Diana M Jelley Which patients with which needs are leading the patient-led NHS? BMJ 2006; 332: 1221 [Full text]

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Managing patients, managing change...

Ayan S Panja   (20 May 2006)

A patient led NHS is another example of government spin

Wendy D Savage   (22 May 2006)

Who leads the "patient led NHS"

benjamin dean   (29 May 2006)

Managing patients, managing change... 20 May 2006
Ayan S Panja, Senior Partner Greens Medical Practice, London N4 1Tl Send response to journal: Re: Managing patients, managing change...	Dr Jelley must be congratulated on this piece which beautifully captures the essence of general practice in an ever changing world. Budgets, performance, access targets and quality must all be managed in today's NHS but ultimately the true value of general practice is continuity. It is true that, on occasion, depending on lay-referral mechanisms, patients may want 'any doctor now' rather than their own doctor later, but the level of high quality close personal care as described by Dr Jelley is one of the best things about this country's healthcare system. Sadly, current market forces in primary care, changing demographics and constant distortion of patient expectation to unrealistic levels by the government will eventually destroy it. As a result patients, and both primary and secondary care practitioners will suffer - a lose lose for all. Competing interests: I am a GP
A patient led NHS is another example of government spin 22 May 2006
Wendy D Savage, Retired HomeN1 8HN Send response to journal: Re: A patient led NHS is another example of government spin	I found this a moving article which described the best of general practice. I hope that this type of care will survive despite the way that government targets and managerialism are eating away at the ethos of our profession. If one looks at the progress of this concept of a 'pateint-led NHS' on the DoH website you will see no reference to patients. I believe this is another example of spin, some bright young advisor's idea of how to get the public on board with a catchy phrase but which has not been thought trhough in any detail whilst the marketisation of the NHS continues apace. As a profession we need to stand up for our values and experience and understanding of how to provide a health service to all who need it . Please join Keep Our NHS Public www.keep our nhspublic.com to work with others fighting to stop the damaging reforms of the NHS Competing interests: None declared
Who leads the "patient led NHS" 29 May 2006
benjamin dean, sho australia Send response to journal: Re: Who leads the "patient led NHS"	I think Homer Simpson knows the answer to this one instinctively. Competing interests: None declared