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EDITORIALS: Rudolf Klein What does the future hold for the NHS at 60? BMJ 2008; 337: a549 [Full text]

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Yet more flux and conflict

Philip J R Taylor, Church Street Axminster   (4 July 2008)

Yet more flux and conflict 4 July 2008
Philip J R Taylor, GP Axminster Medical Practice, Church Street Axminster Send response to journal: Re: Yet more flux and conflict	Klein's elegant editorial describes conflict between different policy aims in the NHS. Lord Darzi's proposals for the NHS contain the laudable aim of rewarding higher quality practices for taking on more patients.This policy contains an obvious conflict. Many GPs like myself pride themselves in providing a personal,accessible service and evidence is abundant,that that the three "A"s of availability,approachability and affability are what patients value most,especially in a doctor with whom they have a long term relationship. If I take on larger numbers of patients I will become less available.I suspect that I will also become less affable. Competing interests: None declared