Letters

Contracting is a recipe for inefficiency

BMJ 1995; 310 doi: https://doi.org/10.1136/bmj.310.6971.60 (Published 07 January 1995) Cite this as: BMJ 1995;310:60
  1. A M Will
  1. Consultant paediatric haematologist Timperley, Altrincham, Cheshire WA15 7SL

    EDITOR,—Chris Ham's view of the future of contracting disregards any role for hospital consultants in the purchasing process.1 This remains a major obstacle to the effectiveness of purchasing. Often directors of contracting are engaged in negotiations to determine the fate of a clinical unit when they have only rudimentary knowledge of the unit and little if any understanding of the interrelation that it may have with others. Moreover, Ham's model of tolerance towards haphazard purchasing, with the NHS …

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