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A Damn Bad Business: The NHS Deformed

BMJ 1998; 317 doi: https://doi.org/10.1136/bmj.317.7154.357 (Published 01 August 1998) Cite this as: BMJ 1998;317:357

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  1. Brian Brian Salter, professor of health services research,
  1. University of East Anglia, Norwich

    Over the past decade, medicine's leading bodies have been obliged to adjust to the sobering reality that their place in the grand politics of the NHS has changed, and changed permanently. Margaret Thatcher's abrupt exclusion of the profession from the policy making leading up to the 1991 reforms may have been offensive and uncomfortable, but it launched medicine on a political learning curve from which much has been gained. For the future, and with self regulation now a burgeoning issue, continuing political education is a requirement for all medical politicians interested in career advancement.

    In this context A Damn Bad Business is a …

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