Redesigning health care

BMJ 2001; 323 doi: https://doi.org/10.1136/bmj.323.7316.804 (Published 06 October 2001) Cite this as: BMJ 2001;323:804

Editorial was uncritical regurgitation of NHS Plan

  1. Paul Meadows, general practice principal (pmbr34891@blueyonder.co.uk)
  1. Priory Surgery, Bristol BS4 2QJ
  2. Downland Practice, Chieveley, Newbury, Berkshire RG20 8TZ
  3. Fern Hill Medical Practice, Faringdon, Oxfordshire SN7 7EZ

    EDITOR—The BMJ seems to have become an organ of government spin. There is little evidence to justify giving space to Smith's editorial on redesigning health care.1 The editorial starts by drawing an analogy with “just in time” manufacturing methods. The closest general practice would come to this is by having open access to investigations and ready access to early outpatient appointments. I am sure that hospital colleagues would love to be in a position to offer this. There is no evidence I am aware of suggesting that delays in primary care are an appreciable factor in treatment time when patients are referred to secondary services.

    Smith points out that in the United States “some practices” taking part in the “idealised design” project increased the proportion of their diabetic patients who had their glycated haemoglobin measured from 47% to 80%. It is laughable to suggest that we need to redesign general practice on such evidence. In my practice, …

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