Doctors don't like the idea that they don't put patients first—that they aren't “patient centred” in current jargon. Many doctors, particularly older ones, have sacrificed hundreds of nights' sleep, their health, and even their families to the care of patients. How can they not be “patient centred”?

The answer is that being patient centred involves much more than being dedicated and caring. It's a different way of thinking and behaving, where doctors and patients work together as true partners. Neither side finds it easy. This theme issue explores what a true partnership means and looks forward to a time when the BMJ itself—very much the property …