“Choose and book” does not solve any problems

doi:10.1136/bmj.331.7511.294-b

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Adrian K Midgley, general practitioner (amidgley2@defoam.net)

Exeter EX1 2QS

EDITOR—In his personal view Kare-Silver describes behind the scenes at the “Choose and book” initiative.1 Information technology does not work well when handled as a compulsory element in a political process, as the government and NHS should know.

In 1990 I could refer a patient to any specialist in the United Kingdom. What limited my use was that I did not know many specialists, most specialists …