Can general practitioners compete with big business?: NHS privatisation was piloted in prisons

BMJ 2006; 332 doi: https://doi.org/10.1136/bmj.332.7553.1336 (Published 01 June 2006) Cite this as: BMJ 2006;332:1336
  1. Andrew J Ashworth (Andrew.ashworth@lothian.scot.nhs.uk), general practitioner
  1. Davidson's Mains Medical Centre, Edinburgh EH4 5BP

    EDITOR—It is no surprise to see NHS general practice being eroded by big business.1 Doctors advocate for all their patients; politicians (the “owners” of the NHS) have pressures that are often at odds with those of patients and therefore their doctors.

    By seeking a system that reduces doctors' responsibility for patients to an employment contract (with minimum and maximum standards set by managers), …

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